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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) JIK- JURNAL ILMU KESEHATAN Community Empowerment Jurnal Cakrawala Promkes
Karuniawati, Benny
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Arts Humanities Education Health Professions Medicine & Pharmacology Nursing Physics Public Health Social Sciences

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Integrating Maternity Gymnastics and Effleurage Massage into Midwifery Care: A Complementary Strategy for Maternal Comfort and Efficient Labor Mahmudah, Siti; Salsabia, Sabrina; Karuniawati, Benny
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i2.802

Abstract

Background: Maternal morbidity and mortality remain significant public health challenges in Indonesia. Complications such as labor pain, sleep disturbances, and fetal malposition continue to affect maternal outcomes. Complementary therapies, including maternity gymnastics and effleurage massage, have emerged as potential strategies to enhance maternal comfort and promote efficient labor. Objective: This study aimed to evaluate the effects of integrating maternity gymnastics and effleurage massage into midwifery care on improving maternal sleep quality, fetal descent, and labor outcomes. Methods: A quasi-experimental, one-group pretest-posttest design was employed. Forty-two pregnant women between 32 and 36 weeks gestation were recruited consecutively from a public health center in West Java, Indonesia. Participants engaged in weekly maternity gymnastics sessions and received effleurage massage during the first stage of labor. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and labor outcomes were recorded using a validated checklist. Data were analyzed using paired t-tests and descriptive statistics. Results: There was a significant improvement in sleep quality following the intervention, with the mean PSQI score decreasing from 8.6 ± 2.1 to 5.2 ± 1.8 (p < 0.001). The mean duration of the first stage of labor was 4.3 ± 1.1 hours. A high proportion of participants achieved spontaneous vaginal delivery (90.5%), and early fetal head engagement at admission was observed in 83.3% of cases. Labor pain intensity was moderate, with a mean Visual Analog Scale (VAS) score of 5.7 ± 1.4. Conclusion: Integrating maternity gymnastics and effleurage massage into midwifery care effectively improved maternal sleep quality, facilitated fetal engagement, and promoted shorter labor duration. These findings support the incorporation of complementary therapies into routine antenatal and intrapartum care to enhance maternal comfort and optimize labor outcomes.
Enhancing adolescents’ healthy behaviors through nutrition and reproductive health education to prevent stunting at SMP N 1 Gedangsari, Gunungkidul Urrahman, Dhiya; Baiquni, Fahmi; Hersipa, Lulung Lanova; Rahmawati, Nur Cahya; Karuniawati, Benny
Community Empowerment Vol 10 No 7 (2025)
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/ce.13168

Abstract

Many adolescents pay insufficient attention to their nutritional needs, which increases their risk of developing anemia and chronic energy deficiency (CED). These conditions can elevate the likelihood of giving birth to stunted children in the future. In Yogyakarta, the prevalence of stunting is 18%, with Gunungkidul having the highest rate at 22.2%. Furthermore, Gunungkidul recorded 58 cases of adolescent childbirth, highlighting the urgent need for intervention. This community service activity aimed to enhance adolescents’ awareness and knowledge of reproductive health and nutrition to prevent stunting from an early age. The activity was conducted at SMP N 1 Gedangsari and employed a participatory approach with an educational method. The educational program successfully increased the adolescents’ awareness and knowledge of reproductive health and nutrition as crucial factors in stunting prevention. The interactive and participatory nature of the educational approach showed positive impacts, and it is expected that similar programs can be continued to provide long-term benefits to the community.
Parental Involvement in Adolescents' Healthy Eating Through Karuni Application: A Community Study in Indonesia Baiquni, Fahmi; Hersipa, Lulung Lanova; Karuniawati, Benny; Novera, Milya; Wahid, Abdul; Safaringga, Miranie
JIK-JURNAL ILMU KESEHATAN Vol 9, No 2 (2025): JIK-OKTOBER VOLUME 9 NOMOR 2 TAHUN 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i2.1502

Abstract

Background: Female adolescents in Indonesia frequently skip breakfast and have tea after meals, which leads to iron deficiency anemia. However, only a few interventions have successfully combined parental involvement and technology to promote healthy eating.Objective: Our hypothesis was that parents' facilitation through the KARUNI mobile app would lead to healthy eating habits in adolescent girls.Methods: The mixed-methods study recruited 108 female adolescents aged 12-15 years from Gunungkidul, Indonesia (58 intervention, 50 control). The intervention group was instructed to use KARUNI for 21 days with parental involvement, followed by focus group discussions and interviews.Results: In the intervention group, the frequency of breakfast consumption significantly increased (p<0.001) and tea/coffee intake after meals was significantly reduced (p=0.001) with large effect sizes (r>0.48). KARUNI was instrumental in enhancing parental nutrition knowledge, increasing adolescents' self-efficacy, and facilitating better health communication within the family.Conclusion: The engagement of parents through KARUNI resulted in a significant improvement in the adolescents' eating behaviors, indicating that family-centered and technology-enabled interventions can effectively tackle nutritional deficiencies in resource-poor environments.
The effectiveness of media-based family education on healthy lifestyle behaviors among adolescents in Gunungkidul as a Strategy for preventing stunting Baiquni, Fahmi; Hersipa, Lulung Lanova; Karuniawati, Benny
Jurnal Cakrawala Promkes Vol. 7 No. 2 (2025): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/jcp.v7i2.13817

Abstract

Stunting remains a major public health issue in Indonesia, particularly in regions such as Gunungkidul, where prevalence exceeds the national average. Most interventions focus on the first 1,000 days of life, with limited involvement of adolescents, despite their potential role as future parents and family health advocates. This study aimed to evaluate the effectiveness of media-based family education in improving adolescents’ healthy lifestyle behaviors as part of a strategy to prevent stunting. A quasi-experimental design with a one-group pretest–posttest approach was conducted involving 35 adolescents aged 12–15 years and their parents in Gunungkidul. The intervention consisted of adolescent training, parental education, and family habit monitoring over four weeks, utilizing educational videos, posters, and interactive sessions. Data were collected through observations and structured family diaries, then analyzed with the Mann–Whitney test and effect size calculation. Results showed a significant increase in adolescents’ healthy lifestyle behaviors, including balanced nutrition (13.2 ± 2.5 vs. 17.1 ± 1.8, p < 0.001; d = 1.79) and handwashing with soap (12.5 ± 2.2 vs. 16.3 ± 1.7, p = 0.001; d = 1.93). Family diaries also indicated improvements in parents’ meal planning and adolescents’ consistent implementation of clean and healthy living practices. These findings suggest that media-based family education effectively strengthens adolescent–parent collaboration, improves health communication, and fosters sustainable household behaviors relevant to stunting prevention. The integration of adolescent-focused modules into school and community health programs is recommended to support national efforts aimed at reducing stunting.
Efektivitas Massage Endorphin dan Counter Massage Terhadap Intensitas Nyeri Persalinan Kala I Karuniawati, Benny
JIK-JURNAL ILMU KESEHATAN Vol 4, No 1 (2020): JIK-April Volume 4 No 1 Tahun 2020
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v4i1.256

Abstract

Proses persalinan hamper selalui disertai dengan rasa nyeri. Rasa nyeri yang terjadi pada proses persalinan terjadi akibat kerusakan jaringan nyata. Apabila rasa nyeri yang menyertai proses persalinan tidak diatasi dengan baik dapat menyebabkan meningkatnya kecemasan menghadapi persalinan sehingga hormon adrenalin meningkat dan mengakibatkan vasokonstriksi yang menyebabkan aliran darah ibu ke janin menurun. Endorphin Massage merupakan sebuah terapi sentuhan yang dapat menurunkan rasa nyeri melalui serabut C dan delta A yang berdiameter kecil sehingga gerbang sinaps menutup transmisi impuls nyeri. Selain Endorphin massage,Counter massage juga dapat membantu menurunkan rasa nyeri, dengan pijatan yang dilakukan dengan memberikan tekanan yang terus-menerus selama kontraksi pada tulang sakrum pasien dengan pangkal atau kepalan salah satu telapak tangan. Tujuan: mengetahui perbedaan efektivitas endorphin massage dan Counter massage dalam menurunkan intensitas nyeri persalinan kala I. Penelitian ini menggunakan rancangan pre test post test design.  Jumlah sampel dalam penelitian ini sebanyak 53 ibu bersalin yang telah memenuhi kriteria inklusi dan eksklusi. Uji analisis data dengan Mann-Whitney test. Karena data tidak terdistribusi normal maka uji statistic menggunakan Mann-Whitney test. Hasil Uji diperoleh nilai sig 0,962 yang menunjukkan tidak adanya perbedaan efektivitas antara endorphin massage dan counter Massage. Kesimpulan: tidak ada perbedaan efektivitas anatara massage endorphin dan massage Counter dalam menurunkan intensitas nyeri persalinan Kala I. Saran: Bagi bidan hendaknya melakukan teknik endorphin masase maupun counter massage pada ibu bersalin untuk membantu mengurangi rasa nyeri dan mengajarkan kepada keluarga/ pendamping
Co-Authors Abdul Wahid Baiquni, Fahmi Dhiya Urrahman Hersipa, Lulung Lanova Miranie Safaringga Novera, Milya Rahmawati, Nur Cahya Salsabia, Sabrina SITI MAHMUDAH