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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) JIK- JURNAL ILMU KESEHATAN Community Empowerment
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.
Co-Authors Abdul Wahid Baiquni, Fahmi Dhiya Urrahman Hersipa, Lulung Lanova Miranie Safaringga Novera, Milya Rahmawati, Nur Cahya Salsabia, Sabrina SITI MAHMUDAH