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Effectiveness of Reproductive Health Gymnastics on Hemoglobin Levels among Female Midwifery Students: A Quasi-Experimental Study at Bhakti Asih Polytechnic Purwakarta Lia Yulianti; Devita Zakirman; Ruciah Ruciah
Jurnal Sipakatau: Inovasi Pengabdian Masyarakat Vol. 3 No. 5 (2026): August
Publisher : PT. Global Research Collaboration

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66314/sipakatau.v3i5.1171

Abstract

Background: Anemia remains an important health concern among adolescent girls and young women. Reproductive Health Gymnastics (RHG) may offer a complementary physical-activity approach, but evidence regarding its short-term association with hemoglobin (Hb) concentration is limited. Objective: To evaluate the short-term effectiveness of RHG in increasing Hb concentration among female midwifery students at Bhakti Asih Polytechnic Purwakarta. Methods: This quasi-experimental pretest-posttest control-group study included 64 first-year female midwifery students selected by purposive sampling and analyzed in an RHG group (n = 32) and a control group (n = 32). The RHG group participated in a 12-day structured program comprising aerobic movements, stretching, core-muscle strengthening, breathing exercises, and pelvic-rocking movements delivered with standardized video guidance and monitored using a compliance logbook; the control group continued routine activities. Capillary Hb was measured before and after the intervention using an Easy Touch GCHb digital hemoglobin meter. Because Hb data were non-normally distributed, within-group changes were analyzed using the Wilcoxon signed-rank test and between-group differences in Hb change (posttest minus pretest) using the Mann-Whitney U test (two-sided alpha = 0.05). The study record did not retain the original nonrandom allocation mechanism, a priori sample-size calculation, or complete intervention-dose and Hb-standardization details; these limitations are reported explicitly rather than reconstructed retrospectively. Results: The reported mean Hb increase was 1.38 g/dL in the RHG group and 0.14 g/dL in the control group, corresponding to an unadjusted arithmetic difference in mean change of 1.24 g/dL. The intervention group showed a significant pretest-posttest change (Wilcoxon Z = -4.953; p < 0.001; rank-based r = 0.88). The between-group comparison of Hb change was reported as significant (Mann-Whitney U test, p < 0.05). However, the archived study record does not retain group-specific absolute pretest and posttest Hb summaries, SD/IQR or range values, the control-group Wilcoxon output, the Mann-Whitney U statistic and exact p-value, or 95% confidence intervals. These unavailable statistics were not reconstructed, and the precision and clinical significance of the comparative effect therefore remain incompletely quantified. Conclusion: In this single-institution sample of first-year female midwifery students, participation in a 12-day RHG program was associated with a greater short-term increase in measured Hb concentration than routine activities. The finding should be interpreted cautiously given the quasi-experimental design, short follow-up, and incomplete control of potential confounding factors.
Pengaruh Pijat Endorpin Terhadap Intensitas Nyeri Punggung Bawah pada Ibu Hamil Trimester III di Wilayah Kerja UPT Puskesmas Buay Runjung Tahun 2026 Ipuk Witdaningsih; Lia Yulianti; Maulida Lathifah
Mesada: Journal of Innovative Research Vol. 3 No. 2 (2026): July-December
Publisher : Yayasan Zia Salsabila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61253/tmgfbv04

Abstract

Nyeri punggung bawah merupakan salah satu keluhan yang paling sering dialami oleh ibu hamil, terutama pada trimester III. Kondisi ini terjadi akibat perubahan fisiologis selama kehamilan, seperti peningkatan berat badan, perubahan pusat gravitasi tubuh, peregangan otot, serta peningkatan hormon relaksin yang menyebabkan pelonggaran ligamen. Nyeri punggung bawah yang tidak ditangani dapat mengganggu aktivitas sehari-hari, menurunkan kualitas tidur, serta memengaruhi kondisi psikologis ibu. Salah satu metode nonfarmakologis yang dapat digunakan untuk mengatasi masalah tersebut adalah pijat endorfin. Penelitian ini bertujuan untuk mengetahui pengaruh pijat endorfin terhadap intensitas nyeri punggung bawah pada ibu hamil trimester III di Wilayah Kerja UPT Puskesmas Buay Runjung Tahun 2026. Penelitian ini menggunakan metode kuantitatif dengan desain pre-eksperimental melalui pendekatan One Group Pretest-Posttest Design. Populasi dalam penelitian ini berjumlah 39 ibu hamil trimester III, dengan teknik pengambilan sampel menggunakan purposive sampling. Pengukuran intensitas nyeri dilakukan menggunakan Numeric Rating Scale (NRS). Analisis data dilakukan secara univariat dan bivariat. Uji normalitas menggunakan Shapiro-Wilk, sedangkan analisis pengaruh menggunakan uji Wilcoxon Signed Rank Test. Hasil penelitian menunjukkan bahwa sebelum diberikan pijat endorfin, sebagian besar responden mengalami nyeri sedang sebanyak 21 orang (53,8%) dan nyeri berat sebanyak 18 orang (46,2%), dengan rata-rata intensitas nyeri sebesar 6,46. Setelah diberikan pijat endorfin, sebagian besar responden mengalami nyeri ringan sebanyak 25 orang (64,1%) dan nyeri sedang sebanyak 14 orang (35,9%), dengan rata-rata intensitas nyeri menurun menjadi 3,18. Hasil uji Wilcoxon menunjukkan nilai Z = -5,742 dengan p-value= 0,000 (p < 0,05). Terdapat pengaruh yang signifikan antara pemberian pijat endorfin terhadap penurunan intensitas nyeri punggung bawah pada ibu hamil trimester III di Wilayah Kerja UPT Puskesmas Buay Runjung Tahun 2026.