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Complementary Antenatal Education Reduces Anxiety and Pain in Primigravidas: A Quasi-Experimental Study Maryam Latifah Harahap; Rahmah Juliani Siregar; Bincar Nasution; Kavita Sharma
JURNAL INFO KESEHATAN Vol 24 No 3 (2026): JURNAL INFO KESEHATAN (In Progress)
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol24.Iss3.2508

Abstract

First pregnancy pregnant women usually have high anxiety and fear of pain of delivery which affects the outcome of the pregnancy and neonates negatively. Complementary antenatal education program using mind body approach along with other non pharmacological approaches to pain relief is recommended in midwifery practice in Indonesia. The objective of this study was to determine the effect of complementary antenatal education program on anxiety during pregnancy and level of labor pain in primigravida women. Quasi-experimental, non-equivalent control group pretest-posttest design has been used as research design. Research participants were 80 healthy primigravidas attending antenatal care at two primary health-care centers in Indonesia. Experimental group consisted of 40 patients who attended 4 sessions of complementary antenatal education (breathing and relaxation training, yoga stretching exercises, massage and touch techniques, aromatherapy counseling) and antenatal education as usual and control group consisted of 40 women attending antenatal education as usual. Pregnancy-related anxiety level was assessed using pregnancy-related anxiety scale while labor pain was estimated using 0-10 Numeric Rating Scale. Statistical analysis was performed using paired and independent t-test, chi-square test.
Dental Health Promotion Using Snakes and Ladder Media on the Knowledge of Teeth Brushing of Grade II Students of MIN 8 Padang Lawas Utara Shiska Buwana Dhewi; Kartika Emailijati; Kavita Sharma
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1378

Abstract

Dental health is an integral part of overall general health, and it is important to instill it early on, especially in elementary school children. One effective way to increase children's awareness and knowledge about the importance of brushing their teeth properly is through fun and easy-to-understand health education and promotion. This study aims to determine the effectiveness of the snakes and ladders game media in increasing knowledge of brushing teeth in grade II students of MIN 8 Padang Lawas Utara. This study used a descriptive design with a pretest and posttest approach involving all grade II students as a sample (total sampling). Data were collected by administering questionnaires before and after the implementation of the snakes and ladders game that had been modified with dental health education content. The results showed that before health promotion using snakes and ladders media, the majority of students had a level of knowledge in the moderate and poor categories, each of which was 14 people (46.66%), and only 2 people (6.66%) were in the good category. However, after being given an intervention in the form of an educational snakes and ladders game, all students (100%) experienced a significant increase in knowledge, all of which were in the good category. This shows that the use of educational game media such as snakes and ladders is very effective in conveying dental health information in a fun and easy-to-understand way for children. This study provides a positive contribution in developing innovative, interesting, and appropriate dental health promotion methods for elementary school children, and can be applied in elementary school environments as alternative learning media.
Analysis Of Nursing Practices For STEMI Patients With The Innovational Intervention Of A Combination Of Swedish Massage With Olive Oil And Warm Water Nur Sausan Fauziah; Zulmah Astuti; Ulfatul Muflihah; Dwi Widyastuti; Kavita Sharma
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1803

Abstract

ST-Elevation Myocardial Infarction (STEMI) is part of Acute Coronary Syndrome (ACS), a cardiovascular condition in which a coronary artery is completely occluded, preventing oxygen from reaching the heart muscle. This study aimed to determine the effect of Swedish massage therapy combined with warm water on hemodynamic stability. This study employed a case study design comparing an intervention patient and a control patient diagnosed with STEMI who had unstable hemodynamic status in the ICCU. After the implementation of Swedish massage and warm water therapy in the intervention patient for three consecutive days, the patient’s hemodynamic parameters such as blood pressure, heart rate, mean arterial pressure, and respiratory rate remained within stable limits, showing no significant increases or decreases. This outcome differed from the control patient, who received only pharmacological therapy. The analysis deminstated a difference in hemodynamic outcomes between patients who received the combined intervention and those in the control group.