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Pengaruh cuddle therapeutic side sitting position dan breastfeeding terhadap nyeri imunisasi bayi usia 0-12 bulan Saputri, Apreni; Annisa, Rahma; Wijaya, Andra Saferi; Septiyanti, Septiyanti; Nafratilova, Mercy
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1359

Abstract

Background: Immunization is one way to increase children's immunity to prevent diseases, especially infectious diseases. Immunization through injections can experience a direct effect, namely pain. Immunization injections, if not properly managed, can cause injuries that cause pain short-term and long-term effects on babies. One of the non-pharmacological pain managements that can be done is cuddle therapeutic side sitting position and breastfeeding. Purpose: To determine the effect of therapeutic side-sitting and breastfeeding on immunization pain scores in infants aged 0-12 months. Method: Quasi-experimental research with post-test only control group method, conducted at Sawah Lebar Community Health Center, Bengkulu City in March-April 2025. The independent variables are cuddle therapeutic side sitting position and breastfeeding while the dependent variable is immunization pain in infants. The sampling technique using total sampling obtained a total sample of 46 respondents who were divided into intervention and control groups, with inclusion and exclusion criteria. Data analysis used univariate in the form of frequency distribution and bivariate using the Mann Whitney test. Results: Mann-Whitney test showed p=0.000, meaning that there was a difference in the average pain score between the intervention group and the control group. It can be concluded that cuddle therapeutic side-sitting position and breastfeeding have a significant effect on pain scores in infants during immunization. Conclusion: Mann-Whitney test showed p=0.000, meaning that there was a difference in the average pain score between the intervention group and the control group. It can be concluded that cuddle therapeutic side-sitting position and breastfeeding have a significant effect on pain scores in infants during immunization.   Keywords: Breastfeeding; Cuddle Therapeutic; Immunization Pain; Infant; Side Sitting Position.   Pendahuluan: Imunisasi adalah salah satu cara untuk meningkatkan kekebalan tubuh anak-anak guna mencegah penyakit, terutama penyakit menular. Imunisasi melalui suntikan dapat menimbulkan efek langsung, yaitu rasa sakit. Suntikan imunisasi, jika tidak dikelola dengan baik, dapat menyebabkan cedera yang menimbulkan rasa sakit serta efek jangka pendek dan jangka panjang pada bayi. Salah satu metode pengelolaan rasa sakit non-farmakologis yang dapat dilakukan adalah posisi duduk menyamping dengan pelukan terapeutik dan menyusui. Tujuan: Untuk mengetahui pengaruh cuddle therapeutic side sitting position dan breastfeeding terhadap nyeri imunisasi bayi usia 0-12 bulan. Hasil: Uji Mann-Whitney menunjukkan p-value sebesar 0.000, artinya ada perbedaan rata-rata skor nyeri antara kelompok intervensi dan kontrol, sehingga cuddle therapeutic side-sitting position dan breastfeeding berpengaruh signifikan terhadap skor nyeri pada bayi saat imunisasi. Metode: Penelitian quasi eksperimental dengan metode post-test only control group, dilaksanakan di Puskesmas Sawah Lebar, Kota Bengkulu pada bulan Maret-April 2025. Variabel independen dalam penelitian ini adalah cuddle therapeutic side sitting position  dan breastfeeding, sedangkan variabel dependen adalah nyeri imunisasi pada bayi. Teknik pengambilan sampel menggunakan total sampling dan didapatkan jumlah sampel sebanyak 46 partisipan, terbagi ke dalam kelompok intervensi dan kontrol sesuai kriteria inklusi dan eksklusi. Analisis data yang digunakan univariat dalam bentuk distribusi frekuensi dan bivariat menggunakan uji Mann Whitney. Simpulan: Posisi cuddle therapeutic side sitting memberikan rasa aman, stabilitas, dan kedekatan fisik antara bayi dan orang tua, sehingga dapat menenangkan bayi dan menurunkan respon nyeri.   Kata Kunci: Bayi; Breastfeeding; Cuddle Therapeutic; Nyeri Imunisasi; Side Sitting Position.
Neurovascular Treatment in Improving Peripheral Perfusion in Diabetes Mellitus Patients Shazhabilla, Neice Shieva; Septiyanti, Septiyanti
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4077

Abstract

Diabetes Mellitus (DM) is a long-term metabolic disorder caused by insulin function insufficiency, with many etiologies characterized by hyperglycemia accompanied by problems with carbohydrate, lipid, and protein metabolism. More than 90% of DM patients experience neuropathy complications and 50% experience peripheral neuropathy. DM patients with peripheral neuropathy experience decreased peripheral nerve perfusion so that neurovascular care is needed. Objective: This study was conducted to provide an overview of neurovascular care in improving peripheral perfusion in DM patients. Method: This study used a descriptive case study design using the nursing process. This study focuses on improving peripheral perfusion in DM patients with Neurovascular Care interventions to 2 respondens. The intervention carried out on two respondents according to the evidence base was foot exercises with diaball, foot spa, and ROM for 3 x 8 hours. The research instrument used is The Michigan Neuropathy Screening Instrument (MNSI) in assessing the complications of peripheral neuropathy which focuses on data on decreased peripheral perfusion and monofilaments to measure foot sensitivity. Results: Nursing activities start from assessing the patient's circulation needs and continue to data analysis. The data analyzed showed that >80% of the major and minor data listed in the guidelines for raising nursing diagnoses, namely the Indonesia Nursing Diagnose Standards (SDKI). From the data obtained, the diagnosis that can be raised is that peripheral perfusion nursing is ineffective with peripheral perfusion nursing outcomes with increased expectations. On the last day of the nursing evaluation, there was an increase in peripheral perfusion from a decreasing level to a moderate level in the respondents. Conclusions: Neurovascular Treatment can be applied to improve peripheral perfusion in DM patients.
Faktor Berhubungan Dengan Low Back Pain Pada Tenaga Kerja PT. Pelindo IV (Persero) Cabang Ambon Wida, Nur Wahda Kaliky; Yuliaty, Yuliaty; A. Fachrin, Suharni; Gafur, Abd; Septiyanti, Septiyanti
Window of Public Health Journal Vol. 4 No. 6 (2023)
Publisher : Pusat Kajian dan Pengelolaan Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woph.v4i6.1409

Abstract

Nyeri punggung bawah adalah rasa tidak nyaman atau rasa sakit yang terjadi di daerah punggung bagian bawah tubuh. Nyeri punggung bawah seringkali terkait dengan gangguan pada jaringan lunak seperti otot, tendon, ligamen, serta sendi, dan juga dapat mempengaruhi sistem saraf. Tujuan dari penelitian ini adalah untuk mengevaluasi hubungan antara faktor usia, indeks massa tubuh, masa kerja, dan beban kerja dengan keluhan Low Back Pain pada Tenaga Kerja Bongkar Muat di PT. Pelindo IV (Persero) Cabang Ambon. Penelitian ini menggunakan pendekatan kuantitatif dan desain penelitian cross sectional. Populasi yang terdiri dari 400 tenaga kerja bongkar muat dipilih secara acak menggunakan metode simple random sampling, dengan sampel sebanyak 197 orang. Analisis data meliputi analisis univariat dan analisis bivariat dengan menggunakan uji chi-square. Hasil penelitian akan disajikan dalam bentuk tabel distribusi frekuensi dan narasi interpretasi. Hasil penelitian menunjukkan adanya hubungan yang signifikan antara usia (p=0,00<0,05), indeks massa tubuh (p=0,008<0,05), dan masa kerja  (p=0,00<0,05) dengan keluhan LBP pada TKMB. Namun, tidak ditemukan hubungan yang signifikan antara beban kerja (p=0,284>0,05) dengan keluhan LBP. Selain itu, faktor lain yang mungkin berkontribusi terhadap keluhan LBP adalah beratnya beban atau barang yang diangkat oleh para pekerja. Temuan ini memiliki implikasi penting dalam pengembangan strategi pencegahan dan peningkatan kesejahteraan TKMB di industri tersebut. Diharapkan agar penelitian selanjutnya untuk beberapa referensi dengan memiliki kaitan erat dengan kecelakaan kerja.
EDUKASI DAN PRAKTIK KOMPOSTING RUMAH TANGGA UNTUK MENCEGAH PEYAKIT BERBASIS LINGKUNGAN: PEMBERDAYAAN DI DESA MONCONGLOE, MAROS, SULAWESI SELATAN Rahman, Harpiana; Ernasari, Ernasari; Burhan, Zulkhair; Rahman, Haryudi; Septiyanti, Septiyanti
Jurnal Abdi Insani Vol 12 No 10 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i10.3075

Abstract

Moncongloe Village is a buffer village facing waste management challenges, such as limited infrastructure and suboptimal public awareness regarding household waste management, which causes the accumulation of garbage on the main village road. This condition has led to environmentally-based infectious diseases such as diarrhea, acute respiratory infections , and dengue fever, among the top 10 diseases recorded by the Moncongloe Community Health Center. This waste accumulation primarily consists of unsorted and unprocessed organic and inorganic waste. To increase the empowerment and participation of Moncongloe Village residents in environmental health efforts, empowerment activities take the form of education related to improving community knowledge and skills in waste management, which can be a strategic solution in efforts to prevent environmentally based diseases. The implementation method used a community group empowerment strategy consisting of several structured stages involving a participatory approach in each stage, namely the problem identification stage, the health education stage through two-way counseling, and the process evaluation stage. This activity successfully increased community knowledge about the importance of household waste management in preventing the transmission of environmentally based diseases. This activity proves that an educational and participatory approach based on community needs and problems effectively encourages changes in community behavior towards a cleaner and healthier environment.
Penja Fish Flour Cookies: Nutritional Composition and Sensory Acceptability as a Local Food-Based Intervention for Child Undernutrition Septiyanti, Septiyanti; Patimah, Sitti; Bur, Nurfardiansyah
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.512

Abstract

West Sulawesi has a high prevalence of underweight among toddlers, recorded at 22.5% in the 2022 Indonesian Nutritional Status Survey (SSGI). Penja fish, a local food with higher protein content than anchovies, offers potential as a supplementary food (PMT) for addressing child undernutrition. However, its traditional use remains limited to salting and direct consumption. Processing penja fish into flour for cookies provides a sustainable, innovative strategy to diversify intake and mitigate seasonal supply challenges. This experimental study, employing a post-test only control group design, aimed to assess the nutrient composition and acceptability of cookies with varying levels (0%, 25%, 50%, 75%, and 100%) of penja fish flour substitution. Research was conducted between September and November 2024 across laboratories at Universitas Hasanuddin and Universitas Muslim Indonesia. Nutritional analyses included proximate composition, and acceptability was measured through hedonic testing. Significant differences were found across formulations in color, aroma, texture, and taste (p < 0.001). Cookies containing 25% penja fish flour (Formula B) were the most preferred, with a proximate composition of 9.83% protein, 29.39% fat, 54.45% carbohydrates, 2.04% ash, and 5.30% moisture. Penja fish flour substitution enhanced the nutritional profile and acceptability of cookies. Formula B meets the nutritional requirements for supplementary feeding programs targeting underweight toddlers.