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All Journal Manuju : Malahayati Nursing Journal Jurnal Perak Malahayati : Pengabdian Kepada Masyarakat Journal of Public Health Concerns JOURNAL OF Qualitative Health Research & Case Studies Reports JOURNAL OF Mother and Child Health Concerns JOURNAL OF Mental Health Concerns Diversity Logic Journal Multidisciplinary Journal of Medical Surgical Concerns
Rilyani, Rilyani
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Economics, Econometrics & Finance Education Engineering Health Professions Languange, Linguistic, Communication & Media Nursing Public Health Social Sciences

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Terapi jahe hangat pada ibu hamil yang mengalami hiperemesis gravidarum Sari, Yunidha Puspita; Rilyani, Rilyani; Wadiyah, Aryanti
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 7 (2025): October Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i7.1283

Abstract

Background: Between 60% and 70% of primigravida pregnant women experience emesis gravidarum in the first trimester, and between 40% and 60% of multigravida pregnant women experience it. Approximately 25% of pregnant women experience early vomiting problems that require time off from work. The World Health Organization (WHO) estimates that 12.5% of all pregnancies worldwide are affected by HG, with varying incidence rates ranging from 10.8% in China, 2.2% in Pakistan, 1.9% in Turkey, 0.9% in Norway, 0.8% in Canada, 0.5% in California, and 0.3% in Sweden. Meanwhile, the incidence of HG in Indonesia ranges from 1-3% of all pregnancies. Non-pharmacological measures often recommended by health workers include advising pregnant women to consume warm ginger drinks. Purpose: To provide nursing care for mothers with hyperemesis gravidarum who have nausea using warm ginger. Method: Descriptive research design with a case study design. The subjects were two people who experienced nausea nursing problems. Ginger drinks were administered in the morning and evening for four days. Nausea and vomiting were measured before and after non-pharmacological therapy was administered, and during the study, the researcher used SPO. Results: Management of nausea with the application of warm ginger nursing interventions that the author performed for 4 days on patients with hyperemesis gravidarum, where the nausea problems of both clients were completely resolved, as evidenced by Mrs. S no longer experiencing nausea and vomiting and Mrs. A's nausea and vomiting had decreased to only 2 episodes from morning to night, and both clients were cooperative during the intervention. Conclusion: There is an effect of applying warm ginger to reduce nausea in patients with hyperemesis gravidarum.
Pemberian teknik relaksasi nafas dalam untuk menurunkan nyeri pada pasien post operasi sectio caesarea dengan indikasi pre-eklampsia Dwiartho, Muhammad Fiqi; Rilyani, Rilyani; Wardiyah, Aryanti
JOURNAL of Public Health Concerns Vol. 5 No. 9 (2025): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i9.1585

Abstract

Background: The rate of cesarean section (CS) deliveries in Indonesia is increasing and has exceeded the WHO threshold, with a national prevalence of approximately 17.6% and significant regional variation. Most cesarean sections are caused by pregnancy complications such as severe preeclampsia, a leading cause of maternal mortality. Cesarean sections leave scars and acute pain that require pharmacological and non-pharmacological treatment. Deep breathing relaxation techniques have been shown to significantly reduce pain intensity by increasing parasympathetic activity and reducing stress hormones. Deep breathing techniques are simple, economical, and self-administered. This study focused on the effectiveness of this intervention in post-cesarean section patients with preeclampsia. Purpose: To evaluate the effectiveness of deep breathing relaxation techniques as a non-pharmacological intervention to reduce pain intensity in post-cesarean section patients with preeclampsia. Method: The activity was conducted over three days in 2025, taking place at the patient's home in Dusun 3 Batu Menyan, Sukajaya Lempasing Village, Teluk Pandan District, Pesawaran Regency, Lampung. The subjects were two post-cesarean section patients with preeclampsia. Non-pharmacological interventions, including deep breathing relaxation therapy, were performed twice daily (morning and evening), 5–7 times each, for a maximum of 5 minutes per session, for three consecutive days. The pain measurement instrument used the Numerical Rating Scale (NRS), a numerical pain assessment with a range of values ​​from 0 to 10, where 0 = no pain, 1–3 = mild pain, 4–6 = moderate pain, and 7–10 = severe pain. Results: Data obtained showed that the characteristics of participant Mrs. S. is 27 years old, weighs 68 kg, is 156 cm tall, has no history of hypertension, and at the time of examination had a blood pressure of 150/100 mmHg. While the characteristics of participant Mrs. T. are 32 years old, weighs 67 kg, is 161 cm tall, has no history of hypertension, and at the time of examination had a blood pressure of 140/80 mmHg. After three days of deep breathing relaxation technique intervention, pain intensity in Mrs. S decreased from a scale of 5 to 2, and in Mrs. T from a scale of 6 to 3. Conclusion: Deep breathing relaxation techniques have been proven effective in reducing acute pain intensity in post-cesarean section patients with preeclampsia, through routine intervention over three days. This method is safe, practical, and can be independently implemented as a non-pharmacological alternative in post-operative pain management. Suggestion: Healthcare workers need to integrate deep breathing relaxation techniques into post-cesarean section nursing care, especially for patients with preeclampsia, and improve self-education so that this therapy can be consistently continued at home to support recovery without dependence on analgesics. Keywords: Deep breathing relaxation; Pain; Post-cesarean section; Preeclampsia Pendahuluan: Angka persalinan sectio caesarea (SC) di Indonesia meningkat dan telah melampaui ambang WHO, dengan prevalensi nasional sekitar 17.6% dan variasi wilayah yang signifikan. Sebagian sectio caesarea disebabkan oleh komplikasi kehamilan seperti pre-eklampsia berat, yang merupakan salah satu penyebab utama kematian ibu. Sectio caesarea meninggalkan luka dan nyeri akut yang memerlukan penanganan farmakologis dan nonfarmakologis. Teknik relaksasi napas dalam terbukti menurunkan intensitas nyeri secara signifikan dengan mekanisme peningkatan aktivitas parasimpatik dan pengurangan hormon stres. Teknik napas dalam sederhana, ekonomis, dan dapat dilakukan mandiri, penelitian ini difokuskan pada efektivitas intervensi tersebut pada pasien pasca sectio caesarea dengan indikasi pre-eklampsia. Tujuan: Mengevaluasi efektivitas teknik relaksasi napas dalam sebagai intervensi nonfarmakologis untuk menurunkan intensitas nyeri pada pasien pasca operasi sectio caesarea dengan indikasi pre-eklampsia. Metode: Kegiatan dilaksanakan selama 3 hari pada tahun 2025, bertempat di rumah pasien di Dusun 3 Batu Menyan, Desa Sukajaya Lempasing, Kecamatan Teluk Pandan, Kabupaten Pesawaran, Lampung. Subjek dalam kegiatan ini adalah dua pasien post operasi sectio caesarea dengan indikasi pre-eklampsia. Intervensi nonfarmakologis berupa terapi relaksasi nafas dalam dilakukan dua kali sehari (pagi dan sore), masing-masing sebanyak 5–7 kali atau maksimal 5 menit per sesi, selama tiga hari berturut-turut. Instrumen pengukuran tingkat nyeri menggunakan Numerical Rating Scale (NRS) adalah penilaian nilai nyeri secara numerik dengan rentang nilai 0 sampai dengan 10, dimana dengan kategori nilai 0=tidak merasakan nyeri, nilai 1-3=nyeri ringan, nilai 4-6=nyeri sedang, dan nilai 7-10=nyeri berat. Hasil: Mendapatkan data bahwa karakteristik partisipan Ny.S. adalah berusia 27 tahun, berat badan 68 Kg, tinggi badan 156 cm, tidak memiliki riwayat hipertensi, dan pada waktu pemeriksaan memiliki tekanan darah 150/100 mmHg. Sedangkan karakteristik partisipan Ny.T. adalah berusia 32 tahun, berat badan 67 Kg, tinggi badan 161 cm, tidak memiliki riwayat hipertensi, dan pada waktu pemeriksaan memiliki tekanan darah 140/80 mmHg. Setelah tiga hari intervensi teknik relaksasi napas dalam, intensitas nyeri pada Ny. S menurun dari skala 5 menjadi 2, dan pada Ny. T dari skala 6 menjadi 3. Simpulan: Teknik relaksasi napas dalam terbukti efektif menurunkan intensitas nyeri akut pada pasien pasca operasi sectio caesarea dengan pre-eklampsia, melalui intervensi rutin selama tiga hari. Metode ini aman, praktis, dan dapat diterapkan secara mandiri sebagai alternatif nonfarmakologis dalam manajemen nyeri pasca operasi. Saran: Tenaga kesehatan perlu mengintegrasikan teknik relaksasi napas dalam dalam asuhan keperawatan pasca operasi sectio caesarea, khususnya pada pasien dengan pre-eklampsia, serta meningkatkan edukasi mandiri agar terapi ini dapat dilanjutkan secara konsisten di rumah untuk mendukung pemulihan tanpa ketergantungan pada analgesik.
Gambaran Covid-19 terhadap stres ibu post partum Suwares, Fara Millinia; Rilyani, Rilyani; Novikasari , Linawati
JOURNAL OF Mental Health Concerns Vol. 2 No. 2 (2023): October Edition 2023
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v2i2.372

Abstract

Background: Based on data from the Bandar Lampung City Health Office in 2020, the three major coverage of post partum mothers at the Bandar Lampung City Health Center were the highest at Puskesmas Panjang 14.29%, Puskesmas Kedaton 11.83%, Puskesmas Sukaraja 10.92% (Health Department Bandar Lampung City, 2020). Preliminary data conducted at the Kedaton Health Center by looking at the number of pregnant women in November amounted to 54 postpartum mothers, and preliminary data conducted at the Sukaraja Health Center by looking at the number of pregnant women in November 2021 as many as 80 postpartum mothers. Purpose: To know the description of the Covid-19 on post partum maternal stress in the Bandar Lampung City Health Center Work Area in 2022. Method: This type of research is quantitative, descriptive research method, population and sample are post partum mothers at Sukaraja Health Center and Kedaton Public Health Center Bandar Lampung City, the sampling technique uses purposive sampling. Data analysis using univariate by presenting the percentage of data. Results: The number of post partum mothers in Sukaraja Health Center and Kedaton Health Center were 50 respondents (100%). Respondents who were not exposed to Covid-19 partum at the Sukaraja Health Center and Kedaton Health Center were 50 respondents (100%). The description of post partum maternal stress at the Sukaraja Health Center with normal categories 5 respondents (10.0%), mild stress 11 respondents (22.0%), moderate stress 22 respondents (44.0%), and severe stress by 12 respondents (24 ,0%). While at the Kedaton Public Health Center with normal categories 11 respondents (22.0%), mild stress 14 respondents (28.0%), moderate stress 15 respondents (30.0%), and severe stress by 10 respondents (20.0%). Conclusion: The picture of postpartum maternal stress at Sukarja and Kedaton Community Health Centers is both at a moderate stress level, with a percentage of 44% for Sukarja Community Health Center and 30% for Kedaton Community Health Center. Suggestion: Health workers are expected to increase their efforts to provide good counseling to individuals and families, especially pregnant women and post partum  Keywords: Covid-19; Post Partum Mother; Stress Pendahuluan: Dari data Dinas Kesehatan Kota Bandar Lampung pada tahun 2020 tiga besar cakupan ibu post partum di Puskesmas Kota Bandar Lampung diantaranya adalah tertinggi di Puskesmas Panjang 14,29%, Puskesmas Kedaton 11,83%, Puskesmas Sukaraja 10,92%. Data pendahulu yang dilakukan di Puskesmas Kedaton dengan melihat jumlah ibu hamil pada bulan November berjumlah 54 ibu post partum, dan data pendahulu yang dilakukan di Puskesmas Sukaraja dengan melihat jumlah ibu hamil pada bulan November tahun 2021 sebanyak 80 ibu post partum Tujuan: Diketahui gambaran Covid-19 terhadap stres ibu post partum di Wilayah Kerja Puskesmas Kota Bandar Lampung Tahun 2022. Metode: Jenis penelitian kuantitatif, metode penelitian deskriptif, populasi dan sampel yaitu  ibu post partum di Puskesmas Sukaraja Dan Puskesmas Puskesmas Kedaton Kota Bandar Lampung, teknik sampling menggunakan purposive sampling. Analisa data menggunakan univariat dengan menyajikan persentase data Hasil: Jumlah ibu post partum di Puskesmas Sukaraja dan Puskesmas Kedaton sebanyak 50 responden (100%). Responden tidak terpapar Covid-19 partum di Puskesmas Sukaraja dan Puskesmas Kedaton sebanyak 50 responden (100%). Gambaran stress ibu post partum di Puskesmas Sukaraja dengan kategori normal 5 responden (10,0%), stress ringan 11 responden (22,0%), stress sedang 22 responden (44,0%), dan stress berat sebesar 12 responden (24,0%). Sedangkan di Puskesmas Kedaton dengan kategori  normal 11 responden (22,0%), stress ringan 14 responden (28,0%), stress sedang 15 responden (30,0%), dan stress berat sebesar 10 responden (20,0%). Simpulan: Gambaran stres ibu post partum di Puskesmas Sukarja dan Kedaton sama-sama pada tingkat stress sedang, dengan persentase 44% untuk Puskesmas Sukarja dan 30% untuk Puskesmas Kedaton. Saran: Bagi tenaga kesehatan diharapkan lebih meningkatkan upaya penyuluhan yang baik kepada individu dan keluarga, khusunya ibu hamil dan post partum.
Co-Authors Adelta, Yosi Agustina, Marlina Andoko Andoko, Andoko Andriyani, Veni Aprina, Aprina Aryanti Aryanti Aryanti Wardiyah, Aryanti Budiarti Budiarti, Budiarti Bustami, Anita Cahyanti, Anisa Daniati, Mutiara Ayu Dewi Kusumaningsih Dewi Lutfianawati, Dewi Dwiartho, Muhammad Fiqi Eliya, Rahma Elliya, Rahma Epilasari, Epilasari Furqoni, Prima Dian Gunawan, M. Ricko Herliza Indah Wahyuningsih Irgi, Muhammad K, Umi Rohmayati Keswara, Umi Romayati Khairul Rizwan, Al Kodriyansah, Kodriyansah Marlena Marlena Muhammad Roby, Muhammad Natalia, Mutiara Novikasari , Linawati Novikasari, Lina Oktaliana, Oktaliana Putra, Kadek Edy Artana Rahayu Rahayu Rahmah Hidayah, Alisah Ria Mustika Riska Wandini, Riska Rizka, Mahda RR. Ella Evrita Hestiandari Saputri, Maida Saraswati, Ika Sari, Yunidha Puspita Setiawati Setiawati Silvia, Eka Slamet Widodo Slivia, Eka Sofa, Taufik Sutikno Sutikno Suwares, Fara Millinia Trismiana, Eka Trismiyana, Eka Triyoso, Triyoso Uswatun Hasanah Wadiyah, Aryanti Wardyah, Aryanti Yulendasari, Rika