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THE EFFECT OF BREAST CARE AND GYMNASTICS ON MOTHERS WITH LESS BREAST MILK PRODUCTION: A LITERATURE REVIEW Rasulina Br Peranginangin; Mardiana Ahmad; Andi Nilawati Usman; Nur Aliya Arsyad
Nurse and Health: Jurnal Keperawatan Vol 11 No 1 (2022): Nurse and Health: Jurnal Keperawatan January-June 2022
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v11i1.326

Abstract

Background: The low coverage of exclusive breastfeeding shows that not many mothers succeed in exclusive breastfeeding. In post-partum mothers often because the pain experienced after childbirth makes the mother lazy to breastfeed the baby; this can cause the production of breast milk to be uneventful due to lack of stimulation in the breast so that the oxytocin cycle is not smooth and causes breast milk not to come out. Objectives: This study aimed to find out the Effect of Breast Care and Gymnastics on Mothers with Less Breast Milk Production. Design: This research design is the study of literature by descriptive methods. Data Sources: Search articles using the Mendeley app with a period of 2017 to 2021 by entering the keyword" "breast care, breastfeeding mothers, less milk production. Articles selected based on: Inclusion Criteria that articles related to breast care in nursing mothers, year of publication 2017-2021, international Publications, articles using English, original articles, abstracts, full text, and open access. Exclusion Criteria that articles other than English and It doesn't have DOI. There were 13 articles based on inclusion criteria. Review Methods: A systematic review method based on established criteria, then collected and made a journal summary including the researcher's name, the year of publication of the journal, the title of the study, the method, and an overview of the results or finding. Results: The 13 articles that reviewed and met the inclusion criteria, it was concluded that breast care and gymnastics in breastfeeding mothers significantly influenced breast milk production. This is due to the presence of touch in the breast that stimulates the mammary glands. Conclusion: Breast care and gymnastics have a significant effect on increasing milk production in breastfeeding mothers.
ACHIEVEMENT OF ANTENATAL CARE VISIT K4 PREGNANT WOMEN WITH THE SUPPORT OF HEALTH WORKERS: A LITERATURE REVIEW Lili Jenni Suebu; Andi Nilawati Usman; Mardiana Ahmad
Nurse and Health: Jurnal Keperawatan Vol 11 No 1 (2022): Nurse and Health: Jurnal Keperawatan January-June 2022
Publisher : Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36720/nhjk.v11i1.349

Abstract

Background: Antenatal Care services are still a point of concern in efforts to improve the health and safety of mothers and babies. This service is not only of quantity but of the quality provided to pregnant women. The scope of K4 antenatal service visits in Papua Province is 29,149 pregnant women (37%); this is still far from the national target of 90%. Objectives: This study aimed to find out the influence of health worker support in achieving antenatal visits K4 in pregnant women using literature studies. Design: The method used in writing this article is a systematic review. Data Sources: Search for articles using Google Scholar were databased by entering the keyword "antenatal visit K4" with vulnerable time 2018-2021. Review Methods: Literature review methods based on established criteria, then collected and made journal summaries include the name of the researcher, the year of publication of the journal, the title of the study, the method, and a summary of the results or findings. Summary of the research journal is entered into the table according to the format. Results: The search obtained 435 articles after filtering the year, namely 2018-2021, obtained 204 articles, then selected the category of journals, duplication, open access, and essay research has taken, namely mix methods study, cross sectional correlation analysis, and qualitative study. I got 48 articles. The final process is to conduct journal selection based on inclusion criteria obtained by nine journals that are eligible for review of the nine articles that meet the criteria obtained results. Namely, the role of health workers affects the scope of antenatal services K4. Conclusion: The role of health workers affects the increase in antenatal coverage of K4 so that it is expected that health workers/midwives further increase counseling for mothers in health centers and Posyandu activities, conduct door to door activities in each region, and provide a schedule of examinations to the mother so that the mother knows when to do a pregnancy examination, and improving the friendliness of health workers to mothers who conduct pregnancy examinations so that every complaint from the mother can be answered.
Module-Based Health Education On Adolescent Knowledge Of Hiv/Aids Lenny Krey; Veni Hadju; Mardiana Ahmad; Werna Nontji; Andi Nilawati Usman; Sri Rahmadayany
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 2 (2022): Vol 8.No.2.April 2022
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i2.5585

Abstract

Latar Belakang: Meningkatnya jumlah remaja penderita HIV dan AIDS yang masih tinggi di Papua dan kabupaten Biak numfor dimungkinkan karena keterbatasan akses informasi dan layanan kesehatan yang berdampak pada rendahnya pengetahuan tentang HIV dan AIDS yang benar dan juga pemahaman yang salah bahwa informasi tentang hubungan seks masih di anggap tabu disampaikan kepada remaja oleh orang tua. Tujuan: untuk menilai pengaruh edukasi pendidikan kesehatan berbasis modul terhadap pengetahuan remaja tentang HIV/AIDS di SMK kesehatan terpadu Biak.Metode: jenis penelitian yaitu Quasi Eksperimen one group pre-post test design dengan melakukan pengukuran sebelum dan sesudah dilakukan edukasi pendidikn kesehatan. Sampel dalam penelitian ini adalah semua siswa-siswi kelas X pada SMK Kesehatan Terpadu Biak tahun 2021 yang berjumlah 96 siswa. Teknik pengambilan sampel yaitu total sampling.Hasil: dari hasil uji statistik menggunakan paired t test diperoleh p-value 0,000 atau p < α (0,05), dengan demikian ada pengaruh edukasi pendidikan kesehatan berbasis modul terhadap pengetahuan remaja tentang HIV/AIDS di SMK Kesehatan Terpadu Biak tahun 2021.Kesimpulan: Program penyuluhan kesehatan reproduksi dengan metode pemberian modul pembelajaran dapat digunakan dalam upaya pencegahan dan penanggulangan HIV/AIDSSaran : Diharapkan program penyuluhan kesehatan reproduksi pada remaja dapat memilih metode berbasis modul dalam upaya pencegahan dan penanggulangan HIV/AIDS Kata Kunci: Edukasi, HIV/AIDS, Modul, Pendidikan Kesehatan, Pengetahuan Remaja ABSTRACT Background:  The increasing number of adolescents with HIV and AIDS who are still high in Papua and Biak Numfor districts is possible due to limited access to information and health services that have an impact on inadequate knowledge about HIV and AIDS correctly and also a false understanding that information about sex is still considered taboo conveyed to adolescents by parents.Purpose : To assess the influence of module-based health education on adolescent knowledge about HIV / AIDS in Biak integrated vocational health school.Method: The type of research is Quasi Experiment one group pre-post test design by taking measurements before and after health education.   The sample in this study was all ten grade students at Biak Integrated Health Vocational School in 2021, which amounted to 96 students. Therefore, the sampling technique is total sampling.Results: From the results of statistical tests using paired t-test obtained a p-value of 0,000 or p < α (0.05); thus, module-based health education influences adolescent knowledge about HIV / AIDS in Biak Integrated Health Vocational School in 2021.Conclusion: Reproductive health extension programs with learning modules can be used in efforts to prevent and combat HIV / AIDS.Suggestion: It is hoped that reproductive health counseling programs for adolescents can choose module-based methods to prevent and overcome HIV / AIDS Keywords: Education, HIV/AIDS, Modules, Health Education, Adolescent Knowledge 
Perbandingan Efektivitas Totok Wajah dengan Terapi Musik Klasik terhadap Tingkat Cemas dan Nyeri pada Remaja Dismenore Primer Fitrya Anggraini; Saidah Syamsuddin; Andi Nilawati Usman; Wardihan Sinrang; Suryani As&#039;ad; Muhamad Tamar
Jurnal Bidan Cerdas Vol. 4 No. 3 (2022)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v4i3.943

Abstract

Introduction: In each country more than 50% of the average woman still experiences menstrual pain. Meanwhile, in Indonesia, it is estimated that 55% of women of reproductive age suffer from pain during menstruation. The purpose of the study was to review non-pharmacological interventions regarding facial acupressure (BL-2, Yin Tang, GV 23, GB 15, Tai Yang, GB 14, Ex Hn4, TE 23, Sang Ming, LI-20, Ex Hn 8, ST-3, Si 18, Du 26, REN 24, JiaCenjiang, SJ21, SJ17, GB-2) and Mozart classical music in reducing pain in primary dysmenorrhea. Methods: This research is quantitative with a quasi-experimental design. The approach in the research used is pre-post test design. In November-January 2022 at Megarezky University Makassar. The sample in this study were 28 dysmenorrheal adolescents aged <25 years who were divided into two groups, namely a full-blooded face and classical music group. Results: There were pre and post differences in the acupressure and classical music groups with pain intensity (p=0.002). And there was no significant difference between the full-blooded face group and classical music (p=0.20<0.05). Conclusion: There is an effect of giving face acupressure and classical music in reducing pain and anxiety in primary dysmenorrhea.
Audio Visual Educational Food Complementary Breastfeeding To Mothers Against Improvement Of Baby's Nutritional Status Salsa Putri Aulia; Syafruddin Syarif; Andi Nilawati Usman
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 4 (2022): Volume 8 No.4 October 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i4.7473

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Latar Belakang: Status Gizi berdasarkan Data Riset Kesehatan Dasar pada tahun 2018 Balita gizi buruk dan gizi  kurang 14,2% turun dibandingkan 2013 Gizi kurang 19.9%. Namun, Data Kemenkes RI Prov, Sulsel Masalah gizi kurang sebesar 18.4%  meningkat dibanding 2017 sebesar 17.90%. Data yang diperoleh dari Dinas Kesehatan Makassar menunjukkan bahwa beberapa Puskesmas masih memiliki cakupan MP-ASI yang tergolong rendah, salah satu diantaranya Puskesmas Bara-Baraya dengan cakupan 42,7%. Salah satu yang menjadi penyebab terjadinya kurang gizi pada balita terutama pada anak usia 6-20 bulan adalah kurangnya pengetahuan tentang cara pemeliharaan gizi dan mengatur makanan anak yang dalam hal ini terkait dengan rendahnya mutu dan jumlah Makanan Pendamping Air Susu Ibu (MP-ASI). Media audio visual dapat dijadikan sebagai acuan bahan untuk melakukan media promosi kesehatan atau penyuluhan. Tujuan: Membuat media Video audio visual edukasi Makanan Pendamping  ASI (MP-ASI) kepada Ibu dan menganalisis pengaruh terhadap perbaikan status gizi bayi (6-20 Bulan). Metode: Penelitian ini menggunakan desain pre-eksperimental. Dengan metode one group pre-post test design. Penelitian dilakukan dengan pre test terlebih dahulu menggunakan kuesioner untuk menilai pengetahuan keterampilan Ibu dan penimbangan bayi, selanjutnya diberikan intervensi berupa video audio visual edukasi MPASI dan kemudian dilakukan post test  serta pengukuran status gizi.Penelitian ini telah dilaksanakan di Puskesmas Bara-baraya Makassar pada bulan April-Juli. Sampel dalam penelitian ini adalah Purposive Sampling yakni semua  subjek yang memenuhi kriteria inklusi yang telah dibuat dan masalah yang ingin diteliti akan dimasukan ke dalam penelitian sampai sampel terpenuhi yaitu sebanyak 25 Orang. Adapun kriteria-kriteria sampel yang digunakan dalam penelitian ini yaitu Kriteria inklusi Ibu yang bersedia menjadi responden penelitian, telah memiliki bayi usia 6-20 bulan, sehat, mampu membaca dan menulis. Adapun Kriteria eksklusi tidak bersedia menjadi responden, dalam kondisi sakit atau tidak bisa membaca dan menulis. Uji statistik yang digunakan Uji Wilcoxon.Hasil: Hasil analisis menunjukkan terdapat peningkatan yang signifikan terhadap pengetahuan, keterampilan dan perbaikan status gizi setelah pemberian intervensi berupa video audio visual edukasi mpasi dengan p-value 0.000 (<0.005).Kesimpulan: Terdapat perbedaan yang signifikan  terhadap pengetahuan, keterampilan dan status gizi bayi setelah diberikan intervensi. Saran: Media audio vidual Edukasi MPASI dapat dijadikan sebagai metode promosi kesehatan dan penyuluhan tentang Makanan pendamping ASI pada orang tua Kata kunci: Audio Visual, Keterampilan, MPASI, Pengetahuan,Status Gizi       ABSTRAK Background: Based on Basic Health Research Data in 2018, underweight and malnourished children under five were 14.2%, a decrease compared to 2013. Malnutrition was 19.9%. However, data from the Ministry of Health of the Republic of Indonesia Prov, South Sulawesi The problem of malnutrition is 18.4%, an increase compared to 2017 which was 17.90%. Data obtained from the Makassar Health Office shows that several Puskesmas still have low MP-ASI coverage, one of which is Bara-Baraya Health Center with a coverage of 42.7%. One of the causes of malnutrition in toddlers, especially in children aged 6-20 months is the lack of knowledge about how to maintain nutrition and regulate children's food which in this case is related to the low quality and quantity of Complementary Foods for Breast Milk (MP-ASI). Audio visual media can be used as a reference material for conducting health promotion media or counseling. Purpose: To make audio-visual educational video media for breastfeeding complementary foods (MP-ASI) to mothers and analyze the effect on improving the nutritional status of infants (6-20 months). Methods: This study used a pre-experimental design. With the one group pre-post test design method. The study was conducted with a pre-test using a questionnaire to assess the knowledge of the mother's skills and weighing the baby, then an intervention was given in the form of an audio-visual education video for MPASI and then a post-test and measurement of nutritional status were carried out.This research was carried out at the Bara Baraya Health Center Makassar in April-July. The sample in this study were 25 people who met the criteria. The sampling technique used in this study is purposive sampling, namely all subjects who meet the inclusion criteria that have been made and the problem to be studied will be included in the study until the sample is met. The sample criteria used in this study are the inclusion criteria of mothers who are willing to be research respondents, have had babies aged 6-20 months, are healthy, are able to read and write. The exclusion criteria are not willing to be a respondent, in a sick condition or unable to read and write. The statistical test used was the Wilcoxon test. Result: The results of the analysis showed that there was a significant increase in knowledge, skills and improvement in nutritional status after giving an intervention in the form of an audio-visual education video with a p-value of 0.000 (<0.005). Conclusion: There are significant differences in the knowledge, skills and nutritional status of infants after the intervention Suggestions: MPASI education audio-vidual media can be used as a method of health promotion and counseling about complementary feeding to parents Keywords: Audio Visual, Knowledge, Nutritional Status, MPASI,Skills
Hubungan Sikap dengan Minat Ibu Hamil dalam Mengikuti Program Vaksinasi Covid-19 Asri Basselo; Andi Nilawati Usman; Mardiana Ahmad; Deviana Soraya Riu; Budu Budu; Healthy Hidayanti
Malahayati Nursing Journal Vol 5, No 1 (2023): Volume 5 Nomor 1 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i1.8674

Abstract

ABSTRACT Getting vaccinated during pregnancy will prevent pregnant women from having severe symptoms if exposed to Covid-19. However, there are still concerns from the public, especially pregnant women, about the side effects or impact of vaccines on vaccine recipients which has an impact on the low acceptance or interest of pregnant women in getting vaccinated against Covid-19. The purpose of this study was to analyze the relationship between attitudes and pregnant women's interest in participating in the Covid-19 vaccination program at the Sowi Community Health Center, Manokwari Regency. This type of research is an analytic research with a cross-sectional study approach in which the independent variables and the dependent variables are measured at the same time. The researcher only made observations without intervening in the research subjects. The sample in this study were all second and third trimester pregnant women who visited the Sowi Health Center using a total sampling technique. This study uses human research subjects, namely as many as 77 respondents who will be given a questionnaire that has been tested for validity and reliability. The data taken is primary data and data analysis using the Chi-Square test. The results showed that there was no relationship between attitude and the interest of pregnant women in participating in the Covid-19 vaccination program at the Sowi Community Health Center, Manokwari Regency, with a p value > α value (0.05). The conclusion is that the attitude of pregnant women is not a factor that can influence the interest of pregnant women to take part in the Covid-19 vaccination program. Keywords: Covid-19 Vaccination, Attitude, Interests of Pregnant Women  ABSTRAK Mendapatkan vaksinasi dalam masa kehamilan akan mencegah ibu hamil bergejala berat bila terpapar Covid-19 namun masih ada kekhawatiran masyarakat terutama ibu hamil tentang efek samping atau dampak vaksin terhadap para penerima vaksin yang berdampak pada rendahnya penerimaan atau minat ibu hamil terhadap vaksinasi Covid-19. Tujuan dari penelitian ini adalah untuk menganalisis hubungan sikap dengan minat ibu hamil dalam mengikuti program vaksinasi covid-19 di Puskesmas Sowi Kabupaten Manokwari. Jenis penelitian ini merupakan penelitian analitik dengan pendekatan cross-sectional study  dimana variabel independen dan variabel dependen diukur pada waktu yang bersamaan. Peneliti hanya melakukan observasi tanpa melakukan intervensi terhadap subjek penelitian Sampel dalam penelitian ini adalah semua ibu hamil trimester II dan III yang berkunjung ke Puskesmas Sowi dengan teknik total sampling. Penelitian ini menggunakan subjek penelitian manusia yaitu sebanyak 77 responden yang akan diberikan kuisioner yang telah diuji validitas dan reliabilitas. Data yang diambil merupakan data primer dan analisa data menggunakan uji Chi-Square. Hasil penelitian menunjukan bahwa tidak terdapat hubungan sikap dengan minat ibu hamil dalam mengikuti program vaksinasi covid-19 di Puskesmas Sowi Kabupaten Manokwari dengan nilai p value > nilai α (0,05). Kesimpulan yaitu sikap ibu hamil bukan merupakan faktor yang dapat mempengaruhi minat ibu hamil untuk mengikuti program vaksinasi Covid-19. Kata Kunci : Vaksinasi Covid-19, Sikap, Minat Ibu Hamil
Faktor Anak dan Faktor Ibu dengan Kejadian Stunting pada Baduta Usia 6-24 Bulan Di Kelurahan Kelapa Lima Kabupaten Merauke Papua Erni Agit Ekawati; Ema Alasiry; Andi Nilawati Usman; Satriani Satriani
Jurnal JKFT Vol 7, No 1 (2022): Jurnal JKFT
Publisher : Universitas Muhammadiyah Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31000/jkft.v7i1.7215

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Stunting merupakan masalah kurang gizi kronis yang disebabkan oleh kurangnya asupan gizi dalam waktu yang cukup lama (malnutrisi kronis) dan infeksi berulang, sehingga mengakibatkan gangguan pertumbuhan pada anak, yaitu anak terlalu pendek dari standar usianya. Penelitian ini bertujuan untuk menganalisis faktor anak dan faktor ibu dengan kejadian stunting pada baduta usia 6-24 bulan di Kelurahan Kelapa Lima.Jenis penelitian ini adalah penelitian deskriptif dengan design penelitian Cross Sectional. Populasi dan sampel berjumlah 103 orang. Pengambilan sampel menggunakan teknik total sampling. Analisis data dilakukan secara univariat dan bivariat.Hasil penelitian menunjukkan dari 103 baduta terdapat 25 baduta mengalami stunting. Variabel yang berhubungan dengan kejadian stunting adalah berat badan lahir (p = 0,000), panjang badan lahir (p = 0,000), dan status gizi ibu saat hamil (p = 0,000). Sedangkan variabel yang tidak berhubungan adalah jenis kelamin (p = 0,147), dan tinggi badan ibu (p = 759).Oleh karena itu, intervensi harus difokuskan pada BB ibu sebelum konsepsi dan selama kehamilan untuk mengurangi terjadinya Kurang Energi Kronis saat hamil. Dengan mengurangi terjadinya Kurang Energi Kronis saat hamil, maka akan mengurangi resiko ibu melahirkan bayi dengan Berat Badan Lahir Rendah dan panjang badan lahir yang pendek.  Kata kunci:  Stunting, Baduta, Berat badan, Panjang badan, Kurang Energi Kronis
Makanan Pantangan pada Ibu Hamil Kekurangan Energi Kronik (KEK) Farida Sisni Riyanti; Andi Nilawati Usman; Werna Nontji; Isharyah Sunarno; Stang Stang; Yuliana Syam
Journal of Telenursing (JOTING) Vol 5 No 1 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i1.5252

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This study aims to determine dietary restrictions in pregnant women on the incidence of chronic energy deficiency (KEK) at the Sumbersari Health Center. The qualitative method with an exploratory phenomenology approach was analyzed using the Collaizi method. The results showed five themes related to food taboos for pregnant women: knowledge of pregnant women, types of food taboos for pregnant women, cultural background, family and social environment perceptions and efforts of pregnant women to prevent SEZs from occurring. In conclusion, food restrictions in pregnant women are one of the triggering factors for KEK, which are influenced by the culture that is owned by the family and passed down from their ancestors. Keywords: Mother, Pregnancy, Chronic Energy Deficiency, Food Restrictions
Effect of the Cooperative Learning Model through E-Module regarding Third Stage of Labor Care on the Increase in Knowledge, Skills and Learning Motivation among Midwifery D-III Students Arweni Puspita Sari; Mardiana Ahmad; Prastawa Budi; Sutinah Made; Andi Nilawati Usman; Syafruddin Syarif; Jufriadi Jufriadi
Poltekita : Jurnal Ilmu Kesehatan Vol. 16 No. 4 (2023): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v16i4.867

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The era of the industrial revolution 4.0 has led to technological developments, especially in the world of education. This era emphasizes the pattern of digital economy, artificial intelligence, big data, robotics, and so on or commonly known as the phenomenon of disruptive innovation, for example the use of Android as a mobile learning medium. This study aims to determine the effect of the cooperative learning model thorugh e-module regarding third stage of labor care on the increase in knowledge, skills, and learning motivation among midwifery D-III students. This was a quantitative study with a pre-experimental approach using a two-group pre-test- post-test design.  The results showed that the majority of respndents in the two groups of variables before being given treatment had poor knowledge as many as 33 respondents (73.3%) and 34 respondents (75.6%), all respondents had poor skills, and the majority had low motivation as many as 39 respondents (86.7%) and 45 respondents (100%). The statistical test for knowledge, skills and motivations variables obtained the same p value of 0.000 <0.05. Thus, the research hypothesis was accepted. There was an effect of the cooperative learning model with  e-module regarding third stage of labor care on the increase in knowledge, skills and learning motivation among midwifery DIII students.
Pengaruh Prana Ball dan Relaksasi Nafas Dalam terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif pada Persalinan Normal Elva Febri Ashari; Andi Nilawati Usman; Suryani As'ad; Andi Wardihan Sinrang; Stang Stang; Muh. Tamar
Jurnal Keperawatan Vol 14 No 3 (2022): Jurnal Keperawatan: Supp September 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (303.541 KB)

Abstract

Nyeri persalinan disebabkan oleh dilatasi dan penipisan serviks segmen bawah rahim, serta peregangan yang disebabkan oleh kurangnya kadar oksigen pada otot-otot rahim, peregangan serviks, peregangan otot dasar panggul dan jaringan vagina, dan turunnya otot panggul. kepala janin. Untuk mengurangi ketidaknyamanan nyeri kala I maka dapat menggunakan metode prana ball dan relaksasi nafas dalam yang memberikan efek rileks bagi ibu yang disebabkan karena terjadinya pengeluaran hormon endorphin saat melakukan prana ball dan relaksasi nafas dalam. Tujuan Penelitian untuk menganalisis pengaruh prana ball dan relaksasi nafas dalam terhadap penurunan nyeri persalinan kala I fase aktif pada persalinan normal. Metode penelitian yang digunakan adalah quasy eksperiment dengan desain two group pre test and post test dengan teknik pengambilan sampel adalah exhaustive sampling. Jumlah sampel sebanyak 30 responden yang terdiri dari dua kelompok yaitu kelompok prana ball dan relaksasi nafas dalam. Hasil penelitian menunjukkan kelompok intervensi setelah melakukan prana ball terjadi penurunan nyeri persalinan sebanyak 15 responden dengan nilai p-value 0.001<0.05. dan kelompok control setelah melakukan relaksasi nafas dalam terjadi penurunan nyeri persalinan kala I fase aktif dengan nilai p-value 0.001<0.05. Uji Mann-Whitney prana ball lebih berpengaruh dari relaksasi nafas dalam terhadap penurunan nyeri persalinan kala I fase aktif pada persalinan normal dengan nilai p-value 0.003<0.05. Kesimpulan penelitian prana ball dan relaksasi nafas dalam berpengaruh terhadap penurunan nyeri persalinan kala I fase aktif pada persalinan normal namun prana ball lebih berpengaruh terhadap penurunan  nyeri persalinan kala I fase aktif terhadap persalinan normal.
Co-Authors -, Emmasitah A, Andi Sumidarti A. Arsunan Arsin A.A. Ketut Agung Cahyawan W Agustin, Dinah Inrawati Ahmad Mardiana Ahmad, Mardiana Ahmar, Hamdiah Almukarramah, Mukminal Aminuddin Aminuddin Amir Mahmud Hafsa Andi Agussalim Andi Alimuddin Unde Andi Wardihan Sinrang Andi Wardihan Sinrang Andi Wardihan Sinrang Andi Wardihan Sinrang Andi Wardihan Sinrang Annisa Eka Permatasari Arbie, Rina Sulisthia Arsyad, Muhammad Aryadi Arweni Puspita Sari Aryadi Arsyad As'ad, Suryani Asni, Sitti Nur Asri Basselo As’ad, Suryani Beddu, Suriani Bosyahamu Mony Budu - Budu Budu Bukhari, Agussalim Burhanuddin Bahar Burhanuddin Bahar Chintya Cristin Apta Saputri Paserang Citra Amalu Citra Amalu Dewi Lestari Dewiyana, Srigita Dwi Kartika Sari Elizabet C Jusuf Ellyani Abadi Ellyani Abadi Elva Febri Ashari Ema Alasiry Ema Alasiry Ema Alasiry Ema Alasiry, Ema Erni Agit Ekawati Erni Agit Ekawati Esther Sanda Manapa Farid Husin Farid Husin Farida Sisni Riyanti Firdaus Hamid Fitrya Anggraini Gemini Alam H Anwar, St Hadijah Hafsah, Amir Mahmud Handayani Halik Hasrianti Hasrianti Healthy Hidayanti Healthy Hidayanti Healthy Hidayanti Healthy Hidayanti Hermin Hermin Hidayanti Arifuddin Hidayanty, Healthy Husin, Farid Idris, Irfan Imelda Rosniyati Dewi Indah Raya Indah Raya Irmawati Irmawati Isharyah Sunarno Isharyah Sunarno Jufriadi Jufriadi Jumrah Jumriana Ibriani Kiki Uniatri Thalib Lenny Krey Lestari, Dyan Puji Lili Jenni Suebu Linda Runtuwene Mahmud Hafsa Mappaware Nasrudin A Mappaware, Nasrudin Andi Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Mardiana Ahmad Martira Maddeppungeng Massi, Moh Nasrum Mauludiyah, Indah Meidayana Refisiliyani Miranty S Mubayyina, Firdaus Muh Aryadi Arsyad Muh Nasrum Massi Muh Tamar Muh. Nasrum Massi Muh. Nasrum Massi Muh. Tamar Muh.Nasrum Massi Muhamad Tamar Muhammad Tamar Natalia Rorrong Pamilangan Ni Luh Putu Herli Mastuti Nur Aliya Arsyad Nur Aliya Arsyad Nur Hayati Saud Nur Partiwi Nurhaedar Djafar Nurhaedar Djafar Nurhayati Latief Nurrahmi Umami P Prihantono Patmahwati Patmahwati Polanda Y Runtoboi Prastawa Budi Prihantono Prihantono Prihantono, Prihantono Prihartini, Ade Rahayu Rachman, Suci Rahma Dani Rafiah, Sitti Rahma H. Manay Ramadhani, Sri Rasulina Br Peranginangin Risfah Yulianti Risfah Yulianty Riu, Deviana Soraya Rizky A Ramadhani1, Deviana SorayaRiu1, Irnawati Bahar1, Isharyah Sunarno1, Retno B. Farid1, Eddy Hartono1 Rusni Safitry Saidah Syamsuddin Saidah Syamsuddin Salsa Putri Aulia Samrichar R Sartini Sartini Sartini Sartini Satriani Satriani Satriani Satriani Satriani Sello, Lenni Sharvianty Arifuddin Sharvianty Arifuddin Sharvianty Arifuddin Shofiyah Latief Sinrang A Wardihan Siswati Rahmadyana Siti Nurbaya Sitti Nurjannah Sitti Rafiah Sri Rahmadayany Sri Ramadany Sri Ramadhani Sri Ramadhani Stang Stang Stang Stang Suci Qardhawijayanti Sumirda Rahareng Sunarsih Sunarsih Sunarsih Sunarsih Sundun, Ririn Rezky Ananda Suryani As&#039;ad Suryani As&#039;ad Suryani As'ad Suryani As'ad Suryani As’ad Suryani As’ad Suryani As’ad Sutinah Made Syafruddin Syarif Syafruddin Syarif Syafruddin Syarif Syafruddin Syarif Syam, Yuliana Syariena, Syariena Triana Rahmiaty Triwidayanti Triwidayanti Tuti Sukini Veni Hadju Veni Hadju Veni Hadju Veni Hadju Hadju Veny Hadju Verawati Parmah Wadi Renah Wardihan Sinrang Wardihan Sinrang Wawa Amalia Bau Werna Nontji Werna Nontji Werna Nontji Werna Nontji Werna Nontji Werna Nontji Werna Nontji Yudi Yanto Yudiarsi Eppang Yuliana Yuliana Yulianti Anwar Yulianti, Desak Made Yusring Sanusi Baso, Yusring Sanusi Yuyun Widaningsih Zahir Zainuddin