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Moringa Leaf Extract Capsules Enriched with Royal Jelly on Cortisol and Stress Dwi Kartika Sari; Hadju, Veni; Werna Nontji; Mardiana Ahmad; Aryadi Arsyad; Andi Nilawati Usman; Yudi Yanto; Taqwin, Taqwin
Jurnal Kesehatan Masyarakat Vol. 20 No. 4 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i4.3578

Abstract

During pregnancy, physiological and psychological changes often increase stress and cortisol levels. Administering moringa leaf extract capsules fortified with royal jelly presents a viable intervention to alleviate this stress. This study investigates the specific effects of these capsules on cortisol and stress levels in pregnant women. The study was conducted as a true experimental, single-blind, randomized controlled trial involving 61 pregnant women. The intervention group (n = 31) received moringa leaf extract capsules enriched with royal jelly, while the control group (n = 30) received multi-micronutrient supplements. The findings revealed a noteworthy reduction in cortisol levels within the intervention group (p = 0.030), from 26.61 ± 8.15 to 19.98 ± 14.00, as well as in the control group (p = 0.003), from 21.13 ± 7.76 to 13.26 ± 16.09. Likewise, stress levels exhibited a significant decrease within the intervention group (p = 0.016), decreasing from 18.68 ± 3.74 to 28.75 ± 15.02, and the control group (p = 0.000), declining from 19.17 ± 3.64 to 16.20 ± 3.38. Moringa leaf extract capsules enriched with royal jelly, as a natural remedy, merit the recommendation for inclusion in initiatives to enhance maternal and infant health.
EFEK PERMEN KARET, MADU, DAN MOBILISASI DINI TERHADAP PEMULIHAN PERISTALTIK USUS DAN WAKTU FLATUS PADA PASIEN POST SEKSIO SESAREA: EFFECTS OF GUM, HONEY, AND EARLY MOBILIZATION ON RECOVERY OF INTESTINE PERISTALTIC AND FLATUS TIME IN PATIENTS POST CAESAREAN SECTION Hasrianti, Hasrianti; Aryadi Arsyad; Usman, Andi Nilawati; Ramadany, Sri; Nontji, Werna; Hafsa, Mahmud
GEMA KESEHATAN Vol. 16 No. 2 (2024): Desember 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i2.459

Abstract

Seksio sesarea menjadi salah satu operasi besar pada abdomen yang berhubungan langsung dengan perubahan post operatif dalam sistem saraf otonom yang menyebabkan penurunan pergerakan usus pada sistem pencernaan. Penelitian ini bertujuan untuk membandingkan efek mengunyah permen karet, mengonsumsi madu dan mobilisasi dini terhadap laju pemulihan fungsi peristaltik usus dan waktu kentut pada pasien post seksio sesarea. Penelitian ini menggunakan desain Quasi Experimental dengan pendekatan post-test only group design. Sebanyak 78 wanita post seksio sesarea dipilih melalui teknik purposive sampling, memenuhi kriteria inklusi serta bersedia berpartisipasi, dibagi menjadi tiga kelompok: Permen Karet (PK) + Mobilisasi Dini (MD), Madu (M) + MD, dan MD saja. Intervensi diberikan 3 jam post seksio sesarea, sedangkan pengukuran peristaltik usus dan waktu flatus dilakukan setiap 2 jam. Peristatik usus berbeda signifikan (P=0,00) di antara ketiga kelompok pada jam ke I, II dan III. Kelompok PK + MD mencatatkan rata-rata peristaltik tertinggi 28 kali, diikuti oleh kelompok M + MD 25 kali, dan MD 21 kali. Waktu flatus juga menunjukkan perbedaan signifikan antar kelompok (P= 0,041) dengan kelompok PK + MD mencatatkan rata-rata waktu flatus lebih cepat 500 menit dibandingkan kelompok M + MD 611 menit dan MD 754 menit. Mengunyah permen karet dengan mobilisasi dini terbukti lebih efektif dalam mempercepat pemulihan peristaltik usus dan waktu pertama flatus pada pasien pasca-seksio sesarea dibandingkan dengan kombinasi pemberian madu dan mobilisasi dini, maupun mobilisasi dini saja. Kata kunci: Flatus, Madu, Mobilisasi Dini, Peristaltik Usus, Permen Karet     A cesarean section is considered a major abdominal surgery that directly relates to post-operative changes in the autonomic nervous system, causing a reduction in intestinal movement within the digestive system. This study compares the effects of chewing gum, honey administration, and early mobilization on the speed of intestinal peristalsis recovery and the time to first flatus in post-cesarean section patients. This research uses a Quasi-Experimental design with a post-test-only group design approach. Seventy-eight women in the post-cesarean section were selected through purposive sampling, met the inclusion criteria, and agreed to participate. They were divided into three groups: Chewing Gum (CG) + Early Mobilization (EM), Honey (H) + EM, and EM alone. The interventions were administered 3 hours post-cesarean section, while intestinal peristalsis and flatus time were measured every 2 hours. Intestinal peristalsis showed a significant difference (P=0.00) between the three groups during the first, second, and third hours. The CG + EM groups recorded the highest average peristalsis at 28 times, followed by the H + EM groups at 25 times and the EM group at 21 times. Flatus time also showed a significant difference between groups (P=0.041), with the CG + EM groups recording a faster average flatus time of 500 minutes compared to the H + EM groups at 611 minutes and the EM group at 754 minutes. Chewing gum combined with early mobilization accelerates the recovery of intestinal peristalsis and the time to first flatus in post-cesarean section patients compared to honey administration with early mobilization or early mobilization alone. Keywords: Chewing Gum, Early Mobilization, Flatus, Honey, Intestinal Peristalsis
The Effect of Storyline Therapy on The Development Language in 3 Years Age Children Ekawati, Erni Agit; Alasiry, Ema; Karo, Marni Br; Usman, Andi Nilawati; Tambaip, Titus
JURNAL KEBIDANAN Vol. 13 No. 2 (2023): Oktober 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i2.8907

Abstract

Delays or disorders in children's speech and language in Indonesia are increasingly common, parents must be aware of their child's speech development, remembering that if these delays are not treated early, they will result in intelligence and behavioral disorders. The aim of this research is to determine the effect of storytelling therapy on language development in 3-year-old children at Posyandu Arumsari III Puskesmas Mranggen I. This type of research is a quantitative, quasi-experimental design type One Group Pretest Posttest design. The population of this study was all children under 3 years old at the Posyandu Arumsari III, Desa Kembangarum, Puskesmas Manggen 1, Kabupaten Demak, with a total of 26 children. The sample is determined by Federer's formula of 18 respondents. The sampling technique in this research is purposive sampling. Data analysis used univariate and bivariate analysis using Wilcoxon. Language development in children 3 years before storytelling therapy had an average of 29.2, with a median 29, after storytelling therapy had an average of 30.67, median 31. There was an effect of storytelling therapy on language development in children aged 3 years, obtained Pvalue 0.002 <0.05. There is an effect of storytelling therapy on language development in children aged 3 years. The results of this study are expected that mothers can do storytelling therapy at least 3 times a week to stimulate children's language development.
The Effectiveness of Web-Based E-WoHealth on Compliance with Consumption of Iron Tablets in Young Women Yulianti, Desak Made; Ahmad, Mardiana; Baso, Yusring Sanusi; Sinrang, Andi Wardihan; Usman, Andi Nilawati; Prihantono, Prihantono
JURNAL INFO KESEHATAN Vol 21 No 2 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss2.1178

Abstract

Utilization of technological media in the field of education and health can increase public knowledge in efforts to prevent anemia, especially in young women. One of the efforts to prevent anemia and increase adherence to taking iron tablets is by using Web-based educational media (E-WoHealth) about iron tablets supplemented with a tablet supplement consumption control card. This research aims to develop Web-based E-WoHealth media and its effect on the level of adherence to the consumption of blood supplement tablets. This study used the Research and development (R&D) method with the Borg & Gall development model and the Pre-experimental Design quantitative method using the One Group Pretest-Postest approach. The sample in this study was 80 girls in grades VII and VIII of SMP Negeri 11 Gorontalo City, determined by purposive sampling technique. Statistical tests used the McNemar test and the Chi-Square test. The results of the McNemar test showed differences in the measurement results before and after being given the Web-based E-WoHealth media with a p-value of 0.000 <0.05 meaning that the Web-based E-WoHealth media was effective in increasing adherence to consumption of iron supplement tablets (TTD) in class VII and class VIII girls and the results of the Chi-Square P-Value test were 0.822 > 0.05 meaning that there was no difference in adherence between class VII and VII girls. This study recommends the application of WEB-based E-WoHealth media equipped with an iron supplement control card to increase adherence and monitor iron supplement consumption.
Application of Self-Reflection Using Reflective Journal on Oxytocin Massage Skills in Diploma Three Midwifery Students Arbie, Rina Sulisthia; Budu, Budu; Ahmad, Mardiana; Bukhari, Agussalim; Alasiry, Ema; Usman, Andi Nilawati
JURNAL INFO KESEHATAN Vol 21 No 2 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss2.1180

Abstract

Midwifery is a profession based on women-centered and evidence-based care through the provision of mutually respectful professional relationships and partnerships. To train students' skills, repeated learning is needed, learning can be sourced from experiences such as doing self-reflection by keeping a reflective journal. This research aims to analyze the effect of applying self-reflection using a reflective journal on oxytocin massage skills. This research is an experimental research using a one-group pretest-posttest group design approach, taking samples using a simple random sampling technique. The research population was all level III students in a bivariate analysis using the Friedman ANOVA test. The results showed that the pretest mean value was 59.28 increasing to 79.50 in the first posttest and 83.38 in the second posttest with a p-value <0.05, which means that there is an effect of applying reflective journals using reflective journals on oxytocin massage skills. Having students write reflective journals is a great way for them to learn new concepts. This approach is also useful for lecturers to get feedback on the concepts being studied by students. The use of reflective journals will guide students to analyze what they have and do not know about the material being studied and how to overcome the obstacles encountered so that learning goals are achieved and foster independent learning in students.
KOMBINASI PRENATAL YOGA DENGAN BIRTH BALL EFEKTIF TERHADAP LAMA PERSALINAN KALA I FASE AKTIF Suryaningsih, Ning; Mardiana Ahmad; Nontji, Werna; Syam, Yuliana; Usman, Andi Nilawati; Arsyad, M.Aryadi
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 4 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i4.2545

Abstract

Labor problems that often occur are the inability of the uterus to contract effectively, but by doing prenatal yoga and using a birth ball, the uterine muscles can be more relaxed so that the labor process becomes smoother. The study aimed to analyze the effect of prenatal yoga, birth ball and prenatal yoga with birth ball on the duration of active phase I labor. Quasi-experimental method, post-test comparative group design. Sampling using purposive sampling technique. The sample of this study amounted to 60 respondents, divided into three groups. Data were collected with observation sheets and analyzed using the Kruskal Wallis test to see the effect of independent variables, namely prenatal yoga, birth ball, and prenatal yoga with birth ball on the dependent variable of the duration of active phase I labor. The findings showed, the prenatal yoga group in the active phase I was normal 18 (90%) respondents, p-value 0.002, mean rank 90.28. Birth ball group of active phase I normal labor 18 (90%) respondents, p-value 0.000, mean rank 90.50. Prenatal yoga group with birth ball active phase I normal labor 16 (80%) respondents, p-value 0.005, mean rank 87.70.The results of the analysis of the three groups simultaneously obtained prenatal yoga r=81.916, birth ball r=93.412, prenatal yoga with birth ball r=87.714. There is difference between the three groups with p value = 0.001. In conclusion, both in groups and simultaneously, the three groups, have a significant effect on the duration of active phase I labor.
Causing Factors of Improvement in the Value of Intranatal Care (INC) on the Passing of the Competence Test of D3 Midwifery Students Firna, Fransiska; Syam, Aminuddin; Budu, Budu; Ahmad, Mardiana; Nontji, Werna; Usman, Andi Nilawati; Niar, Niar
Jurnal Ilmiah Kesehatan (JIKA) Vol. 6 No. 2 (2024): Volume 6 Nomor 2 Agustus 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v6i2.567

Abstract

One of the compulsory courses in the midwife curriculum is the INC course or Maternity care, where this course is a subject that combines theory and practicum, based on the syllabus where the course consists of 5 credits divided into 3 practical credits and 2 theoretical credits, because there was a change in the learning process due to the Covid-19 pandemic, the learning system was carried out during/online which had an impact on the GPA obtained by students and also had an impact on the results of the national competency exam, this can be seen from the decrease in GPA scores and graduation during the pandemic.The aim of this research was to find out the factors that cause a decrease in the value of the INC course on the graduation D3 Midwifery students. The method in this study was retrospective with a crosssectional study design to reveal a causal relationship. There were 69 female students who had not passed the Competency Test as Subjects in the D3 Midwifery study. Analysis to see the relationship used the Chi-Square test. The results of the study found a relationship between learning methods (p-value 0,05 <0,042), learning network (p-value 0,05<0,003)and learning location (p-value 0,05 <0,031)with the value of Intranatal Care to pass the competency test for D3 Midwifery STIKES Bina Generasi Polewali Mandar students. Conclusion, there is a relationship between learned networks, learned methods, learned location are a relationship between learned networks, learned methods, learned location.
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 Aminuddin Syam 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, M.Aryadi Arsyad, Muhammad Aryadi Arweni Puspita Sari 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 Ekawati, Erni Agit Elizabet C Jusuf 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 Firna, Fransiska Fitrya Anggraini Gemini Alam H Anwar, St Hadijah Hafsa, Mahmud 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 Karo, Marni Kiki Uniatri Thalib Lenny Krey Lestari, Dyan Puji Lili Jenni Suebu Linda Runtuwene 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 Niar, Niar 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 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 Suryaningsih, Ning Sutinah Made Syafruddin Syarif Syafruddin Syarif Syafruddin Syarif Syafruddin Syarif Syam, Yuliana Syam, Yuliana Syariena, Syariena Tambaip, Titus 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, Werna Yudi Yanto Yudiarsi Eppang Yuliana Yuliana Yulianti Anwar Yulianti, Desak Made Yusring Sanusi Baso, Yusring Sanusi Yuyun Widaningsih Zahir Zainuddin