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FAMILY ASSISTANCE FOR STUNTING INCIDENTS IN TENGGER CHILDREN, PASURUAN DISTRICT INDONESIA Puspitasari, RA Helda; Handayani, Dwining; Kusuma, Erik; Nastiti, Ayu Dewi; Tsai, Mei-Ling
SYNTHESIS Global Health Journal Volume 2, Issue 1, 2024
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61543/syn.v2i1.65

Backgrounds. Stunting commonly known as short stature can be interpreted as a condition where the body is short or very short below normal for age. This community service aimed to determine the relationship between the use of clean water, healthy latrines, washing hands with soap, and the incidence of stunting in children in Tengger, Pasuruan Regency. Implementation Method. This community service uses family assistance with a planning-organizing-actuating-controlling (POAC) approach. The mothers of children in Tengger, Pasuruan, totaling 46 mothers and their children, accompanied them for two weeks. To prove that this community service is successful, the author examines the use of clean water, healthy latrines, and washing hands with soap to prevent the risk of stunting. Findings. After community service, there was a significant change in behavior in the family. Mothers are more aware of their children's health status. Children use clean water, healthy latrines, use soap to wash their hands. Conclusion. Preventing the risk of stunting is an important action to support the development of children's health status.

EFFECTIVENESS OF EFFLEURAGE MASSAGE ON REDUCING INTENSITY OF FIRST-STAGE INPARTUM PAIN Puspitasari, R.A. Helda; Kusuma, Erik; Handayani, Dwining; Dewi Nastiti, Ayu; Toha, Muhammad; Ayu Novitasari, Bunga
Indonesian Journal of Community Health Nursing Vol. 9 No. 1 (2024): FEBRUARY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijchn.v9i1.42363

Introduction: Labor can be defined as the process of opening and thinning the cervix, as well as the descent of the fetus into the birth canal. This pain can be felt like strong cramps in the stomach, groin, and back, as well as aches (Rosmiarti et al., 2020). In general, the pain that arises can affect the physiological and psychological state of the mother in the form of intense fatigue, the emergence of fear and worry, and cause stress, thus making a lack of contractions which can cause prolonged labor. The purpose of this literature review is to find out and analyze the effectiveness of effleurage massage in reducing the intensity of labor pain in the first stage. Methods: This study uses a literature review method with article searches conducted in three search databases Science Direct, Garuda, Google Scholar and there are 10 articles that meet all inclusion criteria and are reviewed. Results: Effleurage massage can reduce the intensity of labor pain in the 1st stage. Conclusion: Based on the results of a review of 10 articles, one of the non-pharmacological therapies to reduce the intensity of labor pain is using effleurage massage therapy. This is evidenced by the average headache scale before being treated with effleurage massage which is on the moderate pain scale (4-6). After being treated with effleurage massage, the pain intensity was on a mild pain scale (1-3). Effleurage massage therapy is also able to reduce the scale of severe pain (7-10) to mild pain (0-3).

Antenatal Care (ANC) as an Early Health Detection Program for Pregnant Women: Antenatal Care (ANC) sebagai Upaya Deteksi Dini Kesehatan Ibu Hamil Puspitasari, R.A. Helda; Dewi Nastiti, Ayu; Handayani, Dwining
Journal of Community Empowerment for Multidisciplinary (JCEMTY) Vol. 2 No. 2 (2024): November 2024
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/jcemty.v2i2.259

This community engagement aim is to increase the knowledge of pregnant women and inform that the importance of ANC is to undergo a healthy pregnancy, and give birth to a healthy baby and monitor early maternal and fetal health, in the Tengger Region, East Java. The method begins with measuring the knowledge of pregnant women about Antenatal Care then continued with Antenatal Care examination then continued with counseling with the method of discussion, lecture and question and answer with respondents at the end of the post-test. Community service activities were carried out on 20 pregnant women. The results were followed by an independent t-test statistical test of SPSS software to measure the knowledge of pregnant women. The results of pretest and posttest measurements carried out are that there is an increase in knowledge, before 50%, after counseling (post-test) knowledge becomes good 75%. The conclusion is that there is an effect of counseling on pregnant women who experience an increase in knowledge by 75%.

THE RELATIONSHIP BETWEEN NURSE CARING BEHAVIOR AND ANXIETY LEVELS AMONG COVID-19 PATIENTS Kusuma, Erik; Nastiti, Ayu Dewi; Handayani, Dwining; Puspitasari, R.A. Helda
Nurse and Holistic Care Vol. 1 No. 2 (2021): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Background: Covid-19 patients who undergoing treatment in isolation rooms experience anxiety problems due to loss of contact with their surrounding. Caring behavior in providing nursing services provides comfort and tranquillity for patients. Objective: This study aimed to determine the relationship between nurses' caring behavior with the anxiety level of Covid-19 patients undergoing treatment in the isolation rooms. Methods: This study used a cross-sectional design. The sample in this study was COVID-19 patients undergoing treatment in the Isolation Room as many as 30 people. The respondents were selected using a consecutive sampling technique. The anxiety levels were measured using the State-Anxiety Inventory (S-AI) questionnaire. The data were analyzed using the Gamma and Somers'd correlation test. Results: The results showed that the better caring behaviour by nurses the lesser the anxiety level of patients. Gamma statistical test results obtained a p-value of 0.000 <0.05, which means that there was a significant relationship between nurses’ caring behaviour and the anxiety level of Covid-19 patients in the Isolation Room. Conclusions: The caring behaviour of nurses in Covid-19 patients was shown by the presence of caring, empathy, compassion, and good communication so that a therapeutic relationship is established between patients and nurses. Therefore, the patient feels safe, comfortable, and has less anxiety.

THE PREGNANT WOMEN BEHAVIOR IN USING PERSONAL PROTECTIVE EQUIPMENT DURING COVID-19 Puspitasari, R.A. Helda; Nastiti, Ayu Dewi; Kusuma, Erik; Handayani, Dwining
Nurse and Holistic Care Vol. 2 No. 1 (2022): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v2i1.2730

Background: The COVID-19 outbreak has occurred worldwide and has resulted in fatalities. The death toll increases every day and continues to experience a significant increase. Until April 26, 2020, the cases increased rapidly to 8,882 in Indonesia and spread to 34 provinces with a mortality percentage of 8.365%. Symptoms that arise in every pregnant woman are very different depending on many things, one of which is the condition of obesity and the presence of comorbidities[1]. Obesity in pregnant women with COVID-19 can cause pulmonary embolism (pulmonary embolism). Obesity is closely related to a prothrombotic activity that triggers clotting in blood vessels, increasing the risk of pulmonary embolism. Objective: The purpose of the study was to determine the behavior of using personal protective equipment in pregnant women. Methods: The design used in this research is descriptive research. Descriptive research aims to describe important events that occur in the present. Descriptive research designs are divided into two types, namely survey research designs. A survey research design was used to collect information from a person's actions, knowledge, will, opinions, behavior, and values in this study. Results: The result showed that the description of anxiety based on age with the highest frequency is respondents aged 20-35 years, as many as 25 respondents (33.3%). The description of anxiety based on education with the highest frequency was among respondents with high school education, as many as 25 respondents (33.3%). Conclusion: This detailed data will be presented in the form of a table regarding the anxiety of pregnant women.

ASUHAN KEPERAWATAN BERSIHAN JALAN NAPAS TIDAK EFEKTIF PADA ANAK DENGAN INFEKSI SALURAN PERNAPASAN AKUT MELALUI TEKNIK FISIOTERAPI DADA : NURSING CARE FOR INEFFECTIVE AIRWAY CLEARANCE IN CHILDREN WITH ACUTE RESPIRATORY INFECTIONS THROUGH CHEST PHYSIOTHERAPY TECHNIQUES Rakhmatika, Via; puspitasari, r.a. helda; Widianto, Eko Prasetya; Kusuma, Erik
Jurnal Ilmiah Pamenang Vol. 7 No. 1 (2025): Jurnal Imiah Pamenang (JIP)
Publisher : Stikes Pamenang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jip.v7i1.350

Abstrak Introduksi : ISPA adalah penyakit pada saluran pernapasan yang mayoritas disebabkan infeksi virus. ISPA sering terjadi pada anak usia 12 - 59 bulan dengan gejala batuk akibat sekresi berlebih. Tujuan penulisan adalah untuk melakukan asuhan keperawatan pada pasien ISPA dengan bersihan jalan nafas tidak efektif. Metode : Asuhan keperawatan dilakukan di ruang anak RSUD dr. R. Soedarsono selama 3 hari pada Mei 2025. Desain penulisan ini adalah studi kasus dengan pendekatan proses keperawatan yang melibatkan sampel tunggal yakni An. M dengan kriteria responden memenuhi 80% tanda gejala mayor SDKI bersihan jalan napas tidak efektif yakni pasien tidak mampu batuk, batuk tidak efektif, sputum berlebih, dan terdengar suara napas ronkhi. Hasil : Hasil pengkajian didapatkan pasien anak laki-laki usia 37 bulan dengan ISPA yang mengalami bersihan jalan napas tidak efektif dan dilakukan tindakan keperawatan fisioterapi dada serta pemantauan status pernapasan. Analisis : Berdasarkan data pengkajian, pasien menunjukkan ketidakmampuan mengeluarkan dahak, batuk tidak efektif, penumpukan sekret di saluran napas, adanya suara napas ronkhi, frekuensi napas meningkat 40 x/menit, dan saturasi oksigen 95%. Temuan klinis ini menunjukkan adanya masalah bersihan jalan napas tidak efektif. Intervensi yang diberikan yaitu fisioterapi dada 3 x 24 jam dan didapatkan peningkatan status pernapasan dengan kriteria frekuensi napas membaik 26 x/menit, sekret berhasil dikeluarkan, dan tidak ada ronkhi. Abstract Introduction : ARI is a disease of the respiratory tract that is mostly caused by viral infections. ARI often occurs in children aged 12 - 59 months with symptoms of cough due to excess secretions. The purpose of writing is to provide nursing care for patients with URI with ineffective airway clearance. Methods : Nursing care was carried out in the pediatric room of dr. R. Soedarsono Hospital for 3 days in May 2025. The design of this writing is a case study with a nursing process approach involving a single sample, namely An. M with the criteria that the respondent meets 80% of the SDKI major symptom signs of ineffective airway clearance, namely the patient is unable to cough, coughs ineffectively, excess sputum, and ronkhi breath sounds are heard. Results : The results of the assessment obtained a 37-month-old male patient with ARI who experienced ineffective airway clearance and carried out chest physiotherapy nursing actions and monitoring of respiratory status. Analysis : Based on the assessment data, the patient showed an inability to expel phlegm, ineffective cough, accumulation of secretions in the airway, the presence of ronkhi breath sounds, dyspnea breathing pattern, increased breathing frequency of 40 x/min, and oxygen saturation of 95%. These clinical findings indicate an ineffective airway clearance problem. The intervention given was chest physiotherapy for 3 x 24 hours and the results obtained improved respiratory status with the criteria that the frequency of breathing improved 26 x/minute, the secretion was successfully removed, and there was no ronkhi sound.

PEMBERIAN TEKNIK WOOLWICH MASSAGE UNTUK MENGURANGI PERMASALAHAN MENYUSUI TIDAK EFEKTIF PADA IBU POSTPARTUM DI KLINIK SAHARA KOTA PASURUAN: GIVING WOOLWICH MASSAGE TECHNIQUE TO REDUCE INEFFECTIVE BREASTFEEDING PROBLEMS IN POSTPARTUM MOTHERS AT THE SAHARA CLINIC IN PASURUAN CITY Tri Clarinda, Mutiara; R.A Helda Puspitasari; Eko Prasetya Widianto; Erik Kusuma
Jurnal Abdimas Pamenang Vol. 3 No. 2 (2025): Jurnal Abdimas Pamenang - JAP
Publisher : STIKES Pamenang Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jap.v3i2.353

Latar Belakang: Menyusui adalah proses alami yang penting untuk memenuhi kebutuhan nutrisi dan membentuk ikatan emosional antara ibu dan bayi. Namun, tidak semua ibu dapat menyusui secara efektif. Ibu postpartum yang mengalami kelelahan dan penurunan hormon prolaktin serta oksitosin, dapat menyebabkan produksi dan pengeluaran ASI menurun. Tujuan: Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan tentang pemberian teknik woolwich massage dalam mengatasi masalah menyusui tidak efektif pada ibu postpartum. Metode: Pengabdian ini menggunakan metode penyuluhan atau pendidikan kesehatan dan demonstrasi praktik yang dilakukan kepada ibu postpartum di Klinik Sahara sebanyak 20 orang dengan menggunakan media leaflet yang berisikan tentang terapi woolwich massage. Penilaian dilakukan dengan pre-test dan post-test untuk mengukur peningkatan pengetahuan. Hasil: Pengabdian masyarakat ini menunjukkan adanya peningkatan pengetahuan ibu postpartum dalam pemberian teknik woolwich massage sebanyak 50% selama proses penyuluhan, penyuluhan berlangsung dengan penuh antusiasme dari para peserta yang menyimak dengan saksama sejak awal hingga akhir kegiatan. Sebagai petugas kesehatan, penting untuk memberikan edukasi kepada masyarakat serta menyampaikan informasi yang akurat mengenai manfaat pemberian teknik woolwich massage, dengan sasaran yang tepat, agar dapat meningkatkan pengetahuan dan keterampilan masyarakat dalam menghadapi berbagai permasalahan selama masa nifas. Kesimpulan: Teknik Woolwich massage terbukti efektif sebagai edukasi promotif dalam meningkatkan pengetahuan dan kesiapan ibu postpartum dalam menghadapi masalah menyusui tidak efektif. Edukasi ini dapat dijadikan alternatif intervensi nonfarmakologis untuk mendukung keberhasilan menyusui. Kata Kunci : Postpartum, Menyusui tidak efektif, Woolwich massage Abstract Background: Breastfeeding is an important natural process to fulfill nutritional needs and form an emotional bond between mother and baby. However, not all mothers can breastfeed effectively. Postpartum mothers who experience fatigue and a decrease in prolactin and oxytocin hormones, can cause decreased milk production and output. Objective: This community service aims to increase knowledge about the provision of woolwich massage techniques in overcoming the problem of ineffective breastfeeding in postpartum mothers. Methods: This service uses the method of counseling or health education and practical demonstrations conducted to postpartum mothers at the Sahara Clinic as many as 20 people using leaflet media containing woolwich massage therapy. The assessment was carried out with pre-test and post-test to measure the increase in knowledge. Results: This community service shows an increase in knowledge of postpartum women in providing woolwich massage techniques by 50% during the counseling process, the counseling took place with full enthusiasm from the participants who listened carefully from the beginning to the end of the activity. As health workers, it is important to provide education to the community and convey accurate information about the benefits of providing woolwich massage techniques, with the right target, in order to increase the knowledge and skills of the community in dealing with various problems during the postpartum period. Conclusion: Woolwich massage technique is proven to be effective as a promotive education in improving the knowledge and readiness of postpartum mothers in facing ineffective breastfeeding problems. This education can be used as an alternative nonpharmacological intervention to support successful breastfeeding. Keywords : Postpartum, Ineffective breastfeeding, Woolwich massage

The Relationship Between Emotional Maturity, Effective Communication and Marital Satisfaction Among Young Women Who Undergo Early Marriage Puspitasari, R.A. Helda; Nastiti, Ayu Dewi; Handayani, Dwining
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.565

Background: Marriage is a sacred moment when two lovebirds make a sacred promise. The wedding moment should be carried out by two adults. However, in reality, there are groups in society who think that early marriage is a solution to a problem. The prevalence of marriage in Indonesia in 2019 was 10.18% while in Pasuruan Regency, early marriages amounted to 708 in 2022, the highest area is in the Pasuruan coast. Purpose: This study aims to analyze the relationship between emotional maturity, effective communication and marital satisfaction among young women who have married early. Methods: This study was located in Kawisrejo village, Pasuruan, which is included in the coastal area. The sample of this study was young women who had early marriages, with a sample size of 100 wives, this study using total sampling. Data were collected through interviews and questionnaires. Data analysis used the t-test and multiple linear regression. Results: The results show p < 0.05 indicates a significant difference. Respondents with high emotional maturity and effective communication tend to have significantly higher marital satisfaction. Emotional maturity and effective communication simultaneously have a strong and significant influence on marital satisfaction. Conclusions: Marital satisfaction is a subjective feeling felt by couples. The results show that the age of husband and wife when married has a positive relationship with marital satisfaction, meaning that the more mature the age of husband and wife when married, the higher the level of marital satisfaction.

The Relationship Between Emotional Maturity, Effective Communication and Marital Satisfaction Among Young Women Who Undergo Early Marriage Puspitasari, R.A. Helda; Nastiti, Ayu Dewi; Handayani, Dwining
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.565

Background: Marriage is a sacred moment when two lovebirds make a sacred promise. The wedding moment should be carried out by two adults. However, in reality, there are groups in society who think that early marriage is a solution to a problem. The prevalence of marriage in Indonesia in 2019 was 10.18% while in Pasuruan Regency, early marriages amounted to 708 in 2022, the highest area is in the Pasuruan coast. Purpose: This study aims to analyze the relationship between emotional maturity, effective communication and marital satisfaction among young women who have married early. Methods: This study was located in Kawisrejo village, Pasuruan, which is included in the coastal area. The sample of this study was young women who had early marriages, with a sample size of 100 wives, this study using total sampling. Data were collected through interviews and questionnaires. Data analysis used the t-test and multiple linear regression. Results: The results show p < 0.05 indicates a significant difference. Respondents with high emotional maturity and effective communication tend to have significantly higher marital satisfaction. Emotional maturity and effective communication simultaneously have a strong and significant influence on marital satisfaction. Conclusions: Marital satisfaction is a subjective feeling felt by couples. The results show that the age of husband and wife when married has a positive relationship with marital satisfaction, meaning that the more mature the age of husband and wife when married, the higher the level of marital satisfaction.

Studi Kasus : Perubahan Tingkat Nyeri Pasien Nyeri Akut Post Op Sectio Caesarea Setelah Diberikan Progressive Muscle Relaxation Aurelia Aidin, Anggi Desita; Puspitasari, R.A. Helda
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5372

Introduction : Sectio caesarea is a method of labor with abdominal and uterine surgical procedures. The prevalence of sectio caesarea at dr. R. Soedarsono Hospital was recorded at 83 cases in the first quarter of 2025. This action causes a break in tissue continuity that triggers the release of biochemical mediators and the transmission of pain impulses to the brain, resulting in acute pain nursing problems. One of the non pharmacological interventions to reduce pain levels is progressive muscle relaxation. Methods : This research is in the form of a case study with a nursing care approach for 3 days conducted on one post op sectio caesarea patient with acute pain nursing problems by providing interventions in the form of progressive muscle relaxation. Results : After 3 days of nursing care, the nursing problem of acute pain was resolved with a decrease in pain scale from 7 to 3. Discussion : Progressive muscle relaxation is proven effective in reducing pain levels in post op sectio caesarea patients.

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