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All Journal Jurnal Keperawatan Muhammadiyah Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Keteg : Jurnal Pengetahuan, Pemikiran dan Kajian Tentang Bunyi JAIM (Jurnal Abdi Masyarakat) Judika (Jurnal Nusantara Medika) Tamumatra : Jurnal Seni Pertunjukan Arkus Jurnal Dirosah Islamiyah Jurnal Mahasiswa Kesehatan Journal of Global Research in Public Health Strada Jurnal Ilmiah Kesehatan (SJIK)
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Religion Arts Humanities Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Pengaruh Pijat RPS ( Reverse Presure Softening ) dan Pemberian Gel Aloe Vera terhadap Pembengkakan dan Penurunan Nyeri Payudara Pada Ibu Dengan Bendungan ASI Saidah, Halimatus; Prasetyanti , Dhita Kris; Wigati , Putri Wahyu; Sutrisni
Jurnal Keperawatan Muhammadiyah Vol 9 No 3 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i3.25845

Abstract

Objective:: Breastfeeding is the best way to provide ideal nutrition for baby's growth and development, but not all mothers experience a smooth breastfeeding process, one of which is swelling/breast milk dams due to narrowing of the lacteferi ducts. Mothers with breast milk dams are often confused about how to handle them so that they will have a worse impact, becoming mastitis or even breast abscesses. Breast milk dams occur in 72% to 82% of breastfeeding women, the RPS (Reverse Pressure Softening) technique and compresses using aloe vera can be an alternative treatment. The purpose of this study was to determine the Effect of RPS (Reverse Pressure Softening) Massage and Aloe Vera Gel Administration on Breast Swelling and Reducing Breast Pain in mothers with engorgment in the Sukorame Health Center Work Area in 2024. Methods: The design in this study was a study with the type of Pretest Posttest With Control Group Design. The population in this study were breastfeeding mothers who experienced breast milk engorgement on days 3-11 postpartum (transitional breast milk phase), determination of breast milk engorgement using SPES (Six Point Engorgement Scale), a sample of 32 respondents. Sampling was done by Purposive Sampling. Data collection techniques were carried out by interviews and observations using the Numeric Rating Scale (NRS) questionnaire for pain measurement and breast engorgement assessment points using the Six Point Engorgement Scale (SPES). Data were analyzed using Man Whitney Results: the results of statistical tests using the Man-Whitney test showed a significant difference between the engorgement scale, the breast pain intensity scale, between the RPS (Reverse Pressure Softening) Massage intervention group and Cold Compress using aloe vera gel. The engorgement scale has a ρ value of 0.000; the pain intensity scale has a ρ value of 0.001 (ρ value <0.05) so that there is an effect of the Use of RPS (Reverse Pressure Softening) Massage and Aloe Vera Gel Compress on the Breast Swelling scale and pain intensity scale Conclusion: there is an effect of the Use of RPS (Reverse Pressure Softening) Massage and Aloe Vera Gel Compress on the Breast
Penyuluhan Peningkatan Profesionalisme Guru Pendidikan Islam Anak Usia Dini (PIAUD) di TK Darul Fahmi Kecamatan Bandar Masilam Kab. Simalungun Laila Darma Sari; Sutrisni; Elvida Hanum; Ridha Sakinah; Rini Wahyuni Siregar
Jurnal Dirosah Islamiyah Vol. 6 No. 3 (2024): Jurnal Dirosah Islamiyah
Publisher : Pascasarjana IAI Nasional Laa Roiba Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47467/jdi.v6i3.3316

Abstract

This article was composed in view of the consequences of exploration which plans to make sense of expert educators and look for data about PAUD instructors' endeavors in creating instructor impressive skill and educational program improvement in light of the 2013 educational plan based kindergarten utilizing a subjective methodology. The conversation bunch was then dissected by decrease, order and confirmation. This examination looks to see if an expert educator can foster a kindergarten unit level educational program in light of the 2013 educational plan and assume a significant part in movements of every sort. From this exploration the creator can reason that the advancement of impressive skill of PIAUD educators can't be isolated from the mediation of bosses other than the job of the school head. With the improvement of expert PIAUD educators, the capacity of instructors to foster the 2013 Educational plan Based Kindergarten Level Educational program will likewise increment.
Effectiveness of Aloe Vera and Betel Leaf (Piper Betle L.) Spray on the Healing of Perineal Wounds Saidah, Halimatus; Putri Wahyu Wigati; Dhita Kris Prasetyanti; Sutrisni; Galuh Pradian Yanuaringsih
STRADA : Jurnal Ilmiah Kesehatan Vol. 14 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v14i2.1290

Abstract

Perineal tissue wounds occur either spontaneously or through episiotomy after childbirth. The combination of aloe vera and betel leaf can be used as an alternative therapy. The purpose of this study was to determine the effectiveness of Lisih spray, a mixture of aloe vera and betel leaf perineal wound healing. The study design used a quasi-experimental study, with a population of 32 postpartum women on day 1 (second-degree perineal wounds). The study instrument used a REEDA Score.
EFEKTIVITAS PENERAPAN GERAKAN PELVIC ROCKING DENGAN MENGGUNAKAN BIRTHING BALL TERHADAP KEMAJUAN PERSALINAN DAN PENURUNAN NYERI PERSALINAN KALA 1 FASE AKTIF Saidah, Halimatus; Wahyu Wigati, Putri; Sutrisni
Judika (Jurnal Nusantara Medika) Vol 8 No 1 (2024): Volume 8 No 1 April 2024
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/judika.v8i1.22551

Abstract

Birthball/Birthing Ball (bola kelahiran) adalah bola terapi fisik yang membantu ibu inpartu kala I ke posisi yang nyaman dalam membantu Kemajuan Persalinan Pada Kala I dan mengurangi nyeri persalinan dapat digunakan dalam berbagai gerakan salah satunya gerakan Pelvic Rocking merupakan salah satu metode untuk membantu penuruna kepala dan membantu merespon rasa sakit. Tujuan penelitian ini adalah ingin mengetahui efektivitas penerapan gerakan Pelvic Rocking dengan menggunakan Birthing Ball terhadap kemajuan persalinan dan penurunan nyeri pada kala 1 fase aktif. Rancangan pada penelitian ini adalah penelitian Quasy Eksperimen dengan poplasi adalah ibu bersalin kala I fase laten (pembukaan < 4 cm) di TMPB Ny “ K” Ngampel Mojoroto Kota Kediri dengan sampel sebanyak 32 yang dibagi menjadi dua kelompok, instrument penelitian menggunakan lembar observasi, data diuji dengan menggunakan uji Man-Whitney. Hasil penelitian pada kelompok intervensi hampir seluruhnya (93,75%) mengalami kemajuan perasalinan, sedangkan pada kelompok kontrol sebagian besar (75%) tidak mengalami kemajuan persalinan. Penilaian intensitas nyeri pada kelompok intervensi didapatkan sebagain besar (75%) skala 3 nyeri sedang dan sebagian kecil (25%) nyeri skala 2 nyeri ringan, kelompok kontrol didapatkan hampir seluruhnya (81,3%) mengalami nyeri skala 4 nyeri. Uji statistic menggunakan Man-Whitney didapatkan nilai p 0,001 < 0,05, sedangkan efektivitas penerapan gerakan pelvic rocking dengan menggunakan Birthing Ball terhadap nyeri persalinan Kala 1 Fase Aktif didapatkan nilai p 0,000 < 0,05 disimpumpulkan gerakan Pelvic Rocking dengan menggunakan Birthing Ball efektiv meningkatkan kemajuan persalinan dan menurunkan nyeri persalinan kala I fase Aktif di TMPB Ny “ K” Ngampel Mojoroto Kota Kediri. Gerakan Pelving Rocking dengan menggunakan Birthing Ball dapat dijadikan alrernatif dalam meningkatkan kemajuan persalinan dan mengurangi nyeri persalinan.
Navigating the Iron Triangle: A Systematic Mixed-Methods Review of Equity and Quality Trade-offs in Indonesia’s National Health Insurance Reform Sutrisni; Anggara Setya Saputra; Indi Nurul Anisah; Arinda Retno Setiani; Fika Meiliana Saputri
Arkus Vol. 11 No. 2 (2025): Arkus
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/arkus.v11i2.843

Abstract

As Indonesia’s Jaminan Kesehatan Nasional (JKN) transitions from an expansionary phase to maturity, it faces the classic iron triangle of health policy: the tension between expanding access, containing costs, and maintaining quality. While coverage rates have soared, critical questions remain regarding the equitable distribution of these benefits in a post-pandemic landscape. This study employs an Integrative Systematic Review design, synthesizing high-impact quantitative and qualitative evidence published between 2021 and 2024. Data were extracted from six primary studies utilizing large-scale national datasets (SUSENAS, IFLS) and policy reviews. The analysis moves beyond simple pooling to perform a narrative synthesis of adjusted Odds Ratios (aOR) for utilization and benefit incidence, assessing the structural determinants of effective coverage. The synthesis reveals a distinct inverse equity trade-off. While JKN ownership significantly increases the probability of inpatient utilization (aOR: 2.35), the benefits are unevenly distributed. A middle-class capture phenomenon is evident, where upper-middle-income groups experience a 41% reduction in out-of-pocket (OOP) expenditure compared to 38% for the poorest quintile. Furthermore, a quality gap persists, with non-poor populations seeing a greater reduction in unmet needs (10.4%) than the poor (7.7%), largely driven by supply-side rigidities in remote areas and administrative literacy barriers. In conclusion, JKN has successfully dismantled financial entry barriers but has not yet resolved structural inequities. The system currently functions as a regressive subsidy where the urban middle class extracts disproportionate value. Future policy must pivot from coverage expansion to supply-side equity, implementing geographic capitation differentials and targeted non-medical benefits for vulnerable populations to close the gap between legal entitlement and effective access.
Co-Authors -, asep saepudin AKHMAD Alfika Awatiszahro Anggara Setya Saputra aprilia, nuris Arinda Retno Setiani Asep Saepudin Bopo Lelono, Lilik Dewi Kartika Sari Dhita Kris Prasetyanti Dwipayanti, Adisti Eka Lilyanti Elvida Hanum Erike Yunicha V Fika meiliana Saputri Galuh Pradian Yanuaringsih Halimatus Saidah Indi Nurul Anisah Laila Darma Sari Nirwana, Betanuari Sabda Nita, Nani Prasetyanti , Dhita Kris Prasetyanti, Dhita Kris Putri Wahyu Wigati Ridha Sakinah Rini Wahyuni Siregar ROFIAH, KHOFIDHOTUR Rudi Tri Prasetyo Siswati Wahyu Wigati, Putri Wigati , Putri Wahyu Wigati, Putri Wahyu Wigati, Putri Wahyu Yanuaringsih, Galuh Pradian