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PENGARUH SENAM DISMENOREA TERHADAP INTENSITAS NYERI MENSTRUASI PRIMER PADA REMAJA PUTRI DI SMP NEGERI 1 BATURITI Sukariani, Ni Wayan; Lestari, Ni Putu Yunita Sri; Sumawati, Ni Made Risna
SAKTI BIDADARI (Satuan Bakti Bidan Untuk Negeri) Vol 8 No 2 (2025): September 2025
Publisher : Universitas Islam Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31102/bidadari.2025.8.2.113-119

Abstract

Masa remaja merupakan fase transisi dari masa kanak-kanak menuju masa dewasa yang ditandai dengan pertumbuhan fisik yang pesat, terutama masa pubertas. Salah satu perubahan biologis yang dialami oleh anak perempuan pada masa ini adalah menstruasi, yang sering kali disertai dengan rasa tidak nyaman saat menstruasi atau dismenorea. Menstruasi merupakan proses alamiah di mana lapisan endometrium rahim dilepaskan secara berkala saat tidak terjadi pembuahan. Salah satu pendekatan nonfarmakologis untuk meredakan nyeri haid adalah melalui latihan dismenorea. Jenis latihan ini menekankan peregangan otot perut, panggul, punggung bawah dan secara bertahap dapat meningkatkan relaksasi. Bila dilakukan secara konsisten, latihan ini dapat meredakan ketidaknyamanan dengan memicu pelepasan hormon alami endorfin yang berfungsi sebagai pereda nyeri sehingga meningkatkan kenyamanan, suasana hati, dan sirkulasi oksigen ke otot. Penelitian ini bertujuan untuk mengetahui pengaruh latihan dismenorea terhadap intensitas nyeri haid primer pada remaja putri di SMP Negeri 1 Baturiti. Metode yang digunakan adalah quasi eksperimen dengan desain non-equivalent control group design. Teknik pengambilan sampel yang digunakan adalah total sampling dengan jumlah sampel 48 orang remaja putri. Data dianalisis menggunakan uji Wilcoxon. Hasil uji Wilcoxon menunjukkan perbedaan yang signifikan antara tingkat nyeri sebelum dan sesudah uji (p < 0,05), yang menunjukkan bahwa latihan dismenorea efektif dalam meredakan nyeri haid. Berdasarkan hasil ini, diharapkan remaja putri dapat menerapkan bentuk latihan ini sebagai strategi alternatif untuk mengatasi ketidaknyamanan saat haid.
EFEKTIFITAS KOMBINASI TEKNIK NAFAS DALAM DAN STRECHING ABDOMINAL EXERCISE TERHADAP TINGKAT DISMINORE PADA REMAJA PUTRI Muji, Ni Wayan; Lestari, Ni Putu Yunita Sri; Sumawati, Ni Made Risna
SAKTI BIDADARI (Satuan Bakti Bidan Untuk Negeri) Vol 8 No 2 (2025): September 2025
Publisher : Universitas Islam Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31102/bidadari.2025.8.2.106-112

Abstract

Wanita yang mengalami haid akan merasakan nyeri haid. Nyeri haid menyebabkan rasa ketidaknyamanan yang mengakibatkan terganggunya aktivitas. dismenore yang terjadi pada remaja jika tidak diatasi maka akan menimbulkan masalah lebih lanjut, seperti kemampuan belajar manurun, sering absen di sekolah. Salah satu metode yang bisa dilakukan untuk mengurangi nyeri adalah teknik nafas dalam dan Stretching Abdominal exercise. Stretching Abdominal merupakan latihan fisik, dapat meningkatkan aliran darah di panggul dan merangsang hormon endorphin sehingga dapat menurunkan nyeri. Tujuan dari penelitian ini adalah untuk mengetahui Efektivitas kombinasi teknik nafas dalam dan stretching abdominal exercise terhadap tingkat dismenore pada remaja putri di SMPN 3 Baturiti. Penelitian ini menggunakan desain Pre eksperiment dengan desain one group pretest – post test dan tehnik total sampling. Penelitian ini menggunakan sampel berdasarkan kriteria inklusi dan ekslusi adalah sebanyak 40 orang. Peneliti dan instruktur memberikan intervensi kepada kelompok intervensi yaitu remaja putri yang mengalami dismenore pada hari pertama menstruasi diberikan Kombinasi teknik nafas dalam dan Stretching Abdominal Exercise. Pada teknik nafas dalam dilakukan 15 kali selama 15 menit dan Stretching Abdominal Exercise diberikan setiap tahapan dengan 10 hitungan selama 15 menit. Data dianalisis menggunakan uji Wilxocon. Hasil uji Wilxocon menunjukkan bahwa terjadi penurunan tingkat nyeri dismenore setelah diberikan kombinasi teknik nafas dalam dan stretching abdominal exercise didapatkan nilai p-value sebesar 0,000 (p<0,05). Hasil ini menunjukkan bahwa H0 ditolak dan Ha diterima yang berarti ada pengaruh kombinasi teknik nafas dalam dan stretching abdominal exercise terhadap tingkat nyeri dismenore pada remaja putri. Bedasarkan hasil penelitian ini, diharapkan remaja putri dapat menerapkan teknik nafas dalam dan stretching abdominal exercise untuk mengurangi dismenore.
The Differences between Emotional Freedom Technique (EFT) and Self-Hypnosis on Anxiety among Menopausal Women Julia, A. A. Istri Diah Intan; Widiastini, Luh Putu; Sumawati, Ni Made Risna; Karuniadi, I Gusti Agung Manik
JURNAL KEBIDANAN Vol. 15 No. 2 (2025): October 2025
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v15i2.12744

Abstract

The aging and menopausal process is considered to give a scary experience, especially in women, causing anxiety. This study aimed to identify the difference between Emotional Freedom Technique (EFT) and Self-Hypnosis into Anxiety level among Menopausal Women at the Klinik Pratama Osadha. This study employed the Quasy Experiment approach with a two-group pre-test-post-test design with a sample size of 40 people. The sample was then divided into two groups by 20 people each group and given the EFT and Self-Hypnosis as intervention. Both of the intervention was given once daily by 15 minutes and every day for the 7 days. The level of anxiety was assessed using the GAS (Geriatric Anxiety Scale) questionnaire and analyzed by the wilcoxon sign rank test and the mann whitney U test used to see the effect and test of the difference between the two groups. The results showed that there was a difference in anxiety levels before and after EFT intervention with a p-value of 0.000 < α 0.05 and before and after Self-Hypnosis intervention with a p-value of 0.001< α 0.05, and there was a significant difference between EFT and Self-Hypnosis interventions in reducing anxiety levels in menopausal women with a p-value of 0.000 < α 0.05, and the Z value was -3,549. This research is expected to be used as a reference source for education to develop evidence-based practice, especially regarding complementary therapies in an effort to reduce the level of anxiety in menopausal women.
HUBUNGAN TINGKAT PENGETAHUAN DAN DUKUNGAN SUAMI DENGAN PERILAKU PEMERIKSAAN IVA SEBAGAI SKRINING KANKER SERVIKS PADA WANITA USIA SUBUR DI UPTD PUSKESMAS KUTA UTARA Atrinitati, Ni Putu; Mastiningsih , Putu; Ekajayanti, Pande Novi; Sumawati, Ni Made Risna
Jurnal Maternitas Kebidanan Vol. 9 No. 1 (2024): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v9i1.4779

Abstract

Cervical cancer is cancer that attacks the cervix and is the second highest cause of death in women and is the main cause of death for women in developing countries. One of the diseases that is a health problem that is feared to occur in women throughout the world is cervical cancer. One early detection that can be done is an IVA examination. The low coverage of IVA examinations in women of childbearing age can be influenced by several causal factors such as the level of knowledge and support from husbands. Husband's support is a significant factor in influencing the reproductive age of women in Indonesia to carry out VIA examinations. This research aims to determine the correlation between the level of husband's knowledge and support and the behavior of VIA examinations as cervical cancer screening in women of childbearing age at the UPTD of the North Kuta Health Center. This research utilized a quantitative approach. The research design used in this research is a cross-sectional research design, namely an observational (non-experimental) study which includes all types of research in which variables are measured only once, at one time. The sample in this study was reproductive-age women amounting to 82 people. Sampling technique using Purposive Sampling Technique. Data were analyzed using analysis using the chi-square test α <0.05. According to the research above, the results acquired utilizing statistical tests in this study were carried out using the chi-square test, the statistical showed a p-value of 0.010. These findings showed that H0 is rejected and Ha is accepted, which means there is a significant correlation between the husband's support and the behavior of IVA examinations as cervical cancer screening in women of childbearing age at the UPTD Puskesmas Utara Kuta. Based on the findings of this study, it is hoped that women of childbearing age can carry out IVA examinations as cervical cancer screening at UPTD North Kuta Health Center.
PENGARUH TERAPI MUSIK RINDIK TERHADAP TINGKAT KECEMASAN PADA IBU PREOPERASI SECTIO CAESAREA DI RS X DENPASAR Harini, I Gusti Ayu Sri; Adhiestiani, Ni Made Egar; Lestari, Ni Putu Yunita Sri; Sumawati, Ni Made Risna
Jurnal Kesehatan dan Teknologi Vol. 2 No. 1 (2025): Jurnal Kesehatan dan Teknologi
Publisher : Institut Kesehatan dan Teknologi Buton Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64879/jkestek.v2i1.32

Abstract

Tindakan persalinan dengan metode Sectio Caesarea pada bebebrapa individu juga sering kali menimbulkan dampak pada psikologis salah satunya kecemasan menjelang tindakan Sectio Caesarea. Kecemasan pre-op jika tidak ditanggulangi akan berdampak pada keberhasilan Tindakan persalinan dan juga dapat dihubungkan dengan depresi post-partum. Penatalaksanaan dalam masalah kecemasan dapat dilakukan dengan pemberian terapi non-farmakologi salah satunya terapi musik rindik. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh teknik musik rindik terhadap tingkat kecemasan pada ibu pre-operasi sectio caesarea di RS X Denpasar. Penelitian ini mengunakan metode pra experiment dengan one-group pre-posttest design. Teknik sampling mengunakan non-probability sampling yaitu accidental sampling. Sampel dalam penelitian berjumlah 40 responden. Analisis yang digunakan adalah wilcoxon sign rank test. Hasil analisis menunjukan nilai p-value 0,001 < 0.05, maka dapat disimpulkan bahwa terdapat pengaruh teknik musik rindik terhadap tingkat kecemasan pada ibu pre-operasi sectio caesarea di RS X Denpasar. Bidan diharapkan dapat memberikan intervensi terapi musik rindik pada ibu pre section caesarea sebagai upaya dalam menurunkan tingkat kecemasan pasien pre-operasi dan meningkatkan keberhasilan persalinan
PENGARUH KOMBINASI EFFLEURAGE MASSAGE DAN AROMATERAPI LAVENDER TERHADAP NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI RS X DENPASAR Rahayuni, Luh Cantika; Sumawati, Ni Made Risna; Adhiestiani, Ni Made Egar
Jurnal Kesehatan dan Teknologi Vol. 2 No. 1 (2025): Jurnal Kesehatan dan Teknologi
Publisher : Institut Kesehatan dan Teknologi Buton Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64879/jkestek.v2i1.34

Abstract

Adaptasi dan perubahan yang terjadi selama kehamilan umumnya menimbulkan ketidaknyamanan pada ibu hamil, rasa tidak nyaman yang dirasakan pada ibu hamil khususnya pada trimester III yaitu nyeri punggung. Penatalaksanaan yang dapat dilakukan dengan pemberian terapi non-farmakologi kombinasi effleurage massage dan aromaterapi lavender. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kombinasi effleurage massage dan dan aromaterapi lavender terhadap nyeri punggung pada ibu hamil trimester III di RS X Denpasar. Penelitian ini mengunakan metode pra experiment dengan one-group pre-posttest design. Teknik sampling mengunakan non-probability sampling yaitu purposive sampling. Sampel dalam penelitian berjumlah 47 responden. Analisis yang digunakan adalah wilcoxon sign rank test. Hasil analisis menunjukan nilai p-value 0,001 < 0.05, maka dapat disimpulkan bahwa terdapat pengaruh kombinasi effleurage massage dan aromaterapi lavender terhadap nyeri punggung pada ibu hamil trimester III di RS X Denpasar. Bidan diharapkan dapat memberikan intervensi effleurage massage yang dikombinasikan dengan aromaterapi lavender pada ibu hamil trimester III sebagai upaya dalam menurunkan intensitas nyeri punggung dan meningkatkan derajat kesehatan ibu hamil
Pengaruh Lactation Massage terhadap Produksi ASI pada Ibu Nifas Post Sectio Caesaria di Rumah Sakit Pande Putu Indah Purnamayanthi; Putu Ayu Dina Saraswati; Ni Made Risna Sumawati
Faletehan Health Journal Vol 12 No 03 (2025): Faletehan Health Journal, November 2025
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v12i03.845

Abstract

Postpartum mothers who have undergone Caesarean section are susceptible to delays in the lactation process. Lactation massage can be performed to overcome the obstacles in breast milk production. This study aims to analyze the effect of lactation massage on increasing breast milk production in postpartum mothers after Caesarean section. This study is a quasi-experimental type using a two-group pre-post test control group design. The samples of this study consisted of 36 respondents at Wisma Prasanthi Hospital who were selected using non-probability purposive sampling technique, a method of selecting respondent samples that match the research problem. Breast milk production was measured using a measuring cup and an observational sheet before and after the intervention was given. The statistical test used to test the hypothesis was the Mann-Whitney test. The results of data analysis obtained a p-value = 0.000 < α (0.05), which can be concluded that there is an effect of lactation massage on breast milk production in postpartum mothers after Caesarean section. The research result may have implication on professional midwifery education and midwifery service.
A Comparative Analysis of Taksimari and Taksinada in Alleviating Pain Following IUD Insertion Sumawati, Ni Made Risna; Purnamayanti, Pande Putu Indah; Maryadi, Ni Made Septiari
Gema Lingkungan Kesehatan Vol. 24 No. 1 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i1.376

Abstract

The Intra Uterine Device (IUD) is the best contraceptive for most women but often causes problems, namely pain. Pain can cause physiologic changes such as increased blood pressure, increased heart rate, vasoconstriction (arterial) blood vessels, increased respiratory activity, loss of water, and extreme fatigue. This study aims to determine the comparison of the effectiveness of the use of Five Finger Relaxation Technique (Taksimari with Deep Breath Relaxation Technique (Taksinada) on post-installation pain of the IUD at UPTD Puskesmas Sidemen. The research design used in this study was posttest design with a control group, namely research conducted after treatment (posttest) with two groups of subjects, namely the control group and the treatment group. The sample in the study amounted to 30 respondents with the following criteria: women aged 18-45 years, new IUD acceptors, and IUD installation at Sidemen Community Health Center, 15 respondents were given Taksimari and 15 respondents were given Taksinada. The analysis test used was the Mann Whitney test. The results showed that there were 14 respondents (93.33%) experiencing moderate pain in the Taksimari group, while in the Taksinada group there were 15 respondents (100%) experiencing moderate pain. The results of the bivariate analysis test showed that there was no difference in the effectiveness of non-pharmacological therapy Taksimari with Taksinada with a value of p = 0.317. This study found that there was no difference in the effectiveness of non-pharmacological therapy Taksimari with Taksinada. This study can be used as a basis for consideration in carrying out independent midwifery interventions in pain management.
The Relationship between Husband's Support and the Anxiety Level of Pre-Sectio Caesarea Pregnant Women at X Hospital Denpasar Ni Komang Wardani; Ni Made Risna Sumawati; Made Egar Adhiestiani
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 1 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i1.3244

Abstract

World Health Organization states that the number of deliveries using cesarean section continues to increase globally. Women with pre-sectio caesarea surgery will experience anxiety. One of the things that can affect a pre-caesarean woman's anxiety level is her husband's support. The purpose of this study is to ascertain the association between pregnant women's anxiety levels before to cesarean section surgery and their husbands' support. Correlational analytical research using a cross-sectional design is this kind of study. Forty expectant women scheduled for cesarean sections in the X Hospital Denpasar delivery room comprised the study's sample. Chi-Square analysis was performed on the data. Of the 40 research respondents, 22 pregnant women (55.0%) received good support from their husbands in facing cesarean section surgery and 18 pregnant women (45.0%) received less support from their husbands. Twelve pregnant women (30.0%) reported having mild anxiety, sixteen (40.0%) reported having moderate anxiety, and twelve (30.0%) reported having severe anxiety. Pregnant women's anxiety levels prior to cesarean section surgery are correlated with their husbands' support, according to the Chi-Square test results (p-value = 0.044).For this reason, every husband should provide support to reduce his wife's anxiety level before a cesarean section.