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All Journal Jurnal Kesehatan Masyarakat Jurnal Kebidanan JMM (Jurnal Masyarakat Mandiri) Journal of Applied Health Management and Technology Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Ahmar Metastasis Health Journal (AMHJ) Ahmar Metakarya: Jurnal Pengabdian Masyarakat Jurnal Info Kesehatan
Astuti, Siti Choirul Dwi
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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The Effect of Using Endorphin Massage for Decreasing Pain at First Stage in Normal Labor Astuti, Siti Choirul Dwi; Sari, Riana Trinovita
JURNAL INFO KESEHATAN Vol 20 No 2 (2022): 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.Vol20.Iss2.877

Abstract

Labor pain is a subjective experience of physical sensations associated with uterine contractions, dilation, thinning cervix and fetal descent during labor. To resolve the pain of labor, it has been implemented in a nonpharmacological method which is endorphin massage, in understanding endorphin massage for pressing pain in the first stage, in an active phase of normal multiparous mothers' deliveries. This research aims to research endorphin massage's influence on suppressing pain during the active phase of normal labor of multiparous mothers. This study is quasi-experimental with a cross-sectional approach. The study population of all women giving birth administered the purposive sampling data capture techniques, and it was obtained 132 multiparous mothers with normal labor in the observation sheet. Data were examined by administering a T-test. The majority of the pain intensity in the first stage of active phase multiparous mothers with normal labor, before the breath relaxation, is severe, with up to 49% experiencing severe pain. The majority of the percentage of moderate pain in the first stage of active phase multiparous mothers with normal labor, after breath relaxation, is as high as 42%. Meanwhile, the pain intensity of the first stage in active phase multiparous mothers with normal labor, prior to endorphin massage, is as high as 73.3%. Pain intensity of the first stage in active phase multiparous mothers normal labor after endorphin massage, the majority of the percentage is moderate pain up to 53.3%. Statistical test results obtained p-value is 0.004 endorphin massage. In conclusion, there is an effect of breath relaxation on the intensity of pain during normal labor in multiparous mothers. Furthermore, researchers can do a combination of endorpine massage with other treatments to treat pain during the I active phase of labor and pain intensity checks can be done by testing cortisol levels.
Abdominal Circumference as A Predictor of Type II Diabetes Mellitus in Young Women Astuti, Siti Choirul Dwi; Apryanti, Yohana Putri
JURNAL INFO KESEHATAN Vol 21 No 1 (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.Iss1.878

Abstract

Obesity is becoming one of the main factors in the increase in non-communicable diseases globally. In Indonesia, the prevalence of central obesity at 15 years and over continues to increase. The increase in visceral fat is related to abnormal metabolisms, such as a decrease in glucose tolerance and insulin sensitivity, causing an increase in blood sugar levels, a risk factor for diabetes. To predict the incidence of type 2 diabetes mellitus, the abdominal circumference is a better predictor than BMI against type 2 diabetes mellitus. This study aims to determine the relationship between abdominal circumference to blood sugar levels in young women. This research is an observational analytical study using the cross-section method. Sampling in this study used a consecutive sample, which was taken based on inclusion and exclusion criteria in the population. The overall subjects of the study amounted to 70 respondents. The results showed a meaningful relationship between the abdominal circumference and fasting blood sugar levels (p = 0.000) with a moderate correlation (r = 0.440) and a significant relationship between abdominal circumference to blood sugar levels 2 hours after glucose loading (p = 0.030) with a weak correlation (r = 0.259). This study concluded that there is a relationship between abdominal circumference and blood sugar levels using an oral glucose tolerance test in young women. As a recommendation, young women should maintain their lifestyle and keep their abdominal circumference not exceeding 80 centimeters to prevent diabetes.     
Nutrition Counseling, Lipid Profile Improvement and Weight Loss in Obese Patients with Dyslipidemia Salman, Salman; Hadi, Novian Swasono; Ntau, Liean A.; Olii, Nancy; Astuti, Siti Choirul Dwi
JURNAL INFO KESEHATAN Vol 21 No 4 (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.Iss4.1407

Abstract

Obesity with dyslipidemia is a serious problem because it risks various degenerative and metabolic diseases. The prevalence of obesity in Indonesia continues to increase every year, currently in the adult population reaching 21.8%. To prevent the onset of degenerative diseases and metabolic disorders, it is important to control obesity with dyslipidemia through weight loss and lipid profile improvement. This study aims to determine the effect of nutritional counseling in losing weight and improving lipid profiles in obese patients with dyslipidemia. This is a pseudo-experimental study with One group Pre and Post Test Design. The initial stage was the identification of obesity and lipid profile. In 100 respondents identified as obese, total cholesterol, LDL and triglycerides were examined. 40 obese respondents with dyslipidemia were determined as samples. The second stage was nutrition counseling intervention. The third stage of evaluation is the re-measurement of body weight and lipid profile. The research result is only 30 respondents participated in the evaluation. Average initial body weight was 75.11 kg and final body weight was 73.14 kg. Average weight loss was 1.97 kg. Average initial cholesterol 233.20 mg/dL and final cholesterol 224.70 mg/dL. Average cholesterol reduction of 8.5 mg/dL. Average initial LDL 152.37 mg/dL and final LDL 139.47 mg/dL. Average decrease in LDL 12.9 mg/dL Average initial triglycerides 161.23 mg/dL and final triglycerides 143.97 mg/dL. The average decrease in triglycerides is 17.26 mg/dL. The statistical test results showed a p-value = 0.000. There is an effect of nutritional counseling on weight loss and improvement of lipid profiles of obese patients with dyslipidemia.
Hemorrhoid Degrees of Pregnant Women in the Use of Suppository Phaleria macrocarpa Astuti, Siti Choirul Dwi; Mohamad, Selvi; Nurlaily Z, Sri; Damiti, Sukmawati A.; Mashar, Harlyanti Muthmai’nnah
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): 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.Vol22.Iss4.1664

Abstract

Increased progesterone levels during pregnancy can lead to haemorrhoids, which require proper management to minimize risks to both the mother and fetus. Since haemorrhoidectomy is not a suitable option for pregnant women, alternative treatments with minimal side effects are needed. This study aimed to evaluate the effectiveness of Phaleria macrocarpa suppositories in reducing the degree of haemorrhoids in pregnant women. This study employed a true experimental design with a cross-sectional approach. The study population consisted of pregnant women selected through purposive sampling. Data were collected using observation sheets and analyzed using the Wilcoxon test. The results study show that among pregnant women who used standard suppositories, 23 participants (71.8%) showed no change in the degree of haemorrhoids, while 9 participants (28.8%) experienced a reduction in severity. In contrast, all 32 participants (100%) who used Phaleria macrocarpa suppositories experienced a decrease in haemorrhoid severity. Statistical analysis showed a significant difference (p < 0.05) between the two groups, with a p-value of 0.0013, indicating that Phaleria macrocarpa suppositories were significantly more effective in reducing haemorrhoids compared to standard suppositories. The conclusion is Phaleria macrocarpa suppositories effectively reduce the severity of haemorrhoids in pregnant women and may serve as a safer alternative to conventional treatments. Further research with larger sample sizes and long-term follow-ups is recommended to validate these findings and explore the potential mechanisms of Phaleria macrocarpa in haemorrhoid treatment.
Diet Preferences and Motivations of Female Adolescents: A Descriptive Study in Gorontalo City Tompunuh, Magdalena M.; Astuti, Siti Choirul Dwi
Ahmar Metastasis Health Journal Vol. 5 No. 2 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i2.597

Abstract

The increasing awareness of the ideal body shape among adolescents, driven by the influence of social media and social pressure, has led many teenage girls to follow specific diet trends despite lacking a thorough understanding of their nutritional needs and the long-term health implications. This study aims to identify the preferred diet trends among teenage girls and to examine their dietary patterns and motivations for dieting, with a focus on female students at SMPN 11 Gorontalo. The research employs a descriptive quantitative approach, with data collected through closed-ended questionnaires distributed to 30 female students in grades VIII and IX who reported having been on or currently being on a diet. The data were analyzed descriptively using percentages and presented in tables and graphs. The results show that the most commonly chosen diet among respondents is the low-carbohydrate diet (36.7%), followed by intermittent fasting (26.7%), portion reduction diets (20%), and vegetarian/vegan diets (10%). Their dietary patterns generally tend to restrict staple food intake and replace it with high-protein foods or fruits. However, this is not always accompanied by an understanding of balanced nutrition. The primary motivations for dieting were the desire to lose weight (43.3%), the influence of social media (30%), and peer encouragement (16.7%). Most respondents obtained their diet-related information from social media, while only a small proportion received information from parents or teachers. These findings suggest that external factors have a greater influence on adolescents' diet preferences than rational health considerations. Therefore, more structured and contextually relevant nutrition education efforts are needed within the school environment to help teenage girls develop healthy, balanced eating habits appropriate to their stage of growth.
Literature Review of Breastfeeding Techniques in Mothers with Disabilities Astuti, Siti Choirul Dwi
Journal of Applied Health Management and Technology Vol. 7 No. 1 (2025): (April 2025)
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v7i1.12795

Abstract

Breastfeeding is recommended because of its many benefits for both mother and baby. For mothers who have limitations breastfeeding, breastfeeding is difficult to do but also not impossible to do. The purpose of this study is to identify breastfeeding techniques used by mothers who have physical limitations based on existing literature. Literature search methods were conducted on scientific sites such as ScienceDirect, Pubmed, Elsiver, NCBI, DOAJ, Proquest, Microsoft Academic, Sage Journal, Oxford Academic, LIPI, ResearceGate, JSTOR and Scrib.id using the keywords breastfeeding and disability.  The search results obtained 234 articles but only 7 articles were used and described breastfeeding techniques for mothers with disabilities and other articles that were eliminated were not used because they did not describe breastfeeding techniques for mothers with disabilities. This article presents a literature review on breastfeeding techniques in mothers with disabilities. Breastfeeding is one of the best ways to provide nutrition to babies, but mothers with disabilities often face additional challenges that can affect their ability to breastfeed effectively. In this article, various relevant studies and research are analyzed to identify the challenges, needs, as well as solutions that have been developed to support mothers with disabilities in the breastfeeding process. The main focus of this review is on specific techniques that can make it easier for mothers with physical or cognitive disabilities to breastfeed, including the use of assistive devices, modification of breastfeeding positions, and the role of social and medical support. These findings demonstrate the importance of an inclusive and personalized approach to providing support to mothers with disabilities, as well as the need for more responsive health policies to ensure equal access to maternal health services. This article also underlines the need for further research to develop practical guidelines that can be applied in a variety of contexts.
Co-Authors Abdullah, Apriliya Agustini, Rahma Dewi Alamri, Fahria Apryanti, Yohana Putri Damiti, Sukmawati A. Endah Yulianingsih, Endah Febriani, Ririn Hadi, Novian Swasono Harlyanti Muthma'innah Mashar Ibrahim, Fatmawati Mahmud, Sintiya Mohi, Delviana NANCY OLII Ntau, Liean A. Nurlaily Z, Sri Putri, Citra Puspita Rabia Zakaria, Rabia Rasyid, Puspita Sukmawaty Salman Salman Sari, Riana Trinovita Selvi Mohamad, Selvi Suherlin, Ika Tompunuh, Magdalena M. Usman, Anisa Humairah Wahyudi, Nanda Yusuf, Cesilia Pratiwi