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Nainggolan, Ramadhani
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The Effect of Temulawak and Ginger on Changes in Blood Pressure in Pregnant Women and Pain Reduction in Labouring Women in BPM Suryani North Padang Lawas Regency Harahap, Riska Yanti; Nainggolan, Ramadhani; Tamba, Fauji Haryati
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 2 (2025): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i2.1273

Abstract

Hypertension in pregnancy has a significant impact on maternal and fetal health. It can lead to complications such as placental abruption, organ failure, intravenous coagulation, preeclampsia, preeclampsia to become eclampsia, risk of intrauterine development, premature birth and intrauterine death. The treatment of gestational hypertension may be either pharmacological or non-pharmacological in nature. Non-pharmacological therapy for the treatment of hypertension in pregnancy may employ the use of ginger and temulawak. This study was conducted at BPM Suryani. The population comprised all pregnant women at BPM Suryani, numbering 154. The sample consisted of pregnant women with gestational hypertension, numbering 34. The recommended dose of dried temulawak and ginger is 25 grams, boiled in 200 ml of water until 100 ml of boiled water is obtained. The boiling time is 2-5 minutes. The temulawak and ginger are administered once a day for one week. At the outset of the study, the blood pressure of pregnant women with gestational hypertension was ascertained. Following the administration of temulawak and ginger, the respondents were again subjected to monitoring of their blood pressure. The data were analysed using a statistical test, namely the t-test, which is a paired sample t-test. A significant relationship was observed between systolic and diastolic blood pressure values before and after the administration of temulawak and ginger (p-value <0.05). The average difference in systolic blood pressure before and after the intervention was 5.82 mmHg with a p-value on systolic blood pressure of The p-value was 0.000 (p-value <0.05) for systolic blood pressure and 0.026 (p-value <0.05) for diastolic blood pressure. These findings suggest that the content of temulawak and ginger can be used in reducing blood pressure in pregnant women with gestational hypertension.
The Effect of Temulawak and Ginger on Changes in Blood Pressure in Pregnant Women and Pain Reduction in Labouring Women in BPM Suryani North Padang Lawas Regency Harahap, Riska Yanti; Nainggolan, Ramadhani; Tamba, Fauji Haryati
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 2 (2025): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i2.1273

Abstract

Hypertension in pregnancy has a significant impact on maternal and fetal health. It can lead to complications such as placental abruption, organ failure, intravenous coagulation, preeclampsia, preeclampsia to become eclampsia, risk of intrauterine development, premature birth and intrauterine death. The treatment of gestational hypertension may be either pharmacological or non-pharmacological in nature. Non-pharmacological therapy for the treatment of hypertension in pregnancy may employ the use of ginger and temulawak. This study was conducted at BPM Suryani. The population comprised all pregnant women at BPM Suryani, numbering 154. The sample consisted of pregnant women with gestational hypertension, numbering 34. The recommended dose of dried temulawak and ginger is 25 grams, boiled in 200 ml of water until 100 ml of boiled water is obtained. The boiling time is 2-5 minutes. The temulawak and ginger are administered once a day for one week. At the outset of the study, the blood pressure of pregnant women with gestational hypertension was ascertained. Following the administration of temulawak and ginger, the respondents were again subjected to monitoring of their blood pressure. The data were analysed using a statistical test, namely the t-test, which is a paired sample t-test. A significant relationship was observed between systolic and diastolic blood pressure values before and after the administration of temulawak and ginger (p-value <0.05). The average difference in systolic blood pressure before and after the intervention was 5.82 mmHg with a p-value on systolic blood pressure of The p-value was 0.000 (p-value <0.05) for systolic blood pressure and 0.026 (p-value <0.05) for diastolic blood pressure. These findings suggest that the content of temulawak and ginger can be used in reducing blood pressure in pregnant women with gestational hypertension.
PENYULUHAN EFEKTIVITAS DAUN SIRSAK TERHADAP PENGOBATAN HIPERTENSI PADA IBU HAMIL DI DESA BATU GANA KECAMATAN PADANG BOLAK JULU KABUPATEN PADANG LAWAS UTARA: EFEKTIVITAS DAUN SIESAK Harahap, Riska Yanti; Nainggolan, Ramadhani
JURNAL SUAKA INSAN MENGABDI (JSIM) Vol. 6 No. 1 (2024): Jurnal Suaka Insan Mengabdi (JSIM)
Publisher : STIKES Suaka Insan Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51143/jsim.v6i1.589

Abstract

Hypertension is a non-communicable disease which is often referred to as a "silent killer" which can be defined as a condition where the blood vessels have high blood pressure (systolic blood pressure > 140. Soursop leaves are often used as an alternative treatment for hypertension. The content of soursop leaves which is thought to be able to lower blood pressure is potassium ions. Objective: to determine the effectiveness of soursop leaves (Annona muricata Linn) in reducing blood pressure in hypertension. Method: Using literature studies from both national and international journals by summarizing the discussion topics and comparing the results presented in each article. Results: Potassium ions have several mechanisms in lowering blood pressure, namely weakening myocardial contractions, increasing sodium excretion from the body, inhibiting renin excretion, causing vasodilation, and inhibiting endogenous vasoconstriction. High potassium levels can increase sodium excretion , so it can reduce blood volume and blood pressure. Flavonoids work as ACE inhibitors which will inhibit the change of AI to AII thereby reducing the secretion of antidiuretic hormone (ADH) which causes the amount of urine secretion to increase and a lot of salt (NaCl) to be excreted, ultimately resulting in a decrease in blood pressure. Vitamin C also plays a role in lowering blood pressure, because it can modulate the release of nitric oxide. Conclusion: giving soursop leaves can reduce blood pressure levels in hypertension, especially pregnant women. Based on these conclusions, it is necessary to provide education about the effectiveness of soursop leaves in treating hypertension in all pregnant women.
Paritas Ibu Bersalin dengan Tingkat Nyeri Persalinan Kala 1 Fase Aktif di Klinik Harapan Bunda Kecamatan Padang Bolak Nainggolan, Ramadhani; Harahap, Riska Yanti
Jurnal Ners Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i1.21980

Abstract

Masih tingginya angka kematian ibu didunia dan Indonesia. Menurut data 80% kematian ibu disebabkan akibat komplikasi selama kehamilan dan persalinan. Penyebab utama kematian ibu di Indonesia adalah perdarahan postpartum, hipertensi dalam kehamilan, dan infeksi. Lamanya proses persalinan dapat menyebabkan infeksi karena bakteri dari vagina masuk ke dalam rahim, apalagi jika pembukaan serviks berlangsung terlalu lama. Proses persalinan yang lama dapat disebabkan oleh masalah kontraksi uterus, seperti inersia uterus, yang dapat mengancam kesehatan bayi dan menyebabkan kematian ibu dan/atau bayi. Pengalaman melahirkan mempengaruhi persepsi nyeri ibu saat persalinan. penelitian ini bertujuan untuk mengetahui pengaruh paritas terhadap nyeri persalinan kala satu fase aktif. Penelitian ini menggunakan metode kuantitatif observasional dengan pendekatan cross-sectional study. Penelitian dilakukan di Klinik Harapan Bunda selama 3 bulan dari bulan Agustus-Oktober 2023. Populasi adalah ibu bersalin, sampel diambil menggunakan metode total sampling sebesar 60 ibu bersalin. Data dianalisis menggunakan uji chi square. Dari seluruh responden yang diteliti, ditemukan sebagian besar responden adalah multigravida sebanyak 31 responden dimana sebanyak 16 responden merasakan nyeri sedang. Hasil analisis data juga menunjukkan bahwa ada hubungan yang bermakna antara paritas dengan nyeri persalinan kala satu fase aktif dengan p-value 0,48. Terdapat pengaruh paritas dengan nyeri persalinan kala satu fase aktif.
Pengaruh Rendam Kaki Air Hangat Rebusan Sereh Terhadap Penurunan Tekanan Darah Ibu Hamil dan Ibu Bersalin Didesa Batu Gana Kecamatan Padang Bolak Julu Harahap, Riska Yanti; Nainggolan, Ramadhani
Jurnal Ners Vol. 8 No. 1 (2024): APRIL 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v8i1.21984

Abstract

Kasus kematian ibu di Sumatera Utara pada tahun 2021 sebanyak 475 kasus. Penyebab dari kematian ibu tertinggi karena hipertensi (Preeklamsia) dalam kehamilan yaitu 32,97 %. Preeklamsiaadalah komplikasi kehamilan sindrom kehamilan yang terdiri dari tingginya tekanan darah tinggi (hipertensi kehamilan), tingginya kadar protein dalam urin (hemaproteuria) dan banyaknya cairan yang ditahan oleh tubuh begitu juga pada saat bersalin. Pengobatan non farmakologis dapat dilakukan dengan gaya hidup yang lebih sehat, termasuk pengobatan alamiah seperti terapi herbal, terapi nutrisi, aromaterapi, pijat refleksiologi dan terapi rendam kaki dengan air hangat dan serai. Penelitian ini bertujuan membuktikan pengaruh terapi rendam kaki dengan air hangat dan serai terhadap tekanan darah ibu hamil penderita preeklamsi dengan rancangan penelitian quasy experimentOne Group Pretest and Posttest Design. Penelitian ini dilakukan pada bulan Maret-April 2022 di Desa Batu Gana, dengan jumlah responden 15 responden. Hasil uji menggunakan Wilcoxon pada sistolik dengan nilai Z 3.408 P value 0.001 dan uji Paired T-test pada diastolik denngan P value 0.000. sehingga disimpulkan bahwa ada pengaruh terapi rendam kaki dengan air hangat dan serai terhadap tekanan darah ibu hamil dan ibu bersalin. Pemberian rendam kaki air hangat dapat menurunkan tekanan darah karena adanya respon fisiologis yaitu proses dilatasi/pelebaran pembuluh darah yang dapat meningkatkan sirkulasi darah dan menurunkan kekentalan darah (viscositas), ketegangan otot berkurang, metabolisme jaringan dan permeabilitas kapiler meningkat. Serai mengandung Flovanoid yang mempengaruhi kerja dari angiotensin converting enzyme (ACE) yang menyebabkan vasodilatasi. Saran: Diharapkan Ibu dengan Preeklamsia dapat melakukan rendam kaki dengan air hangat dirumah atau pun ditempat kerja.
PENDIDIKAN KESEHATAN PENDIDIKAN KESEHATAN TENTANG PENGURANGAN NYERI SAAT PERSALINAN SEBAGAI UPAYA PERSIAPAN PERSALINAN DI KLINIK SURYANI KABUPATEN PADANG LAWAS UTARA TAHUN 2023: PENDIDIKAN KESEHATAN TENTANG PENGURANGAN NYERI Nainggolan, Ramadhani
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol. 5 No. 1 (2023): Vol. 5 No. 1 April 2023
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/jpma.v5i1.1008

Abstract

Hampir semua wanita mengalami dan merasakan nyeri selama persalinan, tetapi respon setiap wanita terhadap nyeri persalinan berbeda-beda. Nyeri pada persalinan disebabkan oleh adanya kontraksi uterus dan kerusakan jaringan selama persalinan serta kelahiran melalui vagina. Intensitas nyeri selama persalinan mempengaruhi kondisi psikologis ibu, persalinan dan kesejahteraan janin. Upaya untuk menurunkan nyeri pada persalinan dapat menggunakan tehnik massage (Counter-Pressure) yang merupakan salah satu metode non farmakologi yang dilakukan untuk mengurangi nyeri persalinan. Tujuan: Memberikan informasi mengenai pengurangan nyeri saat persalinan sebagai upaya persiapan persalinan pada ibu hamil. Metode Kegiatan: Penyuluhan tentang pengurangan nyeri menggunakan teknik massage (Counter-Pressure) dilakukan kepada 15 ibu hamil trimester II dan trimester III pada tanggal 03 Februari 2023. Hasil: Berdasarkan umur diperoleh sebagian besar peserta berumur 20 – 30 tahun sebanyak 66,6%, Pendidikan tinggi 13%, Paritas primigravida 60%, status pekerjaan adalah bekerja 73,3%. Pengetahuan pengurangan nyeri persalinan sebelum penyuluhan sebagian besar dalam kategori kurang 73,3%, setelah penyuluhan sebagian besar dalam kategori baik 100%, persepsi tentang persalinan sebelum penyuluhan sebagian besar kurang baik 66,7%, setelah penyuluhan sebagian besar baik 100%. Kesimpulan: Pengetahuan ibu hamil tentang pengurangan nyeri persalinan meningkat setelah dilakukan penyuluhan, persepsi peserta tentang persalinan juga berubah menjadi baik setelah dilakukan penyuluhan.
Co-Authors Harahap, Riska Yanti Tamba, Fauji Haryati