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The Description Of Post-Dural Puncture Headache In Post-Caesarean Section Patients Undergoing Spinal Anaesthesia At RSUD Cilacap Annisa, Rully; Purwanti, Putri Wahyu
Jurnal Ilmu Kesehatan Vol 13 No 1 (2025): Jurnal Ilmu Kesehatan
Publisher : Universitas Muhammadiyah Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30650/jik.v13i1.4196

Abstract

The high maternal mortality rate associated with childbirth remains a critical concern in the healthcare sector. One method employed to address delivery complications is the caesarean section. However, the use of spinal anaesthesia in this procedure can result in complications, including Post dural puncture headache (PDPH). PDPH can affect patients' postoperative activities and recovery, necessitating a deeper understanding of its incidence and contributing factors. This study aims to describe the incidence of PDPH in post-caesarean section patients at Cilacap Regional Public Hospital, as well as to understand the factors affecting the occurrence of PDPH and the pain levels experienced by patients postoperatively. A quantitative appchach with a descriptive design was utilized in this study. The research sample comprised post-caesarean section patients who received spinal anaesthesia at the hospital. Data were collected through direct observation and interviews, using observation sheets and the Numerical rating scale (NRS) to measure pain levels. The results indicated that among the total patients who underwent caesarean section with spinal anaesthesia, a portion experienced PDPH with varying pain levels. Specifically, 17 respondents (56.7%) experienced PDPH, while 13 (43.3%) did not. Factors influencing the occurrence of PDPH included age, body mass index (BMI), number of punctures, needle size, and previous history of PDPH. This study concludes that the incidence of PDPH in post-caesarean section patients is significant, with certain factors contributing to the risk of developing PDPH. The findings of this research contribute to a deeper understanding of PDPH complications in post-caesarean section patients and provide a basis for future research development in this field.
Pemberdayaan Badan Usaha dan Amal Nasyiatul Aisyiyah “Al Faza” PCNA Rawalo Kabupaten Banyumas Annisa, Rully; Ching Cing, Marta Tania Gabriel; Winarni, Dwi
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 4 No 4 (2025): Oktober
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar belakang: Persyarikatan Muhammadiyah merupakan naungan organisasi yang terdiri dari Muhammadiyah –Aisyiyah beserta organisasi otonom lainnya dan amal usaha yang dmiliki. Badan Usaha dan Amal Nasyiatul Aisyiyah (BUANA) diharapkan mampu menghasilkan nilai ekonomi sekaligus membuka lapangan kerja bagi anggota dan pengurus Nasyiatul Aisyiyah. Manfaat dari berorganisasi tidak hanya berupa keuntungan materi. Anggota juga dapat memperoleh ilmu, informasi, jaringan usaha, serta pengalaman berharga. Pemberdayaan ekonomi umat merupakan upaya untuk meningkatkan harkat dan martabat masyarakat Islam dari kondisi ketidakmampuan, sekaligus membebaskan mereka dari jerat kemiskinan dan keterbelakangan ekonomi. Pentingnya kemandirian menjadi fokus utama dalam membangun daya saing dan kesejahteraan umat. Tujuan: Untuk membangun kemandirian ekonomi umat melalui badan usaha. Metode: Metode yang akan digunakan meliputi sosialisasi, pelatihan, pengenalan dan penerapan teknologi, pendampingan dan evaluasi, serta keberlanjutan program sebagai sebuah solusi. Hasil: Sebagian besar mengalami peningkatan kemampuan peran SDM, sumber daya operasional seperti alat-alat produksi, dan peningkatan produksi. Kesimpulan: Hasil dari Kegiatan pemberdayaan ini dapat dijadikan indikator untuk mencapai tujuan pemberdayaan Sumber daya manusia guna pengembangan Badan Usaha dan Amal Nasyiatul Aisyiyah (BUANA) yang optimal dan baik. Maka dari itu diperlukan keberlanjutan program dengan diadakannya kunjungan berkala dan Focus group discussion (FGD) sebagai evaluasi jangka Panjang. Kata kunci : amal usaha, kader, nasyiatul aisyiyah, pemberdayaan ___________________________________________________________________________ Abstract Background: Muhammadiyah Association is an umbrella organization comprising Muhammadiyah-Aisyiyah, along with other autonomous organizations and charitable businesses. Nasyiatul Aisyiyah Business and Charity Agency (BUANA) is expected to generate economic value while opening employment opportunities for members and administrators of Nasyiatul Aisyiyah. The benefits of organizing extend beyond material benefits. Members can also gain knowledge, information, business networks, and valuable experience. Empowering the economic community is an effort to improve the dignity of the Islamic community from a state of inadequate conditions of inability, while freeing them from the shackles of poverty and economic backwardness. The importance of this independence is a primary focus in building competitiveness and a welfare community. Objective: To build the economic independence of the community through business entities. Method: The methods that will be used include socialization, training, introduction and application of technology, mentoring and evaluation, and program sustainability as a solution. Result: Most experienced an increase in the ability of the role of human resources, operational resources such as production tools, and increased production. Conclusion: The results of this empowerment activity can be used as an indicator to achieve the goal of empowering human resources for the optimal and effective development of the Nasyiatul Aisyiyah Business and Charity Agency (BUANA). Therefore, program sustainability is needed, with regular visits and focus group discussions (FGDs) as long-term evaluations. Keywords: charity, cadres, nasyiatul aisyiyah, empowerment
The Effect of Endorphin Massage on Anxiety Levels in Preoperative Caesarean Section Patients with Spinal Anesthesia at RSI Purwokerto Ananda, Reva; Annisa, Rully
Indonesian Health Journal Vol. 4 No. 1 (2025): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v4i1.658

Abstract

The level of anxiety in preoperative caesarean section patients who receive spinal anesthesia can affect physiological and psychological responses that affect surgical outcomes. Endorphin massage therapy is a relaxation technique that aims to increase endorphin production and reduce anxiety. The purpose of this study was to determine the effect of endorphin massage therapy on the anxiety level of patients before cesarean section with spinal anesthesia at RSI Purwokerto. This study used a quasi-experimental design with a pre-test and post-test approach without a control group. The sample consisted of 30 preoperative caesarean section patients selected using purposive sampling technique. Anxiety level was measured using HARS (Hamilton Anxiety Rating Scale) questionnaire before and after endorphin massage therapy. Data analysis was performed using paired statistical tests. The results showed a decrease in the patient's anxiety level before the massage intervention of 23.23 and after the intervention of 11.90, these results indicate the average difference in anxiety scores in preoperative caesarean section mothers is 11.23. Wilcoxon statistical test showed the result (p<0.05). With the conclusion that endorphin massage therapy effectively reduces anxiety levels in patients undergoing cesarean section with spinal anesthesia. This intervention can be used as a non-pharmacological method to reduce patient anxiety before surgery.
Menjaga Kadar Kolesterol dan Tekanan Darah Untuk Kesehatan Jantung Dengan Konsumsi Minuman Herbal Teh Hijau Annisa, Rully; Tania, Marta; Kurnia, Dwi
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 2 No 3 (2023): Juli
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jipmi.v2i3.131

Abstract

Latar belakang: Penyakit jantung koroner adalah suatu penyakit yang disebabkan oleh penyempitan pembuluh darah arteri koroner jantung. Hal ini terjadi karena Tinggi nya kadar kolesterol dapat menyebabkan aterosklerosis pada pembuluh darah Akibat dari penyempitan pembuluh darah tersebut aliran darah ke jantung akan kekurangan oksigen yang dapat menimbulkan gejala nyeri dada yang merupakan gejala khas penyakit jantung koroner. Penyakit kardiovaskuler termasuk penyakit jantung yang dapat menyebabkan kematian tertinggi di dunia. Sebuah riset menunjukkan bahwa konsumsi Teh hijau dapat menurunkan kolesterol total dan kolesterol jahat. Selain itu, Teh hijau juga mengandung asam fenolik, yang dapat menurunkan risiko terjadinya penyakit jantung koroner. Tujuan: Program Pengabdian Masyarakat ini bertujuan untuk memberikan pengetahuan tentang Penyakit jantung koroner dan faktor penyebabnya diantaranya peningkatan kolesterol dan tekanan darah; melakukan pemeriksaan kadar kolesterol dan tekanan darah selanjutnya akan diberikan terapi pemberian teh hijau. Metode: Metode yang digunakan adalah sosialisasi dan intervensi pemberian terapi herbal teh hijau yang dapat diseduh dengan air panas dengan suhu 80-90°C lalu diamkan sejenak sampai teh menjadi hangat dan diminum hingga habis. Teh hijau dapat dikonsumsi sebanyak 3-4 kali sehari dan sebaiknya tidak mencampur dengan bahan lain seperti gula atau susu dan pengukuran kolesterol dan tekanan darah dengan pre-test dan post-test. Selanjutnya  Data dianalisis menggunakan paired T-test. Hasil: Didapatkan perbedaan signifikan perubahan kadar kolesterol dan nilai tekanan darah sebelum dan setelah intervensi (p=0,000). Kesimpulan: Pemberian terapi herbal menggunakan teh hijau dapat menurunkan kadar kolesterol dan tekanan darah tinggi. Kata kunci: kolesterol, penyuluhan, teh hijau, tekanan darah tinggi, terapi herbal __________________________________________________________________________________________ Abstract Background: Coronary heart disease is caused by the narrowing of the coronary arteries of the heart. It happens because high cholesterol levels can cause atherosclerosis in blood vessels. The result of the narrowing of these blood vessels, and blood flow to the heart will deprive of oxygen which can cause symptoms of chest pain is a typical symptom of coronary heart disease. Cardiovascular diseases, including heart disease, can cause the highest death in the world. Research shows that consumption of green tea can lower total cholesterol and bad cholesterol. In addition, green tea also contains phenolic acids, which can reduce the risk of coronary heart disease. Objective: This Community Service Program aims to provide knowledge about coronary heart disease and its causative factors, including increased cholesterol and blood pressure; Checking cholesterol levels and blood pressure will then be given green tea therapy. Method: The method used is socialization and intervention in the provision of green tea herbal therapy can brew with hot water at a temperature of 80-90°C, then let stand for a while until the tea becomes warm, and drink it until it runs out. Green tea can be consumed 3-4 times a day and should not mix with other ingredients such as sugar or milk and cholesterol and blood pressure measurements with pre-test and post-test. Furthermore, data were analyzed using paired T-test. Result: Results: There were significant differences in changes in cholesterol levels and blood pressure values before and after the intervention (p=0.000). Conclusion: Giving herbal therapy using green tea can reduce cholesterol levels and high blood pressure. Keywords: cholesterol, counseling, green tea, high blood pressure, herbal therapy