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Awaliyah, Siti Nurbayanti
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Health Professions Medicine & Pharmacology

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EFEKTIVITAS BACK MASSAGE UNTUK MENINGKATKAN LAKTASI, MENGURANGI NYERI DAN ANSIETAS DIANTARA IBU POST PARTUM Murtiningsih, Murtiningsih; Awaliyah, Siti Nurbayanti; Lestari, Mega Dewi
Journal of Maternity Care and Reproductive Health Vol 6, No 2 (2023): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v6i2.12259

Abstract

Ibu postpartum sering mengalami gangguan proses laktasi di periode early postpartum. Keadaan psikologis ibu yang bingung, takut dan cemas dapat memblokade reflek let-down, menghambat produksi oksitosin, menstimulasi pengeluaran kotekolamin dan kortisol sebagai respon ansietas dan stress. Back massage dapat menjadi intervensi untuk membantu mengatasi permasalahan tersebut. Tujuan penelitian ini yaitu untuk menilai efek back massage dalam meningkatkan laktasi melalui identifikasi konsistensi payudara, mengurangi skala nyeri dan ansietas pada ibu postpartum. Desain penelitian quasi experimental pretest-posttest with control group design. Populasi penelitian adalah ibu early postpartum, dan didapatkan sampel 44 yang memenuhi kriteria inklusi melalui teknik sampel non probability. Pengumpulan data menggunakan kuesioner karakteristik responden, konsistensi payudara, skala nyeri Numeric Rating Scale (NRS), dan skala ansietas Postpartum Specific Anxiety Scale (PSAS). Intervensi back massage dilakukan selama 20-30 menit perhari sebanyak 2-3 kali. Penelitian dilaksanakan pada April – Juni 2022 di Klinik Bersalin Bidan Purwanti dan Ruang Nipas RSUD Cibabat Kota Cimahi. Analisa data menggunakan t-test dependent dan t-test independent. Hasil penelitian didapatkan bahwa tidak ada perbedaan signifikan rata-rata konsistensi payudara (p-value= 0.059 dan 0.317) serta rata-rata nyeri maupun ansietas (p-value nyeri= 0.605), (p-value ansietas= 0.192) sebelum dan sesudah back massage baik pada kelompok intervensi maupun kelompok kontrol. Terdapat perbedaan signifikan rata-rata nyeri paska persalinan sebelum dan sesudah pada kelompok kontrol (p-value= 0.045), tetapi pada kelompok intervensi tidak ada perbedaan (p-value= 0.069). Penelitian lanjutan yang dapat dikembangkan yaitu pengaruh back massage terhadap produksi ASI hingga bayi berusia 6 bulan, pengaruh back massage untuk mengatasi ansietas, serta efektifitas untuk mengatasi nyeri saat persalinan normal.
FACTORS RELATED TO PHYSICAL ACTIVITY IN ADOLESCENTS Awaliyah, Siti Nurbayanti
Journal of Maternity Care and Reproductive Health Vol 8, No 3 (2025): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v8i3.12315

Abstract

One form of healthy living behavior and improving the quality of life is by doing physical activity every day. In the current global situation, 1 in 4 adults and 81% of adolescents do not do enough physical activity. The group of adolescents to young adults (15-24 years) has an inactive lifestyle (lack of physical activity) of 52%. The impacts of lack of physical activity include obesity, insulin resistance, motor disorders, decreased brain function, cognitive function and triggering strokes, heart attacks and osteoporosis. This study aims to determine the factors related to physical activity in adolescents at Madrasah Aliyah As-Suurur Pameungpeuk, Bandung Regency. The research design used is quantitative with a cross-sectional approach. The total sample was 85 respondents. The sampling technique used was Stratified Random Sampling. Data collection using a questionnaire. The results showed that most respondents had low physical activity as many as 36 students (42.4%). Based on bivariate analysis, it was found that there was a significant relationship between the five factors with physical activity, including self-efficacy (p value = 0.013), motivation (p value = 0.005), friend support (p value = 0.016), perceived benefits (p value = 0.001) and perceived barriers (p value = 0.005). It is recommended that adolescents routinely do moderate to vigorous physical activity for at least 15-30 minutes per day and can limit the amount of time spent inactive. Suggestions for further research can examine other variables such as beliefs, environment, work and culture with physical activity to increase physical activity in all age groups. 
Co-Authors Lestari, Mega Dewi Murtiningsih Murtiningsih