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All Journal Ahmar Metastasis Health Journal (AMHJ) MEDICA (International Medical Scientific Journal) Jurnal Info Kesehatan
Cholsakhon, Panyada
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Field Massage as a Complementary Therapy to Phototherapy in Neonates with Hyperbilirubinemia Rizki Amelia; Motik, Rachmawati Putri; Hendra, Hendra; Supriadi, Supriadi; Pramono, Joko Sapto; Jasmawati, Jasmawati; Syukur, Nursari Abdul; Raihana, Siti; Ratna Wati; Putri, Rosalin Ariefah; Cholsakhon, Panyada
Ahmar Metastasis Health Journal Vol. 4 No. 4 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i4.429

Abstract

Hyperbilirubinemia is a common neonatal condition requiring prompt treatment to prevent complications. While phototherapy is the standard approach, it has limitations and potential side effects, such as diarrhea, dehydration, skin rashes, retinal damage, hyperthermia, extended hospital stays, maternal-infant separation, and disruptions in breastfeeding. This study aimed to evaluate the effectiveness of Field massage as a complementary therapy to phototherapy in reducing serum bilirubin levels in neonates. Field massage is a gentle manipulation technique performed on the face, chest, abdomen, limbs, and neck to stimulate the vagus nerve and enhance metabolic processes, which is believed to help lower serum bilirubin levels and has shown no negative side effects. This research method used a quasi-experimental study conducted at Abdoel Wahab Sjahranie Hospital from March to June 2024 involving 20 neonates divided into two groups: a treatment group that received Field massage and phototherapy (n = 10) and a control group that only received phototherapy (n = 10). Field massage was administered twice daily at 07:00 and 16:00 for 15–20 minutes, at least one hour after feeding. Statistical analysis was conducted using the Paired T-Test to assess changes in bilirubin levels before and after treatment, while the Independent T-Test was used to compare outcomes between the treatment and control groups. The results of the study showed serum bilirubin levels decreased significantly in both groups, with a greater reduction observed in the treatment group (15.28 ± 3.01 mg/dL to 7.09 ± 1.60 mg/dL, p = 0.000) compared to the control group (15.94 ± 2.88 mg/dL to 8.63 ± 1.57 mg/dL, p = 0.000). Post-intervention analysis confirmed the superior efficacy of the combined therapy (p = 0.043). These results suggest that combining field massage with phototherapy is more effective in reducing bilirubin levels than is phototherapy alone. It was concluded that Field massage enhances phototherapy’s effectiveness in managing neonatal hyperbilirubinemia. Future research should include larger samples and explore additional therapies to reduce bilirubin. Examining phototherapy duration, hospitalization length, and bowel movement frequency could provide deeper insights.
The Relationship Between Premature Rupture of Membranes (PROM) and Leukocyte Levels in Newborns Grovindo, Grovindo; Sutriswanto, Sutriswanto; Nuswantoro, Ari; Cholsakhon, Panyada
MEDICA (International Medical Scientific Journal) Vol. 7 No. 1 (2025): MEDICA (Internasional Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v7i1.484

Abstract

Premature Rupture of Membranes (PROM) remains a global concern in obstetrics due to its potential to cause complications such as infections that increase maternal and neonatal morbidity and mortality. PROM occurs in approximately 10–15% of pregnancies worldwide and 8–10% in Indonesia, often before 37 weeks of gestation, contributing significantly to preterm births and neonatal deaths. Risk factors for PROM include maternal age, parity, infection, and other pregnancy-related conditions. Infection resulting from PROM can be identified through leukocyte count in newborns, with leukocytosis indicating the presence of infection. This study aimed to examine the relationship between PROM and leukocyte levels in newborns at RSUD Drs. Jacobus Luna, M.Si, Bengkayang Regency, using a descriptive-analytic design with a cross-sectional approach and total sampling of 88 respondents. Results showed that among 36 newborns with elevated leukocyte levels, 28 cases (77.8%) were born from PROM pregnancies, whereas only 8 cases (22.2%) were non-PROM. Among 52 cases with normal leukocyte levels, only 11 newborns (21.2%) had PROM, while 41 (78.8%) did not. These findings indicate that newborns from PROM pregnancies tend to have higher leukocyte counts. Statistical analysis using Chi-square showed a significant relationship between PROM and leukocyte levels, with a p-value of 0.000 (< 0.05). In conclusion, PROM is a notable risk factor for increased leukocyte counts in neonates, underscoring the importance of early detection and management of PROM to reduce the risk of neonatal infection and its associated complications.
The Effect of Health Education on Mother's Knowledge Attitudes and Behavior in Giving Care to Low Birth Weight Babies Pratiwi, Dian; Ismail, Djauhar; Mufdlilah, Mufdlilah; Cholsakhon, Panyada
JURNAL INFO KESEHATAN Vol 19 No 2 (2021): 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.Vol19.Iss2.525

Abstract

The number of low-birth-weight babies (LBW) who returned to the hospital after returning home had increased from 2015 to 2016. The results of the interview revealed that mothers who had LBW did not thoroughly understand providing care for LBW after returning from the hospital. This study aims to determine the effect of health education on a mother's knowledge, attitude and behaviour in providing care to LBW. This study is quasi-experimental with a pre-posttest approach non-equivalent to the control group, with 66 respondents fulfilling the inclusion criteria. The inclusion criteria in this study were post-partum mothers on the second day who had babies with a birth weight of 1500 grams-2499 grams and were willing to be respondents. The sampling technique was purposive sampling. The statistical test employed independent t-test, paired t-test, and chi-square. Knowledge scores before and after treatment were significantly different in the intervention group and control group, with a p-value in the intervention group 0.00, while the knowledge and attitude scores in the control group were 0.00 and the behavioural scores were 0.11. There was a significant difference in the increase in knowledge, attitudes and behaviour scores in both groups. The p-value of knowledge and attitudes is 0.00, and the p-value of behaviour is 0.01. Hence, there is an increase in mothers' knowledge, attitudes, and behaviour after being provided with health education using a booklet.
Public Trust in the Effectiveness of the Covid-19 Vaccine in Liliba Village, Oebobo District, Kupang City Aty, Yoany M. V. B.; Selasa, Pius; Molina, Marselina Bende; Mochsen, Rohana; Pupuh, Nantiya; Cholsakhon, Panyada
JURNAL INFO KESEHATAN Vol 20 No 1 (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.Iss1.588

Abstract

The Covid-19 pandemic has continued to develop in Indonesia since the beginning of 2020. The incidence and death rates continue to increase from day to day. Various efforts were made to stop the spread of the deadly Covid-19. One way to prevent and suppress the spread of infection with the virus is to vaccinate. The role of the vaccine is to provide immunity. Many people in the city of Kupang do not believe in the effectiveness of the Covid-19 vaccine, so they do not want to be vaccinated. The objective of this study is to describe the level of public confidence in the effectiveness of the Covid-19 vaccine in Liliba Village, Oebobo District, Kupang City. The research method is quantitative with a descriptive study research design. The population is people who live in the Liliba sub-district, Oebobo district, Kupang City. The sample was 106 people who were taken using the Cluster Simple Random Sampling technique. The results showed that the level of public confidence in the susceptibility of the Covid-19 vaccine was (89.6%), the seriousness of the vaccine's effectiveness (90.6%), the benefits of the vaccine (54.7%), and the perceived barriers (88.7%). This study revealed that the level of public confidence in the effectiveness of the Covid-19 vaccine in Liliba Village, Oebobo District, Kupang City is high.
Co-Authors Ari Nuswantoro Aty, Yoany M. V. B. Dian Pratiwi Djauhar Ismail Grovindo, Grovindo Hendra Hendra Jasmawati, Jasmawati Joko Sapto Pramono Mochsen, Rohana Molina, Marselina Bende Motik, Rachmawati Putri Mufdlilah, Mufdlilah Nursari Abdul Syukur Pupuh, Nantiya Raihana, Siti Ratna Wati Rizki Amelia Rosalin Ariefah Putri Selasa, Pius Supriadi Supriadi Sutriswanto, Sutriswanto