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All Journal UG Journal Majalah Kedokteran Bandung JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Indonesian Journal of Obstetrics & Gynecology Science Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care) JKM (Jurnal Kebidanan Malahayati) Journal of Midwifery and Nursing Care : Jurnal Ilmiah Ilmu Kesehatan 2-TRIK: TUNAS-TUNAS RISET KESEHATAN Jurnal Medikes (Media Informasi Kesehatan) Jurnal Kesehatan Metro Sai Wawai Journal Research Midwifery Politeknik Tegal Media Penelitian dan Pengembangan Kesehatan Journal for Quality in Women's Health Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Anita Deborah Anwar

Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran, Universitas Padjadjaran/ RSUP Dr. Hasan Sadikin Bandung

Author-ID : 230149

Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Other

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THE EFFECT OF THE “RAYQAL” APPLICATION ON MOTHERS’ KNOWLEDGE, ATTITUDE, AND BEHAVIOR IN STIMULATING TODDLER DEVELOPMENT Harefa, Umy Darni; Herawati, Yanti; Rachmiatie, Atie; Garna, Herry; Anwar, Anita Deborah; Wijayanegara, Hidayat
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 02 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i02.7620

Parents need effective media to enhance their knowledge, attitudes, and behaviors in supporting early childhood growth and development. One such tool is the "Rayqal" application, which is designed to help mothers stimulate optimal development in toddlers. This study aimed to analyze the effect of the "Rayqal" application on improving maternal knowledge, attitudes, and behaviors related to toddler development. A quasi-experimental design with a pretest-posttest control group was used. The population consisted of 80 mothers with children aged 0–59 months, selected using a total sampling technique. Data were analyzed using the Mann-Whitney test. Results showed significant differences in knowledge (ρ=0.000), attitudes (ρ=0.000), and behaviors (ρ=0.000) after the use of the "Rayqal" application. Specifically, in the intervention group, behavior scores increased from a pretest mean of 0.65 to a posttest mean of 1.18. These findings indicate that "Rayqal" significantly improved maternal abilities to support child development. In conclusion, the "Rayqal" application positively influences mothers' knowledge, attitudes, and behaviors in stimulating toddler growth. It is recommended that the use of "Rayqal" be expanded to support SDIDTK (Early Detection and Intervention for Child Growth and Development) programs at Gunungsitoli District Health Center to help prevent developmental delays in children.

PREOPERATIVE RISK FACTORS FOR SURGICAL SITE INFECTION FOLLOWING CESAREAN SECTION: A CASE-CONTROL STUDY Supriyatin, Dedeh; Irianti, Setyorini; Anwar, Anita Deborah; Permadi, Wiryawan; Sukarsa, M. Rizkar Arev; Susiarno, Hadi
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3337

Infeksi daerah operasi (IDO) pascaseksio sesarea masih tinggi di Indonesia, termasuk di RSUP Dr. Hasan Sadikin Bandung. Angka kejadian IDO tahun 2022–2024 berkisar 2,34%–3,15%, melebihi standar nasional 2% dan target internal rumah sakit ≤1%, sehingga perlu perhatian terhadap faktor risikonya. Penelitian ini bertujuan untuk menganalisis hubungan faktor risiko praoperasi dengan kejadian infeksi daerah operasi pascaseksio sesarea di RSUP Dr. Hasan Sadikin Bandung. Penelitian ini menggunakan desain observasional analitik kasus-kontrol dengan ukuran sampel sebanyak 180 pasien (45 kasus dan 135 kontrol) yang menjalani seksio sesarea di rumah sakit tersebut dari Januari 2022 hingga Desember 2024, dipilih melalui teknik simple random sampling. Analisis univariat, bivariat (Chi-Square, Fisher’s Exact), dan multivariat (regresi logistik biner) dilakukan untuk menilai hubungan antara variabel independen dengan kejadian IDO. Analisis menunjukkan adanya hubungan signifikan antara kejadian IDO dengan variabel praoperasi seperti tipe operasi (p=0,035), usia (p=0,035), riwayat seksio sesarea (p=0,000), anemia (p=0,000), hipertensi (p=0,013), dan obesitas (p=0,047). Diabetes tidak menunjukkan hubungan signifikan dengan kejadian IDO (p=0,109). Analisis multivariat mengidentifikasi anemia (p=0,000), tipe operasi (p=0,006), riwayat seksio sesarea (p=0,009), usia (p=0,015), dan obesitas (p=0,030) sebagai faktor risiko paling dominan terhadap kejadian IDO. Hasil penelitian menekankan pentingnya penatalaksanaan dini terhadap faktor risiko praoperasi sebagai bagian dari strategi pencegahan IDO dan peningkatan mutu pelayanan kebidanan.

Kadar Vitamin D dan Kejadian Preeklamsi Berat Awitan Lambat Lestari, Lara Santi Indah; Hilmanto, Dany; Anwar, Anita Deborah
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 1 (2023): Februari 2023
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik13101

Preeclampsia is one of the main contributors to the high maternal mortality rate in Indonesia. Meanwhile, it is suspected that vitamin D deficiency was one of the triggers of the occurrence of slow onset preeclampsia. Then research is needed aimed at analyzing the relationship between vitamin D levels and the incidence of slow onset preeclampsia. The design of this study was a case control with 30 respondents for each group, who were patients visiting Dr. Slamet Hospital, Garut. The diagnosis of normal pregnant women and pregnant women with slow onset preeclampsia was obtained from the anamnesa form, and vitamin D levels were examined using the CMIA method (Chemiluminescent Microparticle Immunoassay). The results of the data analysis indicated the value of P = 0.028. It was concluded that there was a relationship between vitamin D levels and the incidence of slow seizure preeclampsia.Keywords: vitamin D; severe preeclampsia; slow onset ABSTRAK Preeklamsi merupakan salah satu penyumbang utama tingginya angka kematian ibu di Indonesia. Sementara itu diduga kekurangan vitamin D menjadi salah satu pencetus terjadinya preeklamsi berat awitan lambat. Maka diperlukan penelitian yang bertujuan menganalisis hubungan antara kadar vitamin D dengan kejadian preeklamsi berat awitan lambat. Rancangan penelitian ini adalah case control dengan 30 responden untuk masing-masing kelompok, yang merupakan pasien yang berkunjung ke RSU Dr. Slamet Garut. Diagnosa ibu hamil normal dan ibu hamil dengan preeklamsi berat awitan lambat didapatkan dari formulir anamnesa, dan kadar vitamin D diperiksa menggunakan metode CMIA (Chemiluminescent Microparticle Immunoassay). Hasil analisis data menunjukkan nilai p = 0,028. Disimpulkan bahwa ada hubungan antara kadar vitamin D dengan kejadian preeklamsi berat awitan lambat.Kata kunci: vitamin D; preeklamsi berat; awitan lambat

Husband’s Support towards Unmet Need of HIV Positive-Infected Women of Childbearing Age Sophia, Sophia; Anwar, Anita Deborah; Lestari, Bony Wiem
Kesmas Vol. 10, No. 4
Publisher : UI Scholars Hub

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

Jutaan wanita usia subur (WUS) dengan HIV positif di negara berkembang saat ini tidak menggunakan kontrasepsi untuk menunda atau mengakhiri kehamilan. Pencegahan kehamilan yang tidak diinginkan pada WUS dengan HIV positif sangat penting untuk meningkatkan kualitas hidup ibu dan anak. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berpengaruh terhadap unmet need pada WUS dengan HIV positif. Metode penelitian adalah cross sectional dengan sampel berjumlah 130 WUS dengan HIV positif yang diambil secara consecutive sampling. Penelitian dilakukan pada 24 Maret - 30 Juni 2015 di Klinik Mawar Kota Bandung. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioner, kemudian data dianalisis dengan uji kai kuadrat dan regresi logistik ganda. Hasil penelitian menunjukkan bahwa keinginan memiliki anak dengan OR= 2,67 (CI 95%= 1,034 - 6,891), dukungan suami dengan OR= 7,803 (CI95%= 2,037 - 29,884) berpengaruh terhadap unmet need dan status HIV suami dengan OR= 0,168 (CI95%= 0,064 - 0,44) berpengaruh lebih rendah untuk terjadi unmet need. Dukungan suami merupakan faktor yang paling berpengaruh terhadap unmet need. Peran suami merupakan faktor penting untuk menurunkan angka unmet need pada WUS dengan HIV positif sehingga disarankan untuk dilakukan konseling kontrasepsi berpasangan. In the developing countries, millions of HIV positive-infected women of childbearing age are currently not using contraceptive to delay or terminate pregnancy. Prevention of unintended pregnancy among HIV positive-infected women is very important to improve these women and their baby’s quality of life. This study aimed to analyze factors related to the unmet need among HIV positive-infected women of childbearing age. This study used cross-sectional method with 130 samples taken consecutively. This study was conducted on March 24 to June 30, 2015 at Mawar Clinic in Bandung City. Interviews using a questionnaire were performed to collect data that were then analyzed by using chi square test and multiple logistic regression. The results showed that desire to have children (OR= 2.67; 95%CI= 1.034 - 6.891, husband’s support (OR= 7.803; 95%CI = 2.037 - 29.884) affected the unmet need and husband’s HIV status (OR= 0.168; 95%CI= .064 - 0.44) had lower effect to the unmet need. The husband’s support was found as the most influential factor to the unmet need in this study. The husband’s role is important in reducing the unmet need among the HIV positive-infected women, so that contraceptive counseling in pair should be performed.

The Effect Of Use Of "Undercare Underwear ITA, Cidita" On Reducing Wound Pain Post Sectio Caesarea nashriva, Ita; Septiani, Leri; Anwar, Anita Deborah; Herawati, Yanti; Garna, Herry; Wijayanegara, Hidayat
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 9 (2024): Volume 10 No.9 September 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i9.16587

Latar Belakang: Sectio caesarea diperkenalkan sebagai praktik klinis untuk menyelamatkan nyawa ibu dan bayi ketika komplikasi medis kritis muncul selama kehamilan. Pasien akan merasa sakit selama beberapa minggu post-sectio caesarea, pasien mungkin memerlukan pereda nyeri selama satu minggu hingga sepuluh hari setelah melahirkan. “Undercare Celama Dalam Ita” merupakan inovasi yang digagas dalam upaya memberikan kenyamanan untuk ibu post-sectio caesarea dengan menggunakan celana dalam yang sudah dimodifikasi lengkap dengan fungsi gurita dan magnet untuk membantu menurunkan nyeri post-sectio caesareaTujuan penelitian : menganalisis pengaruh penggunaan “Undercare Celana Dalam Ita” terhadap pengurangan dan nyeri post sectio caesarea.Metode penelitian : desain penelitian ini adalah penelitian kuantitatif dengan menggunakan metode quasi experimental design. Sampel penelitian ini adalah ibu yang yang dilakukan sectio caesarea di RSUD Kabupaten Bekasi periode bulan April 2024. Independent sample t test dan uji Generalized Estimating Equations (GEE) digunakan untuk mengetahui pengaruh overall skor dari pretest, posttest 1, posttest 2, dan posttest 3 terhadap pengurangan nyeri luka operasi post sectio caesarea.Hasil penelitian : independent sample t test diperoleh posttest 1 (Mean Diff: 1,119; 95% CI 0,734-1,504; p = <0,001), posttest 2 (Mean Diff: 1,143; 95% CI 0,755-1,531; p = <0,001), dan posttest 3 (Mean Diff: 0,833; 95% CI 0,451-1,215; p = <0,001), menunjukkan hasil yang signifikan. Uji Generalized Estimating Equations (GEE) diketahui bahwa overall data menunjukkan pengurangan nyeri post sectio caesarea (Mean Diff: 4,130; 95% CI 2,147-6,114; p = <0,001).Kesimpulan : terdapat pengaruh penggunaan Undercare Celana Dalam Ita terhadap pengurangan nyeri post sectio caesarea.Saran : Bagi pasien post sectio caesarea dapat menggunakan “Undercare Celana Dalam Ita, CIDITA” untuk mempercepat menurunkan nyeri post-sectio caesarea Kata Kunci : Post sectio caesarea, Undercare Celana Dalam ItaABSTRACT Background: In cases of life-threatening maternal or foetal problems, the sectio caesarea was instituted as a clinical procedure to preserve mother and child. Patients may need pain medication for one to ten days following delivery, and they will continue to feel pain for several weeks following a caesarean section. The "Undercare Underpants Ita" are a new invention that aims to alleviate the discomfort that some women experience after cesarean sections by utilizing modified underwear that includes octopus and magnet features.Purpose: The research set out to determine whether "Undercare Underpants Ita" could alleviate discomfort experienced by women after cesarean sections.Methods: This research used a quantitative approach based on a quasi-experimental methodology. This research aimed to examine the outcomes for moms who had cesarean sections performed in April 2024 at the Bekasi Regency Hospital. We utilized a Generalized Estimating Equation (GEE) test and an independent sample t test to find out how different total scores from the pretest, posttest 1, posttest 2, and posttest 3 affected the decrease in post-sectio caesarea surgical wound pain.Results: Posttest 1, posttest 2, and posttest 3 all yielded significant results in the independent sample t test (mean difference: 1.119; 95% CI: 0.734-1.504; p = <0.001), with posttest 3 also yielding a significant result (mean difference: 0.833; 95% CI: 0.451-1.215; p = <0.001). The results of the Generalized Estimating Equations (GEE) test indicated a decrease in post-sectio caesarean discomfort, as evidenced by a mean difference of 4.130 (95% CI: 2.147-6.14; p = <0.001).Conclusion: Last but not least, wearing Undercare Ita Panties might alleviate some of the discomfort that comes after a cesarean section.Suggestions; For post sectio caesarea patients can use "Undercare Underpants Ita, CIDITA" to accelerate reducing post-sectio caesarea pain. Keywords: : Post Sectio caesarea, Undercare Ita Panties.

Comparison of Clinical Characteristics between Pregnant Women Confirmed with Covid-19 with and Without Severe Preeclampsia Pangaribuan, Roma Berlian; Anwar, Anita Deborah; Sasotya, RM Sonny
Indonesian Journal of Obstetrics & Gynecology Science Volume 7 Nomor 3 November 2024
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v7i3.701

Background:Several clinical studies have reported that COVID-19 was associated with an increased risk of preeclampsia and preeclampsia-like syndrome in infected pregnant women, but the results are still controversial. This study aims to compare the clinical characteristics of pregnant women with confirmed COVID-19 with and without severe preeclampsia.Methods:This retrospective study of pregnant women confirmed for COVID-19 was carried out at RSUP Dr. Hasan Sadikin from April 1st, 2020 to April 30th, 2022. Epidemiological data, clinical features, and laboratory results of subjects with and without severe preeclampsia in pregnant COVID-19 patients were collected and analyzedResults: Eighty-six subjects were in our study, with 42 subjects with severe preeclampsia and 44 subjects without severe preeclampsia. The average age of mothers in this study was 26 years, with a more significant proportion at term. The proportion of primigravida with severe preeclampsia was significantly more than those without severe preeclampsia (71.42% vs 29.54%, p=0.02). There was no significant difference in clinical severity between patients with or without severe preeclampsia (p>0.05). Comparing laboratory parameters showed significant differences in the laboratory characteristics of hemoglobin (28.57% vs 2.2%, p=0.03) and platelets (33.33% vs 4.54%, p=0.02).Conclusion: Our study showed that the clinical characteristics and disease severity were not significantly different. Laboratory markers correlate significantly with the severity of maternal disease, so they can be used as prognostic indicators.Perbandingan Karakteristik Klinis Ibu Hamil Terkonfirmasi Covid- 19 dengan dan Tanpa Preeklamsia BeratAbstrakLatar Belakang: Beberapa studi klinis telah melaporkan bahwa Infeksi COVID-19 dikaitkan dengan peningkatan risiko preeklamsia dan sindroma yang mirip preeklamsia pada wanita hamil yang terinfeksi, tetapi hasilnya masih kontroversial. Penelitian ini bertujuan untuk mengetahui perbandingan karakteristik klinis ibu hamil yang terkonfirmasi COVID-19 dengan dan tanpa preeklamsia berat.Metode: Penelitian secara retrospektif pada ibu hamil positif COVID-19 ini dilakukan di RSUP Dr. Hasan Sadikin dari tanggal 1 April 2020 sampai dengan 30 April 2022. Data berupa epidemiologi, gambaran klinis, hasil laboratorium subjek dengan dan tanpa preeklamsia berat pasien hamil COVID-19 dikumpulkan dan dianalisisHasil: Data yang berhasil dikumpulkan dalam penelitian ini adalah delapan puluh enam subjek yang terbagi atas 42 subjek dengan preeklamsia berat dan 44 subjek tanpa preeklamsia berat. Usia rata-rata ibu dalam penelitian ini 26 tahun, dengan proporsi yang lebih signifikan pada usia kehamilan cukup bulan. Proporsi primigravida dengan preeklamsia berat lebih signifikan dibandingkan dengan tanpa preeklamsia berat (71.42% vs 29.54%, p=0.02). Tidak ditemukan perbedaan signifikan pada keparahan klinis di antara pasien dengan atau tanpa preeklamsia berat (p>0.05). Perbandingan parameter laboratorium didapatkan perbedaan signifikan pada karakteristik laboratorium hemoglobin (28,57% vs 2.2%, p=0.03) dan trombosit (33.33% vs 4,54%, p=0.02).Kesimpulan: Penelitian ini menunjukkan bahwa karakteristik klinis dan keparahan penyakit tidak berbeda secara signifikan pada kedua pasien. Penanda laboratorium berkorelasi signifikan dengan tingkat keparahan penyakit ibu sehingga dapat digunakan sebagai indikator prognostik.Kata kunci: COVID-19, Karakteristik Klinis , Kehamilan, Preeklamsia Berat

Hubungan antara Faktor Maternal dengan Kejadian Bayi Stunting 0-6 bulan di Kabupaten Asmat Provinsi Papua Veronica, Yustitio Nora; Purba, Ambrosius; Anwar, Anita Deborah
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 1 (2021): EDITION MARCH 2021
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i1.1337

ABSTRACT This research was motivated by the issue of the incidence of stunting in infants aged 0-6 months in Asmat Regency, Province of Papua. Stunting is a growth disorder that occurs due to chronic malnutrition and / or chronic infectious conditions so that the body's condition becomes short and very short to exceed the deficit-2SD below the median length or height. Chronic malnutrition and chronic infectious diseases are allegedly related to maternal factors. This study was an observational analytic study with a case-control study design in 146 respondents divided into 2 groups. The case group consisted of 73 mothers who had a stunting baby aged 0-6 months and the control group consisted of 73 mothers who had a non-stunting baby aged 0-6 months. This research was conducted in Asmat Regency, Province of Papua for 2 months using a questionnaire checklist. To determine the relationship of maternal factors to the incidence of stunting used the Chi-Square Test and the Double Logistic Regression Analysis test. Correlation test results between the nutritional status factors of breastfeeding mothers with the incidence of stunting infants aged 0-6 months was p = 0.001, the relationship of the age factor of the first pregnant mother with the incidence of stunting infants aged 0-6 months was p = 0.001, and the relationship between disease history during pregnancy with the incidence of stunting infants aged 0-6 months is p=0.00. The results of multiple logistic regression analysis showed the factors of comorbidities during pregnancy had a strong influence OR = 67.64 on the incidence of stunting infants aged 0-6 months and nutritional status factors of breastfeeding mothers also had a strong influence OR = 6,392 on the incidence of stunting infants aged 0-6 months. The results of this study indicate that maternal factors: factors nutritional status of breastfeeding mothers, the age factor of the first pregnant woman, and a history of comorbidities during pregnancy have a relationship with stunting infants aged 0-6 months, but who have the most strong influence on the incidence of stunting infants 0-6 months is a history of comorbidities during pregnancy and nutritional status of nursing mothers.

The effect of differences in the management of mild pain with and without hypnotherapy speakers in post-operative cancer patients Sugiyono, Iis; Suardi, Achmad; Suryani, Suryani; Anwar, Anita Deborah; Rowawi, Roni; Wijayanegara, Hidayat
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 4 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(4).490-503

Background: Cancer, a prevalent non-communicable disease globally and in Indonesia, poses significant health challenges. Pain, a frequent and dreaded symptom in cancer patients, can severely impact their functional abilities, quality of life, and elevate stress levels within families. Non-pharmacological approaches to pain management, like hypnotherapy, offer safe, affordable, and readily applicable solutions.Objectives: This research seeks to evaluate the impact of varying approaches to managing mild pain, specifically comparing the use of hypnotherapy speakers versus their absence, in post-operative cancer patients at RSPAD Gatot Soebroto during the period from December 2023 to January 2024.Methods: This quantitative study employs a Quasi-Experimental design with a Two Group Pretest-Posttest format. The research took place in the Obstetrics Ward on the second floor of PIS RSPAD Gatot Soebroto from December 16, 2023, to January 17, 2024. A total of 44 participants were included, divided into a control group and an intervention group. Data collection was carried out using observation sheets and universal pain assessment tools. Descriptive statistics were analyzed using univariate analysis, and normality tests were performed before conducting bivariate analysis to assess data distribution.Results: The research revealed a notable decrease in pain scores following the use of hypnotherapy speakers. Initially, the average pain score was 2.59 (SD=0.59) prior to the therapy, which dropped to 0.73 (SD=0.83) post-therapy. Both the administration of Paracetamol alone and in combination with hypnotherapy speakers significantly alleviated pain in patients with ovarian and cervical cancer (p<0.001). Moreover, a significant difference was observed between the intervention and control groups in the post-test results (p=0.004).Conclusions: These results suggest that combining Paracetamol with hypnotherapy speakers is more effective at alleviating pain in patients with ovarian and cervical cancer than using Paracetamol alone. This study serves as a valuable reference for future research on the utilization of hypnotherapy speakers and offers practical guidance for midwives to adopt hypnotherapy speakers to expedite pain relief in cancer patients.

The Effectiveness Of Combining An Electric Belt And Paracetamol For Adolescent Girls Experiencing Mild Primary Dysmenorrhea Sumini, Sumini; Suardi, Achmad; Sastra, Herri; Anwar, Anita Deborah; Sutisna, Ma'mun; Wijayanegara, Hidayat
JKM (Jurnal Kebidanan Malahayati) Vol 12, No 2 (2026): Volume 12 No 2 Februari 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v12i2.22563

Latar Belakang: Menstruasi yang cenderung disertai nyeri (dismenore) adalah kondisi yang terus dialami banyak wanita sejak masa remaja hingga dewasa. Masih dibutuhkan pengembangan lebih lanjut dalam terapi non-farmakologis untuk dijadikan pilihan pengobatan alternatif. Salah satu inovasi yang menjanjikan adalah penggunaan sabuk listrik, yang dirancang untuk memberikan sensasi menenangkan dan meningkatkan sirkulasi darah. Tujuan: Studi ini bertujuan untuk menganalisis efek dan efektivitas penggunaan sabuk listrik dibandingkan dengan penggunaan parasetamol pada remaja putri di Sekolah Kejuruan Kesehatan Bhakti Kencana Garut.Metode: Penelitian ini disusun sebagai investigasi kuasi-intervensional yang menggunakan kerangka kohort perbandingan yang dialokasikan secara non-acak. Partisipan penelitian terdiri dari 100 remaja putri yang diidentifikasi mengalami ketidaknyamanan menstruasi primer ringan antara tanggal 5 Juli dan 8 Agustus 2025. Partisipan dipisahkan menjadi dua kelompok: kohort pengobatan (sabuk pemanas listrik dikombinasikan dengan parasetamol) dan kohort perbandingan (parasetamol saja). Intensitas nyeri dievaluasi sebelum dan sesudah intervensi menggunakan Skala Peringkat Numerik (NRS). Pemeriksaan statistik dari informasi yang dikumpulkan menerapkan uji Mann–Whitney bersama dengan skor N-gain.Hasil: Setiap kelompok dipastikan menunjukkan penurunan substansial dalam besarnya ketidaknyamanan (p 0,001). Meskipun demikian, kelompok terapi diamati menunjukkan penurunan yang lebih signifikan pada indeks Kontinum Penilaian Numerik rata-rata dibandingkan dengan kelompok pembanding (0,48 ± 0,58 versus 0,78 ± 0,68; p = 0,024). Kemajuan relatif, yang dinilai melalui indeks Pertumbuhan Standar, ditentukan lebih tinggi dalam kelompok terapi, menunjukkan adanya manfaat pereda nyeri yang lebih intensif.Kesimpulan: Kombinasi sabuk elektrik dan parasetamol dianggap memberikan pengurangan tambahan yang sederhana namun signifikan secara statistik pada nyeri dismenore primer ringan dibandingkan dengan penggunaan parasetamol saja. Meskipun besarnya perbedaan klinis dianggap relatif kecil, pendekatan multimodal ini diyakini telah berfungsi sebagai strategi pelengkap yang mudah diakses untuk meningkatkan kenyamanan dan berpotensi mengurangi kebutuhan akan asupan analgesik berulang di kalangan remaja.Saran: Studi acak berskala besar lebih lanjut direkomendasikan untuk memperkuat bukti yang ada dan mendukung penerapannya sebagai strategi manajemen nyeri pelengkap. Kata kunci: Dismenore Primer Ringan, Parasetamol, Remaja Perempuan, Sabuk Elektrik ABSTRACT Background: Menstruation that tends to have been accompanied by pain (dysmenorrhea) is a condition that many women continue to have experienced from their teenage years into adulthood. There still have to have been further developments in non-pharmacological therapies to have served as alternative treatment options. One promising innovation is the use of an electric belt, which is designed to have provided a soothing sensation and to have improved blood circulation.Objective: This study aimed to have analyzed the effect and effectiveness of using an electric belt compared to have using paracetamol for adolescent girls at Bhakti Kencana Garut Health Vocational School.Methods: This inquiry was structured as a quasi-interventional investigation employing a non-randomly allocated comparison cohort framework. The research participants comprised 100 teenage females identified as experiencing mild primary menstrual discomfort between July 5 and August 8, 2025. The participants were separated into two groups: a treatment cohort (electric heating belt combined with paracetamol) and a comparison cohort (paracetamol alone). Pain intensity was evaluated before and after the intervention using the Numerical Rating Scale (NRS). Statistical examination of the collected information applied the Mann–Whitney test along with the N-gain score.Results: Each assembly was ascertained to have manifested an inferentially substantive diminution in discomfort magnitude (p 0.001). Notwithstanding, the therapeutic assembly was observed to have demonstrated a more accentuated decrease in the mean Numerical Appraisal Continuum indices in comparison with the contrasting assembly (0.48 ± 0.58 versus 0.78 ± 0.68; p = 0.024). The relative progression, appraised through the Standardized-Growth index, was determined to have been more elevated within the remedial grouping, denoting the presence of an intensified pain-alleviating merit.Conclusion: The combination of an electric belt and paracetamol is considered to have provided a modest yet statistically significant additional reduction in mild primary dysmenorrhea pain compared to have using paracetamol alone. Although the clinical magnitude of the difference is regarded to have been relatively small, this multimodal approach is believed to have served as an accessible complementary strategy to have enhanced comfort and to have potentially reduced the need for repeated analgesic intake among adolescents.Suggestions: Further large-scale randomized studies are recommended to have strengthened the existing evidence and to have supported its application as a complementary pain management strategy. Keywords: Mild Primary Dysmenorrhea, Paracetamol, Adolescent Girls, Electric Belt

EFEKTIVITAS HERBAL CREAM MASSAGE KOMBINASI SEREH DAN KENCUR TERHADAP PENURUNAN NYERI IBU BERSALIN Nur Aini; Hidayat Wijayanegara; Meti Widiya Lestari; Herri S Sastramihardja; Anita Deborah Anwar; Ma’mun Sutisna
Jurnal Medikes (Media Informasi Kesehatan) Vol. 12 No. 1 (2025)
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

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Labor is a manifestation of uterine muscle contractions. Efforts to overcome pain are by non-pharmacological methods with “Herbal Cream massage BundaCare” is one product that utilizes natural ingredients from plants such as kencur (Kaempferia galanga) and lemongrass (Cymbopogon citratus) to help reduce pain in laboring mothers. The purpose of this study was to analyze the effectiveness of massage with “Herbal Cream Massage Bundacare” compared to massage therapy alone on reducing pain in laboring women at Made Surya Cipayung Midwife Independent Practice. This type of research is a quasi-experiment (pseudo-experiment) with a two group pretest-post test design approach, the total sample of 84 laboring women in the first phase of the active phase is divided into intervention (BundaCare) and control (regular massage) groups. The research was conducted at Made Cipayung Midwife Independent Practice Center, East Jakarta on October 24, 2024-December 24, 2024. Sampling using accidental sampling and measuring pain with NRS (Numeric Rate Scales). Univariate analysis of respondent characteristics using descriptive statistics. Bivariate test using Wilcoxon test and Independent T test and effectiveness test using Gain score. The results of statistical tests using the Wilcoxon test showed a significant decrease in pain in both groups (p<0.05). The BundaCare group experienced a decrease from moderate to mild pain, while the regular massage group remained at moderate pain. The results of the effectiveness test in the “Herbal cream massage Bundacare” group obtained a Gain score of 68% which means the category is quite effective while in the massage therapy group alone obtained a Gain score of 40% which is included in the less effective category. In conclusion, there is a difference in reducing labor pain between massage therapy with “Herbal cream massage Bundacare” compared to massage therapy alone and “Herbal cream massage Bundacare” therapy is more effective in reducing labor pain compared to massage therapy alone at the Made Cipayung Midwife Independent Practice Place, East Jakarta, 2024.

Co-Authors Achadiyani Achmad Arifin Ahmad Rizal Alfiah Rahmawati Ambrosius Purba Amillia Siddiq Ani Kusumastuti Arief S. Kartasasmita Atie Rachmiatie Bainuan, Lina Darmayanti Benny Hasan Purwara Bony Wiem Lestari Budi Handono Dadang Syarif Effendi Dany Hilmanto Deni K Sunjaya Dian Tjahyadi Erni Mayor Faizal Arif Caropeboka Fajrin, Anita Megawati Farid Husin Farid Husin Firman Fuad Wirakusumah Fitria Prabandari Hadyana Sukandar Hanom Husni Syam Harefa, Umy Darni Herlina Simanjutak Herman Susanto Herri S Sastramihardja Herry Garna Herry Herman Hidayat Wijayanegara Husin, Farid Indah Yulika Indun Lestari Setiono Irene Leha Ishak Abdulhak Ishak Nurihsan Jernihati Krisniat Harefa Johanes C Mose Johanes Cornelius Mose Johannes Cornelius Mose Julaecha Julaecha Jusuf S. Effendi Jusuf Sulaeman Effendi Leri Septiani Lestari, Lara Santi Indah Linda Rofiasari Lisnawati Lisnawati M. Rizkar Arev Sukarsa Ma’mun Sutisna Meita Dhamayanti Meti Widiya Lestari Mira Dyani Dewi Muhammad Nurhalim Shahib Nanan Sekarwana nashriva, Ita Nur Aini Pangaribuan, Roma Berlian Ponpon S Idjradinata Ponpon S Idjradinata R. M. Sonny Sasotya Rachmat Zulkarnain Rachmayanti Nur Raden Tina Dewi Judistiani Rikki Fitriyadi Afandi Rizka Aprilia, Rizka Rochmawati Rochmawati Rovina Ruslami, Rovina Rowawi, Roni Ruswana Anwar Sasotya, RM Sonny Sastra, Herri Setyorini Irianti Simanjuntak, Herlina Sofie R. Krisnadi Sophia Sophia Sophia Sophia Sophia, Sophia Suardi, Achmad Suardi, Achmad Sugiyono, Iis Sumini Sumini, Sumini Supriyatin, Dedeh Suryani Suryani Susiarno, Hadi Sutisna, Ma'mun Tania Novi Tita Husnitawati Madjid Tono Djuwantono Tri Hanggono Achmad Uni Gamayani, Uni Veronica, Yustitio Nora Vita Muniarti Tarawan Vita Murniati Tarawan Widjadjakusumah, Tony Wiryawan Permadi Yanti Herawati Zulvayanti Zulvayanti

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