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MANAGEMENT DISASTER IN MATERNITY AREAS Ai Rahmawati; Bhekti Imansari; Devita Madiuw; Ida Nurhidayah; Pipih Napisah; Yanti Hermayanti
Journal of Maternity Care and Reproductive Health Vol 2, No 2 (2019): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Indonesia is one of the countries in the world that is often affected by natural disasters. The disaster has broad-impact such as infrastructure damage, loss of material, and impacts on residents who live in the disaster area including pregnant women, postpartum women, and newborns. The impact that often occurs is stress in pregnant women and postpartum. Also, babies born also may have low birth weight and premature. The purpose of this literature study was to review disaster management in the maternity area in various countries. The electronic database included EBSCO hosts, PubMed and google scholar. Keyword for searching articles was "management disaster", " disaster preparedness " and "maternity area". A total of 859 articles were found and only 15 articles were chosen for analysis. Based on the literature analysis, it was found that there was a need to prepare for a disaster situation, especially women and infants in the maternal period (antepartum, intrapartum, postpartum and neonatal care) in Indonesia. Disaster management divide into three periods, first, before a disaster the government should provide a referral hospital to accommodate maternal patients and teams to deal with maternal problems. When the disaster occurred, identification of disaster victims using the triage OB TRAIN. After a disaster, maternal patients may experience stress and depression. Prenatal depression intervention includes interpersonal therapy, music therapy, and maternal relaxation. Preventing postpartum depression in postpartum mothers is done by breastfeeding their child. There is a need for a design disaster management for maternal patients in Indonesia that consist of three periods: pre-disaster, during disasters, post-disaster.Keywords: Management disaster, disaster preparedness, maternity areas

Edukasi Terapi Non-Farmakologi saat Anak Demam, Batuk, dan Pilek Ditengah Kekhawatiran Terjadinya Gagal Ginjal Akut pada Anak di Puskesmas Cibolerang Kota Bandung Meti Sulastri; Vivop Marti Lengga; Ai Rahmawati; Lia Marliana; Gilang Fajar Rachadi; Ana Ikshan Hidayatullah; Deni Candra Ramadhan
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 3 (2023): Volume 6 No 3 Maret 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i3.8700

ABSTRAK Laporan peningkatan kasus Gangguan Ginjal Akut Progresif Atipikal/Acute Kidney Injury (AKI) yang tajam pada anak, terutama balita telah diterima Kementerian Kesehatan (Kemenkes) dan Ikatan Dokter Anak Indonesia (IDAI) sejak akhir Agustus 2022. Hasil uji cemaran EG tersebut belum dapat mendukung kesimpulan bahwa penggunaan sirup obat tersebut memiliki keterkaitan dengan kejadian AKI karena selain penggunaan obat, masih ada beberapa faktor risiko penyebab lainnya seperti infeksi virus atau bakteri. Tujuan dilakukan pengabdian masyarakat ini untuk meningkatkan ilmu pengetahuan kepada kalangan masyarakat mitra mengenai terapi non-farmakologi saat anak demam, batuk dan pilek. Metode yang digunakan untuk menyelesaikan masalah tersebut yaitu dengan melakukan penyuluhan kesehatan secara langsung kepada masyarakat. Target sasaran untuk kegiatan pengabdian masyarakat ini yaitu kepada masyarakat terutama orang tua yang mempunyai anak di wilayah kerja puskesmas cibolerang kota bandung. Kata Kunci: Edukasi, Gagal Ginjal Akut, Terapi Non-Farmakologi ABSTRACT Reports of a sharp increase in cases of Acute Kidney Injury (MMR) in children, especially toddlers, have been received by the Ministry of Health (Kemenkes) and the Indonesian Pediatric Association (IDAI) since the end of August 2022. The results of the EG contamination test have not been able to support the conclusion that the use of drug syrup is related to the incidence of MMR because in addition to the use of drugs, there are still several other causative risk factors such as viral or bacterial infections. The purpose of this community service is to improve knowledge among partner communities regarding non-pharmacological therapies when children have fevers, coughs and colds. The method used to solve the problem is by conducting health counseling directly to the community. The target target for this community service activity is to the community, especially parents who have children in the work area of the Cibolerang Health Center in Bandung City. Keywords: Education, Acute Renal Failure, Non-pharmacological Therapy

The Effectiveness of Obstetric Emergency Interventions in Enhancing Mother and Fetal Well-Being: A Systematic Bhekti Imansari; Ida Nurhidayah; Ai Rahmawati; Risang Pawestri; Camilie G. Hemedes
Journal of Nursing Care Vol 6, No 2 (2023): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v6i2.48344

An obstetric emergency is a condition that can threaten the life of a pregnant woman and the fetus, which occurs during pregnancy, childbirth and the puerperium. This review Â Â aimed to analyze the effectiveness of emergency obstetric interventions based on previous studies. The study was a systematic review carried out in seven stages through three databases from Ebsco, Pubmed and Proquest. The keywords used were (pregnant women) AND (emergency intervention) AND (nursing OR nurse) NOT (systematic review). The inclusion criteria in this study were: full-text, peer review, English, articles for the last five years, subject: nursing, nurses, emergency medical care, nursing care, emergency services, and document type: articles. Based on the search database, 10,496 papers were obtained, 733 documents that matched the inclusion criteria and seven papers that fit the theme were obtained. The result that based on the initial stage of the literature search, four interventions were adequate, including ACLS training, multidisciplinary management, making coloured ribbons for premature pregnancy detection, and maternal near-miss detection tools. Interventions with less effective based on statistical test results were supportive care, home visits with IPV (intimate partner violence) interventions, and administration of CPR, defibrillation, ETT insertion, and administration of epinephrine. Nurses still carry out a few emergency developmental interventions. It is necessary to develop engagement interventions related to maternal emergencies to improve the welfare of mothers and babies. Further study is needed to strengthen the evidence base of innovative interventions for specific obstetric emergencies.

Efektivitas Pijat Endorphin dan Komunikasi Terapeutik terhadap Tingkat Kecemasan Inpartu Kala I Lina Marlina; Ai Rahmawati; Eneng Daryanti; Maria Ulfah Jamil; Meti Sulastri; Sri Gustini
MAHESA : Malahayati Health Student Journal Vol 3, No 10 (2023): Volume 3 Nomor 10 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i10.10872

ABSTRACT Childbirth is a natural occurrence that is experienced by every woman. In the process of childbirth, there will be a combination of physical processes and emotional experiences, causing anxiety. Anxiety can be overcome non-pharmacologically through relaxation. Relaxation can be in the form of endorphine massage or therapeutic communication. To determine the effectiveness of endorphin massage and therapeutic communication on anxiety levels in the first stage of labour. Used was quasi-experimental with a one group pretest posttest design. The population was all mothers who gave birth in the first stage at the Sukalaksana Health Center and Bungursari Health Center, using a quota sampling technique, namely at the Sukalaksana Health Center as many as 16 respondents with endorphine massage interventions, Bungursari Health Center 16 respondents with therapeutic communication techniques. Before and after the intervention, the HARS anxiety scale questionnaire was given. Data analysis used paired t test. Anxiety research before the intervention found that all mothers who gave birth experienced anxiety, and the highest was in the moderate category with 18 people (56.25%). After treatment, the highest anxiety level in therapeutic communication respondents, namely the moderate category, was 12 people (75%), the most endorphine massage respondents were in the moderate category, 13 people (81.25%). There is an effect of therapeutic communication and endorphine massage on anxiety levels with a ρvalue below 0.05, namely the therapeutic communication group 0.001 and the endorphine massage group 0.002. Endorphine massage reduced anxiety levels more because the average anxiety level of the therapeutic communication group was higher (5.8125) than the endorphine massage group (5.3750) Keywords : Endorphin Massage, Therapeutic Communication, Anxiety, Labour ABSTRAK Persalinan merupakan kejadian alamiah yang dialami setiap perempuan. Pada proses persalinan, akan terjadi sebuah kombinasi antara proses fisik dan pengalaman emosional, sehingga menimbulkan kecemasan. Kecemasan dapat diatasai secara non farmakologi melalui relaksasi. Relaksasi bisa berupa pijat endorphine maupun komunikasi terapeutik. Untuk mengetahui efektivitas pijat endorphin dan komunikasi terapeutik terhadap tingkat kecemasan inpartu kala I. Metode penelitian yang digunakan adalah quasi eksperimen dengan desain one group pretest posttest. Populasinya adalah seluruh ibu yang melahirkan kala I di Puskesmas Sukalaksana dan Puskesmas Bungursari, dengan teknik quota sampling, yaitu di Puskesmas Sukalaksana sebanyak 16 responden dengan intervensi pijat endorphine, Puskesmas Bungursari 16 responden dengan teknik komunikasi teurapeutik. Sebelum dan sesudah intervensi, diberikan kuesioner skala kecemasan HARS. Analisis data menggunakan uji paired t test. Hasil penelitian kecemasan sebelum intervensi diperoleh bahwa semua ibu melahirkan mengalami kecemasan, dan paling tinggi ada pada kategori sedang sebanyak 18 orang (56.25%). Setelah perlakuan, tingkat kecemasan pada responden komunikasi terapeutik paling banyak yaitu kategori sedang sebanyak 12 orang (75%), pada responden pijat endorphine paling banyak kategori sedang sebanyak 13 orang (81.25%). Terdapat pengaruh komunikasi terapeutik dan pijat endorphine terhadap tingkat kecemasan dengan ρvalue dibawah 0,05 yaitu kelompok komunikasi terapeutik 0,001 dan kelompok pijat endorphine 0,002 . Pijat endorphine lebih menurunkan tingkat kecemasan karena rata-rata tingkat kecemasan kelompok komunikasi terapeutik lebih tinggi (5,8125) dibandingkan kelompok pijat endorphine (5,3750) Kata Kunci: Pijat Endorpin, Komunikasi Terapeutik, Kecemasan, Inpartu

Efektivitas Pijat Endorphin dan Komunikasi Terapeutik Terhadap Tingkat Kecemasan Inpartu Kala I Lina Marlina; Ai Rahmawati; Eneng Daryanti; Maria Ulfah Jamil; Meti Sulastri; Sri Gustini
MAHESA : Malahayati Health Student Journal Vol 3, No 11 (2023): Volume 3 Nomor 11 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i11.10941

ABSTRACT Childbirth is a natural occurrence that is experienced by every woman. In the process of childbirth, there will be a combination of physical processes and emotional experiences, causing anxiety. Anxiety can be overcome non-pharmacologically through relaxation. Relaxation can be in the form of endorphine massage or therapeutic communication. To determine the effectiveness of endorphin massage and therapeutic communication on anxiety levels in the first stage of labour. Used was quasi-experimental with a one group pretest posttest design. The population was all mothers who gave birth in the first stage at the Sukalaksana Health Center and Bungursari Health Center, using a quota sampling technique, namely at the Sukalaksana Health Center as many as 16 respondents with endorphine massage interventions, Bungursari Health Center 16 respondents with therapeutic communication techniques. Before and after the intervention, the HARS anxiety scale questionnaire was given. Data analysis used paired t test. Anxiety research before the intervention found that all mothers who gave birth experienced anxiety, and the highest was in the moderate category with 18 people (56.25%). After treatment, the highest anxiety level in therapeutic communication respondents, namely the moderate category, was 12 people (75%), the most endorphine massage respondents were in the moderate category, 13 people (81.25%). There is an effect of therapeutic communication and endorphine massage on anxiety levels with a ρvalue below 0.05, namely the therapeutic communication group 0.001 and the endorphine massage group 0.002. Endorphine massage reduced anxiety levels more because the average anxiety level of the therapeutic communication group was higher (5.8125) than the endorphine massage group (5.3750) Keywords : Endorphin Massage, Therapeutic Communication, Anxiety, Labour ABSTRAK Persalinan merupakan kejadian alamiah yang dialami setiap perempuan. Pada proses persalinan, akan terjadi sebuah kombinasi antara proses fisik dan pengalaman emosional, sehingga menimbulkan kecemasan. Kecemasan dapat diatasai secara non farmakologi melalui relaksasi. Relaksasi bisa berupa pijat endorphine maupun komunikasi terapeutik. Untuk mengetahui efektivitas pijat endorphin dan komunikasi terapeutik terhadap tingkat kecemasan inpartu kala I. Metode penelitian yang digunakan adalah quasi eksperimen dengan desain one group pretest posttest. Populasinya adalah seluruh ibu yang melahirkan kala I di Puskesmas Sukalaksana dan Puskesmas Bungursari, dengan teknik quota sampling, yaitu di Puskesmas Sukalaksana sebanyak 16 responden dengan intervensi pijat endorphine, Puskesmas Bungursari 16 responden dengan teknik komunikasi teurapeutik. Sebelum dan sesudah intervensi, diberikan kuesioner skala kecemasan HARS. Analisis data menggunakan uji paired t test. Hasil penelitian kecemasan sebelum intervensi diperoleh bahwa semua ibu melahirkan mengalami kecemasan, dan paling tinggi ada pada kategori sedang sebanyak 18 orang (56.25%). Setelah perlakuan, tingkat kecemasan pada responden komunikasi terapeutik paling banyak yaitu kategori sedang sebanyak 12 orang (75%), pada responden pijat endorphine paling banyak kategori sedang sebanyak 13 orang (81.25%). Terdapat pengaruh komunikasi terapeutik dan pijat endorphine terhadap tingkat kecemasan dengan ρvalue dibawah 0,05 yaitu kelompok komunikasi terapeutik 0,001 dan kelompok pijat endorphine 0,002 . Pijat endorphine lebih menurunkan tingkat kecemasan karena rata-rata tingkat kecemasan kelompok komunikasi terapeutik lebih tinggi (5,8125) dibandingkan kelompok pijat endorphine (5,3750) Kata Kunci: Pijat Endorpin, Komunikasi Terapeutik, Kecemasan, Inpartu

Upaya Penanganan Dismenorea Berbasis Thibbun Nabawi Pada Remaja Winarni Winarni; Ai Rahmawati; Hasanah Hasanah; Wahyu Atika Putri
Jurnal Pengabdian Bidang Kesehatan Vol. 1 No. 4 (2023): Jurnal Pengabdian Bidang Kesehatan
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jpbidkes.v1i4.29

Dysmenorrhoea is experienced by 90% of women in Indonesia, because of this, around 14% of women cannot participate in learning at school or carry out daily activities, thereby reducing their productivity. Adolescent girls are in an unstable emotional condition, if they do not get good information about the menstrual cycle then they are easy to experience primary menstrual disorders. Primary dysmenorrhea is experienced by many teenagers who are growing and developing both physically and psychologically. Several efforts have been made to reduce pain complaints in cases of dysmenorrhoea, including non-pharmacological intervention, including Rosulullah-style treatment, known as Thibbun Nabawi treatment, including listening to the Koran and breathing exercises, this treatment is cheap and can be done independently by everyone. people who experience it. The implementation of socialization at Al Islam High School is really needed considering that in this school there are many cases of Dysmennorrhea, and no one has provided an understanding of these cases and how to manage them non-pharmacologically so that they can be overcome without causing side effects. The target of this community service proposal is Al Islam Surakata High School students. The benefit of this activity is to increase understanding about menstrual disorders, especially dysmenorrhea and treatment of pain complaints when dysmenorrhea occurs at low cost and without side effects. impact, namely by means of Tibbun Nabawi.”

PEMBERDAYAAN REMAJA DI DESA KARANG KENDAL KABUPATEN BOYOLALI MELALUI DIVERSIFIKASI OLAHAN PRODUK DAUN KELOR (MORINGA OLEIFERA) SEBAGAI UPAYA PENCEGAHAN ANEMIA Ai Rahmawati; Wahyu Atika Putri; Hariyanti; Putri Angelica Aurora; Rina Sri Widayati
Empowerment Journal Vol. 4 No. 2 (2024): September
Publisher : Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/empowerment.v4i2.1558

Anemia adalah suatu kondisi dimana jumlah sel darah merah atau kadar hemoglobin dalam darah lebih rendah dari normal. Salah satu penyebab anemia adalah produksi sel darah merah yang tidak optimal karena tubuh kekurangan nutrisi bergizi yang dibutuhkan. Makanan yang baik harus dikonsumsi selama masa remaja karena ini adalah masa awal persiapan kehamilan. Tujuan kegiatan pemberdayaan ini adalah untuk meningkatkan pengetahuan remaja di desa karang kendal terhadap pencegahan anemia. Metode kegiatan pemberdayaan ini dilaksanakan di desa karang kendal kabupaten boyolali dengan metode penyuluhan dan pemberdayaan remaja melalui diversifikasi produk olahan daun kelor (Moringa Oleifera). Hasil kegiatan menunjukkan perhitungan pre test dan post test yang dilaksanakan saat kegiatan yaitu dengan hasil sebelum dilaksanakan kegiatan penyuluhan dan pemberdayaan diketahui bahwa pengetahuan remaja yang mendapatkan kategori baik sebesar 25% dan setelah dilaksanakan kegiatan penyuluhan dan pemberdayaan meningkat menjadi sebesar 55%. Kegiatan penyuluhan dan pemberdayaan ini berhasil meningkatkan pengetahuan dan ketrampilan remaja di Desa Karang Kendal serta cara pencegahan terhadap anemia melalui produk olahan daun kelor (Moringa Oleifera)

Effectiveness of Conterpressure Massage and Rebozo Technique on Reducing Pain In The First Stage Of Labor Lina Marlina; Eneng Daryanti; Ai Rahmawati; Reni Nurdianti; Sri Gustini
HealthCare Nursing Journal Vol. 7 No. 1 (2025): HealthCare Nursing Journal
Publisher : Program Studi Keperawatan Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i1.5596

Childbirth is a natural physiological process, but it can cause pain due to contractions. Labor pain if not treated can cause stress which can reduce uterine contractions. A midwife must be able to provide labor care that can provide comfort during labor, one of which is massage and rebozo. The purpose of this study was to determine the effectiveness of massage counterpressure andrebozo on labor pain. Method used quasi-experimental with a pretest-posttest, by comparing results between 2 groups, namely the massage groupcounter pressureand rebozzo technique. The study was conducted at BPM Bidan E, Tasikmalaya for 4 months from July to October 2024, population being all mothers giving birth in the first stage. The sample with quota sampling and each treatment being 15. Observation of pain using the Numeric Rating Scale (NRS) with 4 measurements during contractions every 30 minutes. The duration was 5-10 minutes. Analysis used Wilcoxon test. The results of the study were that counterpressure massage and rebozzo technique were effective reducing pain scale of the first stage labor. The results of the statistical test obtained p value = 0.352 (> 0.05), so that between massage counterpressure and rebozzo has no difference in reducing pain in the first stage labor. However, when viewed from the average difference in counterpressure massage is 2.67 while rebozzo the average difference is 2.22, so it can be stated that counterpressure massage more effective in reducing pain in the first stage than rebozzo. It is hoped that providers of labor care can reduce labor pain with various techniques according to the comfort of the mother giving birth.

Family-Based Education to Improve Health Literacy and Treatment Adherence Among T2DM Patients Kurnia, Anih; Betty Suprapti; Aneng Yuningsih; Ai Rahmawati; Ana Ikhsan H
ABDIMAS: Jurnal Pengabdian Masyarakat Vol. 8 No. 2 (2025): ABDIMAS UMTAS: Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/abdimas.v8i2.6511

This community service program aimed to improve health literacy, treatment adherence, and the quality of life among patients with type 2 diabetes mellitus (T2DM) through a family-based education model. The intervention was conducted over six months at three community health centers (Puskesmas) in Tasikmalaya City: Kahuripan, Tamansari, and Cihideung. A total of 84 T2DM patients and their families participated in interactive educational sessions, including animated videos, family coaching, glucometer training, and a practical family handbook. Pre and post-tests were conducted using the SCPI (Skills, Confidence & Preparedness Index) instrument. The results showed significant improvements in health literacy (p = 0.000), family involvement (p = 0.000), and dietary adherence (p = 0.000). However, blood glucose levels did not significantly improve statistically (p = 0.305), indicating the need for a longer intervention period to achieve clinical outcomes. This program demonstrates the value of integrating family involvement and low-literacy-friendly media into diabetes education and offers a replicable model for other community-based health programs.

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