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Android-based Stunting Child Nutrition Application (GiAS) to Assess Macro-nutrients, Zinc, and Calcium in Stunting and Non-stunting Under Two Children Fajarini Putri Hidayat; Ma'mun Sutisna; Roni Rowawi; Hidayat Wijayanegara; Herry Garna; Atie Rachmiatie
Global Medical & Health Communication (GMHC) Vol 9, No 1 (2021)
Publisher : Universitas Islam Bandung

Stunted children will have normal cognitive ability if nutrition is improved. The rapid brain growth in the first 1,000 days of life means that children should not be malnourished. Stunting is generally caused by a lack of macronutrients (carbohydrates, protein, and fat) and micronutrients (calcium and zinc). The mobile application called stunting child nutrition (GiAS) has features that can detect stunting, monitor toddler growth, recommend daily menus for toddlers, nutritional adequacy rate (RDA) in 2019, and others. The purpose of this study was to make it easier to distinguish macronutrients, zinc, and calcium from stunting and non-stunting children aged 12–24 months using the GiAS android application. It is conducted at the Citeureup Community Health Center, Cimahi city, for June–July 2020. The sampling technique was a simple random sampling of 88 respondents. This type of research is an observational analytic with a statistical test is a cross-sectional design. The results of the study using the Mann-Whitney test showed differences in carbohydrates (84.99±26.31 vs 151.16±68.43, p=0.001), protein (30.81±11.03 vs 60.55±38.43, p=0.001), fat (32.80±15.39 vs 64.84±47.81, p=0.001), and calcium (0.55±0.40 vs 1.43±1.16, p=0.001) and there is similarity of zinc (0.005±0.004 vs 0.010±0.016, p=0.084) after 7 days of using the GiAS application between stunting and non-stunting children. The probability value <0.05 means that the application can compare macronutrients, zinc, and calcium between stunted and non-stunted children on the 7th day. Chi-square analysis showed an increase in children's weight and height under five at two weeks and one month (p=0.001). In conclusion, the comparison of macronutrients, zinc, calcium in stunting and non-stunting children aged 12–24 months can be differentiated using the GiAS application. APLIKASI GIZI ANAK STUNTING (GIAS) BERBASIS ANDROID UNTUK MENILAI ZAT GIZI MAKRO, ZINC, DAN KALSIUM PADA ANAK STUNTING DAN NON-STUNTINGAnak stunting akan memiliki kognitif yang normal jika dilakukan perbaikan gizi yang optimal. Pertumbuhan otak yang pesat di 1.000 hari pertama kehidupan menjadikan anak tidak boleh kekurangan nutrisi. Stunting umumnya kekurangan zat gizi makro (karbohidrat, protein, dan lemak) serta zat gizi mikro (kalsium dan zinc). Aplikasi mobile bernama gizi anak stunting (GiAS) memiliki fitur yang dapat mendeteksi stunting, memantau pertumbuhan balita, merekomendasikan menu harian untuk balita, angka kecukupan gizi (AKG) tahun 2019, dan lainnya. Tujuan penelitian ini adalah kemudahan membedakan zat gizi makro, zinc, dan kalsium anak stunting dengan non-stunting usia 12–24 bulan menggunakan aplikasi android GiAS di Puskesmas Citeureup Kota Cimahi periode Juni–Juli 2020. Teknik pengambilan sampel adalah simpel random sampling sebanyak 88 responden. Jenis penelitian ini adalah analitik observasional dengan uji statistik adalah desain cross-sectional (α=0,05). Hasil penelitian menggunakan Uji Mann-Whitney terdapat perbedaan karbohidrat (84,99±26,31 vs 151,16±68,43; p=0,001), protein (30,81±11,03 vs 60,55±38,43; p=0,001), lemak (32,80±15,39 vs 64,84±47,81; p=0,001), dan kalsium (0,55±0,40 vs 1,43±1,16; p=0,001) serta ada persamaan zinc (0,005±0,004 vs 0,010±0,016; p=0,084) sesudah 7 hari penggunaan aplikasi GiAS antara anak stunting dan non-stunting. Nilai probabilitas <0,05 berarti aplikasi dapat membandingkan zat gizi makro, zinc, dan kalsium antara anak stunting dan non-stunting pada hari ke-7. Analisis chi-square terlihat peningkatan berat badan dan tinggi badan balita pada 2 minggu dan 1 bulan (p=0,001). Simpulan, komparasi zat gizi makro, zinc, kalsium anak stunting dan non-stunting usia 12–24 bulan dapat dibedakan menggunakan aplikasi GiAS.

Pengaruh Guided Imagery terhadap Intensitas Nyeri pada Pasien Pasca Operasi Sectio Caesarea di RS. TNI AU dr. M. Salamun Bandung Rowawi, Roni
Sehat MasadaJurnal Vol 11 No 1 (2017): Jurnal Sehat Masada
Publisher : stikes dharma husada bandung

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

Angka tindakan Sectio Caesarea di Indonesia pada tahun 2007 hingga tahun 2012 mengalami peningkatan 5,5%, padahal tindakan Sectio Caesarea itu sendiri memiliki dampak dan komplikasi. Nyeri merupakan masalah yang sering ditemui pada pasien pasca operasi Sectio Caesarae. Pasien dilaporkan 50% mengalami nyeri sedang dan berat pada hari pertama pasca operasi. Strategi penatalaksanaan nyeri non farmakologis yang biasa dilakukan meliputi stimulasi dan massage, terapi es dan panas, stimulasi syaraf elektrik transkutan (TENS), distraksi, Guided Imagery, Hipnosis. Guided Imagery dapat meningkatkan mekanisme koping dan pelepasan endorfin untuk mengurangi nyeri dan dapat menimbulkan efek rileks. Tujuan penelitian untuk mengetahui pengaruh Guided Imagery terhadap intensitas nyeri pada pasien pasca operasi Sectio Caesarea di RS TNI AU dr. M. Salamun Bandung. Metode yang digunakan adalah pra-eksperimental one group pre-test post-test without control. Pengambilan sampel dengan menggunakan purposive sampling. Jumlah sampel sebesar 20 orang. Intensitas nyeri diukur dengan Numeric Rating Scale (NRS). Hasil uji analisis dengan Wilcoxon test, menunjukkan pengaruh secara signifikan p (sig)=0,000 (p<0,05) Guided imagery terhadap intensitas nyeri pada pasien pasca Sectio Caesarea. Diharapkan perawat mampu melaksanakan manajemen nyeri Guided Imagery secara mandiri kepada pasien.

Effectiveness of Maternity Infrared Electric Massage Mattress (Kapein) on Labor Pain and Progress in Primigravida during the Active Phase of Labor Pramukani, Irka; Rowawi, Roni; S Sastramihardja, Herri; Herawati, Yanti; Nurlatifah HR, Teni; Wijayanegara, Hidayat
Genius Journal Vol. 5 No. 2 (2024): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v5i2.385

Introduction: Labor pain in mothers is partly caused by a reduced oxygen supply to the uterine muscles during contractions. Non-pharmacological interventions, such as electric massage with infrared therapy on the spine, can help increase oxytocin levels, which may accelerate labor progress. Objective: This study aimed to determine the effectiveness of the infrared electric massage mattress (Kapein) in reducing labor pain and enhancing labor progress in primigravida mothers during the active phase of labor. Method: A true experimental research design with a pretest-posttest control group was used. The study involved all primigravida mothers in the active phase of labor at the Musytasyfah Karawang Clinic. A total sampling technique was employed, with 30 participants divided into an intervention group (15) and a control group (15). The data were analyzed using the McNemar test. The research was conducted from April to July 2024. Results: The study found that the infrared electric massage mattress (Kapein) was effective in reducing labor pain in primigravida mothers during the active phase (p=0.000). It also demonstrated effectiveness in improving labor progress (p=0.027). Conclusion: The infrared electric massage mattress (Kapein) is effective in reducing labor pain and improving labor progress in primigravida mothers during the active phase of labor. It is suggested that this intervention be considered as an alternative tool in obstetric services and recommended for use by the Health Office in childbirth care.

Effectiveness of Maternity Infrared Electric Massage Mattress (Kapein) on Labor Pain and Progress in Primigravida during the Active Phase of Labor Pramukani, Irka; Rowawi, Roni; S Sastramihardja, Herri; Herawati, Yanti; Nurlatifah HR, Teni; Wijayanegara, Hidayat
Genius Journal Vol. 5 No. 2 (2024): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v5i2.385

Introduction: Labor pain in mothers is partly caused by a reduced oxygen supply to the uterine muscles during contractions. Non-pharmacological interventions, such as electric massage with infrared therapy on the spine, can help increase oxytocin levels, which may accelerate labor progress. Objective: This study aimed to determine the effectiveness of the infrared electric massage mattress (Kapein) in reducing labor pain and enhancing labor progress in primigravida mothers during the active phase of labor. Method: A true experimental research design with a pretest-posttest control group was used. The study involved all primigravida mothers in the active phase of labor at the Musytasyfah Karawang Clinic. A total sampling technique was employed, with 30 participants divided into an intervention group (15) and a control group (15). The data were analyzed using the McNemar test. The research was conducted from April to July 2024. Results: The study found that the infrared electric massage mattress (Kapein) was effective in reducing labor pain in primigravida mothers during the active phase (p=0.000). It also demonstrated effectiveness in improving labor progress (p=0.027). Conclusion: The infrared electric massage mattress (Kapein) is effective in reducing labor pain and improving labor progress in primigravida mothers during the active phase of labor. It is suggested that this intervention be considered as an alternative tool in obstetric services and recommended for use by the Health Office in childbirth care.

Perbandingan Stretching Exercises, Musik Dan Kombinasi Terhadap Penurunan Intensitas Nyeri Menstruasi (Dismenore Primer) Pada Siswi Sman 5 Karawang Karmelia, Mela; Wijayanegara, Hidayat; Mahwati, Yeni; Sastramihardja, Herri S.; Rowawi, Roni; Rasyad, Adjat Sedjati
Bunda Edu-Midwifery Journal (BEMJ) Vol. 4 No. 1 (2021): Februari 2021
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v4i1.43

Dismenore merupakan masalah ginekologi yang dialami oleh kebanyakan wanita terutama remaja. Cara yang dilakukan untuk mencegah atau mengurangi rasa nyeri saat menstruasi yaitu dengan cara farmakologi maupun non farmakologi. Salah satu cara nonfarmakologi yang dapat dilakukan yaitu dengan stretching exercises dan terapi musik.. Tujuan penelitian ini adalah untuk menganalisis perbandingan penurunan nyeri menstruasi menggunakan kombinasi stretching exercises dan musik dengan stretching exercises atau dengan treatment musik.Metode penelitian dengan menggunakan quasi eksperimental, pendekatan posttest design dengan jumlah sampel 105 siswi. Pengambilan sampel siswi dibagi menjadi tiga kelompok yaitu kelompok kombinasi dari stretching exercises dan musik 35 responden, stretching exercises 35 responden, dan terapi musik 35 responden. Penelitian dilakukan di SMAN 5 Karwang pada bulan April-Juni 2019. Analisis perbedaan ketiga kelompok yang dilakukan pengujian secara statistik dengan uji Anova. Hasil penelitian menunjukan bahwa kombinasi dari stretching exercises dan musik terdapat penurunan yang signifikan dengan rata-rata 2,14 rentang derajat nyeri 0-5 dibandingkan dengan stretching exercises dengan rata-rata 3,40 (1-6) ataupun treatment musik rata-rata 3,66 (1-6) pada penurunan intensitas nyeri menstruasi (dismenore primer) dengan p value 0,001 (p kurang dari 0,005).Simpulan, kombinasi stretching exercises dan musik terdapat penurunan yang signifikan dibandingkan stretching exercises ataupun treatment musik terhadap intensitas nyeri menstruasi (dismenore primer) pada siswi.

BED PORTABLE MASSAGE OKSITOSIN TERHADAP KELANCARAN DAN PRODUKSI ASI PADA IBU POSTPARTUM Metaliasari, Metaliasari; Septiani, Leri; Sastramihardja, Herri S; Sutisna, Ma’mun; Sugih, Siti; Rowawi, Roni
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 1 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i1.2756

Pemberian ASI masih menjadi tantangan global, dengan hanya 31 dari 194 negara yang berhasil mencapai target pemberian ASI eksklusif sebesar 50%. Salah satu cara untuk meningkatkan kelancaran dan produksi ASI adalah dengan merangsang hormon prolaktin dan oksitosin melalui perawatan payudara, pemijatan, serta pijat oksitosin. Pijat oksitosin dikenal sebagai metode efektif untuk mengatasi kesulitan menyusui. Penelitian ini bertujuan untuk mengetahui pengaruh bed portable massage oksitosin terhadap kelancaran dan produksi ASI pada ibu postpartum. Penelitian ini menggunakan desain quasi-eksperimental dengan pendekatan non-equivalent control group design. Populasi penelitian adalah ibu postpartum yang melahirkan pada periode 1 Juli – 30 Juli 2024, dengan total 72 orang. Sampel sebanyak 60 responden dipilih menggunakan teknik accidental sampling, yang kemudian dibagi menjadi dua kelompok (intervensi dan kontrol). Pengumpulan data dilakukan dengan observasi langsung terhadap ibu postpartum dari hari ke-1 hingga hari ke-7, dan analisis data menggunakan uji paired t-test. Hasil penelitian menunjukkan bahwa penggunaan Bed Portable Massage Oksitosin meningkatkan frekuensi menyusui (>8–12 kali per hari) dengan nilai p = 0,012 (<0,05), yang menunjukkan perbedaan signifikan. Selain itu, setelah penggunaan bed portable massage oksitosin, hampir seluruh responden (28 dari 30 orang) mengalami produksi ASI penuh, dengan nilai p= 0,001 (<0,05), yang mengindikasikan efek signifikan terhadap kelancaran ASI. Terdapat pengaruh signifikan penggunaan Bed Portable Massage Oksitosin terhadap kelancaran dan produksi ASI pada ibu postpartum.

EFFECTIVENESS OF INTERACTIVE LEARNING MULTIMEDIA FOR DIANA NORMAL DELIVERY CARE (MULTERIANA) ON IMPROVING STUDENTS' INTERESTS AND SKILLS Nz.Gea, Diana Oktavia; Sutisna, Ma'mun; ,, Suparni; Herawati, Yanti; Wijayanegara, Hidayat; Rowawi, Roni
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.v14i02.7621

The learning process requires media that align with technological advancements to enhance effectiveness and innovation. One such tool is the MULTERIANA Application, designed to support improved learning outcomes. This study aimed to analyze the effectiveness of the MULTERIANA Application in increasing student interest and skills at the Harapan Keluarga Midwifery Academy. The research used a pre-experimental design with a one-group pretest-posttest approach. The population included all fourth-semester female students, with a total sample of 57 participants selected through total sampling. Data were analyzed using the Wilcoxon test. The results showed a significant effect of the MULTERIANA Application on student interest in learning APN (midwifery care in normal delivery), with a p-value of 0.000. Similarly, the application significantly improved students’ skills in practicing normal delivery care, also with a p-value of 0.000. Based on the WebQual 4.0 assessment, the application was rated 54.6% effective before the intervention and improved to 76.3% afterward, indicating enhanced effectiveness. In conclusion, the MULTERIANA Application successfully increased both interest and skills in midwifery students. It is recommended that this application be used as a learning medium in delivery care courses to help students practice APN more effectively and independently.

COMPARISON OF THE EFFECTIVENESS OF SHIATSU MASSAGE THERAPY AND ABDOMINAL STRETCHING EXERCISE ON REDUCING THE LEVEL OF PRIMARY MENSTRUAL PAIN (DYSMENORRHEA) IN ADOLESCENT GIRLS Roni Rowawi; Hidayat Wijayanegara; Lina Herlina
Jurnal Ilmiah Keperawatan Vol 8 No 1 (2025): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v8i1.5835

Background: Menstruation in adolescents is often accompanied by dysmenorrhea, affecting 40–80% and causing discomfort and absenteeism. Non-pharmacological methods like Shiatsu massage and abdominal stretching are effective, safe alternatives to medication.Objective: This study aimed to evaluate the effectiveness of shiatsu massage and abdominal stretching exercises in reducing primary dysmenorrhea among adolescent girls. Methods : A quasi-experimental design with a pre-post test two-group comparison was employed. Sixty-six adolescent girls with primary dysmenorrhea were purposively selected and divided into two groups: one received shiatsu massage therapy, and the other performed abdominal stretching exercises. Data were analyzed using the Wilcoxon and Mann-Whitney tests with a significance level set at p < 0.05. Results : Showed that both interventions significantly reduced menstrual pain (p = 0.000). However, the shiatsu group experienced a greater average pain reduction (2.36 points) compared to the stretching group (1.55 points). Conclusion : The results of this study indicate that shiatsu massage therapy demonstrates a greater effectiveness in alleviating primary menstrual pain, commonly referred to as dysmenorrhea, when compared to abdominal stretching exercises, exhibiting a notable difference of 0.8 points in pain reduction between the two interventions. Suggestion: This intervention can be used in midwifery and healthcare settings, with Shiatsu materials serving as educational tools for adolescents on dysmenorrhea and reproductive health.

PENGURANGAN NYERI MENSTRUASI: PENDAMPINGAN TERAPI PIJAT SHIATSU DAN ABDOMINAL STRETCHING EXERCISE Roni Rowawi; Lina Herlina
Jurnal Widya Laksmi: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2025): Jurnal WIDYA LAKSMI (Jurnal Pengabdian Kepada Masyarakat)
Publisher : Yayasan Lavandaia Dharma Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59458/jwl.v5i2.204

Menstrual pain (dysmenorrhea) is a common complaint among adolescent girls and can interfere with learning activities as well as daily quality of life. So far, the management of menstrual pain has mostly relied on medication, even though there are safe non-drug methods that can be practiced independently, such as shiatsu massage therapy and abdominal stretching exercise. This community service activity aimed to assist students in learning and practicing these two techniques as an effort to reduce menstrual pain. The program was carried out at SMK 5 Karawang through education, demonstrations, and group practice. Participants received a brief explanation about menstrual pain, followed by hands-on guidance to directly try shiatsu massage and abdominal stretching movements. The mentoring process was interactive, including discussions and Q&A sessions, and participants were provided with a simple guidebook so they could continue practicing at home. The results showed an improvement in students’ knowledge and skills based on pre- and post-activity evaluations. Most participants were able to perform the techniques correctly, and many reported a reduction in menstrual pain after practicing the exercises. A simple analysis comparing pre-test and post-test results indicated a clear positive difference. In conclusion, mentoring on shiatsu massage and abdominal stretching exercise can be an easy, safe, and beneficial non-drug solution for adolescent girls in reducing menstrual pain. This program also raised students’ awareness of the importance of reproductive health from an early age.

Implementasi Konsep Mindfulness Dalam Kurikulum Sekolah Untuk Mengurangi Dismenore Primer Pada Siswi Putri Rowawi, Roni; Herlina, Lina
Madu : Jurnal Kesehatan Vol 14, No 1: Juni 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.1.92-99.2025

Dysmenorrhea is a common problem experienced by adolescent girls and can cause problems in daily activities, especially learning activities at school. This disorder not only affects student attendance but also has an impact on a reduced quality of life. This study aims to determine the implementation of the mindfulness concept in the school curriculum as an effort to reduce primary dysmenorrhea in female students of SMAN 5 Karawang. This study employed a qualitative approach with the principal, school stakeholders, physical education, sports and health (PJOK) teachers, and female students of SMAN 5 Karawang as subjects. The results of the study describe a low understanding of the competency standards and basic competencies of PJOK related to mindfulness material. Limitations also exist in human resources and supporting facilities, so that the implementation of mindfulness education is not optimal. Nevertheless, the overall attitude of informants is very supportive of the integration of mindfulness material into PJOK learning. It is recommended that schools improve teacher capacity through cross-sector coordination with health institutions, so that PJOK teachers can gain a better understanding of mindfulness, and curriculum implementation can be more effective.

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