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The Relationship between Stress Levels and Premenstrual Syndrome in Nursing Students at Harapan Bangsa University Nisa, Nur Khoerotun; Haniyah, Siti; Dewi, Feti Kumala
Viva Medika Vol 16 No 4 (2023)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i4.1193

Abstract

During the luteal phase of the menstrual cycle, which typically begins 7-10 days before menstruation and ends with menstruation, women of childbearing age often experience a collection of physical, behavioral, and emotional symptoms known as premenstrual syndrome (PMS). Stress levels are among the factors that can contribute to PMS. The objective of this study is to investigate the relationship between stress levels and PMS. This research employs a quantitative approach, using descriptive correlation methods and a cross-sectional design. The sample consisted of 62 respondents, selected through total sampling. Data were collected using a shortened Premenstrual Assessment Form (SPAF) questionnaire and the Perceived Stress Scale (PSS). Statistical analysis involved the Spearman Rank Test, which revealed a significant relationship between stress levels and PMS among Nursing Study Program students at Harapan Bangsa University Undergraduate Program. The p-value was 0.000, which is less than the significance level (α = 0.05), leading to the rejection of the null hypothesis (H0).The correlation coefficient (r) was calculated to be 0.456, indicating a moderate strength of correlation. This suggests that higher stress levels are associated with a greater perceived severity of PMS symptoms. Female students demonstrated an ability to both avoid stressors and manage stress, which can help reduce the occurrence of PMS symptoms
Monthly Breast Exam Pada Remaja Sebagai Upaya Deteksi Dini Kanker Payudara: Monthly Breast Exam Pada Remaja Sebagai Upaya Deteksi Dini Kanker Payudara Hikmanti, Arlyana; Feti Kumala Dewi; Linda Yanti; Susilo Rini
Jurnal Pengabdian Masyarakat - PIMAS Vol. 3 No. 3 (2024): Agustus
Publisher : LPPM Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/pimas.v3i3.1533

Abstract

Breast cancer is a malignancy that often occurs in women, especially in women who have menstruated, including teenagers. However, these women often misunderstand the benefits of breast cancer screening programs such as Awareness examinations, clinical examinations and mammography examinations. The health problem faced at SMA Negeri 1 Rancah Ciamis, West Java is that teenagers do not know about the Monthly Breast Self Exam or are aware of it. The methods used in this PkM include preparation, socialization of the importance of solutions, participant screening, implementation of activities, monitoring and evaluation. This science and technology implementation program aims to: 1). Improving teenagers' skills in carrying out Monthly Breast Self Exam/awareness examinations to detect breast cancer early. 2). Awareness examination was carried out by teenagers to detect breast cancer early at SMA Negeri 1 Rancah Ciamis, West Java. The results of this activity are 1). Adolescents are skilled in carrying out Monthly Breast Self Exams/be aware to detect breast cancer early; 2). Monthly Breast Self Exam/be aware by teenagers for early detection. Keywords: early detection, monthly breast exam, teenagers
Meminimalisir Patologi Kehamilan dengan Deteksi Dini Faktor Resiko Irawati, Fanni Siska; Yanti, Linda; Dewi, Feti Kumala
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 10 (2024): Volume 7 No 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i10.16569

Abstract

ABSTRAK Data Angka Kematian Ibu (AKI) di Indonesia mengalami peningkatan setiap tahunnya, dimana AKI meningkat dari 4.627 kematian tahun 2020. Angka AKI wilayah Banjarnegara pada tahun 2022 mencapai 130,83 per 100.000 kelahiran hidup. Upaya menurunkan angka kematian ibu adalah peningkatan pengetahuan melalui penyuluhan. Tujuan pada pengabdian ini yaitu meminimalisir patologi kehamilan dengan deteksi dini faktor risiko. Metode yang digunakan adalah metode penyuluhan. Alur kegiatanya meliputi persiapan dan koordinasi, skrining peserta, pretest, penyuluhan, pemeriksaan deteksi dengan Skor Poedji Rochjati, postest, monitoring dan evaluasi. Kegiatan dilakukan di rumah kader Bantarwaru 24 desember 2023 dengan jumlah 9 peserta. Hasil dari penyuluhan sebagian besar usia reproduksi sehat 7 orang (77,8%), sebagian besar pendidikan dasar 6 orang (66,6%), gravida terbanyak multigravida 6 orang (66,6%) dan paritas terbanyak  pada primipara 8 orang (88,8%).Berdasarkan skor poedji rochjati terdapat 2 (22,2%) dengan hasil scrinning usia >35 tahun memiliki kategori kehamilan risiko tinggi (KRT).Berdasarkan hasil Pengabdian Kepada Masyarakat dari hasil pretest mayoritas memiliki nilai baik sejumlah 4 responden (44,4%). Berdasarkan hasil Pengabdian Kepada Masyarakat dari hasil prostest terdapat peningkatan pengetahuan baik sebanyak 6 orang (66,6%) karena memperhatikan dengan baik saat diberi materi penyuluhan. Kata Kunci: Kehamilan,Pengetahuan, Faktor Resiko Kehamilan, Deteksi Dini  ABSTRACT Data on maternal mortality rate increases every year, the MMR increased from 4,627 deaths 2020. The Maternal Mortality Rate in Banjarnegara Regency in 2022 will reach 130.83 per 100,000 live births. Efforts made to reduce maternal and newborn mortality rates are increasing knowledge through outreach. The aim of this service is to minimize pregnancy pathology by early detection of risk factors. The method used is the extension method. The flow of activities includes preparation and coordination, participant screening, pretest, counseling, detection examination with the Poedji Rochjati Score, posttest, monitoring and evaluation. The activity was carried out at the Bantarwaru cadre's house on December 24 2023 with a total of 9 participants. The results of the counseling were mostly healthy reproductive age 7 people (77.8%), mostly basic education 6 people (66.6%), gravida mostly multigravida 6 people (66.6%) and most parity in primipara 8 people (88 .8%). Based on the Poedji Rochjati score, there were 2 (22.2%) with screening results aged >35 years who had the high risk pregnancy (KRT) category. Based on Community Service results from the pre test results, the majority of respondents had good knowledge, 4 people (44.4 %). Based on the Community Service results from the prostest results, there was an increase in good knowledge by 6 people (66.6%) because they paid good attention when given counseling material. Keywords : Pregnancy, Knowledge, Pregnancy Risk Factors, Early Detection
PENGARUH LAID BACK POSITION TERHADAP NYERI LASERASI PADA IBU POST PARTUM Feti Kumala Dewi; Linda Yanti; Susilo Rini
Jurnal Cakrawala Ilmiah Vol. 3 No. 11: Juli 2024
Publisher : Bajang Institute

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Abstract

Tindakan episiotomi maupun robekan perineum yang terjadi spontan mempunyai dampak ketidaknyamanan pada ibu postpartum. Ketidaknyamanan berupa nyeri perineum, inkontinensia urin dan dyspareunia. Laid back position dapat menjadi salah satu alternatif bagi ibu menyusui pasca kelahiran seksio sesarea dan nyeri laserasi. Laid back position yaitu posisi menyusui dengan ibu yang bersandar pada bantal yang diletakkan di atas kursi, tempat tidur, maupun dinding. di Puskesmas Mandiraja 1 terdapat 25 ibu post partum dengan laserasi dan 15 diantaranya mengalami kesulitan dalam menyusui anaknya. Tujuan penelitian ini adalah untuk mengetahui Pengaruh Laid Back Position Terhadap Nyeri Laserasi Pada Ibu Post Partum. Metode penelitian Quasy Eksperimental dengan pendekatan One Group Pre Test Post Test Design. Penelitian menggunakan data primer. Populasi dalam penelitian adalah ibu primipara dan multipara dengan persalinan normal, jumlah responden sebanyak 20 responden. Teknik pengambilan sampel adalah accidental sampling. Instrument penelitian ini menggunakan checklist Visual Analog Scale. Analisa data bivariate menggunakan Uji Wilcoxon. Hasil penelitian karakteristik usia tertinggi adalah usia 21-35 tahun sejumlah 15 responden (75%), pendidikan tertinggi adalah pendidikan menengah (SLTA) sejumlah 12 responden (60%) dan paritas tertinggi adalah primipara sejumlah 11 responden (55%). Hasil uji wilcoxon test Pengaruh Laid Back Position Terhadap Nyeri Laserasi Pada Ibu Post Partum didapatkan nilai p-value 0,000 (p<0,05) sehingga ada pengaruh Laid Back Position Terhadap Nyeri Laserasi Pada Ibu Post Partum. Dengan Laid Back Position responden merasa nyaman dan rileks sehingga mampu meminimalkan rasa nyeri pada luka jahitan
Implementasi Kombinasi Warm Footbath dan Slow Stroke Back Massage Pada Ibu Hamil dengan Hipertensi di Puskesmas Bawang I Banjarnegara Supayo, Sri Ayuni; Rini, Susilo; Dewi, Feti Kumala
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/snppkm.v4i1.1364

Abstract

Hipertensi merupakan gangguan kardiovaskuler pada kehamilan yang dapat menyebabkan peningkatan tekanan darah karena penyempitan dari pembuluh darah. Terapi non farmakologis yang dapat digunakan untuk mengurangi hipertensi adalah Warm Footbath dan slow stroke back massase yang dapat memberikan relaksasi, melancarkan sirkulasi darah dan menurunkan tekanan darah. Tujuan dari pengabdian kepada masyarakat ini adalah melatih Warm Footbath dan Slow Stroke Back Massage pada ibu sebagai upaya dalam menurunkan tekanan darah pada ibu hamil. Metode pengabdian kepada masyarakat dilakukan melalui pengkajian data dengan memberikan pengetahuan dan melatih pemberian Warm Footbath dan Slow Stroke Back Massage serta menilai hasil pretest dan posttest. Pelaksanaannya dengan melakukan pemberian Warm Footbath dan Slow Stroke Back Massage selama 15 menit dalam satu hari selama 3 hari. Sasaran dalam PkM ini adalah 5 ibu hamil dengan hipertensi. Hasil menunjukan bahwa berdasarkan usia secara keseluruhan responden dengan rentang usia 26-35 tahun (100%). Paritas paling dominan pada kategori multipara (80%). Tingkat pendidikan ibu secara keseluruhan dengan tingkat pendidikan menengah (100%). Rata-rata tekanan darah sistolik sebelum 153,60 mmHg dan setelah pemberian terapi menjadi 133,40 mmHg. Tekanan darah diastolik rata-rata sebelum pemberian terapi 104 mmHg dan setelah pemberian terapi menjadi 90,40 mmHg. Dapat disimpulkan bahwa terapi warm footbath dan slow stroke back massase efektif dalam menurunkan tekanan darah pada ibu hamil dengan hipertensi.
Studi Kasus Kombinasi Centuki (Cendol Daun Katuk Dan Kacang Hijau) Untuk Meningkatkan Produksi Asi Pada Ibu Menyusui Di Puskesmas Banjarnegara 2 Anita, Debbi Tri; Dewi, Feti Kumala; Hikmanti, Arlyana
Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 2025 Prosiding Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat (SNPPKM 2025)
Publisher : Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/snppkm.v4i1.1410

Abstract

Breast milk production after childbirth is not always optimal, as it is influenced by physiological and psychological factors. Non-pharmacological interventions using natural ingredients can support successful lactation. CENTUKI contains aliphatic compounds that are effective in increasing breast milk production and vitamin B1, which plays a role in converting carbohydrates into energy, strengthening the nervous system, and supporting breast milk production. This study aimed to identify maternal characteristics and evaluate the effectiveness of the CENTUKI combination (katuk leaf cendol and mung beans) in increasing breast milk volume at Banjarnegara 2 Health Center. This research employed a case study design involving 4 breastfeeding mothers with infants aged 0–6 months. The intervention consisted of administering 500 ml of CENTUKI daily for 5 consecutive days. Data were collected through interviews, observations, and measurements of breast milk volume using a breast pump before and after the intervention. The results showed that the average breast milk volume before intervention was 37.5 ml, which increased to 70 ml after 5 days, with an average increase of 32.5 ml. Respondents’ characteristics were mostly aged 20–35 years (75%), primiparous (75%), housewives (100%), and had a high school education (50%). The CENTUKI combination was proven effective in increasing breast milk production and may serve as a complementary intervention to support the success of exclusive breastfeeding
Pengaruh Mobilisasi Dini ROM Pasif terhadap Waktu Pulih Sadar pada Pasien Lansia Pasca General Anestesi di RSD Gunung Jati Kota Cirebon Dani, Dwi Darmawan; Novitasari, Dwi; Dewi, Feti Kumala
Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan) Vol 4 No 2 (2025): Jurnal Pustaka Keperawatan
Publisher : Pustaka Galeri Mandiri

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Abstract

As people age, physiological changes significantly impact the cardiovascular, respiratory, renal, and central nervous systems, as well as drug elimination processes. These changes make elderly individuals more vulnerable to the side effects of general anesthesia, potentially prolonging recovery time and increasing the risk of postoperative complications. This study aims to assess the effect of early passive Range of Motion (ROM) mobilization on the recovery time of consciousness in elderly patients post-general anesthesia at RSD Gunung Jati, Cirebon. The study used a quasi-experimental design with a posttest-only non-equivalent control group. A total of 42 elderly patients participated, divided into two groups: 21 patients in the intervention group who received 10 minutes of passive ROM mobilization, and 21 patients in the control group who received standard postoperative care. Recovery of consciousness was assessed using the Modified Aldrete Score, monitored every 5 minutes until a score of ?9 was achieved. Data were analyzed using the Shapiro-Wilk test for normality and the Mann-Whitney test to examine the effect of ROM mobilization on recovery time. The results showed the intervention group had a mean recovery time of 22.86 minutes (SD 2.28), compared to 27.14 minutes (SD 6.90) in the control group. Statistical analysis revealed a significant effect (p < 0.000). These findings support the claim that early passive ROM mobilization effectively accelerates recovery of consciousness in elderly patients after general anesthesia and should be considered as an adjunct strategy in the Post Anesthesia Care Unit (PACU).
Perbedaan edukasi spinal anestesi menggunakan video dan booklet terhadap tingkat kecemasan pasien pre anestesi spinal Ubjaan, Natasya Putri; Burhan, Asmat; Dewi, Feti Kumala
Holistik Jurnal Kesehatan Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1679

Abstract

Background: Spinal anesthesia often causes anxiety in preoperative patients, which may affect the anesthesia process and postoperative recovery. Preanesthetic education is therefore needed to reduce patients’ anxiety levels. Purpose: To determine the difference in the effectiveness of spinal anesthesia education using video and booklet media on anxiety levels in pre–spinal anesthesia patients. Method: This study employed a quantitative approach with a quasi-experimental pre-test–post-test with control group design. A total of 38 participants were divided into a video group and a booklet group. Data were collected using the APAIS (Amsterdam Preoperative Anxiety and Information Scale) questionnaire. Data analysis was conducted using the Wilcoxon test and the Mann–Whitney U test. Results: There was a significant reduction in anxiety levels before and after the educational intervention in both the video and booklet groups (p < 0.05). Furthermore, a significant difference in anxiety levels was found between the two groups after the intervention, with a mean rank of 45.82 in the video group and 31.18 in the booklet group (p < 0.05). Conclusion: Preanesthetic education using both video and booklet media is effective in reducing patients’ anxiety levels. However, video-based education is more effective than booklet-based education in reducing anxiety among pre–spinal anesthesia patients.   Keywords: Anxiety; Booklet; Education; Preoperative; Spinal Anesthesia; Video.   Pendahuluan: Spinal anestesi sering menimbulkan kecemasan pada pasien preoperasi yang dapat berdampak pada proses anestesi dan pemulihan. Edukasi preanestesi diperlukan untuk menurunkan tingkat kecemasan tersebut. Tujuan: Untuk mengetahui perbedaan edukasi spinal anestesi menggunakan video dan booklet terhadap tingkat kecemasan pasien pre anestesi spinal. Metode: Penelitian kuantitatif dengan desain quasi experiment pre-test post-test with control group. Sampel berjumlah 38 partisipan yang dibagi menjadi kelompok video dan booklet. Instrumen menggunakan kuesioner APAIS. Analisis data menggunakan uji Wilcoxon dan Mann Whitney U. Hasil: Terdapat penurunan tingkat kecemasan yang signifikan sebelum dan sesudah pemberian edukasi baik pada kelompok video maupun booklet (p < 0.05). Selain itu, terdapat perbedaan tingkat kecemasan yang bermakna antara kedua kelompok setelah diberikan edukasi, dengan nilai mean rank kelompok video sebesar 45.82 dan kelompok booklet sebesar 31.18 (p < 0.05). Simpulan: Edukasi preanestesi spinal menggunakan media video dan booklet sama-sama efektif dalam menurunkan tingkat kecemasan pasien. Namun, edukasi menggunakan media video terbukti lebih efektif dibandingkan media booklet dalam menurunkan tingkat kecemasan pasien preanestesi spinal.   Kata Kunci : Booklet; Edukasi; Kecemasan; Pre Operasi; Spinal Anestesi; Video.
Co-Authors Ailsya Farhana Anas, Fauriza Hayatul Anatria Septama Putri Anita, Debbi Tri Apriliani, Ita Apriliyani, Ita Ari Hidayatun Ari Yogo Prasetiyo Ariya Dwi Kristiyanti Arni Nur Rahmawati Asih Syifa'ul Hasanah Asmat Burhan Aulia, Noval Bagas Kara Alfaridzi Berliana Putri Utami Burhan, Asmat Danang Tri Yudono Dani, Dwi Darmawan Desy Yulita Dewi Ayu Lestari Dewi, Anggi Gusti Dwi Febriana Aini Dwi Novitasari Elvina, Windy Evi Dayanti Faizah, Maisarotul Fauziah Hanum Nur Adriani Fauziah Hanum Nur Adriyani Fauziah Hanum Nur Adriyani Fika Warginingtyas Fitri Nurhayati Fitriani, Revica Nur Hadi Heri Nurhanto Hikmanti, Arlyana Imas Hartanti Indah Liyana Sari Indri Heri S Inggar Permana Putri Irawati, Fanni Siska Islamiati, Shinta Ita Apriliyani Ita Apriliyani Linda Yanti Made Suandika Madyo Maryoto Madyo Maryoto Marfungah, Sari Fatul Maya Anjarsari Maya Safitri Melati Khusnanisa Murniati . Murniati Murniati Ni'mah, Khoirun Nisa, Nur Khoerotun Noval Aulia Novita Kustriani Nur Adriyani, Fauziah Hanum Nur Fatichahtus Sa'adah Nur Oktariani Nuraeni Nuraeni Nurjanah, Sifa Siti Oktaviana Oktaviana Oktaviani, Fani Try Peppy Octaviani Dewi Permani, Nara Putri, Noor Rochmah Ida Ayu Trisno Rahmadiya Hadi Putri Rahmaya Nova Handayani Ratih Padmasari Rere Ardia Cahyani Ririn Isma Sundari Roro Lintang Roro lintang Rosi Kurnia Sugiharti Said Muhammad Yusuf SANTI SUSANTI NINGSIH Septian Mixrova Sebayang Setiowati, Marliana Sulis Siti Haniyah solehah, Fita ayu Supayo, Sri Ayuni Surtiningsih Surtiningsih Surtiningsih SURTININGSIH, SURTININGSIH Susilo Rini Susilo Rini Susilo Rini, Susilo Taat Agung Widodo Tin Utami Tin Utami Tono Aminudin Tophan Heri Wibowo Ubjaan, Natasya Putri Wahyu Dianto Wasis Eko Kurniawan Wasis Eko Kurniawan Wibowo, Tophan Heri Wilis Sukmaningtyas Wulandari, Nelsa Mei Yudono, Danang Tri Yustika, Dewani Yusuf, Said Muhammad