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REDUCING PATIENT ANXIETY UNDERGOING SURGERY THROUGH PROVIDING ANESTHESIA EDUCATION COUNSELING IN KEDIRI DISTRICT GENERAL HOSPITAL Astutik, Reni Yuli; Wijaya, Windy Ari; Khomsiyatin, Binti Ratna
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 7 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v7i2.71563

Abstract

Introduction: Surgery is a medical procedure that can increase anxiety, making preoperative anxiety a common mental health issue experienced by many patients. This study aims to analyze changes of anesthesia education counseling intervention with leaflet in the premedication room on reducing anxiety in patients about to undergo surgery. Methods: This activity was carried out by providing anesthesia education counseling interventions carried out by anesthesiologists using leaflet media to patients before undergoing surgery. This activity began by measuring patient anxiety using the Hamilton Anxiety Rating Scale (HAM-A) questionnaire in 36 patients, then anesthesia education counseling interventions were given and patient anxiety was re-evaluated. Data were analyzed using the Stuart-Maxwell Test, with a significance level of ≤ 0.05. Results: Most respondents had anxiety levels above the mild category (mild to moderate-severe category) totaling 32 patients (94.4%). The majority of these patients fell into the mild to moderate category (16 patients, 44.4%), followed by moderate to severe (10 patients, 27.8%) and severe anxiety (8 patients, 22.2%). Only 2 patients (5.6%) experienced mild anxiety. After the anesthesia education counseling interventions, all respondents exhibited mild anxiety, totaling 36 patients (100%). The results of the Stuart-Maxwell test showed a p-value of 0.000, indicating a significant difference in the level of patient anxiety before and after the anasthesia education counseling intervention. Conclusion: Providing anesthesia education counseling intervention with leaflet in the premedication room has a significant effect on reducing anxiety in patients who will undergo surgery.
Moringa Leaf Extract as a Natural Intervention to Increase Hemoglobin Levels in Postpartum Anemia Reni Yuli Astutik; Suci Anggraeni; Nining Istighosah; Januaris Auktovitis
Journal Of Nursing Practice Vol. 9 No. 1 (2025): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i1.943

Abstract

Background: Postpartum anemia is a significant health problem that contributes to maternal morbidity and mortality. It is estimated that 50–80% of women experience anemia within 48 hours after childbirth. In Indonesia, postpartum anemia is among the leading causes of maternal mortality. Effective and affordable interventions are urgently needed to improve maternal outcomes. Moringa (Moringa oleifera) leaves are rich in iron and essential nutrients that may support hemoglobin synthesis. Purpose: This study aimed to evaluate the effect of Moringa leaf extract on hemoglobin levels in postpartum women with anemia. Methods: A quasi-experimental study was conducted among postpartum women diagnosed with anemia. Participants were divided into an intervention group receiving Moringa leaf extract and a control group receiving standard care. Hemoglobin levels were measured before and after the intervention. Data were analyzed using paired and independent statistical tests with a significance level of p<0.05. Results: The intervention significantly improved hemoglobin levels, with the mean rising from 8.65 g/dL pre-test to 10.93 g/dL post-test (p < 0.05). The average increase of 2.27 g/dL was accompanied by a more uniform distribution, indicating effective enhancement of maternal hemoglobin status after intervention. Conclusion: Moringa leaf extract is effective in increasing hemoglobin levels among anemic postpartum women. This low-cost, natural intervention can be considered as a complementary strategy in the management of postpartum anemia, particularly in low- and middle-income settings. Further large-scale randomized controlled trials are recommended to confirm these findings.
Breastfeeding Behavior and LATCH Score in Postpartum Mothers days 1-7 with Overweight and Obesity Reni Yuli Astutik; Nining Istighosah; Retno Palupi Yonni Siwi
Journal Of Nursing Practice Vol. 7 No. 2 (2024): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v7i2.604

Abstract

Background: Lifestyle changes during pregnancy tend to occur less frequently, and unhealthy eating patterns resulting from consuming fast food can trigger overweight and obesity. Existing research has revealed the influence of obesity on delayed lactogenesis II and low milk production but has not revealed the influence of obesity on breastfeeding behavior and the LATCH score as an early identification of breastfeeding success. Purpose: This study aim to analyzing the differences between overweight and obesity on breastfeeding behavior and LATCH scores in postpartum mothers on 1–7 days. Method: This research uses an analytical design with a observational approach. The sample for this study was all third-trimester primigravida mothers with normal pregnancies who checked themselves at the Kediri City Community Health Center and met the research inclusion criteria amount 86 samples. Breastfeeding behavior data and LATCH scores evaluate use quistionare were assessed on days 1, 3, and 7 days postpartum. Data analysis using SPSS version 26 with paired t test. Results: The breastfeeding behavior scores of both groups did not different at 1 day (45 ± 3.34 vs. 45 ± 3.34; P = 0.760), 3 days (78 ± 5.78 vs. 67 ± 9.03; P = 0.213), and 7 days (10 ± 0.59 vs. 8 ± 0.50; P = 0.087). There was no difference in LATCH scores at 1 day (3 ± 0.67 vs. 3 ± 0.45; P = 0.646) and 3 days postpartum (78 ± 5.78 vs. 6 ± 0.03; P = 0.098), but at 7 days postpartum between the two groups were significantly different (10 ± 0.59 vs. 8 ± 0.50; P < 0.001). Conclusion: The breastfeeding behavior and LATCH score can be used to predict difficulties in breastfeeding experienced by overweight and obese mothers postpartum for 1–7 days. Having an appropriate systematic assessment can help with timely intervention and improvements in breastfeeding techniques so increase breastfeeding success.
The Role of Nanopartikel Green Tea in Enhancing Endothelial Cell Migration in HUVEC Culture exposed to EPC-Conditioned Media in Hyperglycemic Conditions Yuly Peristiowati; Hariyono; Zauhani Kusnul; Reni Yuli Astutik; Nian Afrian Nuari
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.626

Abstract

Backgrounds: The role of endothelial progenitor cells (EPCs) in angiogenesis is impaired in diabetes mellitus. The present study was conducted to observe the effects of nanopartikel green tea on the ability of EPCs exposed to high levels of glucose to release NO and induce endothelial cell migration. Purpose: This study aims to describe the mechanism of the role of green tea nanoparticles in increasing migration of endothelial cells in HUVEC cultures exposed to EPC-CM. The function of EPCs was assessed by evaluating HUVEC migration after administration of EPC-Conditioned Media. HUVEC migration was assessed by the Boyden chamber assay method. Method: Green Tea Nano Particles treatment at doses of 30 nM and 50 nM significantly increased endothelial cell migration at high glucose exposure of 22 mM. At a dose of 50 nM, normal glucose exposure increased endothelial cell migration better than high glucose exposure. Administration of high levels of glucose resulted in a decrease in the ability of EPCs to induce HUVEC migration, decrease in NO of EPCs, and decrease in the factor affecting EPC migration, namely SDF-1α and CXCR4. Results: Administration of 50 μM of nanopartikel green tea could inhibit the decreased ability of EPCs to induce HUVEC migration, and this effect was associated with NO, SDF-1α and CXCR4 concentrations. Conclusions: Administration of nanopartikel green tea could maintain the ability of EPCs exposed to high levels of glucose to release NO and induce HUVEC migration through an increase in SDF-1α and CXCR4.
Analysis of Bitma Juice (Beetroot and Honey) on Increasing Hemoglobin Levels in Pregnant Women Retno Palupi Yonni Siwi; Ilmiatun Nadlifah; Yessy Nur Endah Sary; Reni Yuli Astutik
Journal Of Nursing Practice Vol. 8 No. 2 (2025): January
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i2.747

Abstract

Background: Anemia in pregnant women is generally caused by unmet iron needs. The impact of anemia in pregnant women includes, BBLR (Low Birth Weight), IUGR (Intrauterine Growth Restriction), premature birth and postnatal death. Purpose: This study aims to determine the effect of giving BitMa juice (beetroot juice and honey) on increasing hemoglobin levels in pregnant women in PMB Caecilia Yunita Rahayu Malang City. Methods: The design of this study used a quasi-experiment with a pre-test and post-test control group design. The sample of this study was 32 pregnant women with a purposive sampling technique, have Hb levels <11 g/dL, are willing to be research respondents and cooperate by consuming BitMa juice during the research process, are willing to undergo Hb examination during the pre-test and post-test. The independent variable of this study was beetroot juice and honey, the dependent variable of this study was an increase in hemoglobin levels. The analysis used the Independent Sample T-Test. Results: The results of the study showed that the average Hb level of respondents before receiving BitMa juice treatment was 10.24 gr/dL. The average Hb level of pregnant women who were given BitMa juice was 12.85 gr/dL. The results of the Independent T-Test statistical test showed p = 0.000 <0.05, which means that there is an effect of BitMa juice (Beetroot and Honey) on increasing hemoglobin levels in pregnant women with a significant increase in hemoglobin levels of 20%. Conclusion: Giving BitMa juice (Beetroot and Honey) is effective in increasing hemoglobin levels in pregnant women, because of the iron, folic acid, and vitamin C content in beetroot and honey. So pregnant women with anemia are advised to consume BitMa juice.
Differences in Counseling Using Leaflets with Videos On Perineal Wound Treatment Astutik, Reni Yuli; Purwandari, Eka Sri
Journal of Health Education Vol 6 No 2 (2021): September 2021
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v6i2.40146

Abstract

Background: Perineal wound needs to be treated to prevent infection, so postpartum needs counseling about perineal wound care. The perineal wound healing can be identified if the wound is dry, skin has been fused, not palpable and painless. This research aims to determine the different of counseling using leaflet with video toward perineal wound care behavior in primipara postpartumMethods: Quasi experiment with pre test and post test control group design. Pre test was conducted on the first day of the post partum, post test on the 7th day when the respondent controls the perineum wound. Instrument in this research used questionnaire regarding the behavior of perineal wound care. Samples in the research of a number of 30 people were taken in purposive sampling. Data analysis used the independent T test.Results: There were significant difference in counseling using leaflets and videos about the behavior of perineum wound care. The group that received perineal wound care counseling using video was better (p=0.015) than the leaflet group (p=0.034).Conclusions: Counseling about perineal wound care used videos more effective than leaflets.
Evaluasi Keterampilan Kader dalam Pengukuran Antropometri pada Bayi dan Balita Susanah, Susi; Astutik, Reni Yuli; Suryani, Triska Fajar
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 5 No 6 (2025): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v5i6.735

Abstract

Introduction: Posyandu (community health post) cadres in villages such as Wanakarta, within the Lolongguba Health Center working area, serve as the frontline in monitoring children’s nutritional status. However, observations indicate that cadres often lack accuracy in using anthropometric tools and do not fully comply with standardized procedures, resulting in measurement errors. Objective: This study aimed to evaluate the skills of Posyandu cadres in conducting anthropometric measurements for infants and toddlers by applying Fishbone and SWOT analyses. Method: The activity was implemented using a Health Education Session Plan (Satuan Acara Penyuluhan, SAP). The topic was “Evaluation of Cadres’ Skills in Conducting Anthropometric Measurements on Infants and Toddlers,” involving all cadres in Wanakarta Village. Lectures and discussions were conducted at the Wanakarta Village Hall from September 22 to October 22, 2025, with the main session held on October 11, 2025. Result: The intervention successfully improved cadres’ competencies in weight, height/length, and mid-upper arm circumference measurements. After educational sessions, mentoring, and practical demonstrations, cadres demonstrated better adherence to standard procedures. SWOT Analysis highlighted opportunities for sustainable skill enhancement through continuous training, improved supervision, and strengthened cross-sectoral collaboration. Conclusion: Structured training and mentoring effectively enhanced anthropometric measurement skills among Posyandu cadres. Improved accuracy in data collection supports better growth monitoring in the Kartu Menuju Sehat (KMS). Ensuring sustainability requires ongoing support, adequate equipment, and motivation for cadres to maintain high-quality Posyandu services and early detection of nutrition problems in the community.
Program Kelas Ibu Bahagia: Menuju Masa Nifas Sehat dan Berdaya di Desa Blabak Kecamatan Kandat Kabupaten Kediri Istighosah, Nining; Rohmah, Miftakhur; Mufida, Riza Tsalatsatul; Astutik, Reni Yuli; Wahyuni, Candra; Astikasari, Nita Dwi; Natalia, Shanty; Kumalasari, Eri Puji; Sejati, Putri Eka; Basuki, Stevani; Agustin, Lia; Respati, Laras Laxita Winda; Nawangsari, Elliza Natania
JGEN : Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 6 (2025): JGEN : Jurnal Pengabdian Kepada Masyarakat, Desember 2025
Publisher : Lumbung Pare Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60126/jgen.v3i6.1310

Abstract

Masa nifas merupakan periode penting dalam kehidupan perempuan yang dimulai segera setelah persalinan hingga enam minggu (42 hari) pascapersalinan. Pada fase ini terjadi berbagai perubahan fisiologis, psikologis, dan sosial yang memerlukan adaptasi optimal agar ibu dapat mencapai kondisi kesehatan yang baik dan berdaya. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan pemahaman ibu nifas mengenai perubahan, kebutuhan, dan perawatan selama masa nifas melalui kegiatan Kelas Ibu Bahagia. Metode yang digunakan adalah diskusi dua arah partisipatif. Sasaran kegiatan adalah seluruh ibu nifas di Desa Blabak, Kecamatan Kandat, Kabupaten Kediri, dengan jumlah responden sebanyak 15 orang. Materi yang diberikan meliputi pengertian masa nifas, perubahan fisiologis dan psikologis selama masa nifas, kebutuhan dasar ibu nifas, serta senam nifas. Hasil kegiatan menunjukkan bahwa sebagian besar responden (>67%) mengalami peningkatan pemahaman mengenai masa nifas, perubahan yang terjadi, serta kebutuhan yang harus dipenuhi selama masa nifas. Hal ini ditunjukkan dengan keaktifan responden dalam diskusi, di mana sebanyak 67% responden mampu mengajukan pertanyaan dan memberikan tanggapan terkait materi yang disampaikan. Kesimpulan dari kegiatan ini adalah bahwa edukasi melalui Kelas Ibu Bahagia efektif meningkatkan pemahaman ibu nifas, sehingga diharapkan ibu mampu menerapkan informasi yang diperoleh dalam kehidupan sehari-hari. Dengan demikian, tujuan mewujudkan ibu nifas yang sehat dan berdaya dapat tercapai.
Impact Of Early Mobilization Video Education On Patient Motivation In Mothers After Cesarean Section Nining Istighosah; Agusta Dian Ellina; Eri Puji Kumalasari; Reni Yuli Astutik; Suci Anggraeni; Herlina Yuyun Saputri
Journal of Health Science Community Vol. 6 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v6i2.307

Abstract

Early post-SC mobilization is very important to speed up the mother's recovery process after a cesarean section. One way to increase mothers' understanding and motivation in carrying out early mobilization is by providing information through videos. The aim of this research was to determine the effect of the post SC early mobilization video education method on patient motivation before and after being given education at Permata Hati Way Jepara Hospital. This research is quantitative with a one group pre-post test design. Data were collected using a questionnaire to assess the level of motivation before and after being given education using a video about early post-SC mobilization. The number of respondents was 45 respondents using total sampling technique. The data obtained was processed statistically using the Wilcoxon test. The research results show that the level of motivation of respondents before being given education using the video method was that 23 respondents (51.1%) had high motivation and 22 respondents (48.8%) had low motivation. After respondents were given education, the number of respondents who had high motivation increased, as many as 39 respondents (86.6%) had high motivation and 6 respondents (13.3%) had low motivation. The P value in the Wilcoxon test between motivation before and after being given the intervention is 0.001 (< 0.05), which means that there is an influence of education using the video method on patient motivation in carrying out early post-SC mobilization. There is an influence of the post SC early mobilization video education method on patient motivation before and after being given video education at Permata Hati Way Jepara Hospital.
The Impact Of Rooming-In On Mother–Infant Bonding Among Postpartum Mothers After Spontaneous And Cesarean Birth Riris Linda Ayuningrum; Nining Istighosah; Reni Yuli Astutik; Asruria Sani Fajriah; Suci Anggraeni
Journal of Health Science Community Vol. 6 No. 2 (2025): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jhsc.v6i2.312

Abstract

Efforts to reduce the Infant Mortality Rate (IMR) during the neonatal period include carrying out bonding attachments. There are various ways to support the occurrence of bonding attachment between mother and baby, including the implementation of rooming in and exclusive breastfeeding after delivery (Wijaya et al., 2023). By implementing rooming in, it’s hoped that a good bonding attachment will be created between mother and baby it will have an impact on breastfeeding to support increased achievement of exclusive breastfeeding. This study used a cross-sectional method, with a population of 86 postpartum mothers. Using a purposive sampling technique, the sample was 50 mothers, consisting of 25 spontaneous postpartum mothers and 25 SC postpartum mothers. The results of the study, 84% of postpartum mothers have a good bonding. Based on the Chi-Square test, the result was p=0.000<0.05, H0 was rejected and H1 was accepted, which means there is a relationship between rooming in and bonding attachment in post partum mothers. The distribution of data from 2 groups after the normality test was performed not normal, then a statistical test of the difference between 2 groups using Mann-Whitney U test with the result p = 0.445> 0.05, there was no significant difference between the spontaneous postpartum mother group and the postpartum SC mother group. Hopefully that this research can be developed with a different research design as support for efforts to achieve exclusive breastfeeding.