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OKETANI MASSAGE REDUCES CORTISOL HORMONE LEVELS AMONG BREASTFEEDING MOTHERS IN CITY OF SEMARANG Machmudah Machmudah; Nikmatul Khayati; Sri Widodo; Hapsari Dwi Elsi; Haryanti Fitri
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 4, No 2 (2018): Desember
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.4.2.66-71

Abstract

Introduction: A new role of a mother after giving birth is to breastfeed her baby instead of doing other household choirs. This condition will bring stress and tiredness to a mother. Oketani massage not only being useful for increasing breastmilk production but also provide comfort and a feeling of relaxation for the mother. Aim of this study was to describe cortisol levels in breastfeeding mothers who were given oketani massage therapy combine with acupressure at the GB-21 point. Methodology: This research was a quasi experiment with post test design with a control group with a sample of 20 respondents at each group. Statistical analysis using  independent T-test. Results: There was a significant difference in the levels of cortisol between control group and oketani massage combine with acupressure group (p = 0.003). Discussion: Oketani massage works well as a pain reliever, providing comfort, relaxation for the post partum mothers. This condition will reduce the level of cortisol hormone and increase blood flow to breasts.
Terapi Murottal Al-Qur’an Menurunkan Intensitas Nyeri Post Sectio Caesarea di Rumah Sakit Roemani Muhammadiyah Semarang Eny Purwati; Machmudah Machmudah; Nikmatul Khayati
Jurnal Ilmu Keperawatan Maternitas Vol. 2 No. 1 (2019): May 2019
Publisher : Indonesian National Nurses Association (INNA) of Central Java

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (38.385 KB) | DOI: 10.32584/jikm.v2i1.298

Abstract

Nyeri dapat diatasi dengan penatalaksanaan non farmakologis. yaitu terapi musik, teknik pernafasan, aromaterapi, audionalgesia, akupuntur, transcutaneus electric nerve stimulations (TENS),  kompres dengan suhu dingin panas, sentuhan  pijatan, murrotal dan  hipnotis. Penelitian ini untuk mengetahui perbedaan terapi musik mozart dan murottal Al-Qur’an terhadap intensitas nyeri post sectio caesarea. Jenis penelitian quasi experiment. Desain penelitian pre and post test design. Populasi penelitian ibu sectio caesariea sebanyak 135 kasus. Sampel dibagi menjadi kelompok Terapi Musik Mozart sebanyak 15 orang dan kelompok Murottal Al-Qur’an sebanyak 15 orang. Teknik pengambilan adalah purposive sampling. Uji statistik yang digunakan uji wilcoxon dan mann whitney. Hasil penelitian didapatkan nyeri post sectio caesarea sebelum terapi musik mozart rata-rata  7,47. Nyeri post sectio caesarea sesudah terapi musik mozart adalah 5,13. Nyeri post sectio caesarea sebelum terapi murottal Al-Qur’an rata-rata 6,60. Nyeri post sectio caesarea sesudah terapi murottal Al-Qur’an rata-rata 3,27. Ada perbedaan nyeri post sectio caesarea sebelum dan sesudah terapi musik Mozart (P-value=0,000). Ada perbedaan nyeri post sectio caesarea sebelum dan sesudah terapi murottal Al-Qur’an (P-value=0,000). Ada perbedaan terapi musik mozart dan murottal Al-Qur’an terhadap intensitas nyeri post sectio caesarea (P-value=0,000). Terapi murotal Al Quran lebih efektif mengurangi nyeri karena Murottal Al-Qur’an dapat menurunkan hormon-hormon stres, mengaktifkan hormon endorfin alami, meningkatkan perasaan rileks, dan mengalihkan perhatian dari rasa takut, cemas dan tegang, memperbaiki sistem kimia tubuh sehingga menurunkan tekanan darah serta memperlambat pernafasan, detak jantung, denyut nadi, dan aktivitas gelombang otak. Murottal Al-Qur’an dapat dijadikan SPO di RS Roemani Muhammadiyah Semarang sebagai alternatif untuk mengurangi intensitas nyeri post sectio caesarea. 
Analisis Kemampuan Berbahasa Dan Perilaku Moral Pada Anak Usia Dini Di Masa Pandemi Melalui Metode Bercerita Siti Nurjanah; Machmudah Machmudah; Nurul Kamariyah; Chilyatiz Zahroh; Nur Ainiyah
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 13 No 2 (2022): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v13i2.240

Abstract

Abstract The ocvid-19 pandemic period caused the Minister of Education and Culture to work to carry out online learning (distance) which applies from early childhood learning to higher education. Online learning uses gadgets that are under the supervision of parents, many parents are impatient in assisting early childhood in learning. This causes parents to often get angry by saying rude things to their children. Early childhood needs role models, namely to teach language and good morals from an early age.The purpose of this study was to assess language skills and moral behavior in early childhood using the storytelling method (hand puppets and picture series). This research method is correlative analytic with cross sectional approach. The population in this study were students at PPT Sawahan. The number of samples is 65 children. The sampling technique used was consecutive sampling. The dependent variable in this study is the Storytelling Method. The independent variables are language skills and moral behavior. The instruments used in this study were hand puppets to tell stories, serial cards, while to measure language skills and moral behavior (polite, honest, responsible) using indicators in early childhood education, measured based on observations or observations. The results of the study after being given the method for six meetings with large language interactions (53.85%) developed as expected. Most of the moral behavior (polite, honest, responsible) (61.54%) developed very well. The use of storytelling methods during learning at an early age can improve children's language skills and moral behavior.
The Relationship Between Formula Feeding Patterns and Early Childhood Caries In Preschool Children In Ketileng Village, Todanan Blora Wahyu Nur Zaini; Machmudah Machmudah; Zita Aprillia
Jurnal Kesehatan Gigi Vol 10, No 1: Juni 2023
Publisher : Jurusan Kesehatan Gigi, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkg.v10i1.9530

Abstract

Caries that affects children under 72 months of age is called Early Childhood Caries (ECC). The high caries prevalence rate which reaches 81.5% in children aged 3-4 years is still a problem for Indonesia. One of the reasons for the high incidence of caries in preschoolers is the inappropriate pattern of breastfeeding or formula feeding. The purpose of this study was to analyze the relationship between patterns of formula feeding and ECC in preschool children in Ketileng Village, Todanan, Blora. This study used an analytic observational research design with a cross sectional approach. The research sample was 69 respondents using a purposive sampling technique. Data were obtained from the results of dental examinations using the PUFA index and a questionnaire filled out by parents/guardians of students. Data analysis used the chi square statistical test. The results of the study showed duration, duration, frequency of consumption of formula milk, use of bottles/pacifiers, addition of sweeteners to consumption of formula milk and history of breastfeeding up to 2 years of age, each of which showed a value of p 0.05, which means there is a relationship with ECC. The conclusion of this study is that there is a relationship between the pattern of formula feeding and the presence of ECC in preschool children in Ketileng Village, Todanan, Blora.
Penerapan Senam Dismenorea Pada Remaja Yang Mengalami Gangguan Pemenuhan Kebutuhan Rasa Aman Dan Nyaman Widya Fitri Amaliyah; Nikmatul Khayati; Machmudah Machmudah; Pawestri Pawestri
Prosiding Seminar Nasional Unimus Vol 5 (2022): Inovasi Riset dan Pengabdian Masyarakat Guna Menunjang Pencapaian Sustainable Developm
Publisher : Universitas Muhammadiyah Semarang

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

Abstract

Dismenorea adalah salah satu keluhan kram perut yang terjadi pada saat menstruasi. Dampak yang terjadi apabila dismenorea tidak segera di tangani yaitu dapat meningkatkan kecemasan sehingga menyebabkan penurunan kecakapan serta keterampilan yang beresiko pada gangguan aktivitas, konsentrasi dan prestasi. Penatalaksanaan dismenorea derajat sedang dapat dilakukan secara non farmakologi salah satunya dengan senam dismenorea. Tujuan studi ini untuk mengetahui adanyapenurunan skala nyeri dismenorea pada remaja putri setelah diberikan senam dismenorea. Studi kasus ini menggunakan desain deskriptif dengan pendekatan asuhan keperawatan, subjek studi ini adalah remaja putri dengan skala nyeri dismenore sedang (4-6), tidak mengkonsumsi obat pereda nyeri maupun jamu-jamuan dan tidak melakukan aktivitas fisik serta remaja putri dengan siklus menstruasi teratur. Hasil studi ini menunjukkan bahwa senam dismenorea mampu menurunkanskala nyeri sebanyak 3 pada masing-masing subjek studi kasus, sehingga pada subjek studi kasus 1 dari 6 menjadi 3 dan pada subjek studi kasus 2 dari skala nyeri 5 menjadi 2. Hal itu dikarenakan pada saat melakukan senam jumlah dan ukuran pembuluh darah akan meningkat sehingga mampu mengurangi efek vasokontriksi yang disebabkan kontraksi otot dinding uterus yang menjadi penyebab dismenorea, selain itu saat seseorang melakukan senam hormon endorfin yang merupakan penghilang nyeri alami juga akan meningkat dan memberikan efek relaksasi.. Senam dismenorea hendaknya dapat menjadi terapi komplementer dalam memanajemen nyeri karena selain mampu menurunkan nyeri juga dapat dilakukan dengan mudah dan tanpa biaya yang mahal. Kata Kunci : Dismenore, Senam Dismenore, Nyeri.
Penerapan Aromaterapi Damask Rose Terhadap Tingkat Kecemasan Ibu Pra Op Sectio Caesarea Novi Indah Permatasari; Machmudah Machmudah
Ners Muda Vol 7, No 1 (2026)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/nm.v7i1.21114

Abstract

Latar Belakang (Introduction): Kecemasan pada ibu hamil menjelang Sectio Caesarea (SC) merupakan respons emosional terhadap ancaman integritas tubuh dan keselamatan janin. Kondisi ini memicu peningkatan kadar kortisol dan aktivitas sistem saraf parasimpatis yang dapat menghambat penyembuhan luka serta meningkatkan tekanan darah. Penanganan non-farmakologis diperlukan sebagai alternatif yang minim efek samping bagi ibu dan janin. Penelitian ini bertujuan untuk mengevaluasi efektivitas Penerapan aromaterapi Damask Rose terhadap penurunan tingkat kecemasan pada subyek pra-operasi SC. Metode (Method): Studi kasus ini menggunakan desain Multicase Design dengan pendekatan pre-test dan post-test pada tiga subjek ibu hamil di RSUP dr. Kariadi Semarang. Tingkat kecemasan diukur secara objektif menggunakan instrumen State-Trait Anxiety Inventory (STAI) sebelum dan sesudah intervensi. Intervensi dilakukan 1 jam sebelum tindakan operasi selama 30 menit melalui inhalasi tiga tetes minyak esensial Damask Rose pada media tisu dengan jarak 30 cm dari hidung. Hasil (Result): Ketiga subjek menunjukkan penurunan skor kecemasan yang signifikan setelah intervensi. Subyek 1 turun dari kategori berat (skor 68) ke ringan (41), Subyek 2 dari sedang (58) ke ringan (35), dan Subyek 3 dari berat (66) ke sedang (44). Respon subjektif subyek melaporkan perasaan lebih tenang dan damai setelah sesi inhalasi selesai. Analisis dan Pembahasan (Discussion): Keberhasilan ini didasarkan pada kandungan senyawa kimia mawar seperti linalool dan geraniol yang menstimulasi sistem limbik melalui saraf olfaktori untuk melepaskan neurotransmiter penenang seperti serotonin dan endorfin. Penurunan sekresi hormon stres ini menstabilkan sistem saraf otonom. Simpulannya, aromaterapi Damask Rose terbukti efektif dan direkomendasikan sebagai terapi komplementer dalam asuhan keperawatan maternitas untuk mengurangi kecemasan pra-operasi SC.
THE RELATIONSHIP BETWEEN FORMULA MILK CONSUMPTION AND THE SEVERITY OF CARIES IN PRESCHOOL-AGED CHILDREN AT TK AISYIYAH BUSTANUL ATHFAL 42 SEMARANG Tegar Pramudita; Machmudah Machmudah; Arimbi Arimbi
Dentino: Jurnal Kedokteran Gigi Vol 10, No 1 (2025)
Publisher : FKG ULM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v10i1.22208

Abstract

Background: The most common dental and oral disease in children is dental caries. The high prevalence rate of caries, which reaches 81.5% in children aged 3-4 years, is still a problem for Indonesia. One of the causes of the high incidence of caries in preschool children is improper breastfeeding or formula-feeding patterns. This research aims to analyze the relationship between formula milk consumption and the severity of caries in preschool children at TK Aisyiyah Bustanul Athfal 42 Semarang. Method: This study employs an observational-analytical design, specifically a cross-sectional approach. The population of this study were 71 children from Aisyiyah Bustanul Athfal 42 Kindergarten, Semarang.The sample in this study was 66 children. The research sample consisted of 66 respondents selected using a total sampling technique. Data were obtained from dental examinations using the deft index and questionnaires completed by parents/guardians. The data were analyzed using the chi-square test. Results: The study shows that the length, duration, and frequency of formula milk consumption, the use of bottles/pacifiers, the duration of teat/bottle use, the addition of sweeteners to formula milk, as well as the history of breastfeeding until the age of 2 years and the age at which formula milk was first consumed, all show a p-value <0.05, indicating a significant relationship with caries severity. Conclusion: there is a relationship between formula milk consumption patterns and the severity of caries in preschool children at TK Aisyiyah Bustanul Athfal 42 Semarang
Manajemen Nyeri Persalinan Dengan Peanut Ball Sebagai Upaya Peningkatan Kesiapan Menghadapi Persalinan pada Ibu Hamil Trimester 3 di Wonokromo Fritria Dwi Anggraini; Nur Zuwariyah; Nur Masruroh; Farida Umamah; Fariska Zata Amani; Machmudah Machmudah
Jurnal Pepadu Vol 7 No 1 (2026): Jurnal Pepadu
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/pepadu.v7i1.8073

Abstract

Childbirth should ideally be welcomed with positive emotions such as enthusiasm, comfort, and a strong sense of readiness (Wijma, 2017). However, in reality, psychological issues commonly arise, particularly anxiety before labor, which often leads mothers to feel unprepared for childbirth. This anxiety stems from concerns about the baby’s condition and fear of being unable to cope with the pain caused by uterine contractions. As a result, mothers may feel unsure and lack confidence in their ability to undergo labor safely and comfortably, causing them to feel unready as they approach term. This community engagement program aims to address these needs through a preventive approach, specifically by enhancing childbirth readiness and strengthening pain management skills among third-trimester pregnant women. The intervention introduces non-pharmacological pain management using the Peanut Ball as a practical method to support mothers during late pregnancy. The target participants were pregnant women residing in the catchment area of Wonokromo Public Health Center, particularly those in RW 01 and RW 04, along with local health cadres. Education was provided through one-on-one home visits involving explanation, hands-on demonstration, and guided practice using prepared educational materials, including leaflets and the Peanut Ball. The program outcomes showed an improvement in both physical and psychological readiness for childbirth, measured using the Childbirth Readiness Scale (CRS), increasing from 65% to 82.1%. This program proved effective in enhancing childbirth preparedness and can be adopted as a community-level non-pharmacological intervention. Through this intervention, mothers are expected to better manage contraction-related pain and approach labor with improved physical and psychological readiness.