Articles
<![CDATA[Deep Back Massage as Therapy For Labor Pain In The 1st Stage ]]>
<![CDATA[Sri Rejeki]]>;
<![CDATA[Tri Wahyu Novianti]]>;
<![CDATA[Machmudah Machmudah]]>;
<![CDATA[Nikmatul Khayati]]>
<![CDATA[ Media Keperawatan Indonesia Vol 5, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/mki.5.1.2022.67-72
<![CDATA[Pain is always felt by the mother in the labor process. Pain is a physiological process of the body caused by uterine contractions. The pain felt by the mother ranged from mild to severe pain. Severe pain can result in neurogenic shock, so the labor process takes a long time. Therefore, this pain needs to be treated. Non-pharmacological pain therapy is an alternative to reduce labor pain. The purpose of this study was to determine the effect of back massage (deep back massage) on the intensity of labor pain in the first stage. This study uses the Quasy Experiment with one group pretest-posttest design. The sampling technique used purposive sampling and obtained 35 intrapartum mothers with the inclusion criteria: Mothers with term pregnancy (37-41 weeks), vaginal delivery in the first stage of the active phase, up to 10 cm, single fetus and mother can communicate verbally. Before doing back massage therapy, the mother was given a sheet. The study was carried out according to the procedure, namely giving a massage on the back for 20 minutes then the intensity of pain was measured by NRS (Numeric rating scale) post-test with a distance of 5-10 minutes after being given a back massage. The data after the Shapiro-Wilk normality test and Wilcoxon test data analysis showed that before the back massage the mean was 6.23, while after the back massage the mean was 5.14. The results of the analysis show p-value = 0.000 (0.000). Conclusion: There is an effect of back massage on the intensity of maternal pain in the first stage of labor]]>
<![CDATA[Maternal interleukin-6 and prostaglandin levels post-regiosacral counter-pressure as pain therapy due to uterine contractions ]]>
<![CDATA[Sri Rejeki]]>;
<![CDATA[Achmad Solichan]]>;
<![CDATA[Fitri Nuroini]]>
<![CDATA[ Media Keperawatan Indonesia Vol 4, No 4 (2021) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/mki.4.4.2021.291-297
<![CDATA[Pain is a physiological condition that is generally experienced by almost all mothers in labor or pain during menstruation (dysmenorrhea). Pain causes tachycardia in the mother, increased oxygen consumption, lactic (lactic) acid production, hyperventilation with a risk of respiratory alkalosis, and increased skeletal muscle tension. Regiosarcal Counter Pressure is an effective therapy to reduce pain due to uterine contractions. Based on research that has been done, Regiosarcal counter-pressure therapy can reduce pain levels and has also been shown to slightly reduce prostaglandin (PGE-2) levels in an insignificant amount. Changes in PGE-2 are suspected to have an impact on the stimulant hormone Interleukin-6 (IL-6). This study aims to determine the levels of IL-6 and prostaglandins in the first stage of labor. The research method used quasi-experimental, with inclusion criteria of first-stage labor, no pelvic abnormalities and other abnormalities that hindered the process of vaginal delivery, primiparas, singleton pregnancies, the location of the head did not receive painkillers. The results obtained 25 respondents with an average age of 23.72 (± 2.89) years, the average concentration of IL-6 before therapy was 185.159 (± 3.76) pg/ml and the mean after therapy was 180.782 (± 22.05) pg. /ml, the mean concentration of PGE2 before treatment was 223.521 (± 72.73) pg/ml and the mean after treatment was 179.873 (± 110.61) pg/ml. Administration of regiosacral counter-pressure therapy did not significantly reduce the levels of the hormone IL-6 and prostaglandins in women who experienced uterine contractions.]]>
<![CDATA[Overview of experiences of pregnant women about the role of nurses as educators on healthy behaviors of the Era of Sustainable Development Goals pregnancy ]]>
<![CDATA[Much Nurkharistna Al Jihad]]>;
<![CDATA[Sri Rejeki]]>;
<![CDATA[Elis Hartati]]>
<![CDATA[ Media Keperawatan Indonesia Vol 3, No 3 (2020) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/mki.3.3.2020.129-136
<![CDATA[Maternal Mortality Rate (MMR) in Indonesia is still high. One of the indirect causes of maternal death is the behaviour of pregnant women. Information is needed about the role of nurses as educators on the healthy behaviour of pregnant women. The purpose of the study was to find a picture of the experience of pregnant women related to the role of nurses as educators on the healthy behaviour of pregnant women. This type of research is a qualitative phenomenological. As the population is pregnant women in the city of Semarang, samples were taken by convenience sampling technique of 6 people. Data collection was carried out by in-depth interviews. Analysis of qualitative data with the Colaizzi model. The results found 3 themes describing the role of nurses as educators on healthy behaviour of pregnant women, namely the role of nurses as educators, efforts made by pregnant women in pregnancy care, and expectation of mothers towards the role of nurses. The conclusion of this research is the role of nurses in healthy behaviour of pregnant women, healthy behaviour of mothers in the form of physical health care, nutritional needs of pregnant women, supporting food needs, routine examination of pregnant women (antenatal care), and establishing emotional relations with the fetus.]]>
<![CDATA[The Positive Report Of benson Relaxation For Acute Miocard Infark Pain: A Case Report Study ]]>
<![CDATA[Dwi Nur Rahmantika Puji Safitri]]>;
<![CDATA[Sri Rejeki]]>;
<![CDATA[Edy Soesanto]]>;
<![CDATA[Muhammad Ali]]>
<![CDATA[ South East Asia Nursing Research Vol 3, No 4 (2021) ]]>
Publisher : <![CDATA[University of Muhammadiyah Semarang ]]>
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DOI: 10.26714/seanr.3.4.2021.172-178
<![CDATA[Structured Acute Myocardial Infarction (AMI) is myocardial necrosis caused by inadequate blood supply due to acute blockage of the coronary arteries. Typical signs and symptoms experienced in AMI patients are chest pain such as squeezing, pressing, stabbing, heat or being crushed by heavy objects. Giving pharmacological therapy such as oxygen, nitroglycerin and aspirin can reduce AMI pain, but if the effects of the drug begin to decrease the pain will back, so complementary therapy is needed to help reduce pain in AMI patients. The purpose of the research is to evaluate Benson's relaxation effect in reducing chest pain in acute myocardial infarction (AMI). The descriptive method was used by involving 2 subjects who experience chest pain. The intervention was carried out once a day for 2 days with an intervention duration of 30 minutes. The results of the evaluation were obtained, there was a decrease in both patients from 5 scales to 2 scales in patient 1 and 1 scale in patient 2. The combination of both pharmacological therapy and Benson relaxation can reduce the scale of pain. Benson relaxation can be used as a complementary therapy in reducing pain in AMI patients.]]>
<![CDATA[Job satisfaction of nurses at inpatients primary health care in Demak regency ]]>
<![CDATA[Edy Soesanto]]>;
<![CDATA[Arief Yanto]]>;
<![CDATA[Ninin Irani]]>;
<![CDATA[Satriya Pranata]]>;
<![CDATA[Sri Rejeki]]>;
<![CDATA[Priyo Sasmito]]>
<![CDATA[ International Journal of Public Health Science (IJPHS) Vol 11, No 4: December 2022 ]]>
Publisher : <![CDATA[Intelektual Pustaka Media Utama ]]>
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DOI: 10.11591/ijphs.v11i4.21529
<![CDATA[The majority of activity among nurses in primary health care in Indonesia is still high for non-productive activities. Non-productive activities are closely related to job dissatisfaction then has an impact on work performance. This study aims to analyze the job satisfaction of nurses in primary health care facilities in Indonesia. This study used a quantitative descriptive design. The research used a cross-sectional approach. The subjects of this study are nurses (N= 226 people) who served in 15 inpatients' primary health care. The sampling technique uses a proportionate simple random sampling technique. Nurse job satisfaction instruments assess context factors and content factors. Nurse job satisfaction on context factor is in a good category by a big responsibility for nurse's work (55.2%), progress in work developed well (63.4%), nurses had the opportunity to achieve achievement (54.5%), nurses get great recognition for performance (58.6%) and feel their work is valuable (65.5%). Job satisfaction was supported by policy indicators, supervision, salary, interpersonal relationships, and good working conditions. On the other hand, nurses' job satisfaction on the content factor still needs to be optimized. This is supported by the job satisfaction of nurses on the indicators of responsibility, achievement, performance recognition that has not reached 60%. Therefore, job satisfaction among nurses in inpatient primary health care was quite good enough but still requires optimization on the content factor.]]>
<![CDATA[Mother's Efforts in Increasing Breast Milk Production ]]>
<![CDATA[Gadhis Yunita Sari]]>;
<![CDATA[Yuni Puji Widiastuti]]>;
<![CDATA[Istioningsih Istioningsih]]>;
<![CDATA[Sri Rejeki]]>
<![CDATA[ Proceedings of the International Conference on Nursing and Health Sciences Vol 1 No 1 (2020): November 2020 ]]>
Publisher : <![CDATA[Global Health Science Group ]]>
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<![CDATA[Exclusive breastfeeding coverage in Indonesia is only 42%. The low number of breast milk covers is due to the smooth production of breast milk. The smooth production of breast milk can be increased by various efforts, including maternal efforts. This research aims is to assess mothers' efforts to increase breast milk production. This research design is descriptif with crossectional design. The number of responden are 57 responden with total sampling. The results of this study represent the majority of mothers' efforts to increase breast milk production in the "less" category (64.9%) in Kebondalem Village. Efforts that have not been made by mothers during pregnancy, childbirth and breastfeeding, such as attending breastfeeding counseling and applying warm compresses to the breasts when they feel tight. The mother efforts that done during pregnancy are pregnancy exercise, consume vegetables that can improve breast milk produktion (lactogoge), also early breastfeeding initiation in childbirth periode and family support especially husband, psicological condition and comfort in post partum periode.]]>
<![CDATA[GAMBARAN KECEMASAN IBU HAMIL DI ERA PANDEMI COVID-19 ]]>
<![CDATA[Sri Rejeki]]>;
<![CDATA[Rozikhan Rozikhan]]>;
<![CDATA[Eni Hidayati]]>
<![CDATA[ Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 11, No 2 (2022): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama ]]>
Publisher : <![CDATA[STIKES Cendekia Utama Kudus ]]>
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DOI: 10.31596/jcu.v11i2.1114
<![CDATA[ABSTRAK Latar belakang.: Kecemasan pada saat kehamilan merupakan masalah yang serius karena angka kematian ibu hamil sebesar 80% akibat kecemasan yang tinggi. Timbulnya kecemasan disebabkan oleh faktor-faktor yang mempengaruhi, antara lain faktor internal kehamilan itu sendiri dan faktor eksternal karena lingkungan keluarga dan lingkungan luar keluarga. Di negara maju tingkat kecemasan sekitar 7-20% dan di negara berkembang lebih dari 20%. Tingkat kecemasan yang terjadi pada ibu hamil primigravida lebih besar dibandingkan dengan ibu hamil multigravida, namun di era pandemi Covid-19 dapat meningkatkan kecemasan pada ibu hamil terutama yang menjelang proses persalinan. Tujuan dari penelitian untuk melihat perbedaan tingkat kecemasan ibu primigravida dan multigravida di era pandemi Covid-19. Metode Penelitian ini menggunakan studi cross sectional, dimana antara paparan dan hasil dilihat pada waktu yang bersamaan. Metode pengambilan sampel menggunakan accidental sampling, diperoleh total 72 responden, terdiri dari 21 responden primigravida dan 51 multigravida. Hasil Penelitian: Analisis penelitian menggunakan rerata perbandingan independent sample t-test. Ibu hamil primi lebih banyak mengalami kecemasan (57,1%) dibandingkan dengan ibu hamil banyak (27,4%). Terdapat perbedaan nilai kecemasan yang signifikan antara ibu hamil primer dan multipel pada trimester III di era pandemi Covid-19, (p value 0,003 < 0,05). Kesimpulan: Di era pandemi Covid-19, ibu hamil primigravida lebih banyak mengalami kecemasan dibandingkan dengan ibu hamil multigravida. Kata Kunci: Kecemasan, covid 19]]>
<![CDATA[Efektifitas Bubuk Kayu Manis Terhadap Penurunan Skala Nyeri Pada Klien Arthritis Gout ]]>
<![CDATA[Hendrik Hidayatullah]]>;
<![CDATA[Sri Rejeki]]>
<![CDATA[ Ners Muda Vol 3, No 2 (2022) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/nm.v3i2.8387
<![CDATA[Arthritis gout merupakan penyakit metabolik yang ditandai oleh penumpukan asam urat yang menyebabkan nyeri pada sendi. Prevalensi penyakit asam urat di indonesia berdasarkan diagnose tenaga kesehatan sebesar 11,9% dan berdasarkan diagnosis atau gejala 24,7% jika dilihat dari karateristik umur, prevalensi tinggi pada umur ≥ 75 tahun (54,8%). Penderita perempuan juga lebih banyak (8,46%) dibandingkan dengan laki-laki (6,13%). Tujuan dari penerapan ini adalah mengetahui tingkat efektifitas bubuk kayu manis terhadap penurunan skala nyeri pada penderita arthritis gout di wilayah Kuningan Jawa Barat. Metode deskriptif dengan pendekatan studi kasus asuhan keperawatan. Responden adalah 2 responden penderita asam urat dan dikelola selama 7 hari dengan pemberian tindakan keperawatan berupa terapi bubuk kayu manis dengan frekuensi 1 kali/hari selama 15-20 menit. Pengumpulan data menggunakan wawancara, observasi dan metode asuhan keperawatan. Alat pengumpulan data meliputi alat untuk mengukur tingkat nyeri menggunakan Numerical Rating Scale (NRS). Hasil studi menunjukkan bahwa ada penurunan skala nyeri pada klien arthritis gout sebelum dan sesudah dilakukan terapi bubuk kayu manis, baik pada responden pertama maupun responden kedua. Pemberian terapi bubuk kayu manis efektif menurunkan skala nyeri pada penderita arthritis gout.]]>
<![CDATA[Aplikasi Penurunan Nyeri Saat Menstruasi Dengan Relaksasi Otot Progresif ]]>
<![CDATA[Bahriati Khasanah]]>;
<![CDATA[Sri Rejeki]]>
<![CDATA[ Ners Muda Vol 3, No 1 (2022) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Semarang ]]>
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DOI: 10.26714/nm.v3i1.9382
<![CDATA[Nyeri pada saat menstruasi atau dismenore hampir dialami oleh semua perempuan sebagai sensasi ketidaknyamanan fisik seperti rasa nyeri pada bagian abdomen, nyeri pada pinggang, dan kram yang dapat mengganggu aktivitas sehari-hari. Dismenore atau nyeri menstruasi dianggap sebagai gejala yang paling umum dari semua keluhan menstruasi yang menimbulkan beban masalah kesehatan lebih besar daripada keluhan ginekologi lainnya. Salah satu penanganan non farmakologi untuk mengurangi nyeri menstruasi yaitu relaksasi otot progresif. Studi ini bertujuan untuk mengetahui penurunan nyeri saat menstruasi dengan relaksasi otot progresif di Pondok Pesantren Putri Sahlan Rosjidi. Studi kasus ini menggunakan metode deskriptif dengan pendekatan proses asuhan keperawatan meliputi pengkajian, diagnosa, intervensi, implementasi dan evaluasI. Subjek penelitian ini mahasiswa santri yang mengalami nyeri menstruasi. Pengambilan subjek studi menggunakan teknik acidental sampling berdasarkan kriteria insklusi dan eksklusi. Pengumpulan data dilakukan menggunakan lembar observasi dengan menggunakan alat penilaian nyeri berupa Numeric Rating Scale(NRS). Pengkajian nyeri dilakukan sebelum dan sesudah pemberian relaksasi otot progresif. Berdasarkan hasil studiselama 3 hari terhadap 2 responden diketahui setelah dilakukan relaksasi otot progresif tingkat nyeri menstruasi pada kedua responden terjadi penurunan, dari yang sebelumnya nyeri sedang menjadi nyeri ringan hingga kedua responden tidak merasakan nyeri. Pemberian terapi relaksasi otot progresif efektif dapat menurunkan tingkat nyeri pada wanita yang sedang menstruasi. Oleh karena itu, diharapkan agar para perempuan dapat mengaplikasikan relaksasi otot progresif sebagai salah satu terapi nonfarmakologi yang efektif untuk mengurangi nyeri menstruasi karena mudah untuk dilakukan secara mandiri.]]>
<![CDATA[ACUPRESSURE TITIK P6 (NEI GUAN) MAMPU MENURUNKAN FREKUENSI MUAL MUNTAH PADA IBU HAMIL TRIMESTER 1 ]]>
<![CDATA[Nikmatul Khayati]]>;
<![CDATA[Agustin Dwi Saputri]]>;
<![CDATA[Machmudah Machmudah]]>;
<![CDATA[Sri Rejeki]]>
<![CDATA[ Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 11, No 3 (2022): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama ]]>
Publisher : <![CDATA[STIKES Cendekia Utama Kudus ]]>
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DOI: 10.31596/jcu.v11i3.1208
<![CDATA[Pendahuluan: Perubahan hormonal pada awal kehamilan memicu terjadinya mual bahkan muntah terutama pada pagi hari (emesis gravidarum). Adanya peningkatan muntah ini mengakibatkan dehidrasi, syok hypovolemi, anemia, bahkan abortus. Upaya untuk mengurangi Emesis gravidarum melalui terapi non farmakologi seperti pemberian pemijatan (acupressure) pada titik P6 (Nei Guan). Tujuan: Penelitian bertujuan untuk mengetahui pengaruh acupressure pada titik P6 (Nei Guan) terhadap frekuensi mual muntah ibu hamil trimester pertama. Metode: Metode Quasi Eksperimen, One group pre-posttest design. Sampling menggunakan Purposive Sampling pada 24 ibu hamil Trimester pertama di Klinik Pratama Kusuma Husada Klaten yang mengalami mual muntah, tidak ada riwayat gastritis, anemia, dan tidak mengkonsumsi obat anti muntah (emetic). Pengukuran mual muntah menggunakan Indeks of Nausea, Vomiting and Retching (INVR). Pemijatan pada titik P6 dilakukan selama 7 menit setiap pagi, selama 4 hari. Hasil: Analisis penelitian menggunakan uji T-test Dependent, diperoleh hasil signifikansi P Value 0,000; menunjukkan bahwa nilai P<0,05. Kesimpulan: Ada pengaruh Acupressure Pericardium 6 (P6) terhadap frekuensi mual muntah pada ibu hamil trimester pertama. Penekakan pada titik P6 dapat merangsang Chemoreceptor trigger zone sehingga merangsang aktivitas neurotransmitter mengeluarkan Beta endorpin di hipofise. Beta endorpin merupakan salah satu antiemetik endogen yang dapat menghambat impuls mual muntah di pusat muntah dan pada Chemoreceptor trigger zone. Treatment ini dapat dilaksanakan secara mandiri setiap saat jika merasakan mual. Kata Kunci: Emesis Gravidarum, Acupressure Titik P6]]>
