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All Journal Amerta Nutrition Care : Jurnal Ilmiah Ilmu Kesehatan Abdimas Galuh: Jurnal Pengabdian Kepada Masyarakat Jurnal Ilmiah Kesehatan (JIKA) Poltekita: Jurnal Ilmu Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Folia Medica Indonesiana
Yeni Fitrianingsih
Department Of Midwifery, Poltekkes Kemenkes Tasikmalaya, Tasikmalaya, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Hypnopressure as a Non-Invasive Method for Anxiety and Pain Management in Primigravidae during Active Labor Fitrianingsih, Yeni; Prasetya, Hanung; Widiyanti, Rani
Folia Medica Indonesiana Vol. 60, No. 4
Publisher : Folia Medica Indonesiana

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Abstract

Highlights: 1. This study applied hypnopressure, an innovative method that combines auditory hypnosis with acupressure on effective uterine points, namely the Hegu (LI4) and Sanyinjiao (Sp6) points. 2. This innovation offers an effective method for managing labor pain in primigravidae during the active phase of the first labor stage compared to hypnotherapy and acupressure administered separately. AbstractPsychological factors, such as fear and anxiety, are often responsible for prolonged labor. Anxiety affects 58% of primigravidae, while 2–4% experience pain with scores ranging from 30 to 40 out of 50. Hypnopressure is an innovative combination of hypnotherapy and acupressure applied on the Sanyinjiao (SP6) and Hegu (LI4) points for 3–5 seconds in 20 repetitions during the first stage of labor contractions. This study aimed to determine the effect of hypnopressure on the LI4 and Sp6 points in reducing primigravidae's anxiety levels and pain degrees during the active phase of the first labor stage. This research used a double-blind randomized controlled trial methodology with a pretest-posttest design. Eighty subjects were divided into four groups to compare the effects of different interventions and determine which one demonstrated the most effectiveness. Each of the hypnopressure, hypnotherapy, acupressure, and control groups comprised 20 subjects. The treatment interventions were administered during the active phase of the first labor stage, which was subsequently analyzed using the Wilcoxon and Kruskal-Wallis statistical tests (p<0.05). The hypnopressure (p=0.000), hypnotherapy (p=0.000), and acupressure (p=0.002) groups experienced decreasing anxiety levels. The Kruskal-Wallis post-test indicated a significant difference (p=0.000) after treatment, revealing that hypnotherapy resulted in the lowest decrease in anxiety compared to the other three groups. Additionally, the degree of labor pain (p=0.000) was lower in the hypnopressure group (4.00±1.496) than in the other three groups. There was a significant difference across the four groups (p=0.000), with subjects in the hypnopressure group reporting lower pain degrees compared to those in the hypnotherapy (p=0.000), acupressure (0.000), and control (p=0.000) groups. In conclusion, this study suggests that hypnopressure treatment can decrease anxiety levels and pain in primigravidae during active labor.
Upaya Peningkatan Pengetahuan Kader Kesehatan Remaja Tentang Kesehatan Reproduksi Remaja Melalui Pelatihan Pendidik Masyarakat di RW 05 Kedung Krisik, Desa Argasunya Widiyastuti, Dyah; Nurcahyani, Lia; Fitrianingsih, Yeni; Lisnawati, Lisnawati
Abdimas Galuh Vol 8, No 1 (2026): Maret 2026
Publisher : Universitas Galuh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25157/ag.v8i1.22705

Abstract

Remaja adalah periode dimana mereka mengalami pertumbuhan fisik yang cepat, pertumbuhan seksual, dan perubahan psikologis yang mendalam. Remaja sangat berisiko terhadap masalah kesehatan reproduksi yaitu perilaku seksual pranikah, yang akan menyebabkan Kehamilan Tidak Diinginkan (KTD), pernikahan dini serta Penyakit Menular Seksual (PMS) termasuk HIV AIDS yang merupakan permasalahan dalam bidang Kesehatan Ibu dan Anak. Faktor penyebab munculnya perilaku seksual remaja adalah kurangnya pengetahuan tentang kesehatan reproduksi. Berbagai penelitian telah merekomendasikan pentingnya pendidikan kesehatan reproduksi sejak dini, tetapi belum sepenuhnya dilakukan. Tujuan kegiatan pengabdian masyarakat ini adalah memberdayakan kader kesehatan remaja melalui program “Pelatihan Kader Komunitas” sebagai pendidik teman sebaya untuk meningkatkan pengetahuan tentang kesehatan reproduksi pada remaja usia 10-12 tahun  agar dapat mencegah perilaku seksual yang berisiko. Pelaksanaan kegiatan pelatihan kader komunitas sebagai pendidik teman sebaya dilaksanakan melalui rangkaian kegiatan sosialisasi materi pendidikan kesehatan reproduksi remaja menggunakan video edukasi, selanjutnya dari sepuluh kader kesehatan yang ada dipilih empat orang kader kesehatan remaja untuk diberikan pelatihan “Pendidik Komunitas” selama satu hari menggunakan modul yang sudah dibuat oleh penulis. Nilai rata-rata pre test pengetahuan kader kesehatan remaja sebesar sebesar 84,1 dan post test sebesar 93,8 sehingga terdapat peningkatan rata-rata skor pengetahuan dari pre test ke post test sebesar 9,7. Terdapat peningkatan rata-rata skor pengetahuan sasaran (kader kesehatan remaja) dari pre test ke post test setelah diberikan materi pendidikan kespro remaja. Saran agar pihak puskesmas dapat memanfaatkan kader kesehatan remaja yang terpilih sebagai pendidik teman sebaya agar dapat diberikan kesempatan untuk memberikan informasi kepada teman sebaya yang lainnya.
Mobile Application-based Continuity of Care Training on Improving Midwifery Students' Knowledge Wiwin Mintarsih Purnamasari; Yeni Fitrianingsih; Ari Indra Susanti; Lia Nurcahyani; Ida Sugiarti; Dini Mariani Dini Mariani; Herni Kurnia; Mardiana Ahmad
Jurnal Ilmiah Kesehatan (JIKA) Vol. 7 No. 3 (2025): Volume 7 Nomor 3 Desember 2025
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v7i3.1716

Abstract

The quality of midwifery education is a key factor influencing maternal and newborn health outcomes and the achievement of global development goals. To address 21st-century challenges, midwives must be equipped with the skills provided by a competency-based Continuity of Care (CoC) curriculum aligned with educational standards. However, implementing CoC within learning methodologies and clinical guidance remains challenging. Technology-based training has emerged as an effective strategy to address these issues. This study aimed to analyze the effect of mobile CoC training on students’ knowledge. A pre-experimental one-group pretest-posttest design was conducted with 50 students selected through purposive sampling. Knowledge was measured using a validated structured questionnaire. Data analysis using the Wilcoxon test showed a significant increase in knowledge after the intervention (p-value <0,001). An effect size of 0,661 indicates that mobile application-based training has a strong influence (moderate-to-large category) on increasing students’ knowledge. The use of this application facilitated flexible, interactive access to materials, thereby enhancing students’ cognitive competence in providing continuous midwifery care.
Co-Authors Ari Indra Susanti Arief Tarmansyah Iman Cahyati, Yanti Dewi Vimala Dini Mariani Dini Mariani Dw Pudjonarko Dyah Widiyastuti Elfi Elfi Elfi, Elfi Fahmi Hafid Herni Kurnia Ida Sugiarti L. Lisnawati Lia Nurcahyani Lia Nurcahyani Mardiana Ahmad Mariani, Nina Nirmaya Noor Pramono Noor Pramono Prasetya, Hanung Rani Widiyanti Surya Atmaja Suratmi Suratmi Vimala, Dewi Vita Ardiana Prianti Wandani, Kemala Widiyastuti, Dyah Wiwin Mintarsih Purnamasari Wiwit Estuti Yanti Cahyati