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PENGARUH TERAPI AKUPRESUR DAN PIJAT OKSITOSIN TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU POSTPARTUM DI RSUD JOMBANG Lailatul Khabibah; Mukhoirotin Mukhoirotin
Jurnal EDUNursing Vol 3, No 2 (2019): September - Maret
Publisher : Universitas Pesantren Tinggi Darul Ulum

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ABSTRACTLittle milk production in the first days of childbirth is an obstacle in breastfeeding. Efforts can be made to increase breast milk production with acupressure therapy and oxytocin massage. The purpose of this study is to prove the comparison between acupressure therapy and oxytocin massage in increasing breast milk production in postpartum mothers. The study design used quasy experiments with the Pre-Post Test Control Group Design approach. The study sample was 24 postpartum mothers who were divided into 3 groups. The sampling technique uses purposive sampling Measurement of breast milk production was measured using a Weighing Test. Data were analyzed by one way anova test and paired t-test with α ≤0.05. The result of this study showed that there was an effect of acupressure therapy and oxytocin massage on Breast Milk production in postpartum mothers p<0.05 and there was no different in effect of acupressure therapy and oxytocin massage on Breast Milk production in postpartum mother’s p>0.05. Acupressure therapy and oxytocin massage can increase the expenditure of milk production in postpartum mothers, because both of these actions stimulate the hypothalamus and continue to the anterior pituitary to release the hormone prolactin and posterior pituitary to release the hormone oxytocin, there by increasing the production and expenditure of milk.Keywords: oxytocin massage, breast milk production, post partum, acupressure therapi
PENGARUH AKUPRESUR PADA TITIK TAI CHONG DAN GUANYUAN TERHADAP PENURUNAN INTENSITAS NYERI HAID (DISMENORHEA) PADA REMAJA PUTRI Dian Pangastuti; Mukhoirotin Mukhoirotin
Jurnal EDUNursing Vol 2, No 2 (2018): September-Maret
Publisher : Universitas Pesantren Tinggi Darul Ulum

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Menstrual pain (dysmenorrhea) is often experienced by women who is getting menstruation period and it can bother the daily activities. Non pharmacological treatments of dysmenorrhea are using acupressure in Tai Chong and Guanyuan Point. The purpose of this research was to know the difference between the effect of Tai Chong and Guanyuan Point to reduce the pain of dysmenorrhea intensity. The research design used Quasy Experiment with Pretest-Postest Design approach and the sampling used Purposive Sampling technique. The samples were consisted of 60 respondents of female teenagers in the Islamic Boarding School Dormitory of As’Adiyah Darul 'Ulum Jombang which fulfilled the inclusion and exclusion criteria. The instrument of measuring pain was using NRS, the data were analyzed by using Wilcoxon and Mann Whitney with α ≤ 0.05. The research results showed that there was an effect on the Tai Chong Point towards menstrual pain with a significant value of 0,000 (p < α) and there was an effect of acupressure on Guanyuan Point towards menstrual pain with a significant value of 0.000 (p < α). There was no difference between acupressure group of Tai Chong and Guanyuan Point with significant value 0.637 (p > α). Acupressure at Tai Chong and Guanyuan Points were effective to reduce dysmenorrhea intensity, clinically the reduction of dysmenorrhea intensity was higher with the acupressure of Tai Chong Point. Key words: acupressure, dysmenorrhea, adolescent girl
POTENSI PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN PERSONAL HYGIENE MENSTRUASI Lailatul Komariyah; Mukhoirotin Mukhoirotin
Jurnal EDUNursing Vol 2, No 1 (2018): April-August
Publisher : Universitas Pesantren Tinggi Darul Ulum

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Hygiene at the time of menstruation is important in determining the health of reproductive organs. If not kept clean, it will cause microorganisms such as bacteria, fungi and viruses that can interfere with the function of reproductive organs. This study aims to determine the effect of health education on personal knowledge of menstrual hygiene. The design in this research is quasi experimental with pretest posttest control group design. The population in this study were 171 respondents and 108 respondents, using simple random sampling technique. The independent variables of this research are health education and dependent variables are personal hygiene knowledge. The research instrument using questioner, the data were analyzed using Wilcoxon and Mann Whitney test with α ≤ 0,05. Wilcoxon test result in treatment group was p = 0.000 and control group p = 0,083. Mann Whitney test results obtained p = 0,000 (p <α). The results of this study indicate that there is an effect of health education on personal knowledge of menstrual hygiene and there is a significant difference in personal knowledge of menstrual hygiene in the treatment group and control group. Effective health education increases personal knowledge of Menstrual Hygiene.Keywords : Health Education, Knowledge, Personal Hygiene, Menstruation
HUBUNGAN USIA IBU PRIMIGRAVIDA DENGAN KEJADIAN DEPRESI ANTEPARTUM Diah Ayu Fatmawati; Mukhoirotin Mukhoirotin
Jurnal EDUNursing Vol 1, No 2 (2017): September - Maret
Publisher : Universitas Pesantren Tinggi Darul Ulum

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ABSTRACTDepression in pregnant women can occur in antepartum (during pregnancy) and postpartum (after delivery). Antepartum and postpartum depression both have an effect of morbidity and mortality for pregnant women and childbirth. Some of the factors that affect antepartum depression include the age of pregnant women, education, economic perception and husband's social support. The purpose of this study was to identify the proportion of depression cases occurring in primigravida and some external variables associated with the incidence of antepartum depression. This study was Observational Analytic design with Cross Sectional approach, Subjects in the study of primigravida in health center working area Peterongan Jombang  amounted 80 respondents using consecutive sampling technique that meets the inclusion and exclusion criteria. Data collection using questionnaire of demographic data, Edinburgh Postnatal Depression Scale (EPDS) questionnaire, social support questionnaire and indepth interview and data were analized using Chi-square test and logistic regression with significance level α≤0,05. The results showed that there was a significant relationship between maternal age, education, economic perception and social support with antepartum depression (p <0.05). the most powerful variable of influence is the social support with an OR value of 0.011 (95% CI = 0.001-0.116) with a significant value of 0.000. Social support of the Husband is the dominant factor affecting the incidence of antepartum depression. Husband and family should provide support during pregnancy with attention, material and non-material support. Keywords: antepartum depression, maternal age, social support of the husband.
PENGARUH PENDIDIKAN KESEHATAN TERHADAP KECEMASAN PRIMIGRAVIDA DALAM MENGHADAPI PERSALINAN Mukhoirotin Mukhoirotin; Ibrahim Rahmat; Risanto Siswosudarmo
JURNAL KESEHATAN REPRODUKSI Vol 1, No 3 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.997 KB) | DOI: 10.22146/jkr.5747

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PENGARUH PENDIDIKAN KESEHATAN TERHADAP KECEMASAN PRIMIGRAVIDA DALAM MENGHADAPI PERSALINANMukhoirotin1, Ibrahim Rahmat2, Risanto Siswosudarmo3ABSTRACTBackground: During a process of labor and delivery a primigravida mother tends to have increased fear and anxiety, because of pain and discomfort. She is worry about her safety and her baby. Unless it is well managed it might cause same complication such us premature labor, prolonged labor, and fetal death. Health education is one effort that can be done by health workers to decrease anxiety and prepare mother in facing the process of labor and delivery.Objective: To find out the influence of health education to primigravida anxiety in facing the process of labor and delivery.Method: The study was a quasy experiment by pretest-postest control group design. Subjects were all primigravidas at Peterongan Public Health Centre (Puskesmas) area of Jombang Regency. A total of sixty six respondents meeting the inclusion and exclusion criteria were recruited. They were devided into two groups, the treated group received health education and booklet (n=33) and the control group received health education only (n=33). The sampling tehnique were using consecutive sampling and cluster randomized trial. The instrument used to measure anxiety was Zung Self-Rating Anxiety Scale. Data were processed using computer program. Paired and independent sample t-tests were used for statistical analysis .Results and Discussion: The anxiety scores before treatment was comparable between the two groups (p>0.05). This scores decreased significantly after treatment from 36.79 to 29.79 in the treated group, and from 36.85 to 32.03 in the control group (p<0.05). The post treatment score was significanly different between the treated and the control groups (29.79±4.14 vs. 32.03±4.01; p<0.05).Conclution: Health education with booklet was more effective to decrease anxiety in the primigravida in facing labor compared to health education only.Keywords: health education, booklet, anxiety, primigravida. ABSTRAKLatar Belakang: Selama proses persalinan dan melahirkan seorang ibu primigravida cenderung mengalami peningkatan ketakutan dan kecemasan, karena rasa sakit dan ketidaknyamanan. Ibu khawatir tentang keselamatan dirinya dan bayinya. Apabila hal ini tidak dikelola dengan baik dapat menyebabkan beberapa komplikasi seperti persalinan prematur, partus lama, dan kematian janin. Pendidikan kesehatan merupakan salah satu upaya yang dapat dilakukan oleh tenaga kesehatan untuk menurunkan kecemasan dan mempersiapkan ibu dalam menghadapi proses persalinan dan melahirkan.Tujuan: Untuk mengetahui pengaruh pendidikan kesehatan terhadap kecemasan primigravida dalam menghadapi persalinan.Metode: Penelitian ini adalah quasi experiment dengan pendekatan pretest-postest control group design. Subyek penelitian adalah semua primigravida di wilayah Puskesmas Peterongan kabupaten Jombang. Sebanyak 66 responden yang memenuhi kriteria inklusi dan eksklusi direkrut.Subyek penelitian dibagi menjadi dua kelompok, kelompok perlakuan yang mendapatkan pendidikan kesehatan dan booklet (n=33) dan kelompok kontrol yang mendapatkan pendidikan kesehatan (n=33). Tehnik sampling menggunakan consecutive sampling dan cluster randomized trial. Instrumen yang digunakan untuk mengukur kecemasan adalah Zung Self-Rating Anxiety Scale. Data diolah dengan menggunakan program komputer. Paired sample t-test dan independent sample t-test digunakan untuk analisis statistik.Hasil dan Pembahasan: Skor kecemasan sebelum perlakuan adalah sebanding antara kedua kelompok (p>0,05). Skor ini menurun secara signifikan setelah perlakuan dari 36,79-29,79 pada kelompok perlakuan, dan dari 36,85-32,03 pada kelompok kontrol (p<0,05). Skor setelah perlakuan terdapat perbedaan yang signifikan antara kelompok perlakuan dan kontrol (29,79±4,14 vs. 32,03±4,01, p<0,05).Kesimpulan: Pendidikan kesehatan dengan booklet lebih efektif untuk menurunkan kecemasan primigravida dalam menghadapi persalinan dibandingkan dengan pendidikan kesehatan saja.Kata Kunci: pendidikan kesehatan, booklet, kecemasan, primigravida. 1,2 Program Studi Magister Keperawatan, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta 
BABY MASSAGE UNTUK MENURUNKAN STRES DAN MENINGKATKAN KUALITAS TIDUR PADA BAYI: QUASY EKSPERIMENTAL Sepvania Sesari Wahyudhita; Mukhoirotin Mukhoirotin; Mukhamad Rajin; Diah Ayu Fatmawati
Jurnal Ilmu Keperawatan Jiwa Vol. 5 No. 1 (2022): Februari 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

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Status kesehatan yang buruk sangat berpengaruh terhadap stres dan kualitas tidur selama masa perawatan. Penelitian ini bertujuan untuk mengetahui Pengaruh Baby Massage Terhadap Stres dan Kualitas Tidur Pada Bayi. Desain penelitian ini menggunakan Quasy-Experiment dengan pendekatan Pretest-posttest control group design. Populasi penelitian ini adalah seluruh bayi yang dirawat di Ruang Bugenvile Rumah Sakit Kristen Mojowarno. Sampel berjumlah 30 responden dengan menggunakan teknik accidental sampling. Variabel independen adalah baby massage dan variabel dependen adalah stres dan kualitas tidur bayi. Data diukur menggunakan kuesioner. Teknik analisa data menggunakan uji Wilcoxon dan Mann-Whitney. Hasil penelitian menunjukkan bahwa sebagian besar bayi pada kelompok perlakuan mengalami penurunan tingkat stres dan peningkatan kualitas tidur setelah pemberian baby massage. Ada pengaruh baby massage terhadap stres dan kualitas tidur pada bayi dengan nilai signifikansi (p) 0.000 (p<0.05). Baby Massage efektif menurunkan tingkat stres dan meningkatkan kualitas tidur bayi, sehingga dapat digunakan sebagai alternatif terapi penanganan stres dan gangguan tidur pada bayi.
Pelaksanaan Vaksinasi dan Edukasi Covid-19 di SMU DU 1 Ponpes Darul Ulum Jombang Herin Mawarti; Athi Linda Yani; Nasrudin Nasrudin; Khotimah Khotimah; Mukhoirotin Mukhoirotin; Suyati Suyati
Jurnal Peduli Masyarakat Vol 4 No 2 (2022): Jurnal Peduli Masyarakat: Juni 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v4i2.1015

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Pesantren merupakan tempat potensial untuk terjadinya penularan Covid-19. Sehingga upaya preventif dengan vaksinasi sangat diperlukan. Tujuan dari pengabdian masyarakat ini adalah untuk membantu pemerintah dalam program vaksinasi sebagai upaya untuk menciptakan herd immunity dan mengedukasi masyarakat pesantren tentang vaksinasi dan pentingnya untuk menjaga protokol kesehatan ditengah pandemi Covid 19. Vaksinasi dosis 1 ini dilakukan di SMA DU 1 pondok pesantren Darul Ulum pada tanggal 8 dan 10 Juli 2021. Jumlah peserta adalah sebanyak 379 putri dan 174 putra berasal dari lingkungan pesantren Darul Ulum. Metode kegiatan pengabdian masyarakat ini adalah persiapan dan koordinasi, pelaksanaan meliputi kegiatan vaksinasi dan edukasi dan kegiatan terakhir adalah evaluasi. Hasil pelaksanaan kegiatan ini adalah kegiatan vaksinasi dapat berjalan dengan sesuai perencanaan dan edukasi dapat dilaksanakan dengan baik karena sebelumnya sudah membagikan kuesioner mengenai pengetahuan dan gambaran perilaku santri mengenai protokol kesehatan. Sehingga ketika pelaksanaan kegiatan edukasi topik yang diberikan sesuai dengan kebutuhan. Luaran dari pengabdian masyarakat ini adalah peningkatan cakupan vaksinasi dosis pertama, meningkatan pengetahuan mengenai pencegahan Covid 19.
HUBUNGAN PERILAKU PERSONAL HYGIENE SAAT MENSTRUASI DENGAN KEJADIAN PRURITUS VULVA PADA SANTRIWATI DI ASRAMA HURUN’INN DARUL ‘ULUM JOMBANG Shobihat Abd.Rosyid; Mukhoirotin .
Jurnal Keperawatan Vol 6 No 2 (2017): Jurnal Keperawatan
Publisher : STIKes William Booth Surabaya

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Pruritus Vulva merupakan salah satu gejala yang muncul pada saat menstruasi. Hal ini terjadi karena praktik perawatan vulva yang kurang. Tujua penelitian ini adalah untuk mengetahui hubungan perilaku personal hygiene saat menstruasi dengan kejadian pruritus vulvae pada santriwati di asrama Hurun’inn Pondok Pesantren Darul ‘Ulum Jombang. Desainyang digunakan dalam penelitian ini adalah Analitik Observasional dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah seluruh santriwati yang berpendidikan SLTP dan SLTA yang berada di Asrama Hurun’inn Pondok Pesantren Darul ‘UlumJombang sebanyak 300 responden. Jumlah sampel dalam penelitian ini sebanyak 83 responden, dengan menggunakan tehnik Simple Random Sampling. Instrumen yang digunakan adalah kuesioner, data dianalisis menggunakan ujiFisher’s Exact Test dengantingkat kemaknaan α<0,05. Hasil analisis uji Fisher’s Exact Test menunjukan ada hubungan perilaku personal hygiene saat menstruasi, dengan kejadian pruritus vulva dengan nilai signifikansi 0,000 (p<α). Perilaku personal hygiene saat menstruasi yang buruk dapat berpengaruh terhadap kejadian pruritus vulva. Tenaga kesehatan hendaknya memberikan health education tentang pentingnya personal hygiene saat menstruasi sehingga pengetahuan santriwati meningkat, perilaku personal hygienebaik dan meminimalisir kajadian pruritus vulva.
Analisis Faktor yang Berhubungan dengan Kejadian Menarche Dini Mukhoirotin Mukhoirotin; Tri Nili Sulayfiyah
Journal of Bionursing Vol 2 No 1 (2020): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (23.432 KB) | DOI: 10.20884/1.bion.2020.2.1.37

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Background: The development task of the age, menarche of age commonly occured at the average of under 12 years old to 14 years old. The purpose of the present study was to analized the factors related with the early menarche.Research Methodology: The research design in this study used analytical descriptive with case control approach. The population in this study was 303 respondents, and 68 respondent was selected by simple random sampling (both in early menarche and normal menarche). The independent variable including social economy (income), adult mass media exposure, and lifestyle, the dependent variable was the incidence of early menarche. The data were collected by using questionnaire and the data were analized by using Chi Square statistical test with 5% significant level (? ? 0.05) and logistic regression.Results: The results of this study showed that 76.5% of participant who have unhealthy lifestyle were experienced early menarche, and 67.6% of the participant who exposed of adult mass media were experienced early menarche. Moreover, 85.3% of the participant who have high income of their parent said that they got early menarche. Based on Chi Square test found that there were relationship between lifestyle (p = 0.003), mass media exposure (p = 0.029), high parent income (P = 0.000) and the prevalence of early menarche. The dominant factors associated with early menarche events in adolescents were income (OR = 24.433, 95% CI: 2.148-277.885).Conclusion: Early menarche was associated with the unhealthy lifestyle, adult mass media exposure, and has a high income of their parent. The female adolecent who got early menarche should have an efforts to prevent the impact of early menarche (risk of breast cancer, uterine myoma) by controlling ideal body weight, a low-fat diet, consuming fruits, vegetables and doing exercise.
Using warm compresses to reduce IL-1β levels in dysmenorrhea: An evaluation of quasy experimental study Mukhoirotin Mukhoirotin; Siti Urifah
Journal of Holistic Nursing Science Vol 9 No 1 (2022): January - June
Publisher : Universitas Muhammadiyah Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31603/nursing.v9i1.6858

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Primary dysmenorrhea is a gynecological problem that occurs among adolescents and women of reproductive age. Theoretically, primary dysmenorrhea increases pro-inflammatory cytokine IL-1β levels. However, studies using warm compresses to reduce pain management in dysmenorrhea are limited. This study aimed to determine the effect of warm compresses to reduce IL-1β levels in primary dysmenorrhea. The research design used a quasi-experiment with a pretest-posttest study design. The population of this study was students experiencing dysmenorrhea. A total of 24 respondents was taken by using a simple random sampling technique. Hot water bags were the equipment for this study. The instrument for measuring pain used NRS (Numeric Rating Scale), and IL-1 β levels used the ELISA method. The data were analyzed by the Wilcoxon test and Mann-Whitney Test. The study showed there was a positive effect of warm compresses on dysmenorrhea (p ≤ 0.05). There were significant differences in the intensity of menstrual pain and IL-1β levels among the two groups of study (p ≤ 0.05). The recommendation for the next research should be focused on the different types of pain that commonly occur among women. Keywords: dysmenorrhea; pain management;pediatric nursing;nursing care; warm compresses