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YOGA PRANAYAMA : MENGURANGI FREKUENSI MUAL MUNTAH PADA IBU HAMIL Sri Hadi Sulistiyaningsih; Siti Ni’amah
Jurnal Pengemas Kesehatan Vol 3 No 02 (2024): Jurnal Pengemas Kesehatan (JPK)
Publisher : Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52299/jpk.v3i02.50

Abstract

Emesis gravidarum merupakan mual muntah yang muncul pada empat minggu pertama kehamilan dan perlahan menghilang pada umur kehamilan menginjak dua belas minggu. Salah satunya terapi non farmakologi yang dapat dilakukan adalah dengan melakukan teknik yoga pranayama. Pranayama adalah latihan pernapasan dengan tehnik bernapas secara perlahan dan dalam, menggunakan otot diafragma, sehingga mengendalikan pernafasan dan pikiran. Pernafasan yoga menciptakan suasana relaksasi sehingga tubuh akan mampu untuk melepaskan ketegangan otot dan menguangi mual muntah. Metode dalam kegiatan pengabdian menggunakan ceramah, diskusi, tanya jawab, simulasi yoga pranyama dengan pendekatan partisipasi guidence yaitu lebih mengutamakan partisipasi ibu hamil dalam keikutsertaan atau keterlibatan dalam kegiatan yang dilaksanakan. Hasil kegiatan menggambarkan bahwa rata-rata keluhan mual muntah berkurang yang semula 4-5 kali/hari setelah ibu hamil melakukan yoga pranayama 1-2x/hari keluahan mual muntah berkurang menjadi 2-3x/hari termasuk keluhan lain yang dialami seperti nyeri punggung juga berkurang.
Peningkatan Pengetahuan Dan Pelatihan Senam Hamil Untuk Menurunkan Nyeri Punggung Pada Ibu Hamil Trimester III Di Desa Pasuruhan Kab. Pati Siti Ni’amah; Sri Hadi Sulistiyaningsih
Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku Vol 1 No 2 (2021): Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku
Publisher : LPPM AN Nuur

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Abstract

Background: Back pain in pregnancy is caused by progesterone and relaxin and changes in body posture and increased weight being carried into the uterus. Efforts can be made by pregnant women to reduce back pain complaints including; Relaxation, hypnosis, acupuncture, massage. (Andarmoyo, 2013). In addition, the skin stimulation technique used is the provision of cold compresses or warm compresses (Istiqomah, 2007). While the exercises that can be done by pregnant women to reduce back pain are; improve posture, do prenatal yoga, walk, swim, and do pregnancy exercises. Purpose: In order to increase the knowledge of pregnant women about pregnancy exercise to reduce back pain for pregnant women. Method: Providing transfer of knowledge to pregnant women by conducting counseling about pregnancy exercise and providing training to pregnant women about pregnancy exercise. Results: Pregnant women understand the steps of pregnancy exercise correctly and are able to practice pregnancy exercise.Conclusion: after doing community service about pregnancy exercise training, back pain complaints in pregnant women are reduced.  
Pelatihan Kader Kesehatan Tentang Pengisian KMS Dan Buku KIA Di Desa Blaru Kabupaten Pati Siti Ni’amah
Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku Vol 2 No 1 (2022): Jurnal Pengabdian kepada Masyarakat Cahaya Negeriku
Publisher : LPPM AN Nuur

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Abstract

Background: Monitoring the growth and development of children is very important for early detection of disorders of growth and development of children. Growth monitoring is carried out by weighing and measuring height regularly every month, while developmental assessment can be carried out using a developmental pre-screening questionnaire (KPSP) or MCH handbook. Health cadres play a very important role in filling out the MCH and KMS books to help make the child health program a success. Purpose: Health cadres know how to fill out MCH and KMS Books correctly and are able to practice how to fill MCH and KMS Books correctly. Method: Provide transfer of knowledge to health cadres by conducting counseling about filling out KMS and MCH books and providing training to health cadres in filling out KMS and MCH Handbooks. Results:Health cadres were able to practice how to fill out the MCH and KMS books correctly. Conclusion: after the training for filling out the KIA and KMS books, there was an increase in the skills of health cadres about filling out the KMS and KIA books  
Program Edukasi Kesehatan Mental untuk Remaja: Pengabdian Masyarakat dengan MINDSTEP (Media Inovatif Ular Tangga) Sherkia Ichtiarsi Prakasiwi; Ariyani Lutfitasari; Siti Ni'amah; Wella Anggraini; Selasih Putri Isnawati Hadi; Eka Vicky Yulivantina; Irwan Budiono
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 7 No. 2 (2025): Indonesian Journal of Community Empowerment November 2025
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijce.v7i2.4493

Abstract

Adolescents are a group that is vulnerable to mental health problems due to biological, psychological, and social changes. Limited knowledge and existing stigma contribute to the low efforts in early detection and management of mental health issues. This community service program aimed to improve adolescents’ knowledge of mental health through educational activities using an innovative board game. The activity was conducted at SMK Bhakti Utama Pati on September 23, 2025, involving 32 students from grade XI as participants. The methods used included lectures, interactive discussions, and an educational board game. Evaluation was carried out through pre-test and post-test, as well as a satisfaction survey. Mental health problems among adolescents are increasing, as shown by the pre-test results, with an average score of 76.27, indicating that adolescents’ understanding of mental health is still relatively low. This condition highlights the importance of engaging and effective educational interventions to raise awareness and enhance stress management skills among adolescents. The community service activity aimed to increase adolescents’ knowledge and awareness of mental health through the innovative media “Mental Health Snake and Ladder” (MINDSTEP). The implementation methods included preparation, interactive education using the game, and evaluation through pre-test and post-test. The results showed a significant improvement in participants’ knowledge and understanding after the educational session. Participant satisfaction reached 93.75%, indicating that this game-based educational method was considered highly engaging and beneficial. The MINDSTEP program (“Mental Health Snake and Ladder”) proved to be an effective interactive educational tool in improving adolescents’ mental health literacy and can be replicated in various educational institutions as a promotive and preventive effort.   ABSTRAK Remaja merupakan kelompok usia yang rentan mengalami masalah kesehatan mental akibat perubahan biologis, psikologis, dan sosial. Minimnya pengetahuan dan stigma yang melekat menyebabkan rendahnya upaya deteksi dini dan penanganan. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pengetahuan remaja tentang kesehatan mental melalui edukasi berbasis permainan edukatif ular tangga. Kegiatan dilaksanakan di SMK Bhakti Utama Pati pada 23 September 2025 dengan 32 siswa kelas XI sebagai peserta. Metode yang digunakan berupa ceramah, diskusi interaktif, dan permainan edukatif. Evaluasi dilakukan dengan pre-test dan post-test serta survei kepuasan. Permasalahan kesehatan mental pada remaja semakin meningkat, ditunjukkan oleh hasil pre-test yang menunjukkan rata-rata pengetahuan hanya sebesar 76,27, yang mengindikasikan masih rendahnya pemahaman remaja terhadap kesehatan mental. Kondisi ini menunjukkan pentingnya intervensi edukatif yang menarik dan efektif untuk meningkatkan kesadaran serta keterampilan pengelolaan stres di kalangan remaja. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran remaja mengenai kesehatan mental melalui media inovatif “Ular Tangga Kesehatan Mental” (MINDSTEP). Metode pelaksanaan meliputi tahap persiapan, pelaksanaan edukasi interaktif dengan media permainan, serta evaluasi melalui pre-test dan post-test. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan dan pemahaman peserta secara signifikan setelah mengikuti edukasi. Tingkat kepuasan peserta terhadap kegiatan mencapai 93,75%, menunjukkan bahwa metode edukatif berbasis permainan ini dinilai sangat menarik dan bermanfaat. Program MINDSTEP (Ular Tangga Kesehatan Mental) terbukti efektif sebagai media edukasi interaktif dalam meningkatkan literasi kesehatan mental remaja dan dapat direplikasi di berbagai institusi pendidikan sebagai upaya promotif dan preventif.
A, The Effectiveness of Gym Ball Exercises Combined with the Back-and-Forth Child’s Pose in Reducing Low Back Pain Among Third-Trimester Pregnant Women Siti Ni’amah; Siti Muawanah; Irfana Tri Wijayanti; Sri Hadi Sulistiyaningsih; Sholihah Gustavia Yolanda
Jurnal Penelitian Pendidikan IPA Vol 12 No 4 (2026)
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v12i4.14957

Abstract

Back pain is one of the most common complaints experienced by pregnant women, particularly during the third trimester, as a result of physiological changes and the increased mechanical load on the spine. One non-pharmacological intervention that may help alleviate this condition is exercise using a gym ball combined with the Back-and-Forth Child’s Pose technique. This study aimed to determine the effect of gym ball exercises using the Back-and-Forth Child’s Pose method on reducing back pain among women in the third trimester of pregnancy. The study employed a pre-experimental design with a one-group pretest–posttest approach. Participants received the intervention in the form of Back-and-Forth Child’s Pose exercises using a gym ball twice daily for 10–15 minutes over a period of one week. Back pain intensity was measured before the intervention and again on the seventh day after the intervention using a standardized pain scale. The sample consisted of 15 third-trimester pregnant women who reported experiencing back pain. The results showed that before the intervention, 12 respondents (80%) experienced moderate pain and 3 respondents (20%) experienced mild pain. After the intervention, 10 respondents (66.6%) experienced mild pain, 3 respondents (20%) reported no pain, and only 2 respondents (13.4%) continued to experience moderate pain. Furthermore, the mean pain score decreased from 3.00 before the intervention to 1.96 after the intervention. Statistical analysis using the Wilcoxon Signed-Rank Test yielded a p-value of 0.000 (p < 0.05), indicating that gym ball exercises using the Back-and-Forth Child’s Pose method had a statistically significant effect on reducing back pain among women in the third trimester of pregnancy
EFEKTIFITAS TEHNIK GYM BALL TERHADAP PENURUNAN NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III Siti Ni’amah; Sri Hadi Sulistiyaningsih
Jurnal Kebidanan VOLUME 16, NO.01 JUNI 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v16i01.739

Abstract

Back pain during pregnancy usually occurs due to stretching of the bones, especially in the waist area which corresponds to increasing gestational age. Back pain often occurs because the mother's points and balance change from their original condition (Andarmoyo and Suharti, 2013). If back pain is not treated properly, it can cause the pregnant woman's quality of life to worsen. This problem will continue in the form of recurring injuries or appear continuously in worse conditions according to the course of the pregnancy (Kantonis, 2017). Gym Ball is physical therapy or simple exercises using a ball, where these exercises are applied to pregnant women, giving birth mothers and post-natal mothers. The benefits of using a gym ball are that it increases blood flow to the uterus, placenta and baby, relieves pressure and can provide comfort for the knees and ankles, helps reduce back pain in pregnant women and makes it easier for pregnant women to move. (Kurniawati, 2017) This study aims to determine the effect of the gym ball technique on back pain in third trimester pregnant women. The type of research used is pre-experimental design research with a one group pretest posttest design. The population and sample in the study were 15 TM III pregnant women with a gestational age of 32 weeks taken using the total sampling technique. The results showed that the average frequency of back pain before the intervention was 1.00 with a standard deviation of 0.791 and the average frequency of back pain after the intervention was 0.29 with a standard deviation of 0.470. The correlation results between the two variables produce a figure of 0.673 with a p value = 0.003. This shows that there is a strong relationship with a significant level of p value <0.05. The results of the research show that the correlation in reducing the level of back pain is 0.8, which shows a very strong and positive relationship and has a significant level at the <0.05 level, meaning it is highly correlated. This shows that there is an effect of the gymball technique on reducing the level of back pain. Keywords: Gym Ball technique, reduction of back pain, third trimester pregnant women
KEPUASAN PASIEN JAMINAN PERSALINAN PADA PELAYANAN PERSALINAN OLEH BIDAN DESA DI KABUPATEN PATI Siti Ni’amah
Jurnal Kebidanan VOLUME 08 No.01, JUNI 2016
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v8i01.196

Abstract

Siti Ni’amah 1)  1)  Akademi Kebidanan Bakti Utama Pati E-mail: Sni39amah@yahoo.co.idABSTRAKJaminan Persalinan (Jampersal) bertujuan untuk menurunkan AKI (Angka Kematian Ibu) melalui peningkatan akses pertolongan persalinan oleh tenaga kesehatan, namun AKI di Kabupaten Pati  meningkat setelah ada program Jampersal. Hasil studi pendahuluan menunjukkan ketidakpuasan pasien terhadap pelayanan persalinan jampersal oleh bidan desa. Tujuan penelitian ini adalah menganalisis faktor-faktor yang berhubungan dengan kepuasan pasien jampersal pada pelayanan persalinan oleh Bidan Desa di Kabupaten Pati. Jenis penelitian observasional dengan  pendekatan  cross sectional. Jumlah populasi adalah seluruh  pasien jampersal di Kabupaten Pati. Responden  yang  diteliti 90 ibu bersalin dengan jampersal yang dipilih secara purposive dengan kriteria inklusi. Pengumpulan data dengan observasi dan angket dengan kuesioner terstruktur. Data dianalisis secara kuantitatif menggunakan uji rank spearman dan regresi logistik berganda. Sebagian besar  responden (60%) merasa tidak puas dengan pelayanan persalinan jampersal. Mutu pelayanan dalam dimensi reliability dipersepsikan baik 51,1% responden, mutu pelayanan dalam dimensi responsveness dipersepsikan baik 51,1% responden, mutu pelayanan dalam dimensi assurance dipersepsikan baik 51,1% responden , mutu pelayanan dalam dimensi empathy dipersepsikan baik 67,8% responden, mutu pelayanan dalam dimensi tangibles dipersepsikan baik 65,6% responden. Ada hubungan reliability (p=0,001), responsiveness (p=0,001), assurance (0,011), empathy (0,020), tangibles (p=0,001), terhadap kepuasan pasien.  Faktor yang paling kuat berhubungan dengan kepuasan pasien jampersal adalah reliability selanjutnya berturut-turut tangibles, empathy dan assurance secara bersama-sama berhubungan dengan kepuasan. Kesimpulan : Sebagian besar  responden merasa tidak puas dengan pelayanan persalinan jampersal, faktor yang mempengaruhi kepuasan adalah reliability (kehandalan), responsiveness (cepat tanggap), assurance (jaminan)  , empathy (perhatian), tangibles (bukti langsung) dengan kepuasan pasien jampersal.Kata kunci            :  Kepuasan pasien jampersal, Mutu Pelayanan Persalinan, Bidan Desa PATIENT SATISFACTION DELIVERY GUARANTEE ON MATERNITY SERVICES BY A VILLAGE MIDWIFE IN PATI REGENCY ABSTRACTDelivery Guarantee (Jampersal) aims to reduce maternal mortality (MMR) by increasing access to delivery assistance by health professionals, but MMR in Pati regency increased after Jampersal program. Results of preliminary studies show patient dissatisfaction with service delivery Jampersal the village midwife. The purpose of this study was to analyze factors associated with patient satisfaction Jampersal to service delivery by village midwives in Pati regency. an observational study with cross sectional approach. Total population is all patients Jampersal in Pati regency. Respondents who studied 90 women giving birth with Jampersal selected purposively to the inclusion criteria. The collection of data through observation and questionnaires with a structured questionnaire. Data were analyzed quantitatively using the Spearman rank test and multiple logistic regression. The majority of respondents (60%) were dissatisfied with the service delivery Jampersal. Quality of service in good perceived reliability dimension of 51.1% of respondents, the quality of service in the dimensions of perceived good responsveness 51.1% of respondents, quality assurance services in the dimensions of perceived good 51.1% of respondents, quality of service in good perceived empathy dimension 67.8% respondents, quality of service in both tangibles dimension perceived 65.6% of respondents. There is a connection reliability (p = 0.001), responsiveness (p = 0.001), assurance (0.011), empathy (0,020), tangibles (p = 0.001), to client satisfaction. Factors most strongly correlated with patient satisfaction Jampersal is the next consecutive reliability tangibles, empathy and assurance jointly associated with satisfaction. Conclusion: The majority of respondents were dissatisfied with the service delivery Jampersal, factors affecting satisfaction is reliability (reliability), responsiveness (quick response), assurance (assurance), empathy (attention), tangibles (direct evidence) with Jampersal patient satisfaction.Keywords: Patient satisfaction Jampersal, Quality of Service Delivery, village midwives
EFEKTIFITAS EFFLEURAGE MASSAGE TERHADAP TINGKAT NYERI PUNGGUNG IBU HAMIL TRIMESTER III Siti Ni’amah; Nurul Fatimah
Jurnal Kebidanan VOLUME 18, NO.01 JUNI 2026
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v18i01.1000

Abstract

ABSTRAK : Penelitian ini dilaksanakan di Puskesmas Pati I pada April–Juni 2025 untuk mengetahui efektivitas effleurage massagedalam mengurangi nyeri punggung pada ibu hamil trimester III. Penelitian menggunakan metode kuantitatif dengan desain pre-experimental dan rancangan one group pretest-posttest. Sebanyak 24 ibu hamil trimester III dipilih sebagai sampel melalui teknik purposive sampling dari total populasi 30 orang. Tingkat nyeri diukur sebelum dan sesudah intervensi menggunakan kuesioner Numeric Rating Scale (NRS). Data dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan bahwa sebelum intervensi terdapat 3 responden (12,5%) dengan nyeri ringan, 18 responden (75,0%) dengan nyeri sedang, dan 3 responden (12,5%) dengan nyeri berat. Setelah diberikan effleurage massage, sebanyak 3 responden (12,5%) tidak mengalami nyeri, 19 responden (79,2%) mengalami nyeri ringan, dan 2 responden (8,3%) mengalami nyeri sedang. Hasil uji Wilcoxon menunjukkan nilai signifikansi (p-value) 0,000 (p<0,05), yang menunjukkan adanya perbedaan bermakna pada tingkat nyeri punggung sebelum dan sesudah pemberian effleurage massage. Dengan demikian, effleurage massage efektif dalam menurunkan nyeri punggung pada ibu hamil trimester III. Kata kunci : Effleurage Massage, Nyeri Punggung, Ibu Hamil Trimester III
THE RELATIONSHIP BETWEEN KEGEL EXERCISES WITH PERINUEM WOUND HEALING IN POST PARTUM WOMEN AT CATUBOUW HEALTH CENTER, CATUBOUW DISTRICT, PEGUNUNGAN ARFAK DISTRICT Wiselmina Parantean; Siti Ni’amah; Suwi’I
Jurnal Profesi Bidan Indonesia Vol. 3 No. 1 (2023): Jurnal Profesi Bidan Indonesia
Publisher : LPPM AN NUUR

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Abstract

Background: High risk/complication is a state of deviation from normal, which directly causes morbidity and death for both mother and baby.Purpose: Research Objectives: to determine the relationship between Kegel exercises and perineal wound healing in post partum mothers at the Catubouw Health Center, Catubouw District, Arfak Mountains DistrictMethod: The type of research used is descriptive analytic with a cross sectional approach. The population is post partum mothers. The sampling technique used is total sampling. The sample in this study were 30 post partum mothersResults: Some of the respondents who did not do Kegel exercises on post partum mothers were 15 people (50%), did Kegel exercises on post partum mothers by 15 people (50%), Most of the respondents experienced slow healing of perineal wounds as many as 16 people (53 .3%), there is a relationship between Kegel exercises and perineal wound healing in post partum mothers (Chi-Square count obtained 8.051 and p value = 0.003).Conclusion: It is recommended that health centers through nurse and midwife health workers be able to provide information and Kegel exercise training for every pregnant woman and postpartum mother in her working area