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Evaluasi Potensi Hidrogel Ekstrak Daun Afrika (Vernonia Amygdalina) dalam Meningkatkan Penyembuhan Luka Perineum pada Kelinci (Oryctolagus Cuniculus) Adam, Oktaviana Thresia Monika Barbara; Hadisaputro, Suharyo; Kumorowulan, Suryati
Health Information : Jurnal Penelitian Vol 16 No 1 (2024): Januari - April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v16i1.1157

Abstract

Ruptur Perineum terjadi hampir pada semua persalinan pervaginam yang dialami oleh ibu bersalin dan akan menimbulkan rasa nyeri dan tidak nyaman, selain itu akan berpengaruh pada kondisi ibu dalam pemberian laktasi dan perawatan sehari-hari bayinya. Oleh karena itu, proses penyembuhan luka perineum yang baik  dan efektif sangat penting. Salah satu herbal yang dapat digunakan dalam membantu mempercepat proses penyembuhan luka perineum adalah daun Afrika (vernoniaa amygdalina), yang mengandung zat yang dapat mempercepat proses penyembuhan luka. Agar semakin nyata pemanfaatan daun afrika ini maka perlu pengaplikasian pada hewan kelinci bertina (oryctolagus cuniculus) sebelum diterapkan pada luka perineum ibu postpartum. Pemilihan sediaan hidrogel mampu memberikan rasa dingin dikulit sehingga menimbulkan rasa nyaman pada saat diaplikasikan pada daerah yang dituju serta sediaannya mudah mengering membentuk lapisan film yang mudah dicuci dengan air. Design yang digunakan true experiment dengan rancangan penelitian randomized post test with control group. Populasi penelitian ini adalah 12 ekor kelinci yang terbagi menjadi 2 kelompok, yakni kelompok (I) perawatan luka kering bersih dan kelompok (II) perawatan luka dengan hidrogel daun afrika 30% 2 kali sehari selama 7 hari. Pengukuran luka menggunakan skala skor REEDA. Perawatan dilakukan selama 7 hari dengan prevelensi penilaian skor REEDA.  Uji statistik menggunakan Friedman dan mann whitney. Hasil pengujian  waktu penyembuhan luka perineum pada hari ke  ketiga sampai ke tujuh. Perawatan luka kering bersih lebih lama sembuh dibandingkan dengan luka yang diberi hidrogel daun afrika. Hasil analisis kedua kelompok terdapat penurunan skala REEDA yang bermakna pada hari ke 3,5 sampai ke 7, sehingga dapat disimpulkan bahwa perawatan luka perinemum pada kelinci dengan pemberian hidrogel daun afrika dapat membantu mempercepat proses penyembuhan luka perineum
Pengaruh Kombinasi Bubuk Kedelai dan Bunga Rosella (Hibiscus Sabdariffa) Terhadap Perubahan Kadar Hemoglobin Pada Wanita Usia Subur Zahra, Theofani; Susanto, Edy; Kumorowulan, Suryati
Health Information : Jurnal Penelitian Vol 16 No 1 (2024): Januari - April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v16i1.1165

Abstract

Kasus anemia pada wanita usia subur dapat disebabkan oleh kurangnya asupan zat besi, serta kebutuhan nutrisi yang meningkat. Terapi utama yang dapat dilakukan yaitu pemberian tablet tambah darah, sedangkan terapi komplementer dapat dilakukan dengan pemenuhan kebutuhan gizi seperti kombinasi bubuk kedelai yang tinggi zat besi serta bunga rosella yang mngandung vitamin C untuk mempermudah absorbsi. Jenis penelitian true experiment dengan teknik sampling simple random sampling. Alat yang digunakan dalam mengukur kadar hemoglobin yaitu hematology analyzer. Ada pengaruh yang signifikan terhadap peningkatan kadar hemoglobin. Selisih rata-rata kadar hemoglobin kelompok kontrol sebesar 1,02 gr/dL dan kelompok intervensi sebesar 1,87 gr/dL (p=0,000). Pemberian kombinasi bubuk kedelai dan bunga rosella serta tablet Fe berpengaruh terhadap peningkatan kadar hemoglobin pada wanita usia subur.
Cookies for hypertension patients Herawati, Nurul; Kumorowulan, Suryati; Djamil, Masrifan
MEDISAINS Vol 20, No 1 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i1.12880

Abstract

Background: Papaya and celery leaves are usually consumed as cooked vegetables and have a bitter taste and distinctive aroma. The flavonoid antioxidants in papaya and celery can increase the dilation of blood vessels, thereby possibly lowering blood pressure. They have been made to make cookies easy to enjoy and liked by hypertensive patients.Objective: Making and testing papaya combined celery leaf cookies to control blood pressure in hypertensive patients.Methods: This is a true experimental pretest-posttest with a control group design. The respondents are 34 women of reproductive age who have hypertension, divided into 17 respondents in the treatment group and 17 respondents in the control group. The cookies are made from papaya and celery leaves, and 5 mg of Amlodipine are given every day (for two weeks). Furthermore, blood pressures are measured on days 1, 5, 10, and 15.Results: Hypertension patients consuming papaya combined celery leaf cookies and amlodipine 5 mg had lower blood pressure than those consuming only 5 mg amlodipine (p<0.05).Conclusion: Papaya leaf cookies with a combination of celery are suitable for consumption by hypertensive patients because they can lower blood pressure.
Pengaruh Wedang Uwuh Celup terhadap Kualitas Tidur Ibu Nifas Widyatun, Diah; Kumorowulan, Suryati; Santjaka, Aris
Health Information : Jurnal Penelitian Vol 16 No 1 (2024): Januari - April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v16i3.1161

Abstract

Penurunan hormon progesteron dan estrogen secara signifikan pada ibu postpartum menyebabkan mood swings, seperti istirahat yang tidak cukup dapat menyebabkan ketidaknyamanan fisik dan kelelahan. Wedang uwuh celup merupakan minuman kaya antioksidan yang mengandung asam askorbat, flavonoid, isoflavon, tanin, eugenol, alkaloid, sapponin, terpenoid, minyak atsiri serta tannin dan memiliki efek sedatif ringan sehingga dapat meningkatkan kualitas tidur. Penelitian ini bertujuan untuk mengetahui pengaruh seduhan wedang uwuh celup terhadap kualitas tidur ibu nifas. Penelitian  menggunakan  metode  true experiment dengan rancangan randomized pretest and posttest with control group design. Variabel independent yaitu seduhan wedang uwuh celup dengan dosis 2 gr/ 220 ml air mendidih dan frekuensi pemberian 1x sehari dalam waktu 14 hari, variable dependent yaitu kualitas tidur ibu nifas yang diukur menggunakan kuesioner PSQI. Variable confounding yaitu asupan nutrisi yang diukur dengan formulir SQ-FFQ dan usia ibu nifas. Jumlah sampel pada penelitian ini yaitu 40 ibu nifas. Hasil Pemberian seduhan wedang uwuh celup dengan dosis 2 gram/ 220 ml diberikan selama 14 hari terbukti berpengaruh terhadap peningkatan kualitas tidur ibu nifas dengan nilai p value < 0.05. Pemberian seduhan wedang uwuh celup berpengaruh terhadap peningkatan dan kualitas tidur ibu nifas.
“One Team One Family”; Interprofessional Collaboration in Supporting Pregnant Women to Reduce Anxiety Sumarni, Sri; Ulfiana, Elisa; Octaviani, Dhita Aulia; Kumorowulan, Suryati
Media Karya Kesehatan Vol 7, No 2 (2024): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v7i2.46551

Abstract

The Maternal Mortality Rate in Central Java is still relatively high. The main causes of maternal death in Central Java are hypertension in pregnancy, bleeding, heart problems, infections, and metabolic disorders. Pregnancy is a vulnerable period and there are many physiological and psychological problems. The anxiety of pregnant women needs to be prevented to prepare for the delivery and parenting process. There are many impacts that occur if the anxiety of pregnant women is not addressed to the delivery and childcare process during the postpartum period. There needs to be cooperation that involves many professions in assisting pregnant women. The purpose of this activity is to implement maternal assistance during pregnancy, childbirth, postpartum, and parenting to reduce anxiety with interprofessional collaboration methods. The implementation of the activity is through direct mentoring. Observation was carried out for 3 months from July to September 2021. The collection of pretest and posttest data was carried out using a questionnaire given to 19 pregnant women in Banyumanik Semarang Central Java. The observation method was carried out during the assistance of pregnant women once during pregnancy, once during childbirth, once during the postpartum period, and once parenting. The one-team-one-family service team consists of lecturers and students of the midwifery, nursing, dental and oral health study programs. The activity involved village officials at the sub-district, sub-district, and health center levels. The participating professions are midwives, nurses, general practitioners, health survey officers, and health cadres. The results of community service show that the level of anxiety of pregnant women has decreased.  The majority of pregnant women experienced complaints such as fear of their own thoughts 12 (62.2%), cramps 9 (47.4%), difficulty sleeping and resting 7 (36.8%). Pregnant women were satisfied with the explanation, communication, appearance, attitude, and companion skills during the activity.   Interprofessional collaboration is effective to prepare pregnant women to go through childbirth, breastfeeding and childcare.Kata kunci: interprofessional collabroration; one team one family; Assistance
Effect of Piper Betle Nanospray 7% on Inflamation and IL-6 Levels in Postpartum Maternal Wounds : A Study in the Grobogan Regency Area, Central Java in 2025 Fitriyaningsih, Erna Indah; Kumorowulan, Suryati; Suwondo, Ari; Rahayu, Sri; Hiyana TD, Christin
International Journal of Social Service and Research Vol. 5 No. 6 (2025): International Journal of Social Service and Research
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/ijssr.v5i6.1271

Abstract

Postpartum second-degree perineal lesions are common and trigger an inflammatory response with an increase in IL-6. Suboptimal treatment risks prolonging the inflammatory process and inhibiting wound healing. Piper betle Linn is recognized as an herbal ingredient with anti-inflammatory potential; its nanospray formulation is believed to penetrate deeper layers of the skin, thereby accelerating wound healing. This study evaluated the effectiveness of a 7% betel leaf extract nanospray on the healing of perineal wounds in postpartum care. The study employed a true experimental design with a pretest-posttest control group, involving 40 respondents selected through stratified random sampling. The variables examined were the use of 7% betel leaf extract nanospray and the healing of grade II perineal wounds. Data analysis was conducted using the Kruskal-Wallis test and the Mann Whitney, followed by the Wilcoxon test. The findings demonstrated that administration of Piper betle Linn 7% nanospray extract significantly accelerated perineal wound healing, as measured by the REEDA scale (p < 0.05), with the majority of the intervention group (65%) exhibiting good healing. However, there was no significant difference in IL-6 levels between the intervention and control groups (p > 0.05). Piper betle Linn 7% nanospray extract is effective in accelerating the healing of grade II perineal wounds in postpartum mothers, as indicated by a decrease in REEDA scores, but does not significantly affect the reduction of IL-6 levels.
Hydrogel Potential of Piper Crocatum (Piper Crocatum) Red Extract to Accelerate Perineum Wound Healing and Staphylococcus Aureus Bacteria Growth in Postpartum Lestari, Shelvi Ovi; Wijayanti, Krisdiana; Santoso, Bedjo; Arwani, Arwani; Kumorowulan, Suryati
JURNAL KEBIDANAN Vol. 14 No. 1 (2024): April 2024
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v14i1.9185

Abstract

The prevalence of perineal rupture increases every year, as a result, the greater the chance of puerperal infection in postpartum mothers. Factors that cause puerperal infection is the care of the perineal wound that is not paid attention to. One of the complementary treatments uses herbal plants made from red betel leaf (Piper crocatum) in the form of hydrogel preparations. Proving the potential of red betel leaf hydrogel (Piper crocatum) against accelerated perineal wound healing and staphylococcus aureus bacterial growth. This type of quantitative research uses a quasi-experimental method with purposive sampling, post-test design only with control group. Sampling was in accordance with the inclusion criteria with a sample size of 45 respondents, 15 control respondents, 15 respondents to intervention I with a dose of 2x1 a day and 15 respondents to intervention II with a dose of 3x1 a day. Data was obtained from the REEDA score assessment scale which was obtained from the assessment of Redness, Edema (Swelling), Eccymosis (Bleeding), Discharge (Extraction) and Approximation (Wound union) and vaginal swab samples carried out on days 3 and 7 for 7 days. The analysis used to assess variables is the Wilcoxon and Mann Whitney tests. The analysis used to assess the variables is the Wilcoxon and Mann Whitney test. Red betel leaf hydrogel intervention 2x1 a day and intervention 3x1 a day has the potential to accelerate perineal wound healing and decrease the growth of S. aureus bacteria with p-value <0.05, so it can be interpreted that there is a significant difference effect. The greatest decreasing value in reducing the REEDA score and the growth of S. aureus bacteria was the 3x1 a day intervention group, namely 4.60 and 8.74, so it can be concluded that the 3x1 intervention was more effective than the 2x1 a day intervention.
Analysis of Risk Factors for Stunting in Central Java Sumarni, Sri; Kumorowulan, Suryati; Hadisaputro, Suharyo; Nafi’ah, Eka Apriadi Farkhati
JURNAL INFO KESEHATAN Vol 23 No 1 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss1.1626

Abstract

The prevalence of stunting in Indonesia was 24.4% in 2021 in Central Java at 20.9%, which is still above the WHO target of 20%. There are many direct and indirect risk factors that cause stunting events.  The purpose of this study is to analyze the risk factors for stunting events in Central Java. This research is an observational study with a cross-sectional approach. The collected data was analyzed using the Chi-Square test to assess the relationship between the independent variable (risk factors) and the dependent variable (stunting incidence). In addition, the odds ratio calculation is used to determine the risk level of each factor in influencing the incidence of stunting. The population is all mothers who have toddlers aged 0-59 months in Central Java Province. Data were collected via Google Form for two weeks in December 2023 using the Accidental Sampling technique with a total of 2671 mothers involved in this research. The result shows that the prevalence of stunting is 24.3%. There was no relationship between maternal parity OR 0.865, working mother OR 0.878, maternal BMI OR 0.898, economic status OR 0.954, and the incidence of stunting in toddlers. There was a relationship between maternal education OR 2.120, maternal height OR 1.955, exclusive breastfeeding OR 1.616, the diet OR 3.160, gestational age OR 1.410, the birth weight OR 1.670, and the incidence of stunting in toddlers. It is concluded that several factors collaborate to the high number of stunting, which are maternal education, maternal height, exclusive breastfeeding, diet, gestational age, and birth weight. Further research needs to consider a wider sample, the number of other risk factors which are competency of health provider to diagnose stunting, family support, and extend the length of observation time.                    
Co-Authors Adam, Oktaviana Thresia Monika Barbara Ari Suwondo Aris Santjaka Arwani Arwani Bedjo Santoso Kadri Djamil, Masrifan edy susanto Elisa Ulfiana Fitriyaningsih, Erna Indah Heni Pujiastuti Hiyana TD, Christin Krisdiana Wijayanti Lestari, Shelvi Ovi Nafi’ah, Eka Apriadi Farkhati Octaviani, Dhita Aulia SRI RAHAYU Sri Sumarni Suharyo Hadisaputro Widyatun, Diah Zahra, Theofani