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The Effect of Effleurage Massage on Reducing Back Pain in the Third Trimester Pregnant Women in the Guidance Area of Gunungpati Public Health Centre Yuni Astuti; Fitri Wahyuni; Tuti Anggarawati
Proceeding of the International Conference on Health Sciences and Nursing Vol. 1 No. 2 (2024): December : Proceeding of the International Conference on Health Sciences and Nu
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ichsn.v1i2.47

Abstract

Pregnancy in the third trimester often causes discomfort for expectant mothers, including back pain. This pain, typically located in the lumbosacral area, arises from the growing uterus, which alters posture and increases pressure on the spinal curvature. As the abdominal muscles stretch to accommodate the enlarging uterus, muscle fatigue and increased spinal load contribute to back pain. Effleurage massage, a non-pharmacological therapy involving gentle stroking movements, may help alleviate this discomfort. The massage technique stimulates and relaxes tense nerves and muscles. This study aimed to analyze the effect of effleurage massage on reducing back pain in third-trimester pregnant women. A quasi-experimental research method with a one-group pre-test-post-test design was employed. Participants were recruited using total sampling. The results showed a significant difference in back pain scores before and after effleurage massage (p = 0.000). This study concludes that effleurage massage has a significant effect on reducing back pain in pregnant women in the third trimester.
Cultural Meanings, Spiritual Adaptation, and Communal Resilience Following Spousal Loss Among Older Adults: An Ethnographic Study Ariyanti, Sri; Jiu, Cau Kim; Anggarawati, Tuti; Pertiwi, Gracia Herni; Sastrini, Yovita Erin
Journal of Applied Nursing and Health Vol. 8 No. 2 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i2.671

Abstract

Background: Spousal loss represents a significant life transition in later life, often influencing psychological well-being, social functioning, and personal identity. In rural Indonesian communities, bereavement is embedded within sociocultural contexts where spiritual beliefs, family obligations, and communal caregiving traditions shape how older adults experience and respond to loss. Despite growing attention to bereavement among older populations, ethnographic evidence examining culturally grounded adaptation processes in rural Indonesian settings remains limited. This study aimed to explore the cultural meanings of spousal loss and the adaptation experiences of older adults residing in rural Indonesian communities. Methods: A qualitative ethnographic design guided by Spradley’s ethnographic tradition was employed. Eighteen older adults who had experienced spousal loss were recruited through purposive sampling. Data were collected during six months of field engagement using in-depth interviews, participant observation, field notes, and focus group discussions. Data were analyzed through thematic ethnographic analysis to identify culturally embedded patterns of meaning and adaptation. Results: Four interconnected themes emerged: spiritual acceptance of spousal loss, cultural values fostering resilience, communal caregiving practices, and loneliness after bereavement. Informants understood spousal loss not only as an emotional experience but also as a sociocultural and spiritual transition. Adaptation was facilitated through religious practices, family responsibilities, collective caregiving traditions, and community support, while loneliness and the loss of emotional companionship remained enduring challenges. Conclusion: Adaptation to spousal loss among older adults is deeply influenced by cultural values, spirituality, and community relationships. These findings contribute to a deeper understanding of culturally embedded bereavement processes and provide a foundation for future cross-cultural and intervention-based research addressing grief and adaptation in later life.