Claim Missing Document
Check
Articles

Found 20 Documents
Search

Kearifan lokal satu desa tiga aksi: cegah hipertensi, pola hidup sehat, dan pemanfaatan tanaman obat keluarga Suprapti, Tuti; Mutiudi, Ade Iwan; Tambunan, Irisanna; Jundiah, Raden Siti; Mukaromah, Raihany Sholihatul
JOURNAL of Public Health Concerns Vol. 5 No. 8 (2025): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i8.1521

Abstract

Background: Public health in Indonesia faces complex challenges, including a high prevalence of hypertension, suboptimal waste management, and low utilization of Family Medicinal Plants (FMP). Hypertension, as a non-communicable disease, requires education on healthy lifestyles, while wise waste management is crucial for preventing environmentally-related diseases. FMP offers promotive and preventive solutions based on local wisdom, but has not been optimally utilized in rural areas. In Cibeet Village, Bandung Regency, these three issues are interconnected and demonstrate the need for integrated, community-based interventions. The "One Village, Three Actions" model is proposed as a holistic approach to improving health through hypertension education, waste management, and the synergistic utilization of FMP. Purpose: To increase public awareness of maintaining health through the adoption of a healthy lifestyle and the use of family medicinal plants for hypertension control. Method: The activity was conducted on August 20, 2025, at the madrasah RW 07 in Cibeet Village, Ibun District, Bandung Regency, involving 39 participants using a total sampling technique. The material is delivered through lectures and demonstrations, including counseling, pre-tests, education about hypertension, clean and healthy living behavior, and the use of family medicinal plants, as well as post-tests and health checks (anthropometry, blood pressure, random blood sugar). Results: The level of knowledge of participants regarding hypertension and Clean and Healthy Living Behavior (CHLB) before education was mostly in the sufficient category (25 participants) (64.1%). After education, the majority of participants experienced an increase in knowledge, reaching the good category (35 participants) (89.8%). Conclusion: The community service activity, which integrated the delivery of three educational themes, successfully increased participants' knowledge and awareness regarding hypertension and Clean and Healthy Living Behavior (CHLB). Education through lectures, demonstrations, and interactive practice proved effective in changing participants' behavior toward a healthy lifestyle, including the use of family medicinal plants (FMP) and the innovative RAMEKUH herbal drink as an alternative for hypertension control. Suggestion: Ongoing mentoring by health cadres is needed to maintain consistent healthy community behaviors, as well as further development of local herbal products to enhance their economic value and broader health benefits. Cross-sector collaboration, including in education and health, needs to be strengthened to support the sustainability of education and community empowerment programs based on local potential. Keywords: Hypertension; Local wisdom; Waste management Pendahuluan: Kesehatan masyarakat di Indonesia menghadapi tantangan kompleks, termasuk tingginya prevalensi hipertensi, pengelolaan sampah yang belum optimal, dan rendahnya pemanfaatan Tanaman Obat Keluarga (TOGA). Hipertensi sebagai penyakit tidak menular memerlukan edukasi gaya hidup sehat, sementara pengelolaan sampah yang bijak penting untuk mencegah penyakit berbasis lingkungan. TOGA menawarkan solusi promotif dan preventif berbasis kearifan lokal, namun belum dimanfaatkan secara maksimal di pedesaan. Di Desa Cibeet, Kabupaten Bandung, ketiga isu tersebut saling terkait dan menunjukkan perlunya intervensi terpadu berbasis masyarakat. Model “Satu Desa, Tiga Aksi” diusulkan sebagai pendekatan holistik untuk meningkatkan derajat kesehatan melalui edukasi hipertensi, pengelolaan sampah, dan pemanfaatan TOGA secara sinergis. Tujuan: Untuk meningkatkan kesadaran masyarakat dalam menjaga kesehatan melalui penerapan gaya hidup sehat dan pemanfaatan tanaman obat keluarga untuk pengendalian hipertensi. Metode: Kegiatan dilaksanakan pada 20 Agustus 2025 di madrasah RW 07 Desa Cibeet, Kecamatan Ibun, Kabupaten Bandung, melibatkan 39 peserta dengan teknik total sampling. Materi disampaikan melalui ceramah dan demonstrasi, mencakup penyuluhan, pre-test, edukasi tentang hipertensi, perilaku hidup bersih dan sehat, dan pemanfaatan tanaman obat keluarga, serta post-test dan pemeriksaan kesehatan (antropometri, tekanan darah, gula darah sewaktu). Hasil: Menunjukkan tingkat pengetahuan peserta mengenai hipertensi dan PHBS sebelum edukasi sebagian besar peserta dalam kategori cukup yaitu sebanyak 25 orang (64.1%). Setelah edukasi mayoritas peserta mengalami peningkatan pengetahuan menjadi dalam kategori baik yaitu sebanyak 35 orang (89.8%). Simpulan: Kegiatan pengabdian masyarakat dengan penyampaian tiga tema edukasi secara terpadu berhasil meningkatkan pengetahuan dan kesadaran peserta mengenai hipertensi dan Perilaku Hidup Bersih dan Sehat (PHBS). Edukasi dengan ceramah, demonstrasi, dan praktik interaktif terbukti efektif dalam mengubah perilaku peserta menuju gaya hidup sehat, termasuk pemanfaatan tanaman obat keluarga (TOGA) dan inovasi minuman herbal RAMEKUH sebagai alternatif pengendalian hipertensi. Saran: Diperlukan pendampingan berkelanjutan oleh kader kesehatan untuk menjaga konsistensi perilaku sehat masyarakat, serta pengembangan lebih lanjut terhadap produk herbal lokal agar memiliki nilai ekonomi dan manfaat kesehatan yang lebih luas. Kolaborasi lintas sektor, akademisi dan kesehatan, perlu diperkuat guna mendukung keberlanjutan program edukasi dan pemberdayaan masyarakat berbasis potensi lokal.
Program Edukasi Berdasarkan the Precaution Adoption Proses Model terhadap Perilaku Perawatan Kaki Vitniawati, Vina; Tambunan, Irisanna
Jurnal Penelitian Perawat Profesional Vol 6 No 3 (2024): Juni 2024, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v6i3.2553

Abstract

Diabetes Mellitus (DM) merupakan penyakit kronik yang membutuhkan penatalaksanaan yang tepat. Peningkatan DM memerlukan penanggulangan dan pencegahan, secara primer, sekunder ataupun tertier sehingga strategi pencegahan mulai dari pelayanan primer dilakukan untuk mencegah komplikasi seperti komplikasi pada area kaki. The precaution adoption process model (PAPM) menjelaskan langkah–langkah seseorang melakukan tindakan, karena mampu mengidentifikasi tahapan dalam berperilaku sehat dan tahapan berperilaku. Tujuan dari penelitian ini untuk mengetahui adakah pengaruh Program Edukasi berdasarkan PAPM Model terhadap perilaku perawatan kaki. Penelitian akan dilakukan dengan metode Quasi Eksperiment menggunakan pendekatan one group pre test post test design yaitu dengan cara mengukur perilaku perawatan kaki sebelum, sesudah pemberian program edukasi, kemudian di analisis dengan tehnik analisa univariat dengan percentase dan analisa bivariat dengan Wilcoxon Signed Ranks. Sampel dalam penelitian ini adalah pasien DM yang mengikuti prolanis dengan teknik purposive sampling 17 orang. Hasil menunjukan terdapat pengaruh edukasi terhadap pengambilan keputusan perawatan kaki berdasarkan PAMP dengan p value 0,000 dan terdapat pengaruh edukasis terhadap perilaku perawatan kaki dengan p value 0,025. Sehingga evaluasi perilaku perawatan kaki secara rutin sebagai skrining terhadap kepatuhan perilaku perawatan kaki serta meningkatkan self management perawatan kaki di rumah menjadi sangat penting.
Usia Berhubungan Dengan Preeklampsi Pada Ibu Hamil di Puskesmas Cipamokolan Bandung Jayanti, Tri Nur; Rustikayanti, R Nety; Tambunan, Irisanna
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 2 (2023): EDITION JULY 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i2.4251

Abstract

Preeclampsia is a systemic disorder 20 weeks of gestation, characterized by a BP 140/90 mmHg and proteinuria. These abnormalities can affect both the mother and fetus. The cause of preeclampsia was still unknown. Several studies have reported different results regarding the risk factors associated with preeclampsia. Therefore, research about the factors that influence preeclampsia at the Cipamokolan Health Center needs to be carried out to determine further prevention programs. The case-control was used as the study design. The population is all pregnant women data in the Cipamokolan Health Center during the past year. The study sample was taken by purposive sampling based on the specified criteria. A total of eighteen respondents were recruited in the case group and 97 respondents in the control group. Data obtained secondary from medical records. The data were analyzed using the Chi-Square. The results showed a relationship between maternal age and preeclampsia (p-value = .036 .050), and there was no relationship between gravidity and pregnancy intervals with preeclampsia in pregnant women at the Cipamokolan Health Center. A pregnancy spacing program is recommended to avoid preeclampsia during pregnancy. 
Relaksasi Napas Dalam Dan Relaksasi Otot Progresif Dalam Menurunkan Mual Paska Kemoterapi Rahayu, Sri Mulyati; Tambunan, Irisanna; Vitniawati, Vina
Jurnal Keperawatan 'Aisyiyah Vol. 9 No. 1 (2022): Jurnal Keperawatan 'Aisyiyah
Publisher : Universitas 'Aisyiyah Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (323.199 KB) | DOI: 10.33867/jka.v9i1.294

Abstract

Mual pasca kemoterapi berpengaruh pada respon emosional yang dapat memperburuk intensitas mual. Keluhan mual yang tidak ditangani dapat menyebabkan timbulnya dehidrasi, ketidakseimbangan elektrolit dan risiko terjadinya defisit nutrisi. Relaksasi napas dalam yang dikombinasikan dengan relaksasi otot progresif dapat saling menguatkan untuk memberikan efek menurunkan mual setelah kemoterapi dan meningkatkan rasa nyaman. Tujuan penelitian mengetahui pengaruh kombinasi relaksasi napas dalam dan otot progresif terhadap intensitas mual pasca kemoterapi. Metode penelitian menggunakan pre-eksperimental. Subjek penelitian terdiri dari 48 pasien dengan teknik pengambilan sample secara purposif. Analisis data dengan uji Wilcoxon Signet Rank Test. Hasil rata-rata intesitas mual sebelum pemberian kombinasi relaksasi napas dalam dan relaksasi otot progresif yaitu 2.9375 dan rata-rata intesitas mual sesudah pemberian kombinasi relaksasi napas dalam dan relaksasi otot progresif 1.7500. Pemberian relaksasi nafas dalam yang dikombinasikan dengan relaksasi otot progresif saling menguatkan rangsang terhadap syaraf parasimpatis untuk menurunkan refleks vagal abdominal, sehingga mual berkurang. Hasil uji statistik didapatkan nilai p-value,001 < dari nilai alpha (0.05), maka dapat disimpulkan ada pengaruh kombinasi relaksasi napas dalam dan relaksasi otot progresif dalam menurunkan intensitas mual sesudah kemoterapi, sehingga dapat diaplikasikan pada pasien kemoterapi yang mengalami mual
ABCDE PANGKAL PENTING CEGAH STUNTING DESA MELATIWANGI Tambunan, Irisanna; Mulyani, Yani; Triandini, I Gusti Agung Ayu Hari; Dirgahayu, Inggrid; Sari, Mela Mustika; Melysa, Melysa
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 7, No 4 (2023): December
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v7i4.19700

Abstract

ABSTRAKDesa Melatiwangi merupakan desa yang terdapat di wilayah Kecamatan Cilengkrang, Kabupaten Bandung. Terdapat beberapa permasalahan diantaranya yaitu kurangnya gizi pada balita, anak-anak, ibu hamil. Hasil riset Kesehatan dasar terakhir prevalensi stunting di Kabupaten Bandung khususnya di Desa Melatiwangi sudah masuk zona kuning yang artinya masyarakat beresiko terkena stunting. Salah satu upanya yaitu ABCDE Pangkal Penting Cegah Stunting Desa Melatiwangi (Centing Delangi) adalah langkah penting dari Kementerian Kesehatan dalam pencegahan stunting. Pangkal Penting merupakan singkatan dari panganan lokal pencegah stunting. Inovasi ini hadir karena ingin memaksimalkan panganan lokal di sekitar masyarakat hal ini dilakukan untuk pencegahan stunting. Secara umum terdapat 6 zat gizi yang dibutuhkan oleh tubuh salah satunya yaitu protein merupakan zat yang membantu untuk membangun sel tubuh sehingga sangat penting bagi balita yang berada dalam tahap pertumbuhan dan perkembangan. Pentingnya asupan nutrisi yang adekuat karena semakin rendahnya konsumsi zat gizi pada balita, maka semakin berisiko mengalami stunting. Tujuan pengabdian masyarakat kali ini yaitu meningkatkan derajat kesehatan masyarakat, meningkatkan pengetahuan, kesadaran dan kepedulian masyarakat mengenai stunting dan meningkatkan kreativitas masyarakat dalam upaya pencegahan stunting melalui pengolahan bahan pangan bergizi berbasis sumber daya pangan lokal. Tahapan kegiatan meliputi: survei lokasi, perizinan, persiapan, penyuluhan, evaluasi. Metode pelaksanaan dengan sosialiasi dan demonstrasi pengolahan panganan lokal. Dari hasil pemberian kuesioner kepada masyarakat Desa Melatiwangi (22 responden) menunjukkan bahwa ada peningkatan pengetahuan masyarakat Desa Melatiwangi tentang stunting setelah penyuluhan yaitu sebesar 27,27% dengan nilai akhir rata-rata 75.45 (kategori baik). Kata kunci: gizi; melatiwangi; panganan local; stunting. ABSTRACTMelatiwangi Village is one of the villages in the Cilengkrang District, Bandung Regency. There are several problems including lack of nutrition in toddlers, children, pregnant women. The results of the latest basic health research on the prevalence of stunting in Bandung Regency, especially in Melatiwangi Village, have entered the yellow zone, which means the community is at risk of stunting. One of the efforts, namely ABCDE, The Main Principles to Prevent Stunting in Melatiwangi Village (Centing Delangi) is an important step from the Ministry of Health in preventing stunting. Pangkal Penting is an abbreviation for local food to prevent stunting. This innovation is present because we want to maximize local food in the community, this is done to prevent stunting. In general, there are 6 nutrients needed by the body, one of which is protein, which is a substance that helps to build body cells, so it is very important for toddlers who are in the growth and development stage. The importance of adequate nutritional intake is because the lower the consumption of nutrients in toddlers, the greater the risk of experiencing stunting. The aim of this community service is to improve the level of public health, increase public knowledge, awareness and concern regarding stunting and increase community creativity in efforts to prevent stunting through processing nutritious food based on local food resources. Activity stages include: location survey, licensing, preparation, counseling, evaluation. The implementation method is socialization and demonstration of local food processing. The results of giving questionnaires to the people of Melatiwangi Village (22 respondents) showed that there was an increase in the knowledge of the people of Melatiwangi Village about stunting after counseling, 27.27% with an average final score of 75.45 (good category). Keywords: nutrition; melatiwangi; local food; stunting.
ANALYSIS OF RISK FACTORS OF DIABETIC FOOT ULCER IN DIABETES MELLITUS PATIENTS Vina Vitniawati; Sri Mulyati Rahayu; Irisanna Tambunan
Jurnal Ilmu Keperawatan dan Kebidanan Vol 14, No 2 (2023): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v14i2.2051

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disorder caused by the pancreas not using insulin effectively, if the management is not good, one of the risks of complications in DM patients is Diabetic Foot Ulcer. Behaviors at risk for causing Diabetic Foot Ulcer are smoking activities, physical activity, use of poor footwear, body mask index and glycemic control. The behavior of DM patients greatly influences the incidence of Diabetic Foot Ulcer, therefore it is very important to analyze the behavioral factors of DM patients who are at risk for Diabetic Foot Ulcer. The aim of this research is to analyze the behavioral factors that are at risk for the occurrence of Diabetic Foot Ulcer and to look for the most dominant factors that are at risk of causing Diabetic Foot Ulcer. The research was conducted using a descriptive method on 30 respondents using a total sampling technique. The data collection process used questionnaires about smoking activities, physical activity, use of poor footwear, body mask index and glycemic control. The results obtained for risk behaviors for Diabetic foot ulcers were 70% normal BMI, 93.7% had non-smoking habits, 50% did physical activity, 66.67% used footwear, 66.67% went on a diet and 100% did glycemic control . The behavior of DM patients who are at risk of developing Diabetic Foot Ulcer are all indicators only if sorted from the most dominant, namely Physical Activity, Diet and Use of Footwear, BMI, Smoking Habits and Glycemic Control. Suggestions for the pronalis program to provide education that emphasizes behavior that is at risk of developing diabetic foot ulcers. Key Word : Behavioral, Diabetes Mellitus, Diabetic Foot Ulcer,
Edukasi kesehatan tentang mobilisasi dini dan kegawatdaruratan post sectio caesarea: SIGAP IBU (Siap, Gerak Aktif Ibu) Irisanna Tambunan; Tuti Suprapti; Raden Siti Jundiah; Ade Iwan Mutiudin; Raihany Sholihatul Mukaromah
JOURNAL of Public Health Concerns Vol. 6 No. 1 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v6i1.2098

Abstract

Background: Caesarean section (CS) is an obstetric procedure whose use is increasing in Indonesia, even exceeding the WHO recommendation (10–15%). This increasing prevalence of cesarean sections raises the risk of postoperative complications. Early mobilization after a cesarean section is an intervention proven effective in accelerating the recovery process, preventing complications, improving blood circulation, reducing pain, and improving organ function. Ongoing education is needed to ensure mothers are truly capable of correctly performing early mobilization independently. Early mobilization practices still face obstacles, primarily due to mothers' lack of knowledge, fear of pain, and minimal support from health workers and families. Purpose: To improve the knowledge and skills of cadres regarding early mobilization, wound care, and early detection of emergency first aid signs in post-cesarean section mothers. Method: The community service activity was carried out on November 13, 2025, in the RW PKK Anyelir 12 Cikutra area. Thirteen mothers, including cadres of the integrated health post (Posyandu) and integrated health post (Poswindu), were involved as respondents, assisted by two university students, and attended by health workers assigned to the local area. The activity was carried out by delivering material covering wound care management for post-cesarean section mothers, post-cesarean section care, and early detection of emergency signs of first aid for post-cesarean section mothers, accompanied by simulations and demonstrations. Knowledge levels were assessed using questionnaires administered before and after the educational activity (pre-test) and after the educational activity (post-test). Evaluation was carried out through observation during the simulation and to see the results of the activity by comparing changes in pre-test and post-test scores. The results of the activity were presented descriptively to illustrate the increase in respondents' knowledge and skills. Results: Shows that the level of knowledge of respondents before educational activities was 3 (23.1%) and the good category and 10 (76.9%) in the less category, while after educational activities it became 12 (92.3%) in the good category and 1 (7.7%) in the less category. Based on the questionnaire scores also showed that the average knowledge score of respondents before educational activities was 63 points and after educational activities it became 81 points. Conclusion: Systematic education and training activities on early mobilization using a demonstration approach have proven effective in improving the abilities and skills of health cadres. There has been an increase in understanding, mindset, attitudes, and behavior regarding early mobilization and early detection of emergency first aid signs for post-cesarean sections. Suggestion: It is hoped that the sustainability of the program can be monitored through communication with the cadre mothers, using communication media and directly. This activity is also expected to be implemented routinely and periodically in integrated health post (Posyandu) activities so that understanding of early mobilization can benefit the wider community. Keywords: Cadres; Early mobilization; Emergency; Health education; Sectio caesarea Pendahuluan: Sectio caesarea (SC) merupakan salah satu tindakan obstetri yang semakin meningkat penggunaannya di Indonesia, bahkan sudah melebihi angka rekomendasi WHO (10–15%). Peningkatan prevalensi sectio caesarea ini menimbulkan risiko komplikasi pasca operasi. Mobilisasi dini pasca sectio caesarea merupakan salah satu intervensi yang terbukti efektif dalam mempercepat proses pemulihan, mencegah komplikasi, memperlancar peredaran darah, mengurangi nyeri, dan memperbaiki fungsi organ. Perlunya edukasi berkelanjutan agar ibu benar-benar mampu melaksanakan mobilisasi dini secara mandiri dengan benar. Praktik mobilisasi dini masih menghadapi kendala, terutama karena kurangnya pengetahuan ibu, ketakutan terhadap nyeri, serta minimnya dukungan dari tenaga kesehatan dan keluarga. Tujuan: Untuk meningkatkan pengetahuan dan ketrampilan kader tentang mobilisasi dini, perawatan luka dan deteksi dini tanda-tanda kegawatdaruratan pertolongan pertama pada ibu post sectio caesarea. Metode: Kegiatan pengabdian dilaksanakan pada tanggal 13 november 2025, di wilayah RW PKK Anyelir 12 Cikutra. Melibatkan 13 ibu kader posyandu dan poswindu untuk menjadi responden dan dibantu 2 mahasiswa serta dihadiri tenaga kesehatan yang bertugas di wilayah setempat. Kegiatan dilaksanakan dengan penyampaian materi meliputi manajemen perawatan luka pada ibu post sectio caesarea, perawatan pada ibu post sectio caesarea dan deteksi dini tanda-tanda kegawatdaruratan pertolongan pertama pada ibu post sectio caesarea yang disertai simulasi dan demonstrasi. Penilaian tingkat pengetahuan menggunakan kuesioner yang diberikan sebelum kegiatan edukasi (pre-test) dan setelah kegiatan edukasi (post-test). Evaluasi dilakukan dengan observasi ketika melakukan simulasi dan untuk melihat hasil kegiatan dengan membandingkan perubahan nilai pre-test dengan post-test. Hasil kegiatan disampaikan secara deskriptif untuk menggambarkan peningkatan pengetahuan dan keterampilan responden. Hasil: Menunjukkan bahwa tingkat pengetahuan responden sebelum kegiatan edukasi adalah sebanyak 3 (23.1%) dan kategori baik dan sebanyak 10 (76.9%) dalam kategori kurang, sedangkan setelah kegiatan edukasi menjadi sebanyak 12 (92.3%) dalam kategori baik dan sebanyak 1 (7.7%) dalam kategori kurang. Berdasarkan dari skor kuesioner juga menunjukkan bahwa rata-rata skor pengetahuan responden sebelum kegiatan edukasi adalah 63 poin dan sesudah kegiatan edukasi menjadi 81 poin. Simpulan: Kegiatan edukasi dan pelatihan yang sistematis mengenai mobilisasi dini dengan pendekatan demonstrasi terbukti efektif meningkatkan kemampuan dan ketrampilan kader kesehatan. Terdapat peningkatan pemahaman, pola pikir, sikap dan perilaku tentang mobilisasi dini dan deteksi dini tanda-tanda kegawatdaruratan pertolongan pertama pada ibu post sectio caesarea. Saran: Diharapkan untuk keberlanjutan program dapat dipantau melalui komunikasi dengan ibu-ibu kader menggunakan media komunikasi maupun secara langsung. Kegiatan ini diharapkan juga untuk diaplikasikan secara rutin dan berkala dalam kegiatan posyandu agar pemahaman tentang mobilisasi dini dapat bermanfaat kepada masyarakat yang lebih luas
Manajemen perawatan luka pada klien post sectio caesarea di rsud kota bandung Irisanna Tambunan; Diana Ulfah; Yani Marlina; Rani Ismi Oktaviani; Alfi Khoerunisa
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 4 (2025): April Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i4.474

Abstract

 Background: Cesarean section is a surgical procedure that is often performed to deliver a baby, especially when normal delivery is not possible. Cesarean section delivery is high risk for the mother and fetus, both during labor and the postpartum period, especially the risk of infection in the postoperative wound. Postoperative wound care, especially in patients who undergo caesarean section (CS), is an important aspect of recovery. Purpose: To get an overview of the application of wound management in patients with post-cesarean section. Method: Descriptive method with case study approach. The object of the research is three post sectio caesarea clients at Bandung City Hospital. Data collection used in this case study is interviews, observation and documentation using several research instruments as support in data collection. Results: Good wound healing on the seventh day after standard wound care. Factors that affect wound healing include education, age, and mobilization. One client who was 38 years old (high risk) and had just started mobilizing on the third day, experienced slower healing than the other two patients who had mobilized faster. Conclusion: Proper wound care management and a positive client attitude can accelerate wound healing, reduce pain, and increase mobility. Suggestion: improve the quality of wound care and provide health education to create a positive attitude in patients, which will support the wound healing process. Keywords: Management; Nursing Care; SC (Section Caesarea); Wound.  Pendahuluan: Sectio caesarea adalah prosedur bedah yang sering dilakukan untuk melahirkan bayi, terutama ketika persalinan normal tidak memungkinkan. Persalinan sectio caesarea berisiko tinggi bagi ibu dan janin, baik selama persalinan maupun masa nifas, terutama risiko infeksi pada luka pasca operasi. Perawatan luka pasca operasi, khususnya pada pasien yang menjalani sectio caesarea (SC), merupakan aspek penting dalam pemulihan. Tujuan: Untuk mendapatkan gambaran penerapan manajemen luka pada pasien dengan post sectio caesarea. Metode: Metode deskriptif dengan pendekatan studi kasus. Objek penelitian tiga orang klien post sectio caesarea di RSUD Kota Bandung. pengumpulan data yang digunakan dalam studi kasus ini yaitu wawancara, observasi dan dokumentasi dengan menggunakan beberapa instrument penelitian sebagai pendukung dalam pengambilan data. Hasil: Penyembuhan luka yang baik pada hari ketujuh setelah perawatan luka sesuai standar. Faktor-faktor yang memengaruhi penyembuhan luka antara lain pendidikan, usia, dan mobilisasi. Salah satu klienyang berusia 38 tahun (risiko tinggi) dan baru mulai mobilisasi pada hari ketiga, mengalami penyembuhan lebih lambat dibandingkan dua pasien lainnya yang lebih cepat melakukan mobilisasi. Simpulan: Manajemen perawatan luka yang tepat dan sikap positif klien dapat mempercepat penyembuhan luka, mengurangi nyeri, dan meningkatkan mobilitas. Saran: Meningkatkan kualitas perawatan luka dan memberikan penyuluhan kesehatan untuk menciptakan sikap positif pada pasien, yang akan mendukung proses penyembuhan luka. Kata Kunci: Luka; Manajemen; Perawatan; SC (Sectio Caesarea).
Experience of breastfeeding mother’s in treating cracked nipples Yani Marlina; Irisanna Tambunan
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 10 (2026): January Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i10.2061

Abstract

Background: Nipple trauma is one of the most common problems experienced by mothers during the early breastfeeding period and is a major cause of discomfort and pain during breastfeeding. This condition not only affects physical well-being but also influences maternal emotional status, self-confidence, and motivation to continue breastfeeding. If not managed appropriately, nipple trauma may lead to early cessation of breastfeeding and hinder the achievement of exclusive breastfeeding programs. Although various treatment methods have been recommended, mothers’ choices and the effectiveness of these methods are strongly influenced by their experiences, perceptions, and the support they receive. Purpose: To explore in depth breastfeeding mothers’ experiences in managing nipple trauma, including their perceptions of its causes, selected care strategies, barriers encountered during the care process, and the role of social and professional support. Method: A qualitative study with a descriptive phenomenological approach was conducted. Five breastfeeding mothers who experienced nipple trauma within the past year were recruited using purposive sampling. Data were collected through semi-structured in-depth interviews conducted between September and November 2025. Data analysis was performed using Colaizzi’s method through systematic and detailed stages. Results: Mothers perceived nipple trauma as a condition that caused both physical pain and emotional burden. The main contributing factors included improper latch-on technique, maternal fatigue, and changes in nipple skin condition. Mothers applied various care methods; however, they frequently faced limited and inconsistent information. Support from family members and health professionals played a crucial role in maintaining breastfeeding continuity. Conclusion: Mothers’ experiences in managing nipple trauma represent a complex process influenced by the interaction of physical, psychological, and social factors. Practical, evidence-based, and easily accessible breastfeeding education, along with early professional support, is essential to prevent nipple trauma and support the success of exclusive breastfeeding.
The effectiveness of wound care education on wound healing in post caesarean section mothers Irisanna Tambunan; Diana Ulfah; Renanda Nurul Azizah; Inez Komala Fitri
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 9 (2025): December Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Caesarean section (CS) is a common surgical procedure associated with postoperative wound complications if wound care is not optimally managed. Patient education plays a crucial role in improving mothers’ knowledge and supporting postoperative wound management, Purpose:  This study aimed to analyze the effectiveness of wound care education on knowledge level and wound healing outcomes among post-caesarean section mothers, Method: A quasi-experimental study with a non-equivalent control group pretest–posttest design was conducted. Thirty post-CS mothers were recruited using purposive sampling and divided into intervention and control groups. The intervention group received structured wound care education through leaflets and counseling, while the control group received standard education. Data were collected using a knowledge questionnaire and wound assessment (REEDA score). Data analysis was performed using the Wilcoxon Signed Rank Test, Results: The results showed a significant improvement in knowledge levels among mothers in the intervention group after receiving wound care education. However, no significant difference in wound healing outcomes was found between the intervention and control groups at the posttest, as all participants demonstrated good wound healing conditions, Conclusion: Wound care education effectively improves knowledge among post-caesarean section mothers but does not significantly affect short-term wound healing outcomes. Integrating structured wound care education into routine nursing care is recommended to support self-care and prevent postoperative complications.