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Lemon Aromatherapy for Reducing Anxiety in Pregnant Women Approaching Labor Pujiati, Wasis; Julia DS, Hotmaria; Nirnasari, Meily; Sari, Komala; Wati, Liza; Kurniati, Safra Ria; Sartika, Lili; Arianingsih, Tri; Asnita, Asnita; Trisnawati, Yeti
Jurnal Ilmiah Kesehatan (JIKA) Vol. 7 No. 1 (2025): Volume 7 Nomor 1 April 2025
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v7i1.907

Abstract

Anxiety in pregnant women before childbirth was often caused by hormonal changes that affected emotional states. This study aimed to evaluate the effect of lemon aromatherapy on anxiety levels in pregnant women approaching labor. A quasi-experimental method was used with a pre-test and post-test with control group design, involving 32 pregnant women in the working area of Kampung Bugis Public Health Center. Data analysis using the Wilcoxon test showed that the administration of lemon aromatherapy significantly reduced anxiety levels, with a p-value of 0,000. This study recommended lemon aromatherapy as a safe and effective non-pharmacological method to reduce anxiety in pregnant women prior to childbirth.
Pengaruh penggunaan spalk bermotif pada pemasangan infus terhadap kecemasan anak usia prasekolah Putri, Nanda Riyani; Sari, Komala; Wati, Liza; Nirnasari, Meily
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 7 (2025): October 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.v4i7.1405

Abstract

Background: Data from the World Health Organization (2022) shows that around 80% of children treated in hospitals undergo invasive procedures such as IV insertion, and more than 60% of them show signs of anxiety. In Indonesia, the 2023 Mother and Child Health Survey recorded that 74.8% of children experienced moderate to severe anxiety during medical treatment. Preschool-aged children are particularly vulnerable to anxiety due to their limited ability to express their fears when facing medical procedures. Purpose: To determine the effect of using patterned splints on anxiety in preschool-aged children. Method: The study population consisted of all preschool-aged children treated in the Flamboyan Room over the past two months, totaling 55 children. A sample of 17 children was selected using purposive sampling with a quasi-experimental pre-test and post-test design without a control group. The instrument used was the Taylor Manifest Anxiety Scale (T-MAS) questionnaire, which had been tested for validity with 27 valid statements (r > 0.444) and high reliability (α = 0.965). Results: The study shows that before the intervention, most children (52.9%) experienced severe anxiety, and after the intervention, the majority of children (58.8%) experienced mild anxiety. Statistical testing using the Wilcoxon Signed Ranks Test showed a p-value = 0.001, which means that there is a significant effect of using patterned splints on reducing children's anxiety levels. Conclusion: Based on these results, patterned splints are effective in reducing children's anxiety levels and are suitable as a non-pharmacological intervention based on atraumatic care. Suggestion: Researchers recommend the procurement and development of standard operating procedures (SOPs) for the use of patterned splints and the development of supporting innovations such as character dolls, picture books, or educational shows to create a child-friendly care environment
Mothers' Knowledge about Exclusive Breastfeeding Sari, Komala; Arianingsih, Tri; Nirnasari, Meily
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5043

Abstract

Exclusive breastfeeding is one of the important pillars in supporting infant health and growth, but its coverage in Indonesia is still low, especially in rural areas such as Palmatak. Mothers' knowledge about the importance of exclusive breastfeeding influences breastfeeding practices, but various factors such as age, education, and occupation can affect their understanding. These obstacles often hinder the adoption of optimal exclusive breastfeeding practices. This study aims to describe mothers' knowledge about exclusive breastfeeding in the Palmatak Health Center area. Methods: The design of this study was descriptive quantitative. The sampling technique used simple random sampling with a sample size of 50 mothers. Data were collected using a questionnaire that measured mothers' knowledge of exclusive breastfeeding, as well as demographic characteristics such as age, education, and occupation. Data analysis was carried out using univariate analysis techniques to describe the frequency distribution and percentage of the variables studied. The results showed that the majority of respondents (76%) were in the non-risk age group, namely 20-35 years. Most mothers had a high school education/equivalent (36%), and most worked as self-employed (30%). Regarding maternal knowledge about exclusive breastfeeding, 52.94% had low knowledge, while 47.06% had high knowledge. Factors such as limited access to health information and the influence of local cultural habits are the main obstacles in increasing maternal knowledge about exclusive breastfeeding. This study concluded that despite high knowledge among some mothers, many mothers still do not understand the importance of exclusive breastfeeding. Health centers and health cadres have an important role in increasing maternal knowledge through community-based education programs that are tailored to local conditions. Interventions based on social and cultural contexts can be more effective in increasing exclusive breastfeeding coverage in rural areas.
Terapi Bermain Meniup Baling-Baling Menurunkan Intensitas Nyeri Pada Pemasangan Infus Anak Prasekolah Nirnasari, Meily; Wati, Liza
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 15 No 2 (2020): October Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v15i2.115

Abstract

Infusionis an invasive procedure that causes pain in children. Wich one strategy that can help reduce the pain is non-pharmacological measures that easy, can be done by nurses to reduce the pain during invasive procedure in children is a deep breathing relaxation techniques using play therapy blow propeller. The purpose ofstudythis was to know the effect of play therapy blowing propeller to decrease of pain infusion. Data collection was conducted from March-April 2018 at  Raja Ahmad Thabib Hospital Tanjungpinang. using design quasyexperimental approach only with posttest control group design. The sampling technique is consecutive sampling with the number 20 preschool children (2-6 years), 10 in the experimental group and 10 control group. Pain during infusion in children measured directly with a scale FLACC (Face,Legs, Activity, Cry,Consolability). The data analysis was performed with thetest Mann-Whitney to assess pain intensity difference between the intervention and control groups. These results indicate the existence of significant differences in pain scores p-value= 0.01(pv <0.05) between the intervention and control group at the time of infusion. This research may help to nurses and other health workers as non-pharmacological techniques when IVs that child pain intensity lighter.Keywords: Installation Infusion, Pain, Relaxation Breath deeply
PENGARUH EARLY WARNING SCORE (EWS) TERHADAP HEMODINAMIK PASIEN PENYAKIT JANTUNG KORONER DI ICU RSUD KOTA TANJUNGPINANG Rawati, Novi; Widiastuti, Linda; Abdullah, Endang; Nirnasari, Meily
Juru Rawat. Jurnal Update Keperawatan Vol. 5 No. 1 (2025): Juni 2025
Publisher : Prodi D3 Keperawatan Tegal Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/juk.v5i1.12968

Abstract

Penyakit Jantung Coroner (PJK) menjadi masalah Kesehatan masyarakat dan semakin meningkat, sebanyak 17,7 juta kematian diseluruh dunia disebabkan oleh penyakit kardiovaskuler. Penyakit ini membutuhkan pemantauan dan penilaian secara berkelanjutan mengenai kondisi pasien, salah satu nya dengan penerapan Early Warning Score (EWS). Pemantauan EWS menjadi metode yang dapat meningkatan kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui apakah ada pengaruh Early Warning Score (EWS) Terhadap hemodinamik pasien PJK di ICU RSUD Kota Tanjungpinang. Penelitian ini menggunakan jenis penelitian kuantitaf dengan desain penelitian pra eksperiment dengan pendekatan one group pre test dan post test eksperimen. Sampel penelitian berjumlah 15 responden diambil dengan menggunakan Total Sampling. Alat pengumpulan data dengan menggunakan lembar observasi EWS. Analisa data menggunakan Wilcoxon Rank Test dengan signifikan ≤0,05. Hasil penelitian dari uji Wilcoxon Rank Test nilai p value 0,003 (≤0,05) yang berarti dapat disimpulkan bahwa ada pengaruh EWS terhadap status hemodinamik pada pasien penyakit jantung coroner. Penerapan EWS ini dapat menjadi salah satu Evidence Based Practice untuk meningkatkan kualitas hidup pasien di ICU khusunya dengan penyakit jantung coroner.
Edukasi Think Pair Share Sebagai Upaya Meningkatan Pengetahuan Anak Dalam Konsumsi Sayur dan Buah Wati, Liza; Ismail, Nurliana Binte; Nirnasari, Meily; Siagian, Yusnaini; Khoriroh, Syamilatul; Atrie, Utari Yunie; Widiastuti, Linda; Pujiati, Wasis; Fadilah, Ummu
Jurnal Medika: Medika Vol. 4 No. 4 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/dhx7jh75

Abstract

Anak usia sekolah merupakan salah satu kelompok anak yang rentan mengalami masalah gizi. Status gizi anak yang buruk mempengaruhi pertumbuhan fisik, perkembangan mental dan proses berpikir. Salah satu nutrisi yang penting adalah zat gizi mikro seperti vitamin dan mineral, walaupun dibutuhkan dalam jumlah kecil namun berperan penting dalam kesehatan. Salah satu sumber nutrisi tersebut adalah pada buah dan sayur.  Rendahnya konsumsi sayur dan buah pada anak-anak meningkatkan risiko obesitas dan berdampak negatif pada tumbuh kembang mereka. Pendidikan kesehatan dengan media edukasi yang sesuai usia adalah salah satu strategi untuk meningkatkan pengetahuan anak tentang konsumsi sayur dan buah. Model think pair share membantu siswa bernalar dan berpikir kritis, diharapkan dapat meningkatkan pemahaman mereka tentang pentingnya konsumsi sayur dan buah. Metode edukasi dilakukan dengan pendidikan kesehatan disekolah. Sasaran kegiatan ini adalah siswa kelas III di SDN 005 Tanjungpinang Kota sejumlah 43 siswa. Hasilnya didapatkan gambaran  mayoritas anak adalah perempuan (53,5%) dan berusia 9 tahun (53,5%). Sebagian besar anak pernah mendapatkan informasi tentang pentingnya konsumsi sayur dan buah (88,4%), terutama dari guru sekolah (41,9%). Namun, mayoritas anak belum pernah menerima pendidikan kesehatan tentang pentingnya konsumsi sayur dan buah (60,5%). Sebelum diberikan pendidikan kesehatan dengan model think pair share, mayoritas siswa memiliki pengetahuan yang kurang (44,2%). Namun setelah intervensi, mayoritas siswa memiliki pengetahuan yang baik (97,7%). Model ini efektif untuk pembelajaran dalam memecahkan masalah dan berpikir kritis