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Effectiveness of Endorphin Massage for Pain Reduction During the Active Phase of First-Stage Labor: A Quasi-Experimental Pretest–Posttest Study Fitrianingsih, Julia; Fitriani, Fitriani; Yulis, Dian Meiliani
Media Kesehatan Politeknik Kesehatan Makassar Vol 20 No 2 (2025): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v20i2.1711

Abstract

Pain during the first stage of labor frequently heightens maternal stress and may interfere with the physiological progress of childbirth. This study examined the effectiveness of endorphine massage as a non-pharmacological technique for reducing pain experienced by women in the active phase of first-stage labor. A quasi-experimental one-group pretest–posttest design was conducted with sixteen consecutively recruited participants from a community health center. The intervention consisted of a structured endorphine-massage protocol delivered by trained midwives, involving gentle rhythmic strokes and light pressure applied for approximately 15 minutes to the lower back, shoulders, and pelvic area. Pain intensity was measured before and after the intervention using the validated Numeric Rating Scale (NRS). Normality was confirmed with the Shapiro–Wilk test, permitting the use of a paired t-test. The mean pain score decreased from 7.40 before the intervention to 6.13 afterward, indicating a statistically significant reduction (p = 0.001) with a moderate effect size. These findings suggest that endorphine massage may serve as a supportive option for managing pain during the active phase of labor. However, the small sample size and single-site setting limit generalizability, and larger multi-center studies are recommended to strengthen the evidence base for clinical application
Peningkatan Kualitas Hidup Lansia Melalui Penerapan Pola Hidup Sehat di Desa Moncongloe Bulu Julia Fitrianingsih
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 2 No. 1 (2022): Maret : Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v2i1.598

Abstract

Elderly is synonymous with various declines in health status, especially physical health status. Various theories about the aging process show the same thing. The health status of the elderly which declines with age will affect the quality of life of the elderly. Increasing age will be accompanied by the emergence of various diseases, decreased body function, body balance and the risk of falling. The decline in the health status of the elderly is contrary to the desire of the elderly to remain healthy, independent and able to carry out activities as usual, such as bathing, dressing, moving independently. This activity aims to provide information to the public about the importance of maintaining reproductive health in improving the quality of life. This educational process uses the lecture method with the help of powerpoints and leaflets. The results obtained from this activity are that the youth participating in this service activity become more aware and know more about how to improve the quality of life, especially during this pandemic. The assessment is based on the response and enthusiasm of the participants in receiving the material provided. Including positive responses from participants in answering questions correctly when asked questions by the presenters.
ANALISIS PERBANDINGAN RME DAN RMK TERHADAP EFEKTIVITAS DAN KUALITAS PELAYANAN KESEHATAN DI IGD RSU SAYANG RAKYAT MAKASSAR Ma'ruf, Irham; Fitrianingsih, Julia; Latu, Saparuddin
Jurnal Medicare Vol. 5 No. 1 (2026): JANUARY 2026
Publisher : Rena Cipta Mandiri

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

Abstract

Perkembangan teknologi informasi mendorong transformasi sistem pelayanan kesehatan, termasuk penerapan Rekam Medis Elektronik (RME) sebagai pengganti rekam medis konvensional berbasis kertas. Penelitian ini bertujuan menganalisis perbandingan penggunaan RME dan Rekam Medis Konvensional (RMK) terhadap efektivitas dan kualitas pelayanan kesehatan di Instalasi Gawat Darurat (IGD) RSU Sayang Rakyat Makassar. Penelitian menggunakan pendekatan kualitatif deskriptif dengan teknik pengumpulan data melalui wawancara mendalam, observasi, dan dokumentasi. Informan penelitian berjumlah tujuh orang yang terdiri atas informan kunci, informan utama, dan informan tambahan yang terlibat langsung dalam proses pelayanan di IGD. Hasil penelitian menunjukkan bahwa penggunaan RME lebih efektif dibandingkan RMK, terutama dalam kecepatan akses data pasien, ketepatan pencatatan medis, serta kemudahan pengambilan keputusan klinis. Berdasarkan dimensi kualitas pelayanan SERVQUAL, RME unggul pada dimensi reliability, responsiveness, dan assurance, sedangkan dimensi tangible dan empathy belum menunjukkan perbedaan yang signifikan. Kendala utama dalam penerapan RME meliputi keterbatasan sarana prasarana, gangguan jaringan, serta kompetensi sumber daya manusia. Penelitian ini menyimpulkan bahwa optimalisasi penerapan RME berpotensi meningkatkan efektivitas dan kualitas pelayanan kesehatan di IGD apabila didukung oleh infrastruktur, pelatihan, dan kebijakan manajemen rumah sakit yang berkelanjutan.
GERAKAN PEDULI KESEHATAN REPRODUKSI MELALUI PEMERIKSAAN KESEHATAN GRATIS UNTUK GENERASI SEHAT DI KAWASAN CAR FREE DAY BOULEVARD Fitrianingsih, Julia
Journal of Career Development Vol 3, No 2 (2025): Journal of Career Development
Publisher : Career Development Center Division at Amkop Business School

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37531/jcd.v3i2.208

Abstract

Abstrak Gerakan Peduli Kesehatan Reproduksi merupakan kegiatan Pengabdian kepada Masyarakat (PKM) yang bertujuan meningkatkan kesadaran dan pemahaman masyarakat tentang pentingnya kesehatan reproduksi melalui pemeriksaan kesehatan gratis di kawasan Car Free Day Boulevard. Kegiatan ini menyasar remaja, dewasa muda, dan masyarakat umum sebagai upaya promotif dan preventif dalam mendeteksi dini masalah kesehatan reproduksi. Metode pelaksanaan meliputi edukasi interaktif, konsultasi langsung dengan tenaga kesehatan, serta pemeriksaan dasar seperti pengukuran tekanan darah, indeks massa tubuh, dan skrining awal kesehatan reproduksi. Selain itu, dilakukan pembagian media edukasi untuk memperkuat pemahaman peserta. Hasil kegiatan menunjukkan tingginya antusiasme masyarakat serta meningkatnya pengetahuan peserta mengenai pentingnya menjaga kesehatan reproduksi, pola hidup bersih dan sehat, serta deteksi dini gangguan kesehatan. Program ini diharapkan menjadi model kegiatan berkelanjutan dalam mendukung terwujudnya generasi sehat, produktif, dan sadar akan pentingnya kesehatan reproduksi sejak dini.Kata Kunci: kesehatan reproduksi, pengabdian kepada masyarakat, pemeriksaan gratis, edukasi kesehatan, generasi sehat
Becoming a Resilient Mother: The Impact of Breastfeeding Self-Efficacy and Multiparity on Emotional Adjustment of Postpartum Mothers Fitrianingsih, Julia; Yulis, Dian Meiliani; Herman, Sriyana; Fitriani, Fitriani
Public Health of Indonesia Vol. 12 No. 1 (2026): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v12i1.1588

Abstract

Background: The postpartum period is a critical phase characterized by significant emotional and psychological transformations Objective: This study aims to investigate the effect of breastfeeding self-efficacy and multiparity on the emotional adjustment of postpartum mothers Method: The research design used was a cross-sectional study to collect data from 101 Breastfeeding mothers. The sample consisted of all postpartum mothers who gave breastmilk. The inclusion criteria were gestational age of at least in women with a singleton pregnancy, 34 weeks, no breast abnormalities, and no smoking or alcohol consumption. Mothers and infants who need special care were excluded. The BSE Scale-Short Form questionnaire was used to collect data. This used crosstabulation, chi-square testing, and regression to evaluate the data to clearly and formally describe the statistical analyses performed. Results: The results showed that mothers with high BSE were much more likely to say they were emotionally stable, with an odds ratio (OR) of 12.54 (p <.001), which means there was a strong connection between BSE and emotional adjustment through multiparity. The crosstab analysis showed that multiparity was likewise statistically significant (p = .000), but when BSE was controlled, regression showed that its effect was not significant (p = .558). Conclusion: The study concludes that breastfeeding self-efficacy is more important than multiparity in determining how well a mother adjusts emotionally after giving birth. Interventions that build BSE may help new mothers feel better emotionally.  Keywords: Breastfeeding Self-Efficacy; Emotional Adjustment; multiparity; postpartum
Patients’ Perceptions of the Frequency of Medication Counseling by Pharmacists: A Qualitative Case Study Dian Meiliani Yulis; Nun Sudiar Astati; Hairuddin K; Julia Fitrianingsih
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 15 No. 1 (2026): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v15i1.204

Abstract

Introduction: Medication counseling is an essential component of patient-centered pharmaceutical care, contributing to medication safety, adherence, and patient satisfaction. In hospital pharmacy settings, counseling practices are often influenced by workload and service constraints, resulting in variability in counseling frequency. Understanding how patients perceive and interpret the frequency of medication counseling is therefore important for improving the quality of pharmacy services. This study aimed to explore patients’ perceptions of the frequency of medication counseling provided by pharmacists and to examine its role in shaping patient satisfaction within a hospital pharmacy setting. Research Methodology: A qualitative case study design was employed at the pharmacy installation of a regional general hospital in Indonesia. Data were collected through in-depth interviews with patients, pharmacists, and supporting staff, complemented by non-participant observations and document review. Participants were selected using purposive sampling. Data were analyzed thematically through data condensation, data display, and conclusion drawing, with credibility ensured through triangulation of sources and techniques. Results: The findings revealed that medication counseling frequency was delivered inconsistently and varied according to workload, patient volume, and medication characteristics. Patients perceived frequent counseling as a sign of professional care that enhanced understanding, confidence, and trust in pharmacists. Consistent counseling contributed positively to patient satisfaction, whereas limited counseling led to uncertainty in medication use. Organizational factors, such as staffing limitations and service flow, were identified as key constraints on counseling practices. Conclusion: Medication counseling frequency is a meaningful experiential factor that shapes patient satisfaction and the quality of pharmacist-patient interactions. Strengthening counseling consistency through organizational support and standardized practices may improve patient-centered pharmaceutical care in hospital settings.
Analysis of the level of human resources competence in the implementation of digital transformation Zulfausi Wahyu Syahputra; Julia Fitrianingsih; Jalal
Jurnal Ilmiah Kesehatan Sandi Husada Vol. 14 No. 1 (2025): January - June
Publisher : LPPM Politeknik Sandi Karsa, South Sulawesi, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiksh.v14i1.306

Abstract

Introduction: In the era of Industry 4.0, digital transformation has become necessary for organizations to remain competitive. However, the success of digital transformation initiatives is highly dependent on human resources (HR) competence. This study aims to analyze the level of HR competence and its influence on the effectiveness of digital transformation implementation. Research Methodology: This research employs a quantitative descriptive method using survey data collected from 150 employees across various departments in a mid-sized enterprise undergoing digital transformation. The data were analyzed using statistical tools to measure the correlation between HR competence indicators and digital transformation progress. Result: Findings indicate that 68% of the workforce possesses basic digital skills, while only 24% demonstrate advanced digital and analytical capabilities. Departments with higher digital competence reported smoother transitions and better performance metrics post-transformation. Conclusion: The level of HR competence is critical to the success of digital transformation. Organizations must invest in continuous training and development to bridge the competency gap and support a sustainable digital shift.