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<![CDATA[ Effectiveness of Effleurage and Counter-Pressure Massages in Reducing Labor Pain ]]>
<![CDATA[Santiasari, Retty Nirmala]]>;
<![CDATA[Nurdiati, Detty Siti]]>;
<![CDATA[Lismidiati, Wiwin]]>;
<![CDATA[Saudah, Noer]]>
<![CDATA[ Health Notions Vol 2 No 7 (2018): July 2018 ]]>
Publisher : <![CDATA[Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453) ]]>
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<![CDATA[labor. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counter-pressure massage were complementary treatment to relieve pain. This study aimed to analyze effectiveness of effleurage and counter-pressure massages for reducing labor pain in stage 1 of active labor phase. This study used quasi experiment design with pre-post test non-equivalent control group. Research subjects were 68 mothers in stage 1 of active labor phase, which were divided evenly to two groups. Sampling collection technique used consecutive sampling. Independent variables were effleurage and counter-pressure, while dependent variables were decline of labor pain. Instrument to assess labor pain was Numeric Rating Scale (NRS). Data were analyzed using Wilcoxon and Mann Whitney. Labor pain before and after intervention in effleurage group were 9.26±1.05 and 6.88±1.22, respectively (p=0.00). Meanwhile, the respective numbers in counter-pressure groups were 9.00±0.98 and 6.59±1.28 (p=0.00). Average labor pain decline in effleurage and counter-pressure groups were 2.38 and 2.41, respectively (p=0.74). There was no significant difference between effleurage and counter-pressure in reducing labor pain. Keywords: Labor pain, Effleurage, Counter-pressure]]>
<![CDATA[EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF ]]>
<![CDATA[Santiasari, Retty Nirmala]]>;
<![CDATA[Nurdiati, Detty Siti]]>;
<![CDATA[Lismidiati, Wiwin]]>
<![CDATA[ Media Ilmu Kesehatan Vol 7 No 3: MIK Desember 2018 ]]>
Publisher : <![CDATA[Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta ]]>
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DOI: 10.30989/mik.v7i3.293
<![CDATA[Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions.
Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation.
Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney.
Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00.
Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.
Keywords: Cervical dilatation, counterpressure, effleurage]]>
<![CDATA[EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF ]]>
<![CDATA[Nirmala Santiasari, Retty]]>;
<![CDATA[Siti Nurdiati, Detty]]>;
<![CDATA[Lismidiati, Wiwin]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 7 No 3 (2018): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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DOI: 10.30989/mik.v7i3.240
<![CDATA[Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage]]>
<![CDATA[HUBUNGAN PELATIHAN DENGAN PERILAKU BIDAN DALAM MELAKUKAN PENCEGAHAN PENDARAHAN POSTPARTUM DI KABUPATEN BANTUL ]]>
<![CDATA[Nur Anisa, Diah]]>;
<![CDATA[S Nurdiati, Detty]]>;
<![CDATA[Lismidiati, Wiwin]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 8 No 1 (2019): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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DOI: 10.30989/mik.v8i1.251
<![CDATA[Background: Postpartum hemorrhage is define as 500 cc or more bleeding after the completion of third stage (after the placenta is born). Maternal mortality due to postpartum hemorrhage occurs a lot in health services, one of the factors that influence it is the behavior of health workers in the prevention of postpartum hemorrhage. The behavior of midwives in preventing postpartum hemorrhage is closely related to the competencies seen from the training attended. Objective: To find out the relationship between training and the behavior of midwives in preventing postpartum hemorrhage in Bantul Regency. Methods: We used a correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five community health centers. Retrieval of data in this study used an observation sheet to see the actions of midwives in conducting active management in the third stage as a preventive measure for postpartum bleeding and the identity sheet of respondents to see the training that had been attended by midwives. Results: There was no relationship between training with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency with a p value of 0.093. A total of 40 midwives (58.8%) had good behavior and 53 midwives (77.9%) had attended training. Conclusion: There is no training relationship with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency Keywords: Behavior, hemorrhage, postpartum, training]]>
<![CDATA[The Influence of Self-Tapping on Anxiety During Primary Menstrual Cramps among Nursing Students ]]>
<![CDATA[Lismidiati, Wiwin]]>;
<![CDATA[Fidyasanti, Neni]]>;
<![CDATA[Nurkhasanah, Nurkhasanah]]>
<![CDATA[ Jurnal Keperawatan Soedirman Vol 14, No 1 (2019) ]]>
Publisher : <![CDATA[Jurusan Keperawatan FIKES UNSOED ]]>
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DOI: 10.20884/1.jks.2019.14.1.875
<![CDATA[ABSTRACTBackground: Menstruation is a sign of puberty for female adolescents. The common menstrual disorder experienced by adolescent is called painful menstruation (primary dysmenorrhea). Primary dysmenorrhea triggers both physical and psychological symptoms. One of the psychological impacts is anxiety. Self-tapping is a non-pharmacological therapy which can reduce anxiety.Aim: To figure out the effect of self tapping toward anxiety level among nursing students experiencing menstrual cramps.Methods: This study was a quasy-experimental research with non equivalent pretest-posttest with control group. The total 60 respondents were divided into intervention and control group with 30 respondents each. Self tapping was practiced in intervention group, meanwhile deep breath was performed in control group. The instruments to measure anxiety were anxiety screening questionare and Hamilton Anxiety Rating Scale (HARS). Wilcoxon statistical test was applied to compare the level of anxiety before and after the treatment in both groups. Besides, Mann Whitney satistical test was used to compare the effectiveness of both treatments in reducing the anxiety level in each group.Results: The anxiety mean score of the intervention group decreased from 24,63 to 16,03 after self tapping (?=8,6; p=0,000), while the anxiety mean score of the control group decreased from 23,5 to 17,73 after the implementation of deep breath technique (?=5,77; p=0,000). There was a significant difference between self tapping and deep breath technique in reducing anxiety level (p-value=0.006). Conclusion: Self tapping indeed has impact towards anxiety level among nursing students experiencing menstrual cramps.]]>
<![CDATA[Effectiveness of Effleurage and Counter-Pressure Massages in Reducing Labor Pain ]]>
<![CDATA[Retty Nirmala Santiasari]]>;
<![CDATA[Detty Siti Nurdiati]]>;
<![CDATA[Wiwin Lismidiati]]>;
<![CDATA[Noer Saudah]]>
<![CDATA[ Health Notions Vol 2, No 7 (2018): July ]]>
Publisher : <![CDATA[Humanistic Network for Science and Technology (HNST) ]]>
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DOI: 10.33846/hn.v2i7.228
<![CDATA[Labor pain was an emotional experience and involves both physiological and psychological mechanisms during labor. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counter-pressure massage were complementary treatment to relieve pain. This study aimed to analyze effectiveness of effleurage and counter-pressure massages for reducing labor pain in stage 1 of active labor phase. This study used quasi experiment design with pre-post test non-equivalent control group. Research subjects were 68 mothers in stage 1 of active labor phase, which were divided evenly to two groups. Sampling collection technique used consecutive sampling. Independent variables were effleurage and counter-pressure, while dependent variables were decline of labor pain. Instrument to assess labor pain was Numeric Rating Scale (NRS). Data were analyzed using Wilcoxon and Mann Whitney. Labor pain before and after intervention in effleurage group were 9.26±1.05 and 6.88±1.22, respectively (p=0.00). Meanwhile, the respective numbers in counter-pressure groups were 9.00±0.98 and 6.59±1.28 (p=0.00). Average labor pain decline in effleurage and counter-pressure groups were 2.38 and 2.41, respectively (p=0.74). There was no significant difference between effleurage and counter-pressure in reducing labor pain. Keywords: Labor pain, Effleurage, Counter-pressure]]>
<![CDATA[Hubungan lama kerja dengan perilaku bidan dalam melakukan pencegahan perdarahan postpartum di Kabupaten Bantul ]]>
<![CDATA[Diah Nur Anisa]]>;
<![CDATA[Detty S Nurdiati]]>;
<![CDATA[Wiwin Lismidiati]]>
<![CDATA[ Health Sciences and Pharmacy Journal Vol 3, No 1 (2019) ]]>
Publisher : <![CDATA[STIKes Surya Global Yogyakarta ]]>
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DOI: 10.32504/hspj.v3i1.90
<![CDATA[Postpartum hemorrhage is one of the causes of the hight of the maternal mortality rate (MMR) in Indonesia. Maternal mortality in Bantul regency has been increased than the last. The incident of prevention of midwives in the prevention of postpartum hemorrhage during labor proses. To find out the relationship between the length of work and the behavior of midwives in the prevention of postpartum hemorrhage in Bantul regency. This study included a type of correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five health centers. Retrieval of data in this study used an observation sheet to see the actions of midwifes in conducting active management in the third stage as preventive measure for postpartum hemorrhage and the identity sheet of respondents to see the length of work that had been undertaken by midwives. The result of this research showed that the mayority of midwives who have length work ≥ 10 years, it was 47 people (69%), and midwives who have good behavior in prevention of postpartum hemorrhage was 40 people (58,8%). The result of correlation test between length work and midwives behavior in prevention of postpartum hemorrhage obtained p = value 0,851 (p 0,05). There no relatinship of long work with the behavior of midwives in theprevention of postpartum hemorrhage in Bantul regency.]]>
<![CDATA[STUDI LITERATURE REVIEW: ASUHAN KEPERAWATAN PALIATIF DENGAN PENDEKATAN PERAWATAN SPIRITUAL TERHADAP LEVEL NYERI PASIEN KANKER SERVIKS ]]>
<![CDATA[Eka Rora Suci Wisudawati]]>;
<![CDATA[Sudadi Sudadi]]>;
<![CDATA[Wiwin Lismidiati]]>
<![CDATA[ Jurnal 'Aisyiyah Medika Vol 6, No 1: Februari 2021 Jurnal 'Aisyiyah Medika ]]>
Publisher : <![CDATA[stikes 'aisyiyah palembang ]]>
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DOI: 10.36729/jam.v6i1.576
<![CDATA[Latar Belakang: Penyakit kanker merupakan salah satu penyebab kematian utama di seluruh dunia. Prevalensi kanker yang paling sering dialami wanita Indonesia adalah kanker serviks dan kanker payudara. Perawatan paliatif dan perawatan spiritual yang terintegrasi akan sangat menunjang managemen nyeri dan keluhan fisik pada pasien kanker. Tujuan: Literature review ini bertujuan untuk mengidentifikasi pemberian asuhan keperawatan paliatif dengan pendekatan perawatan spiritual terhadap level nyeri pada pasien kankerserviks. Metode: Desain penelitian adalah literature review. Pencarian literature dilakukan dengan melakukan penelusuran jurnal internasional dan nasional. Hasil pencarian artikel pada database ditemukan sebanyak 799 artikel. Jumlah artikel yang sesuaikriteria inklusi adalah sebanyak 12 artikel. Hasil literatur review didapatkan dari kedua belas jurnal yang direview, 1 jurnal merupakan review yaitu systematic review, 7 penelitian klinis, 2 penelitian quasy experiment, 1 penelitian randomized control trial (RCT), 3 penelitian kualitatif dan 1 penelitian campuran (mix methode), 3 penelitian merupakan penelitian survey yaitu 2 jurnal dengan pendekatan crossectionaldan 1 jurnal dengan pendekatansurvei berbasis studi multisite, 1 jurnal penelitian prospektif longitudinal. Hasil: Pemberian asuhan keperawatanpaliatif dan perawatan spiritual secara komprehensif pada pasien kanker serviks efektif untuk meningkatkan kualitas hidup pasien atau mengurang ikeluhan-keluhan yang dialami pasien kanker, terutama dalam managemen nyeri yang merupakan keluhan paling sering dialami oleh pasien kanker. Saran: Penelitian terkait pembuatan prosedur Asuhan Keperawatan Paliatif dapat dilakukan sebagai upaya managemen nyeri pasien kanker serviks.Kata Kunci: Nyeri Kanker, Perawatan Spiritual, Kanker Serviks, Perawatan Paliatif]]>
<![CDATA[Efektivitas Audiovisual dan Booklet sebagai Media Edukasi untuk Meningkatkan Perilaku Skrining IVA ]]>
<![CDATA[Veronica Silalahi]]>;
<![CDATA[Mohammad Hakimi]]>;
<![CDATA[Wiwin Lismidiati]]>
<![CDATA[ Media Kesehatan Masyarakat Indonesia Vol. 14 No. 3: SEPTEMBER 2018 ]]>
Publisher : <![CDATA[Faculty of Public Health, Hasanuddin University, Makassar ]]>
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DOI: 10.30597/mkmi.v14i3.4494
<![CDATA[Cervical cancer is the caused of high maternal mortality. Prevention of cervical cancer done by screeningVisual Inspection with Acetic Acid (IVA). The objective of this study to analyzed the effectiveness of health educationapplying health belief model using audiovisual and booklet on female behavior for IVA examination in thework area of Pacarkeling Public Health Center. The research method used Quasi Experimental with Design Non-Equivalent Control Group Design. Research subjects were women aged 30-50 years who have never done previousIVA examination. Sample selection using cluster sampling technique with sample of 79 respondents for each groupof intervention and control group. Health education using audiovisual and booklet. Data analyzed using wilcoxontest, chi-square, mann-whitney, and linear regression. Health education using audiovisual and booklet effectivein improving the behavior of respondents for IVA screening. Increased of knowledge, attitudes, health belief of theintervention group is greater than control group. The behavior of women in IVA screening for intervention groupwas greater than control group after intervention. External variables such as age, education, occupation, income,previous information have an effect on behavior improvement. Health education is effective in improving womenbehavior for IVA screening]]>
<![CDATA[Pengaruh Self Tapping terhadap Penurunan Level Dysmenorhea pada Mahasiswi Program Studi Ilmu Keperawatan ]]>
<![CDATA[Wiwin Lismidiati]]>;
<![CDATA[Neni Fidya Santi]]>;
<![CDATA[Hikmahtika Wulaning Akbar]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 5 No. 1 (2017): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v5i1.350
<![CDATA[Dysmenorrhea primer adalah nyeri pada perut bagian bawah yang dirasakan pada saat menstruasi tanpa adanyakelainan pada panggul. Banyaknya gejala yang muncul saat dysmenorrhea dapat berpengaruh pada aktivitaskerja dan aktivitas sehari-hari. Ada beberapa manajemen nyeri untuk mengatasi dysmenorrhea primer, salahsatunya adalah dengan self tapping. Tujuan penelitian untuk menganalisis efektifitas terapi self tapping dalammenurunkan level nyeri dysmenorrhea primer pada mahasiswi PSIK FK UGM. Penelitian ini adalah jenispenelitian quasi experiment non randomized pretest-postest with control. Pada kelompok intervensi diberikanperlakuan self tapping, sedangkan pada kelompok kontrol diberikan perlakuan nafas dalam. Pengukuran levelnyeri dysmenorrhea primer dilakukan menggunakan instrumen Numerical Rating Scale (NRS) dengan skala1−10. Jumlah responden sebanyak 60 orang. Untuk mengetahui perbandingan level nyeri sebelum dan sesudahterapi pada kelompok intervensi dan kelompok kontrol, dilakukan uji statistik Wilcoxon. Sedangkan untukmembandingkan perbedaan level nyeri antara kelompok intervensi dan kelompok kontrol dilakukan uji statistikMann Whitney. Hasil menunjukkan intervensi self tapping lebih efektif menurunkan level nyeri dysmenorrheaprimer pada mahasiswi PSIK FK UGM dengan nilai p = 0,007. Kesimpulannya terdapat pengaruh terapiself tapping terhadap terhadap level nyeri dysmenorrhea primer pada mahasiswi PSIK FK UGM. Terapi selftapping dapat dijadikan pilihan penanganan untuk mengurangi nyeri pada saat mengalami dysmenorrhea primer.]]>
