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"TAPEL for postpartum pain reduction " Asirotul Marifah Marifah; Naning Puji Suryantini
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 1 No 2 (2017): IJNMS Volume 1 Issue 2, Desember 2017
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Tapel is a traditional medicine in the form of solid, pasta or like porridge used by smearing on the mother's abdomen after delivery. Tapel causes touch to the skin that is, a sense of cold, warm and also a refreshing smell. So it is possible that the element can reduce the pain Afterpain due to uterine contractions that are sometimes very disturbing mainly 2-3 days Postpartum. The effectiveness of Tapel use in postpartum mothers was analyzed using descriptively by correlating tapel administration to afterpain. From the result of data analysis using Wilcoxon test got that value of a-Symp. Sig (2 tailed)) of 0,000 due to asymp.sig (2-tailed) <Î± 0.05. The puerperal mother given Tapel gets distraction from the tapel. This is due to the cold sensation and the warm feeling that the patient feels when Tapel is smeared into the front of the stomach as well as the refreshing tapel smell (the smell of traditional medicine) makes a distraction in the mother who experiences Afterpain. Keywords: Tapel, Afterpain, Post Partum

INTELLECTUAL DISTRACTION FOR DYSMENORRHEA veryudha eka prameswari; ASIROTUL MAâ€™RIFAH; NANING PUJI SURYANTINI; INDAH KUSMINDART
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 2 No 03 (2018): IJNMS Volume 2 Issue 3, December 2018
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Dysmenorrhea is a menstrual problem that usually occurs in young women. When dysmenorrhea, interferes with activity, non-pharmacological treatment will be an alternative to reduce dysmenorrhea. One way to deal with pain in a non-pharmacological way is by intellectual distraction, with the theory of reticular activation, which can inhibit pain stimulation when a person receives adequate or excessive sensory input, which results in the inhibition of pain impulses to the brain. Intellectual distraction techniques include filling in crosswords, playing cards, doing hobbies (in bed) such as collecting stamps, writing stories. This study aims to identify the effectiveness of intellectual disorders in reducing dysmenorrhea in young women. This study uses a design that is Quasi-Experiment with a pretest and posttest design without a control group. Population In this study were 122 female students from Mojoanyar Middle School. The sample in this study were all students of Mojoanyar Middle School who experienced dysmenorrhoea who had fulfilled the inclusion criteria of 23 respondents. The tool used to determine changes in the level of pain of respondents is the Face pain rating. The intervention provided was that respondents were asked to fill in the TTS. The collected data was analyzed using SPSS data normality test using the Wilcoxon test with SPSS 23 for Windows. And it was found that before less than half (43.5%) of Intellectual Distraction or 10 respondents experienced mild pain, whereas after being given Intellectual Distraction less than half (34.8%) or 8 respondents experienced mild and moderate pain and no more respondents experienced very severe pain. Therefore young women need to reduce the intensity of menstrual pain by providing Intellectual Distractions techniques with crosswords and accessing them can be through cellphones

REDUCE THE USE OF GADGETS: Parent’s coping strategies for children’s social development Asirotul Marifah; Naning Puji Suryantini
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 3 No 3 (2019): IJNMS Volume 3 Issue 3 December 2019
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Today's technological advances are very rapid and increasingly sophisticated with the creation of gadgets. Gadgets greatly affect the development of elementary school students, especially developments in social interaction. The purpose of this study was to analyze the influence of the old usage of gadgets with the social development of school children. The design of this research is correlation analysis with the cross-sectional approach. The population in this study were all 1-5 grade students at Jabon 2 Mojoanyar Elementary School in Mojokerto Regency with 125 children. The sampling technique uses total sampling. The sample of this study amounted to 125 children. The research instrument used a social development questionnaire. Data analysis using crosstab. The results of this study indicate that most children use gadgets> 2 hours a day, 89 children (71.2%), and most school-age children have sufficient social development, 83 children (66.4%). The results of the crosstab analysis show that the longer children use gadgets, the less social development of children. Children who use gadgets over time from the time limit specified by some experts make them addicted and less sensitive to the surrounding environment. Children tend to be individual and passive in interacting with their social environment and peers. Keywords: Gadget, social Development, school-age children

STRATEGI KOPING ORANG TUA TERHADAP ANAK AUTIS DAN POLA ASUH ORANG TUA Asirotul Ma’rifah; Naning Puji Suryantini Suryantini; Rina Mardiyana
Jurnal Ilmiah Kesehatan Vol 11 No 2 (2018): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

Autism is still a nightmare for most parents. Parents with autism can be very stressful when dealing with a hyperactive child's behavior, aggressive and passive. Stress experienced by parents of children with autism will affect the ability of parents in the parenting role, especially in relation to coping strategies have in dealing with problems of children. The participation of parents is crucial the success of socializing with children with autism in the general population. This study aims to determine the relationship of coping strategies parents of autistic children and parenting parents. This type of research is an analytic correlation with cross sectional approach. The population in this study were all parents of autistic children in SLB Muhammadiyah Mojokerto numbering 15 people. Samples in this study were all parents of autistic children in SLB Muhammadiyah Mojokerto which totaled 15 people by using total sampling technique. Collecting data using questionnaires. Data analized use cross tabulation, presented in a frequency distribution. On cross-tabulation obtained results tend to use maladaptive coping strategies permissive parenting that is 8 (53.3%), there are also respondents who use adaptive coping strategies using authoritarian parenting as much as one person (16.7%), and adaptive coping strategies tend using democratic parenting style as much as 5 people (33.3%). Expected parents still seeking information to broaden their parents on coping strategies of parents of autistic children and parenting parents as well as parents to give special attention for children with autism to the development and advancement of their lives because they have the same rights as any other normal child.

Efektifitas Pijat Oksitosin Dan Pijat Payudara Terhadap Produksi ASI Pada Ibu Postpartum Asirotul Marifah; Naning Puji Suryantini
Jurnal Ilmiah Kesehatan Vol. 14 No. 2 (2021): Jurnal Ilmiah Kesehatan
Publisher : Universitas Muhammadiyah Pekajangan Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48144/jiks.v14i2.813

AbstractBreast milk is indeed important for newborns, but the problem faced by breastfeeding mothers is the lack of milk production. Every woman's body is different in producing milk, some produce a lot of milk, and some also produce little milk on the first day or even a few weeks later. Decreased milk production during early breastfeeding is a problem for mothers to breastfeed their babies from anearly age. Non-pharmacological alternative treatments to increase milk production are oxytocin massage and breast massage intervention. This study analyzed the effectiveness of postpartum mother's milk production in the group given the intervention of Oxytocin Massage and Breast Massage with the control group. This study was an experimental study with a pretest-posttest control group design that used the Consecutive Sampling technique, the number of respondents in this study amounted to 20 people, the analysis technique used the Wilcoxon sign test with SPSS. The results showed that there was an effect of oxytocin massage on postpartum milk production =0.000, and there was an effect of breast massage on postpartum milk production = 0.000. There was no difference in the effect of oxytocin massage and breast massage on the production of postpartum mother's milk = 0.893. The conclusions of this study are: (1) oxytocin massage can increase the production of postpartum mothers; (2) breast massage increases postpartum maternal production; (3) There is no difference in the effect of oxytocin massage and breast massage in increasing postpartum maternal output in Al-Hikmah RB, Mojokerto Regency.Keywords: Breast milk production; Oxytocin massage; Breast massage. AbstrakASI memang penting untuk bayi baru lahir, namun masalah yang dihadapi ibu menyusui adalah kurangnya produksi ASI. Setiap tubuh wanita berbeda dalam memproduksi ASI, ada yang banyak menghasilkan susu, dan ada juga yang produksi ASInya sedikit pada hari pertama bahkan beberapa minggu kemudian. Penurunan produksi ASI saat pemberian ASI dini merupakan masalah bagi ibu untuk menyusui bayinya sejak dini. Pengobatan alternatif non farmakologis untuk meningkatkan produksi ASI adalah dengan pijat oksitosin dan intervensi pijat payudara. Penelitian ini menganalisis efektifitas produksi ASI ibu postpartum pada kelompok yang diberikan intervensi Oxytocin Massage dan Breast Massage dengan kelompok kontrol. Penelitian ini merupakan penelitian eksperimental dengan desain pretest-posttest control group design. Dengan menggunakan teknik Consecutive Sampling, responden penelitian ini berjumlah 20 orang, teknik analisis menggunakan uji tanda Wilcoxon dengan spss. Hasil penelitian menunjukkan adanya pengaruh pijat oksitosin terhadap produksi ASI postpartum ρ = 0,000, dan ada pengaruh pijatpayudara terhadap produksi ASI postpartum ρ = 0,000. Tidak ada perbedaan pengaruh antara pijat oksitosin dan pijat payudara terhadap produksi ASI ibu nifas ρ = 0.893. Kesimpulan dari penelitian ini adalah: (1) pijat oksitosin dapat meningkatkan produksi ibu nifas; (2) pijat payudara meningkatkan produksi ibu nifas; (3) Tidak ada perbedaan pengaruh antara pijat oksitosin danpijat payudara dalam meningkatkan output ibu nifas di RB Al-Hikmah Kabupaten Mojokerto. Kata kunci: Produksi ASI, Pijat Oksitosin; Pijat Payudara.

ENDORPHINE MASSAGE PRACTICE PADA IBU HAMIL TRIMESTER III Naning Puji Suryantini; Ummi Azmi
EZRA SCIENCE BULLETIN Vol. 1 No. 2 (2023): July - December 2023
Publisher : Kirana Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/ez-sci-bin.v1i2.73

World Health Organization strategy 2014 - 2023 mengembangkan serta menerapkan pengobatan tradisional dan komplementer dimana pelayanan kesehatan yang diberikan memperhatikan aspek holistic dan kultural yang ada (WHO, 2013). Dalam pengabdian masyarakat ini akan menerapkan terapi komplementer ibu dengan melakukan endorphin massage sebagai upaya dalam mengurangi keluhan ibu hamil trimester III, yaitu nyeri punggung bagian bawah. Endorphine massage merupakan sebuah terapi sentuhan atau pijatan ringan yang cukup penting diberikan pada ibu hamil, di waktu menjelang hingga saatnya melahirkan. Pijatan ini dapat merangsang tubuh untuk melepaskan senyawa endorphine yang merupakan pereda rasa sakit dan dapat menciptakan perasaan nyaman. Endorphine massage sebaiknya dilakukan pada ibu hamil yang usia kehamilannya sudah memasuki 36 minggu. Tujuan dari penelitian ini adalah Ibu Hamil mampu melakukan Endorphine Massage Practice secara mandiri. Metode pelaksanaan terdiri dari tahap persiapan, tahap pelaksanaan dan pelaporan. Terdapat 16 responden ibu hamil trimester III di Desa Kemsantani, Gondang, Mojokerto. Hasil Berdasarkan uji statistic wilcoxon diperoleh p-value = 0,000 dan nilai  = 0,05. Maka p <  sehingga dapat disimpulkan bahwa ada perbedaan yang signifikan nyeri pungung sebelum dan sesudah diberikan endorphin massage pada ibu hamil trimester III. Kesimpulan: Endorphin massage efektif menurunkan nyeri pungung pada ibu hamil Trimester III

IMPLEMENTATION OF PREGNANT MASSAGE AT THE BL40 (WEIZHONG) ACUPRESSURE POINT TO REDUCE LOWER BACK PAIN IN PREGNANT WOMEN IN THE 2ND AND 3RD TRIMESER Naning Puji Suryantini
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/770

Lower back pain is the most common form of discomfort during pregnancy experienced by mothers, especially in the second and third trimesters. Hormonal changes, weight gain, and biomechanical adaptations of the body are the main factors causing this complaint. The impact is not only pain but also disrupts daily activities, sleep quality, and increases stress. Pharmacological management is not always safe, so non-pharmacological interventions are more recommended. One potential method is pregnancy massage with stimulation of the BL40 (Weizhong) acupressure point, which works to relax muscles, improve circulation, and stimulate the release of endorphins. This study used a quasi-experimental design with a pretest–posttest without a control group. The sample consisted of 30 pregnant women in their second and third trimesters who experienced lower back pain and received antenatal care at the Sujiati Nur Elys TPMB, Dlanggu District, Mojokerto Regency. The intervention was given three times a week, with pain measured using the Numeric Rating Scale (NRS). The results showed that before the intervention, the majority of respondents experienced severe pain (53.3%), while after the intervention, none experienced severe pain. A total of 26.7% of respondents had no pain, 53.3% had mild pain, and 20% had moderate pain. The Wilcoxon test showed p = 0.000 (p < 0.05), indicating a significant difference before and after the intervention. Thus, pregnancy massage at the BL40 point has been proven effective in reducing lower back pain in pregnant women.

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