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Penerapan Guided Imagery Untuk Mengurangi Nyeri Pada Ny. S Post Op Dengan Diagnosa Medis Ca Cervix Uteri Di Ruang Teratai RSUD Prof. Dr. Margono Soekarjo Purwokerto Nindia Sefi Utami; Ema Wahyu Ningrum
Borneo Nursing Journal (BNJ) Vol. 8 No. 1
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.451

Abstract

Kanker merupakan suatu jenis penyakit ditandai dengan pertumbuhan abnormal yang tidak terkendali dari sel tubuh dan menjadi salah satu penyebab kematian terbesar saat ini. Kanker yang paling sering menyerang wanita di seluruh dunia adalah Ca Cervix. Kanker adalah penyakit kronis dengan mengakibatkan sel – sel pada tubuh berubah hingga bertumbuh diluar kendali tubuh, Ca Cervix adalah sejenis kanker di organ leher rahim. Ca Cervix dikarenakan adanya infeksi subtipe onkogenik seperti infeksi virus Human Papilloma Virus (HPV). Salah satu penatalaksanaan Ca Cervix adalah pembedahan. Salah satu intervensi nonfarmakologis yang dapat diterapkan untuk mengatasi nyeri Post Op adalah teknik Guided Imagery. Studi kasus ini bertujuan untuk menggambarkan penerapan teknik Guided Imagery pada pasien post laparatomi BSO radikal ec Ca Cerviks Uteri dengan nyeri akut di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Studi dilakukan melalui observasi selama 3 hari, dengan intervensi Guided Imagery selama 3 x 24 jam pada tanggal 26-28 Agustus 2025. Hasil studi menunjukan bahwa pada hari pertama, pasien mengalami nyeri berat pada skala 7. Setelah dilakukan intervensi Guided Imagery, hari kedua menunjukan adanya penurunan skala nyeri pada skala 5 dan pasien merasa lebih nyaman. Pada hari ketiga, nyeri semakin menurun pada skala 3. Penerapan teknik Guided Imagery selama 3 x 24 jam terbukti efektif dalam menurunkan keluhan nyeri Post Operasi.
Edukasi dan Implementasi Terapi Kompres Hangat dengan Aromaterapi Lavender Essential Oil untuk Menurunkan Skala Nyeri pada Pasien Post Sectio Caesarea Niken Dewi Pangestu; Septian Mixrova Sebayang; Ema Wahyu Ningrum
Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2025): Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat
Publisher : LPPM Akbid Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37402/abdimaship.vol6.iss2.450

Abstract

Post-cesarean section patients often experience severe pain that can hinder the recovery process and interfere with infant care. At Ajibarang Regional Public Hospital, particularly in the Nuri ward, the implementation of non-pharmacological pain management remains limited. Until now, patients have not received interventions such as warm compress therapy combined with lavender aromatherapy. This community service activity aimed to provide health education and implement interventions to improve patient knowledge and reduce pain levels after cesarean section surgery. The methods used included delivering educational materials and carrying out the intervention directly. Pocketbooks were used for education, while hot water bags and diffusers were used for therapy. The results showed that out of 30 participants, 21 (70.0%) had good knowledge before the education, increasing to 24 (80.0%) afterward. Before the intervention, 22 participants (73.3%) reported moderate pain, which decreased to mild pain in 20 participants (66.7%) after the intervention. These findings suggest that education and the application of warm compress therapy with lavender aromatherapy effectively improve knowledge and reduce pain in post-cesarean patients.
Prevent Osteoporosis Early: Nutrition Education and Yoga-Based Physical Exercise for Women Aged 30+ In the Dawuhan Housing Community, Purbalingga: Pengabdian Ema Wahyu Ningrum; Ikit Netra Wirakhmi; Khusnul Muflikhah
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 4 No. 4 (2026): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 4 Nomor 4 April - Juni
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v4i4.5850

Abstract

Osteoporosis is a degenerative disease that is a serious problem, especially in women aged 30 years and above. Risk factors include low calcium intake, lack of physical activity, and a sedentary lifestyle. Observations at the Dawuhan Women's Association in Padamara District, Purbalingga Regency, revealed low awareness, calcium consumption, and exercise habits among members. In response, a community service program for early prevention through promotive-preventive education was implemented. Methods included balanced nutritional counseling, yoga-based physical exercise, and pre- and post-tests. Activities included education on risk factors, training in reading nutrition labels and selecting calcium-rich foods, and yoga practices for bone health, involving lecturers, students, nutritionists/physiotherapists, and sports instructors. Results showed a significant increase in participants' knowledge and motivation in maintaining nutrition and physical activity. This program effectively empowers women to maintain bone health and has the potential to become a sustainable model for osteoporosis prevention in the community.
Effectiveness of Deep Breath Relaxation Technique to Reduce Acute Pain in Spontaneous Post Partum Patients Revica Nur Fitriani; Ema Wahyu Ningrum
Viva Medika Vol 17 No 2 (2024)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1454

Abstract

The puerperium phase refers to the period immediately after childbirth for 6 weeks or 42 days, in which case the reproductive organs will undergo subtle changes that resemble the changes that occurred before pregnancy. The main factor causing the high maternal mortality rate is the lack of care and attention given to postpartum women. The purpose of this case study is to assess the effectiveness of breathing relaxation techniques in reducing acute pain in postpartum patients. This study used case study methodology to investigate the patient's experience during the nursing process. The nursing process includes nursing assessment, nursing diagnosis, nursing intervention, nursing implementation, and nursing evaluation. The results showed that deep breath relaxation for 2x24 hours, before the intervention, the patient complained of pain in the birth canal with a pain scale of 5 (moderate). After the intervention, the patient's complaints of pain in the birth canal decreased with a pain scale of 3 (mild). In conclusion, deep breath relaxation is effective as an effort to reduce the intensity/level of pain in postpartum patients.
Edukasi Dismenore dan Pengenalan Senam Dismenore pada Remaja Putri di SMP IT Nusantara Kembaran Fatikhah Khafsanatuz Zahro; Ema Wahyu Ningrum; Ikit Netra Wirakhmi
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 3 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i3.912

Abstract

Pendahuluan: Dismenore merupakan masalah kesehatan reproduksi umum di kalangan remaja putri yang dapat mengganggu aktivitas sehari-hari dan kualitas hidup. Survei awal di SMP IT Nusantara Kembaran menemukan bahwa sebagian besar siswi pernah mengalami dismenore tetapi kurang memiliki pendidikan dan keterampilan terstruktur dalam manajemen non-farmakologis, termasuk latihan dismenore. Tujuan: Tujuan kegiatan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan dan keterampilan remaja putri dalam mengelola dismenore. Metode: Pengabdian masyarakat ini dilakukan dalam dua sesi pada tanggal 1 dan 16 Oktober 2025, melibatkan 19 siswi, menggunakan ceramah, diskusi interaktif, media video, buku edukasi, dan praktik latihan dismenore yang terbimbing. Pengetahuan dinilai melalui kuesioner pra-tes dan pasca-tes, sedangkan keterampilan dievaluasi menggunakan daftar periksa observasi. Hasil: Temuan pre-tes menunjukkan bahwa 57,89% siswi memiliki pengetahuan rendah dan 42,11% memiliki pengetahuan sedang. Hasil post-test menunjukkan peningkatan yang signifikan, dengan 89,47% mencapai pengetahuan yang baik dan 10,53% tetap berada dalam kategori sedang. Penilaian keterampilan mengungkapkan bahwa semua peserta (100%) mampu melakukan rangkaian latihan dismenore secara lengkap dengan benar. Kesimpulan: Pendidikan kesehatan yang dikombinasikan dengan praktik latihan dismenore efektif dalam meningkatkan pengetahuan dan keterampilan remaja putri dalam mengelola dismenore. Kata kunci: Dismenore, Edukasi Kesehatan, Pengetahuan, Remaja Putri, Senam Dismenore
Edukasi Tentang Pola Makan Sehat Untuk Mengurangi Resiko Dismenore Pada Remaja Oni Dwi Yanti; Ema Wahyu Ningrum; Maya Safitri
Kolaborasi: Jurnal Pengabdian Masyarakat Vol 6 No 3 (2026): Kolaborasi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/kolaborasi.v6i3.928

Abstract

Introduction: Adolescence is a transitional phase characterized by physical, psychological, and reproductive system changes, including menstruation. Dysmenorrhea is a common problem among adolescent girls that can interfere with daily activities and is influenced by unhealthy dietary habits, while adolescents’ understanding of the relationship between diet and reproductive health remains limited. Objective: The purpose of this community service activity was to improve adolescents’ knowledge and encourage the adoption of healthy eating patterns to reduce the risk of dysmenorrhea. Method: This activity was conducted through health education using interactive lectures, discussions, educational videos, and booklet distribution. Evaluation was carried out using pre-test and post-test, as well as dietary monitoring using the Food Frequency Questionnaire (FFQ) for two weeks after the intervention. Result: The activity involved 21 female students and showed a significant improvement in knowledge. The proportion of students with good knowledge increased from 47.37% to 73.68%, while the moderate category decreased from 36.84% to 21.05% and the poor category decreased from 15.79% to 5.26%. The average knowledge score also increased. Conclusion: Health education on healthy eating patterns is effective in improving knowledge and encouraging behavioral changes among adolescents. Continuous school-based interventions are needed to support reproductive health and reduce the impact of dysmenorrhea.
Differences In Mental Health Literacy In Pregnant Women Based On Socioeconomic Level At Kembaran 1 Community Health Center, Banyumas Regency Elisa Putri Elisa Putri; Ema Wahyu Ningrum; Pramesti Dewi
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.812

Abstract

Mental health literacy is an important aspect in maintaining the mental well-being of pregnant women, as it affects their ability to recognize, understand, and make appropriate decisions regarding psychological conditions during pregnancy. Maternal mental health is influenced not only by biological factors but also by socioeconomic factors that play a role in access to information, health services, and support during pregnancy. Differences in socioeconomic status are assumed to affect the level of mental health literacy among pregnant women. This study aimed to determine the relationship between socioeconomic status and mental health literacy among pregnant women in the working area of ​​Kembaran 1 Primary Health Center, Banyumas Regency. This study employed a quantitative approach with a cross-sectional design. The sample consisted of 93 pregnant women selected using consecutive sampling based on inclusion criteria, including pregnant women from all trimesters who were able to read and write and willing to participate, and exclusion criteria including pregnant women with mental disorders or intellectual disabilities. Data were obtained through a mental health knowledge questionnaire and a socioeconomic status questionnaire based on the standards of the Indonesian Ministry of Health, using occupation and income indicators. The results of bivariate statistical analysis showed that there was no relationship between socioeconomic status and mental health literacy among pregnant women at Kembaran 1 Primary Health Center, Banyumas Regency, with ap value of 0.516 (p > 0.05). Although the results indicated no significant relationship, other factors that may influence mental health literacy among pregnant women need to be further investigated to obtain a more comprehensive understanding.
Postoperative Care for Caesarean Patients with Anemia: Case Study at Kardinah Hospital Tegal Mariska Nurlatifah; Ema Wahyu Ningrum
Buletin Ilmu Kebidanan dan Keperawatan Vol. 4 No. 02 (2025): Buletin Ilmu Kebidanan dan Keperawatan
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/bikk.v4i02.1296

Abstract

C aesarean section (CS) and experiencing preeclampsia and mild anemia, showing unstable vital signs and low haemoglobin levels (9.8 g/dL). After implementing nursing interventions over three days, including non-pharmacological techniques to reduce pain and increase breast milk production, this case report describes the nursing care provided to Mrs. B, a 32-year-old patient admitted to the Mawar Antenatal Ward at Kardinah Hospital in Tegal. She experienced a significant reduction in pain and improved mobility. The average pain level using the Numeric Rating Scale (NRS) decreased from 7.0 on the first day to 5.5 on the second day, with 60% of patients still reporting bothersome pain. These results indicate that comprehensive pain management and anemia management are crucial for improving the quality of recovery in patients following a caesarean section. The descriptive case study method included physical assessment, laboratory data, and medical records. Nursing diagnoses: acute pain, ineffective breastfeeding, and impaired physical mobility.
A STUDY ON THE CORRELATION BETWEEN WORK CULTURE AND NURSE PERFORMANCE AT HARAPAN IBU GENERAL HOSPITAL PURBALINGGA Handayani Woro Ganjaran; Ema Wahyu Ningrum; Arni Nur Rahmawati
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 2 (2026): SINERGI : Jurnal Riset Ilmiah, February 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i2.2424

Abstract

Hospitals, as healthcare service institutions, are responsible for providing quality services through the performance of their employees, particularly nurses. Good nursing performance significantly affects service quality and patient satisfaction. One of the factors influencing nurse performance is work culture, which encompasses the methods, attitudes, and behaviors that form the foundation of work and serve as motivation to achieve optimal performance. A preliminary survey at Harapan Ibu General Hospital in Purbalingga revealed that 40.2% of nurses were frequently late, and 23.9% received poor performance evaluations. This study aimed to investigate the correlation between work culture and nurse performance. A descriptive quantitative correlational design with a cross-sectional approach was used. A total of 150 nurses were selected through total sampling. Data collection was conducted via questionnaires, and analysis was performed using Spearman’s Rank test with SPSS version 25. The findings revealed that 98% of the nurses had a strong work culture, while 79.3% demonstrated good performance. Statistical analysis produced a p-value of 0,000 (Sig < 0,05) and a correlation coefficient of 0,734, indicating a strong positive relationship. In conclusion, work culture is significantly associated with nurse performance. with a strong correlation. It is recommended that the hospital incorporate Islamic values into its organizational culture, enhance nurse training programs, establish a Bachelor's in Nursing (Ners) degree as a recruitment standard, and implement policies to restrict cellphone usage during working hours.
PENGARUH INTENSITAS BERMAIN GAME ONLINE TERHADAP MENTAL EMOSIONAL PADA ANAK SEKOLAH DI MADRASAH IBTIDAIYAH REJODADI CILACAP Adroni Adroni; Wasis Eko Kurniawan; Ema Wahyu Ningrum
SINERGI : Jurnal Riset Ilmiah Vol. 3 No. 4 (2026): SINERGI : Jurnal Riset Ilmiah, April 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v3i4.2491

Abstract

The use of online games is increasingly widespread among school-age children, including those at the Madrasah Ibtidaiyah level. There are concerns that high levels of play could impact children's mental and emotional well-being, which is a crucial aspect of their psychosocial development. This study aims to determine the effect of the intensity of playing online games on the emotional mental health of school children at Madrasah Ibtidaiyah Rejodadi Cilacap. This study used a quantitative design with a cross-sectional approach. The sample consisted of 173 students and was selected using a total sampling technique. The instruments used were an online gaming intensity questionnaire and the Strengths and Difficulties Questionnaire (SDQ). Data were analyzed univariately and bivariately using the Spearman Rank test. Most children have high online gaming intensity (52.6%) and normal emotional mental condition (56.6%), although 43.4% are in the borderline category. Statistical test results show a very strong and significant relationship between online gaming intensity and children's emotional mental condition (r = 0.750; p = 0.000). Conclusion: The higher the intensity of playing online games, the greater the risk of mental and emotional disorders in school children. Therefore, support and supervision from parent and theachers are essential to limit playing time and provide education about the impact of online games on mental health.