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Journal : JURNAL MUTIARA NERS

COMPARISON OF THE EFFECTIVENESS OF SHIATSU MASSAGE THERAPY AND ABDOMINAL STRETCHING EXERCISE ON REDUCING THE LEVEL OF PRIMARY MENSTRUAL PAIN (DYSMENORRHEA) IN ADOLESCENT GIRLS Roni Rowawi; Hidayat Wijayanegara; Lina Herlina
Jurnal Ilmiah Keperawatan Vol 8 No 1 (2025): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v8i1.5835

Abstract

Background: Menstruation in adolescents is often accompanied by dysmenorrhea, affecting 40–80% and causing discomfort and absenteeism. Non-pharmacological methods like Shiatsu massage and abdominal stretching are effective, safe alternatives to medication.Objective: This study aimed to evaluate the effectiveness of shiatsu massage and abdominal stretching exercises in reducing primary dysmenorrhea among adolescent girls. Methods : A quasi-experimental design with a pre-post test two-group comparison was employed. Sixty-six adolescent girls with primary dysmenorrhea were purposively selected and divided into two groups: one received shiatsu massage therapy, and the other performed abdominal stretching exercises. Data were analyzed using the Wilcoxon and Mann-Whitney tests with a significance level set at p < 0.05. Results : Showed that both interventions significantly reduced menstrual pain (p = 0.000). However, the shiatsu group experienced a greater average pain reduction (2.36 points) compared to the stretching group (1.55 points). Conclusion : The results of this study indicate that shiatsu massage therapy demonstrates a greater effectiveness in alleviating primary menstrual pain, commonly referred to as dysmenorrhea, when compared to abdominal stretching exercises, exhibiting a notable difference of 0.8 points in pain reduction between the two interventions. Suggestion: This intervention can be used in midwifery and healthcare settings, with Shiatsu materials serving as educational tools for adolescents on dysmenorrhea and reproductive health.
PRE-REFERRAL PROGRAM DEVELOPMENT Leri Septiani; Hidayat Wijayanegara; Lina Herlina
Jurnal Ilmiah Keperawatan Vol 8 No 1 (2025): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v8i1.5836

Abstract

Background: Indonesia's healthcare system is designed with tiered referrals, involving primary, secondary, and tertiary services that work synergistically to provide optimal care. The pre-referral stage is an important element in this system, where patients receive initial treatment at primary health facilities before being referred to higher levels. This stage aims to ensure proper initial care as well as quick and effective referrals according to the patient's condition. However, the implementation of pre-referral programs often faces obstacles such as limited primary health facilities, lack of coordination between facilities, and difficulty accessing supporting information technology. Objective: to analyze the development of a pre-referral program to improve the effectiveness of patient referrals. Research method: Participatory Action Research (PAR) approach, involving Community Health Center and hospitals under the coordination of the Subang Health Office for six months (November 2023-April 2024). The sample consisted of three Community Health Center and five hospitals selected based on their capacity to handle obstetric cases. Data were collected through a Likert scale questionnaire to measure the feasibility of pre-referral media. Results: The results showed that the pre-referral back sheet had high validity (99.6%) and could be used. Interviews revealed problems such as delays in the referral process due to incomplete medical information and inconsistent documentation standards. Conclusion: The importance of periodic evaluation of this program to ensure its sustainability and effectiveness is emphasized. Health worker feedback as well as evaluation of patient care outcomes should be used for continuous improvement in the obstetric referral system.
Co-Authors Aam Maryamah Achmad Suardi Achmad Suardi Achmad Suardi Ade Ifah Latifah Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Adjat Sedjati Rasyad Ahmad Suardi Alamsyah Aziz Alindawati, Rifka Andi Rinaldi Anita Deborah Anwar Anita Deborah Anwar Anita Fitriaturohmah Annesya Atma Battya Ardini Saptaningsih Raksanagara Ardini Saptaningsih Raksanagara Ardini Saptaningsih Raksanagara, Ardini Saptaningsih Arsita Pratiwi Atie Rachmiatie Aziz, Alamsyah Aziz, M Alam Syah Aziz, M. Alamsyah Cahyani, Yuni Cherawaty, Aneu Dave Orlando Gumay Dave Orlando Gumay, Dave Orlando Deborah , Anita Della Erriani Akaputri Dewi Nawang Sari Dewi, Lismaya Puspita Dona Tri Subdari Fajarini Putri Hidayat Fatmawati Karim Febi Puji Utami Firman Fuad Wirakusumah H. R., Teni Nurlatifah H.R., Teni Nurlatifah Hadi Supriadi Harefa, Umy Darni Hartiningsih, Siti Sugih Hartiningsih6, Siti Sugih Heni Nurakilah Henri Setiawan Herlina, Lusi Herri S. Sastramihardja Herry Garna HR, Teni Nurlatifah Irda Novrida Ashar Ismayanty, Devie Jernihati Krisniat Harefa Jusuf Sulaeman Effendi Karimah, Karimah Karmelia, Mela Katmini, Katmini Khairunnisa, Dini Pajriani Komalaningsih , Sri Komalaningsih, Sri Leri Septiani Lestari, Meti Widya Lilis Lisnawati Lina Herlina Lina Herlina M. Nurhalim Shahib Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Ma&#039;mun Sutisna Mamun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna Ma’mun Sutisna4 Meti Widiya Lestari Metty Nurherliyany Muayah Muayah Muhammad Andiva Billy Afriza nashriva, Ita Natasya Fitri Herwandi Nike Arta Puspitasari Novita Ayu Indraswati NUR AINI Nurlatifah HR, Teni Nurlatifah, Teni Nz.Gea, Diana Oktavia Oky Haribudiman Patmawati, Rina Pramukani, Irka Puji Handayani Rhismayati, May Rifka Alindawati Rizki Safaat Nurahim Rowawi, Roni RR. Ella Evrita Hestiandari Ruswana Anwar Ryandini, Gessyla S Sastramihardja, Herri Sadawa, Helena Mariani Sastra, Herri Sastramihardja , Herri Selvi Puspan Sari Septiani , Leri Siti Sugih Sri Hennyati Amiruddin Sri Komalaningsih Stusisna, Ma'nun Suardi, Achmad Suardi, Achmad Sugiyono, Iis Suminar, Ratna Sumini Sumini, Sumini Suparni ,, Suparni Suparni Suparni Suryani Soepadan Suryani Soepardan Suryani Soepardan, Suryani Suryani Suryani Suryani Suryani Sutisna , Ma'mun Sutisna, Ma'mum Sutisna, Ma'mun Sutisna, Ma’mun Tania Novi Tania Novy Udin Sabarudin Udin Sabarudin Udin Sabarudin WaOde Nur Syuhada Yanti Herawati Yeni Mahwati Zulmansyah , Zulmansyah