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THE GIVING OF STRETCHING EXERCISE TO CHANGES IN LEVELS OF DYMENORRHES IN ADOLESCENT FEMALE CLASS VIIAT SMPN 1 PRAMBON, NGANJUK DISTRICT Puji Astutik
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 2 (2023): VOLUME 7 ISSUE 2 AUGUST 2023
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/2023/Vol7/Iss2/470

Dysmenorrhea is a menstrual disorder that is often experienced by young women, if left untreated it will interfere with learning concentration. Stretching exercise is an alternative to overcome dysmenorrhea. The purpose of this study was to determine the effect of giving stretching exercise on changes in the level of dysmenorrhea in class VII young women at SMPN 1 Prambon, Nganjuk Regency. The research design used a pre-experimental design (one group pre-test-post test design) which was carried out November 5 â€“ 18, 2022. The population consisted of 40 young women, using a purposive sampling technique to obtain a sample of 30 respondents. The independent variable of the research is the giving of stretching exercise, while the dependent variable of the research is the change in the level of dysmenorrhea. Collecting independent variable data with SOP and dependent variable with Numeric Rating Scale. Statistical test using Wilcoxon Signed Ranks with a significance level of Î± = 0.05. The results of the study before doing stretching exercises almost half experienced moderate pain as many as 12 (43%) of 30 respondents, and after doing stretching exercises almost half experienced mild pain, namely 14 (47%) of 30 respondents. The results of the Wilcoxon Signed Ranks statistical test showed Ï value = 0.014 < Î± = 0.05 so Ha was accepted, which means that there is an effect of giving stretching exercise on changes in the level of dysmenorrhea in class VII young women at SMPN 1 Prambon Nganjuk. Based on the results of the study, stretching exercise affects changes in the level of dysmenorrhea in female adolescents. This is because when doing stretching exercises the body will produce endorphins. Endorphins are produced in the brain and spinal cord. This hormone can function as a natural sedative that is produced by the brain, causing a feeling of comfort that can relieve pain.

Pendidikan Kesehatan Tentang Akdr Terhadap Motivasi PUS dalam Menggunakan Kontrasepsi AKDR Puji Astutik; Sefrina Rukmawati; Prisilia Agustina
PENA NURSING Vol 1, No 02 (2023): PENA NURSING
Publisher : LPPM UNIKAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/pn.v1i02.2015

Latar Belakang :AKDR merupakan metode kontrasepsi yang reversibel, berjangka panjang (8-10 tahun). Meskipun penggunaanya mempunyai tingkat efektivitas yang tinggi, namun pada kenyataannya tidak semua PUS termotivasiuntukmemilih AKDR sebagai alat kontrasepsi karena kurangnya pemahaman tentang AKDR serta kurangnya kesadaran untuk menggunakannya. Salah satu cara untuk meningkatkan motivasi yaitu dengan pendidikan kesehatan.Tujuan :penelitian ini untuk mengetahui pengaruh pendidikan kesehatan tentang AKDR terhadap motivasi PUS menggunakan kontrasepsi AKDR di Klinik Polkes 05.09.10 Nganjuk. Metode :Desain penelitian ini menggunakan rancangan penelitian Pra-eksperimental, dengan pendekatan one-group pre-test post-test design. Penelitian ini dilaksanakan pada tanggal 28 September 2020 - 12 Oktober 2020 di Klinik Polkes 05.09.10 Nganjuk. Populasi dalam penelitian ini adalah PUS yang memeriksakan diri ke Klinik Polkes 05.09.10 Nganjuk sebanyak 90 orang. Sampel penelitian ini sebanyak 83 responden. Variabel independen dalam penelitian ini pendidikan kesehatan tentang AKDR, dan variabel dependen motivasi PUS menggunakan kontrasepsi AKDR. Instrumen penelitian ini menggunakan SAP dan kuesioner. Analisa data menggunakan wilcoxon dengan α = 0,05.Result: Dari hasil penelitian ini diketahui dari 83 responden hampir seluruhnya yaitu 75 responden (90%) memiliki motivasi sedang sebelum dilakukan pendidikan kesehatan, dan hampir seluruhny 74 responden (89%) memiliki motivasi kuat setelah diberikan pendidikan kesehatan. Hasil uji statistik wilcoxon menunjukkan nilai p value = 0,000 ≤ α = 0,05. Sehingga dapat disimpulkan ada pengaruh pendidikan kesehatan tentang AKDR terhadap motivasi PUS menggunakan AKDR di Klinik Polkes 05.09.10 Nganjuk.Conclusion: Pemberian pendidikan kesehatan dapat meningkatkan motivasi PUS dalam penggunaan kontrasepsi AKDR. Hal yang harus dilakukan dalam pelaksanaan pendidikan kesehatan adalah mengubah pola pikir PUS yang takut akan kontrasepsi AKDR dengan cara pemberian informasi kesehatan yang akurat.

Pengaruh pijat Efflurage terhadap Produksi Air Susu Ibu pada Ibu Postpartum Sefrina Rukmawati; Puji Astutik
PENA NURSING Vol 1, No 01 (2022): Pena Nursing
Publisher : LPPM UNIKAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31941/pn.v1i01.2014

Decreased milk production after giving birth can be caused by a lack of stimulation of the hormone prolactin and the hormone oxytocin which are very instrumental in the smooth flow of milk production. One massage that can launch milk production is effleurage massage. The purpose of this study was to determine the effect of effleurage massage on breast milk production in Mother Postpartum. This study used a pre-experimental research design with the One Group Pre-Post Test Design approach. The research population and samples is 12 respondents with a total sampling technique. The independent variable is effleurage massage and the dependent variable is milk production. Data collection using a observastion sheet. Data analysis using McNemar test with α = (0.05). The results of the study of 12 respondents, before being given effleurage massage, almost all respondents were 10 respondents whose milk production was not smooth (83.3%), while breast milk production after being given effleurage massage was almost all respondents, namely 11 respondents' milk production smoothly (91.7%). McNemar test results obtained pvalue = 0.004 ≤ α = (0.05), so that Ha is accepted. This shows that there is an influence of effleurage massage on the production of breast milk for Mother Postpartum in Kepanjen Village, Pace District, Nganjuk Regency. Effleurage massage is proven as an effort that can be done to expedite milk production, so that effleurage massage needs to be applied by the midwife / hospital.

ANALYSIS OF GESTATIONAL AGE FACTORS WITH NEONATAL ASPHYXIA LEVELS IN NEWBORN BABIES IN THE NUSA INDAH ROOM AT NGANJUK REGIONAL HOSPITAL Puji Astutik
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 3 (2023): VOLUME 7 ISSUE 3 DECEMBER 2023
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/2023/Vol7/Iss3/537

Asphyxia neonatorum is a newborn emergency in the form of respiratory depression that continues, causing various complications. Neonatal asphyxia is caused by several factors, namely, intrauterine factors (mother's condition factors, uterine factors, placental factors, umbilical cord factors and fetal factors), gestational age factors and labor factors. This study aims to determine the factor analysis of gestational age and the level of neonatal asphyxia in the Nusa Indah Room at Nganjuk Regional Hospital. The research design uses a correlational design with a retrospective approach, this research was carried out on June 1 2023 in the Nusa Indah Room, Nganjuk Hospital. The population in this study was all 68 newborn babies. The sample was taken using a total sampling technique with a total of 68 respondents. The independent variable is the gestational age factor, the dependent variable is the level of neonatal asphyxia. The data collection instrument uses medical record data and statistical tests use the Contingency Coefficient with α = 0.05. The results of this study showed that almost half had a premature gestational age, namely 33 respondents (48.5%). Experiencing moderate asphyxia was 32 respondents (47.1%). And the results of the Coefficient Contingency test show p-value = 0.000 ≤ α (0.05), so Ha is accepted and Ho is rejected, which means there is a relationship between gestational age and the level of neonatal asphyxia in the Nusa Indah Room at Nganjuk Regional Hospital. Newborn babies with a history of premature gestational age are at risk of experiencing neonatal asphyxia. Nurses as implementers of curative measures are required to carry out nursing care appropriately to provide optimal assistance so that the incidence of neonatal asphyxia can be minimized

Pengaruh Relaksasi Genggam Jari Terhadap Penurunan Nyeri Pada Pasien Post Sectio Caesarea: Di Ruang Delima RSUD Kertosono Puji Astutik; Eka Kurlinawati
STRADA : Jurnal Ilmiah Kesehatan Vol. 6 No. 2 (2017): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v6i2.6

Pasien post section caesarea sering mengalami nyeri dikarenakan insisi pembedahan. Relaksasi genggam jari merupakan salah satu teknik non farmakologis untuk mengurangi nyeri. Tujuan penelitian ini adalah mengetahui pengaruh relaksasi genggam jari terhadap penurunan nyeri pada pasien post sectio caesarea di ruang Delima RSUD Kertosono. Desain penelitian menggunakan pre-eksperimental dengan pendekatan one group pre-post test design. Penelitian dilaksanakan 1 Januari sampai dengan 1 februari 2017 di ruang Delima RSUD Kertosono. Populasi adalah seluruh pasien post Sectio Caesarea yang dirawat di ruang Delima RSUD Kertosono dalam sebulan sebanyak 21 pasien. Sampling menggunakan Accidental sampling. Sampel sebanyak 20 responden. Terdapat 2 variabel, variabel independen dengan relaksasi genggam jari dan dependen dengan penurunan nyeri. Pengumpulan data menggunakan skala Verbal Descriptor Scale (VDS). Analisis statistik menggunakan wilcoxon dengan taraf signifikasi 0,05. Hasil penelitian menunjukkan sebelum pemberian relaksasi genggam jari sebagian besar mengalami nyeri sedang yaitu sebanyak 13 responden (65 %). setelah pemberian relaksasi genggam jari sebagian besar mengalami nyeri ringan sebanyak 12 responden (60 %). Didapatkan p value = 0,001 â‰¤ Î± = 0,05. Dapat disimpulkan ada pengaruh relaksasi genggam jari terhadap penurunan nyeri pada pasien post sectio caesarea di ruang Delima RSUD Kertosonono. Teknik relaksasi genggam merangsang meridian jari yang meneruskan gelombang tersebut ke dalam otak. Hasil dari Perlakuan relaksasi genggam jari akan menghasilkan impuls yang dikirim melalui serabut saraf aferen nonnosiseptor sehingga stimulus nyeri terhambat dan berkurang.

Method (Stimulation Endorphin, Oxytosin and Sugestive) to Increase The Production of Breast Milk and Involution of Uters On Post Partum Sefrina Rukmawati; Puji Astutik; Ambar Dwi Retnoningrum
STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 2 (2020): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v9i2.310

This research uses quasi experiment post test only design. The study used consecutive sampling. The independent variable Method (Stimulation Endorphin,Oxytosin and Sugestive), dependent variable Smoothness of breast milk and Uteric Involution. data collection using observation sheets. The study population and sample were 30 respondents with purposive sampling technique. The results of the study of 30 respondents, 15 respondents were not given speos method therapy almost all respondents, namely 13 respondents not producing smooth milk (86.6%) and 10 respondents were abnormal Uterus (66.67%), while 15 respondents were given Method (Stimulation endorphin, oxytocin and suggestive) almost All respondents, 14 respondents, were producing breast milk smoothly (93.3%). T-test results obtained pvalue = 0,000 ≤ α = (0.05), so that Ha is accepted. There is an influence of Method (Stimulation endorphin, oxytocin and suggestive) to increase milk production and involution of the uterus in post partum

Uterine Involution On The First Day In Postpartum Mothers With Normal Delivery Puji Astutik; Deva Tiananda Putri
Journal for Research in Public Health Vol. 8 No. 1 (2026): July
Publisher : Master of Public Health Program Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jrph.v8i1.138

After delivery, the uterus gradually shrinks back to its original shape, a process known as uterine involution. One indicator of this involution process is a decrease in the uterine fundus (FFU). The uterine fundus descends 1-2 cm every 24 hours. On the first day postpartum, the FFU drops 1 cm below the umbilicus. The purpose of this study was to describe uterine involution on the first day in postpartum women with normal deliveries in the Delima Ward of Kertosono Hospital. This study used a descriptive design and was conducted from January 13, 2025, to February 13, 2025, and April 9, 2025, to May 9, 2025, in the Delima Ward of Kertosono Hospital. The population consisted of 29 postpartum women with normal deliveries. A sample of 25 respondents was selected using an accidental sampling technique. The research variable was uterine involution on the first day. Data were collected by measuring the FFU. Based on the research results, the majority of 25 respondents (14 respondents (56%) experienced uterine involution on the first day at 2 cm below the umbilical cord, and nearly half (11 respondents (44%) experienced uterine involution on the first day at 1 cm below the umbilical cord. The results of the research showed that the majority of uterine involution on the first day was 2 cm below the umbilical cord. This can be influenced by early mobilization (toileting), early breastfeeding (IMD), good nutritional status, age above 20-30 years, and parity of the mother who has had more than one postpartum period. Early mobilization and early breastfeeding (IMD) are the most important factors in accelerating uterine involution because they increase blood flow and help release the hormone oxytocin, which can stimulate uterine contractions.

Factors Associated with the Independence of Postpartum Mothers in Meeting Self-Care Needs Puji Astutik
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.219

Postpartum mothers’ independence in meeting self-care needs is an important indicator of maternal recovery and well-being. This study aimed to analyze the factors related to the level of independence among postpartum mothers in fulfilling self-care needs. A cross-sectional design was conducted in the Delima Ward of RSD Kertosono from January to May 2023, involving 91 postpartum mothers selected through purposive sampling. Data were collected using a structured questionnaire adapted from Nursalam (2020), which covered aspects of nutrition, activity, personal hygiene, perineal care, breast care, and elimination. Bivariate analysis was performed using the Chi-Square test to examine the relationship between independent variables (age, birth order, type of delivery, education, and information sources) and independence. The results showed that the majority of respondents were aged 25-35 years (42.9%) and primiparous (47.3%). Nearly half were categorized as dependent (47.3%), 34.1% needed assistance, and only 18.7% were independent. Type of delivery demonstrated the strongest association with independence (p=0.000; r=0.549), followed by education level (r=0.499) and information sources (r=0.449). Mothers who had spontaneous deliveries and higher education levels exhibited greater independence. In conclusion, type of delivery, education level, and information sources were identified as the dominant factors influencing postpartum mothers’ independence.

The Impact of Mindfulness-Based Stress Reduction on Blood Pressure and Life Quality in Hypertensive Women Erni Tri Indarti; Puji Astutik
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.220

Hypertension remains one of the major health issues worldwide. More women than men suffer from hypertension. Hypertension is not only caused by physical factors and lifestyle but is also significantly influenced by psychological factors such as stress. Stress can increase blood pressure and affect a person's physical and psychological functions, leading to a decline in their quality of life. Mindfulness-Based Stress Reduction is one physical and psychological strategy that has been shown to be successful in treating hypertension individuals. Finding out how mindfulness-based stress reduction affected the blood pressure and quality of life of hypertensive women in Pustu Nglaban, Nglaban Village, Loceret Subdistrict, Nganjuk District, was the goal of this study. This study employed a pre-experimental design using a one-group pre-post test methodology. The sample consisted of 30 respondents selected through purposive sampling. Standard operating procedures (SOP) were used to execute mindfulness-based stress reduction, a Onemed blood pressure monitor was used to measure blood pressure, and the WHOQOL BREFF questionnaire was used to evaluate quality of life. The WHOQOL BREFF questionnaire has high validity and reliability for measuring quality of life in adolescents, adults and the elderly namely r=0.949 and cronbach’s alpha 0.835. A paired-t test was used to analyze the data. Blood pressure and quality of life in women with hypertension are impacted by mindfulness-based stress reduction, according to the data analysis results, which indicated p-values of 0.000 for systolic blood pressure, 0.000 for diastolic blood pressure, and 0.000 for quality of life. For women with hypertension, mindfulness-based stress reduction is believed to be an alternate self-management treatment.

Pendidikan Kesehatan Tentang Pentingnya Menjaga Pola Makan Pada Remaja Usia 14-16 Tahun di SMPN 1 Gondang Kecamatan Gondang Kabupaten Nganjuk Rahayu Budi Utami; Puji Astutik; Aprillia Dhea Zahira
ABHIPRAYA: Jurnal Pengabdian Masyarakat Kesehatan dan Sains Vol 3 No 2 (2026): Juni 2026
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/abhipraya.v3i2.28733

Masa remaja merupakan fase transisi yang ditandai dengan pertumbuhan dan perkembangan fisik maupun psikologis. Pada periode ini, remaja sering kali kurang memperhatikan pola makan sehat sehingga berpotensi menghambat proses tumbuh kembang. Kegiatan pengabdian masyarakat ini bertujuan meningkatkan pemahaman remaja mengenai pentingnya menjaga pola makan seimbang. Kegiatan dilaksanakan di SMPN 1 Gondang, Kabupaten Nganjuk, dengan melibatkan 410 remaja usia 14–16 tahun. Metode yang digunakan meliputi sosialisasi, demonstrasi, dan diskusi interaktif bersama siswa, guru, dan orang tua. Evaluasi dilakukan melalui pre-test dan post-test. Sebelum kegiatan, mayoritas remaja berada pada kategori pemahaman rendah (39,0%) dan sedang (42,7%), sedangkan kategori tinggi hanya 18,3%. Setelah kegiatan, terjadi peningkatan signifikan pada kategori tinggi menjadi 59,7%, dengan penurunan pada kategori rendah (11,0%) dan sedang (29,3%). Analisis uji t berpasangan menunjukkan perbedaan signifikan (p < 0,001) antara skor pre-test dan post-test. Edukasi kesehatan berbasis sekolah dengan pendekatan partisipatif terbukti efektif dalam meningkatkan pengetahuan dan kebiasaan makan sehat remaja. Keterlibatan guru dan orang tua memperkuat keberhasilan program, sehingga dapat dijadikan model intervensi serupa di sekolah lain.

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