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All Journal Jurnal Kreativitas PKM Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas SEHATI: Jurnal Kesehatan Jurnal Pengabdian Masyarakat Jurnal Kesehatan Amanah SEMINAR NASIONAL PENELITIAN DAN PENGABDIAN KEPADA MASYARAKAT Journal of Advanced Health Informatics Research Compromise Journal : Community Proffesional Medika: Jurnal Ilmiah Kesehatan Jurnal Penelitian Perawat Profesional
Surtiningsih Surtiningsih
Universitas Harapan Bangsa
Humanities Computer Science & IT Control & Systems Engineering Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Other

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Terapi Kneading Massage dan Teknik Breathing Exercise Diapragmatic (BED) dalam Mengurangi Intensitas Nyeri dan Kecemasan Persalinan Leli Srirahayu; Surtiningsih Surtiningsih; Linda Yanti
SEHATI: Jurnal Kesehatan Vol 4, No 2 (2024)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v4i2.55

Abstract

Childbirth is a physiological event experienced by some women. The birth process has uncomfortable effects including pain and anxiety. The aim of this research is Kneading Massage Therapy and Diaphragmatic Breathing Exercise (BED) Techniques to Reduce the Intensity of Labor Pain and Anxiety. The method used is a case study with pre-test post-test treatment. The population, namely all mothers giving birth at the Mandiraja 2 Community Health Center in December 2023, was 25 respondents. The sample used was 5 maternal respondents who experienced pain and anxiety using the Accidental Sampling technique. The results obtained after administering Kneading Massage Therapy and Diaphragmatic Breathing Exercise Technique (BED) showed a decrease in the pain scale from before therapy of 5.6 (moderate pain) to around 2.6 (mild pain) after therapy and a decrease in anxiety scale from 40 .4 (moderate anxiety) before therapy to 29.9 (low anxiety) after therapy. So it can be concluded that Kneading Massage Therapy and the Diaphragmatic Breathing Exercise (BED) technique can reduce the intensity of pain and anxiety childbirth.
Efektivitas Relaksasi Benson dan Hipnosis Lima Jari Terhadap Penurunan Tingkat Kecemasan Pasien Preoperasi Sectio Caesaria Surtiningsih Surtiningsih; Iin Handayani; Silvia Rizki Syah Putri
SEHATI: Jurnal Kesehatan Vol 6, No 1 (2026)
Publisher : Pelantar Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52364/sehati.v6i1.186

Abstract

A Caesarean section (CS) involves a surgical process for delivering a baby, which often triggers fear and pain, leading to anxiety. If not managed effectively, this anxiety can negatively impact both the mother and the baby. As non-pharmacological alternatives to managing anxiety, Benson relaxation therapy and five-finger hypnosis have shown promise. This study aims to evaluate the effectiveness of Benson relaxation therapy and five-finger hypnosis in reducing anxiety levels among pre-operative Caesarean section patients. A quasi-experimental design with a two-group pretest-posttest approach was employed. The study sample comprised 60 Caesarean section patients at the Regional General Hospital, selected through purposive sampling. The STAI-S questionnaire was used as the research instrument, and data were analyzed using Wilcoxon and Mann-Whitney tests. The findings revealed a significant reduction in anxiety levels in pre-operative Caesarean section patients after receiving Benson relaxation therapy (p-value 0.000) and five-finger hypnosis (p-value 0.000). Additionally, a notable difference in anxiety levels was observed between the Benson therapy group and the five-finger hypnosis, with a p-value of 0.011
Pengaruh Tindakan Foot Massager terhadap Pencapaian Bromage Score pada Pasien Pasca Operasi Sectio Caesarea di Rumah Sakit Islam Purwokerto M. Devin Kamal; Rahmaya Nova Handayani; Surtiningsih Surtiningsih
Jurnal Kesehatan Amanah Vol. 10 No. 1 (2026): Mei: Jurnal Kesehatan Amanah
Publisher : Universitas Muhammadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jka.v10i1.1072

Abstract

The rate of Caesarean Section (CS) deliveries continues to increase, reaching 25.9% in Indonesia in 2023, with 24.9% in Central Java. Motor recovery after spinal anesthesia is evaluated using the Bromage Score, where a score ≤ 2 indicates the patient is ready to be transferredFoot massage, as a non-pharmacological intervention, is known to be effective in improving blood circulation, reducing muscle tension, and inducing relaxation, thus potentially accelerating recovery. This study aims to assess the effect of foot massage on achieving the Bromage Score in post-CS patients. This quantitative research method uses a quasi-experimental Posttest Only Control Group Design. Thirty respondents after CS surgery at Purwokerto Islamic Hospital were divided into two groups (15 intervention groups, 15 control groups) through total sampling. The results showed that the majority of the intervention group (80.0%) experienced an increase in the Bromage Score, in contrast to the control group (80.0% experienced no increase). The Mann Whitney test yielded a p-value of 0.000 (p < 0.05), indicating a significant effect of foot massage on achieving the Bromage Score. It was concluded that foot massage effectively accelerated motor recovery after CS surgery by increasing blood circulation, stimulating the parasympathetic nervous system, and accelerating neuromotor recovery.
Pemberian Pisang Ambon Pada Ibu Hamil Tira Nurjanah; Linda Yanti; Surtiningsih Surtiningsih
Medika: Jurnal Ilmiah Kesehatan Vol. 2 No. 2 (2022): Medika: Jurnal Ilmiah Kesehatan
Publisher : Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/medika.v2i2.269

Abstract

Kehamilan merupakan suatu keadaan dimana seorang wanita yang didalam rahimnya terdapat embrio atau fetus. Kehamilan dimulai pada saat masa konsepsi hingga lahirnya janin, dan lamanya kehamilan dimulai dari ovulasi hingga partus yang diperkirakan sekitar 40 minggu dan tidak melebihi 43 minggu. Penyakit hipertensi dalam kehamilan (Preeklampsia dan Eklampsia) menjadi salah satu dari tiga penyebab utama kematian ibu disamping perdarahan dan infeksi. Konsumsi pisang ambon sangat efektif menurunkan tekanan darah pada ibu hamil karena pisang ambon merupakan buah yang tinggi kalium dan rendah natrium pemberian pisang ambon pada ibu hamil yaitu sebanyak 1buah pisang berukuran sedang. Metode penelitian yang digunakan dalam penelitian ini adalah studi kasus. Studi kasus ini dilakukan pada Ny D umur 37 tahun G2 P1 A0 Ah1 Umur kehamilan 30 minggu 2 hari hamil dengan Hipertensi Kronik di Puskesmas Pagedongan Banjarnegara. Cara pengumpulan data dilakukan anamnesa, pemeriksaan fisik secara lengkap atau head to toe. Hasil Penleitian; berdasarkan studi kasus didapatkan bahwa ada pengaruh pemberian pisang ambon dan pisang mas terhadap tekanan darah. Disarankan kepada peneliti selanjutnya untuk memvariasikan jenis pisang dan dosis yang diberikan, serta melakukan uji kadar kalium pada buah pisang.
Pengurangan Nyeri Dengan Teknik Counter Pressure Lina Listianingsih; Surtiningsih Surtiningsih; Fauziah Hanum
Medika: Jurnal Ilmiah Kesehatan Vol. 2 No. 2 (2022): Medika: Jurnal Ilmiah Kesehatan
Publisher : Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/medika.v2i2.270

Abstract

Nyeri persalinan merupakan manifestasi dari adanya kontraksi (pemendekan) otot rahim yang menimbulkan rasa sakit pada pinggang, daerah perut menjalar ke arah paha. Kontraksi ini menyebabkan adanya pembukaan mulut rahim (serviks). Dengan adanya pembukaan ini maka akan terjadi persalinan. Terdapat beberapa manajemen nyeri, yaitu manajemen nyeri farmakologis dan nonfarmakologis. Manajemen nyeri farmakologis yaitu menggunakan obat-obatan, dan anestesi. Sedangkan manajemen nyeri non farmakologis yaitu relaksasi, distraksi, hipnoterapi, dan massage. Salah satu upaya untuk membantu meredakan nyeri pada saat persalinan adalah menggunakan masase caunter pressure.Counter pressure merupakan jenis pijatan yang menggunakan kepalan tangan untuk terus memberikan tekanan pada tulang belakang pasien selama proses kontraksi. Metode yang digunaan dalam penelitian ini adalah studi kasus. Studi kasus ini dilakukan pada Ibu Bersalin Ny K Umur 22 Tahun G1 P0 A0 Ah0 Usia Kehamilan 39 Minggu 0 Hari Di Puskesmas Rakit 1 Banjarnega. Cara pengumpulan data dilakukan anamnesa, pemeriksaan fisik secara lengkap atau head to toe melalui pendekatan dengan 7 langkah varney. Hasil penelitian;berdasarkan studi kasus didapatkan bahwa ada pengaruh terhadap diberikan tektik counter pressure terhadap pengurangan nyeri persalinan. Disarankan kepada peneliti selanjutnya untuk dapat menggunakan teknik lain dalam pengurangan nyeri persalinan.
Pemberian Sari Kacang Hijau Untuk Meningkatkan Kadar Hemoglobin Ibu Hamil Dengan Anemia Ringan Indah Purwati; Surtiningsih Surtiningsih; Linda Yanti
Medika: Jurnal Ilmiah Kesehatan Vol. 3 No. 1 (2023): Medika: Jurnal Ilmiah Kesehatan
Publisher : Universitas Nahdlatul Ulama Nusa Tenggara Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69503/medika.v3i1.325

Abstract

Anemia is a condition of reduced red blood cells or commonly referred to as erythrocytes in blood circulation or hemoglobin so that they are unable to fulfill their function as oxygen carriers to all tissues (Astuti & Ertiana, 2018). Anemia can indirectly cause complications such as abortion (1.6%), premature labor (10%), infection (5.5%), causing his disorder (4%), the first stage lasts a long time (1.8%), the second stage lasts a long time (4.9%), postpartum hemorrhage (30.1%), low birth weight (62%), (Kemenkes RI, 2017). In addition to standard care, there is also care that can be given as an additional effort to increase hemoglobin levels in pregnant women, namely by consuming Ambon banana, spinach juice, honey, chicken liver, guava juice and green bean juice. According to the results of research by Dewi, et al (2017), consuming mung bean juice 2x/250ml for 14 days is very effective in increasing hemoglobin levels in pregnant women with anemia. Case Presentation: Mrs. E, 23 years old, G1P0A0Ah0, 35 weeks and 3 days of gestation, came to the health center wanting to check her condition with the main complaint recently feeling dizzy, weak and easily tired when doing daily activities. On general examination, it was found that BP: 100/60 mmHg, N: 82 x/minute, S: 36.5, R: 22 x/minute. Special examination found that the eyes and conjunctiva were slightly pale, the rest were within normal limits. In the supporting examination, the result of Hb was less than the normal limit of 10.2g/dl. Conclusion: After midwifery care was performed by providing complementary care of green bean extract 2x/250ml for 7 days, Mrs E's Hb increased from 10.2g/dl to 11.1 g/dl, eyes and conjunctiva were no longer pale.
Studi Kasus Kombinasi Massage Effleurage dan Relaksasi Benson terhadap Penurunan Nyeri pada Ibu Bersalin Amalia Uhti Wildani; Surtiningsih Surtiningsih; Susilo Rini
Jurnal Penelitian Perawat Profesional Vol. 7 No. 4 (2025): Agustus 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i4.324

Abstract

Nyeri persalinan merupakan proses fisiologis dengan intensitas yang berbeda-beda pada setiap individu. Pengalaman nyeri selama persalinan adalah sesuatu yang baru bagi setiap ibu dan dapat dipengaruhi oleh berbagai faktor seperti budaya, rasa takut, kecemasan, pengalaman melahirkan sebelumnya, latar belakang pekerjaan. Nyeri ini dirasakan di area perut, pinggang, dan paha, sementara serviks terbuka akibat kontraksi tersebut. Proses persalinan akan segera dimulai setelah serviks terbuka. Penelitian ini menerapkan metode studi kasus untuk mengeksplorasi dengan mendetail baik kasus individu maupun kelompok. Penulisan ilmiah ini menggunakan pendekatan deskriptif untuk menggambarkan asuhan kebidanan pada ibu bersalin yang mengalami nyeri, dengan penerapan metode massage effleurage dan relaksasi benson dan menilai tingkat nyeri sebelum maupun setelah diberikan terapi, dilakukan pengukuran dengan skala numerik dan Wong-Baker. Responden dalam studi kasus ini seluruh ibu bersalin fisiologis yang berada di Puskesmas Banjarnegara 1 dengan target 5 orang dimulai tanggal 2 Desember 2024. Setelah dilakukan penerapan kombinasi kombinasi massage effleurage dan relaksasi benson bahwa  kelima responden mengalami adanya penurunan skala nyeri pada seluruh responden berada pada skor 4-6. Setelah penerapan kombinasi massage effleurage dan relaksasi benson, tingkat nyeri menurun menjadi  skor 2-3.
Predicting Childbirth Complications in High-Risk Pregnant Women Using Machine Learning Surtiningsih Surtiningsih; Linda Yanti; Hadi Jayuman
Journal of Advanced Health Informatics Research Vol. 4 No. 1 (2026)
Publisher : Peneliti Teknologi Teknik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59247/jahir.v4i1.412

Abstract

Childbirth complications remain one of the leading causes of high maternal mortality rates in Indonesia, primarily due to delayed detection at referral healthcare facilities, which hinders timely intervention. Most previous machine learning studies have focused on predicting a single outcome, even though high-risk pregnancies are prone to experiencing multiple complications simultaneously. This study aims to develop an explainable machine learning-based multi-class classification model utilizing Electronic Medical Record (EMR) data to support the early identification of six major childbirth complications: hypertension, preeclampsia, prolonged labor, premature rupture of membranes, hemorrhage, and infection. The study employed a retrospective cohort design involving 10,644 maternal records from the 2020–2024 period at Margono Soekarjo General Hospital. A total of 16 maternal, obstetric, clinical, and laboratory variables were analyzed using the Extreme Gradient Boosting (XGBoost) algorithm. The dataset was divided into training (80%) and testing (20%) sets, with class imbalance addressed through oversampling. Model evaluation was performed using accuracy, F1-score, and AUC, while interpretability was analyzed using Shapley Additive Explanations (SHAP). The model achieved an accuracy of 70%, a macro F1-score of 0.65, and a macro-AUC of 0.92, demonstrating good discriminatory ability. SHAP analysis identified metabolic, hemodynamic, and hematological factors as the primary predictors. These findings suggest the model’s potential as a tool for early risk stratification and clinical decision support, although external validation is still required
Edukasi Penanganan Pertama pada Luka Gigitan Hewan dengan Status Risiko Rabies di SMA Negeri 1 Sokaraja Ali Rahman Mahulauw; Magenda Bisma Yudha; Surtiningsih Surtiningsih
Compromise Journal Community Proffesional Service Journal Vol. 4 No. 3 (2026): August : Compromise Journal : Community Proffesional Service Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/compromisejournal.v4i3.1101

Abstract

Background: Rabies is a fatal disease with distinct clinical symptoms. It is classified as a zoonotic disease with a high mortality rate for both humans and animals. The disease causes central nervous system infection following direct contact between a wound or mucous membrane and the saliva or scratches of an infected animal; it can lead to death if not treated immediately. Proper knowledge and first aid skills are essential to prevent complications associated with rabies. Objective: To identify the characteristics, knowledge levels, and skills of students at SMA Negeri 1 Sokaraja regarding first aid for animal bite wounds carrying a risk of rabies. Methods: This community service activity employed lecture and demonstration methods. There were 35 participants. The activity took place at SMA Negeri 1 Sokaraja on April 13, 2026. Educational media used included PowerPoint presentations, leaflets, and videos. Results: Participant characteristics showed that the majority were 18 years old (20 participants; 57.1%) and male (18 participants; 51.4%). Prior to education, the majority of participants (28 participants; 80%) fell into the "poor" knowledge category. Following education, 32 participants (91.4%) demonstrated good knowledge, while 3 participants (8.6%) demonstrated adequate knowledge. Skill levels prior to education and demonstration showed that 31 participants (88.6%) were incompetent, while 4 participants (11.4%) were in the "adequately competent" category. After education and demonstration, all 35 participants (100%) fell into the "competent" category. Outputs: The outputs of this community service activity consisted of educational leaflets and videos.
Co-Authors Ali Rahman Mahulauw Amalia Uhti Wildani Dwi Febriana Aini Fauziah Hanum Fauziah Hanum NA Fauziah Hanum Nur Adriyani Feti Kumala Dewi Hadi Jayuman Hikmanti, Arlyana Iin Handayani Indah Purwati Leli Srirahayu Lina Listianingsih Linda Yanti Linda Yanti M. Devin Kamal Made Suandika Magenda Bisma Yudha Nabiyla Fathimah Alhasani Rahmaya Nova Handayani Ratu Islami Meiana Putri Retno Mawar Arum Rosi Kurnia Sugiharti SANTI SUSANTI NINGSIH Shafiyah Rizky Handayani Silvia Rizki Syah Putri Susilo Rini Tira Nurjanah Tophan Heri Wibowo Tri Rahayu Wasis Eko Kurniawan