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Penerapan Relaksasi Autogenik Terhadap Penurunan Kecemasan Pada Ibu Pre Kuretase Dengan Abortus Inkomplit Pasambo, Yourisna; Ali, Dwi Rabiatul Adwiyah; Tamunu, Esther; Sarimin, Dorce Sisfiani; Pesak, Ellen; Tuegeh, Johana
JIDAN Jurnal Ilmiah Bidan Vol 10 No 2 (2023): Vol 10 No 2 ( Edisi Januari - Juni 2023 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v10i2.1923

Background: Incomplete abortion is the partial loss of conception and the remaining tissue in the uterus. In this condition the mother is recommended to do curettage to remove and clean the existing tissue, prevent infection to overcome heavy bleeding. This can have a psychological impact on mothers who will undergo several series of actions, one of which is anxiety. Nurses play a role in reducing maternal anxiety so that mothers can go through each process well. The application of autogenic relaxation techniques can be a solution in increasing the relaxation response, providing a sensation of calmness towards a situation faced, to reduce maternal anxiety. The purpose of this study was to determine the application of autogenic relaxation in reducing the anxiety of mothers who will undergo curettage due to incomplete abortion. The research method is descriptive-qualitative with a case-study approach. For sample determination, we used a targeted sampling technique to determine the number of samples from up to four pregnant women who had undergone an incomplete abortion. Results: anxiety levels decreased after a 3-day self-relaxation intervention in four pregnant women with incomplete abortion before curettage . Conclusion: autogenic relaxation is effective in reducing anxiety levels in pre curettage pregnant women due to incomplete abortion.

Efektifitas Buah Pepaya (Carica Papaya L) Terhadap Peningkatan Produksi ASI Pada Ibu Menyusui Purwandari, Atik; Tombokan, Sandra Grace Jelly; Nangkoda, Natalia; Wahyuni, Wahyuni; Lontaan, Anita; Pesak, Ellen; Tuju, Sjenny Olga
JIDAN Jurnal Ilmiah Bidan Vol 12 No 2 (2025): Vol 12 No 2 (Edisi Januari - Juni 2025)
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v12i2.2564

Background: Breast milk (ASI) production is a common factor and a key determinant in the success of breastfeeding. Many mothers often complain that their breast milk either does not come out or is produced in small quantities. Although breast milk has tremendous benefits, not many mothers are willing or able to provide exclusive breastfeeding for six months. The failure to provide exclusive breastfeeding can be influenced by the lack of nutritional support. Several studies have indicated that papaya (Carica papaya) has the potential as a natural galactagogue that can stimulate breast milk production. The bioactive compounds in papaya, such as the enzyme papain, vitamin A, vitamin C, flavonoids, and other phytochemicals, are known to support metabolism and tissue health, including the mammary glands. Objective: To analyze the effectiveness of papaya (Carica papaya L) in increasing breast milk production among breastfeeding mothers at Kauditan Public Health Center, North Minahasa Regency. Method: This study used a quasi-experimental design with a non-randomized pre-test and post-test approach. A total of 35 respondents were selected using purposive sampling. Normality was tested using the Shapiro-Wilk test, which showed that the data were not normally distributed (p < 0.05), so the Wilcoxon test was used. Results: The Wilcoxon test showed a significant difference in breast milk production before and after papaya consumption (p = 0.000 < 0.05). Most mothers produced less than 80 ml of breast milk before the intervention, increasing to 80–150 ml afterward. Variations in milk production were influenced by individual nutritional status; thus, support from husbands and families is essential to meet the nutritional needs of breastfeeding mothers. Conclusion: Papaya is effective in increasing breast milk production in breastfeeding mothers. It is recommended that mothers consume papaya regularly during breastfeeding to help enhance milk production.

Penerapan Relaksasi Autogenik Terhadap Penurunan Kecemasan Pada Ibu Pre Kuretase Dengan Abortus Inkomplit Pasambo, Yourisna; Ali, Dwi Rabiatul Adwiyah; Tamunu, Esther; Sarimin, Dorce Sisfiani; Pesak, Ellen; Tuegeh, Johana
JIDAN Jurnal Ilmiah Bidan Vol 10 No 2 (2023): Vol 10 No 2 ( Edisi Januari - Juni 2023 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v10i2.1923

Background: Incomplete abortion is the partial loss of conception and the remaining tissue in the uterus. In this condition the mother is recommended to do curettage to remove and clean the existing tissue, prevent infection to overcome heavy bleeding. This can have a psychological impact on mothers who will undergo several series of actions, one of which is anxiety. Nurses play a role in reducing maternal anxiety so that mothers can go through each process well. The application of autogenic relaxation techniques can be a solution in increasing the relaxation response, providing a sensation of calmness towards a situation faced, to reduce maternal anxiety. The purpose of this study was to determine the application of autogenic relaxation in reducing the anxiety of mothers who will undergo curettage due to incomplete abortion. The research method is descriptive-qualitative with a case-study approach. For sample determination, we used a targeted sampling technique to determine the number of samples from up to four pregnant women who had undergone an incomplete abortion. Results: anxiety levels decreased after a 3-day self-relaxation intervention in four pregnant women with incomplete abortion before curettage . Conclusion: autogenic relaxation is effective in reducing anxiety levels in pre curettage pregnant women due to incomplete abortion.

The Effect of Consuming Ambon Bananas on Reducing Hypertension Kolompoy, Jane Annita; Tumurang, Marjes Nitro; Lengkey, Sancia Gladies; Pesak, Ellen; Desyani, Ni Luh Jayanthi
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 11 No 01 (2023): JUNI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v11i1.2141

Background: Hypertension is a chronic disease that can affect all humans from the youngest to the oldest. Data from WHO (World Health Organization) 2015, shows about 1.13 billion people in the world suffer from hypertension. That is, 1 in 3 people in the world suffer from hypertension. In Indonesia, based on Riskesdas 2018 data, the prevalence of hypertension in Indonesia is 8.4% and based on the results of measurements in the population aged ≥ 18 years 34.1%. Hypertension cannot directly cause death, if not treated immediately, it will risk complications such as stroke, myocardial infarction, kidney failure and encephalopathy. Hypertensive disease can also be prevented and minimized with non-pharmacological therapy to avoid the side effects of antihypertensive drugs, namely with a healthy and balanced diet. One of them is by consuming adequate potassium. The fruit that contains a lot of potassium is banana ambon. The purpose of this study is to see the effect of banana ambon consumption on the level of hypertension. Methods through database searches used include Google Scholar, Garuda and Directory of Open Access Journal. The keywords used in the article search were hypertension and banana ambon. The results obtained 103 articles and only 9 articles were used in accordance with the analysis of objectives, suitability of topics, research methods used, and the results of each article. Conclusion: banana ambon has an effect in lowering blood pressure / hypertension.

Community-based turmeric tea intervention for hyperuricemic elderly in Manado, Indonesia Ellen Pesak; Ni Luh Jayanthi Desyani; Tinneke A. Tololiu; Jane Annita Kolompoy; Herlina P. Memah; Bongakaraeng Bongakaraeng; Rommy David Watuseke; Yanni Karundeng; Lorrien Grace Runtu; Debora Yuriska Rau
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27073

Hyperuricemia, with a global prevalence of approximately 14.0% in the general population and rising to 24.0% among the elderly, represents the second most prevalent metabolic disease after diabetes and constitutes a significant public health burden. This study aimed to determine the effectiveness of turmeric tea in reducing blood uric acid levels in hyperuricemic elderly. A quasi-experimental design with a pretest-posttest control group approach was employed, involving 140 respondents equally divided into an intervention group (n = 70) receiving 1000 mg/day of turmeric tea and a control group (n = 70) receiving standard health education. Blood uric acid levels were measured using a portable uric acid meter. Data were analyzed using the Paired Sample t-test, the Independent Sample t-test, and multiple linear regression. The intervention group demonstrated a significant reduction in mean uric acid levels from 8.46 ± 1.32 mg/dL to 6.78 ± 1.18 mg/dL (mean difference = 1.68 mg/dL; p = 0.000), while the control group showed no significant change (8.39 ± 1.28 to 8.21 ± 1.25 mg/dL; p = 0.137). The effect size was large (Cohen's d = 1.23). Multiple regression confirmed turmeric tea as the strongest predictor of uric acid reduction (B = 1.472; p = 0.000). Turmeric tea effectively reduces blood uric acid levels in hyperuricemic elderly and holds potential for integration into community-based elderly health programs as an accessible and affordable complementary therapy for hyperuricemia management.

WhatsApp-Facilitated Empowerment of Health Cadres to Improve Knowledge and Blood Pressure Control among Adults with Hypertension: A Quasi-Experimental Study Maitha Annthonette Wulan Keloay; Ni Luh Jayanthi Desyani; Rommy David Watuseke; Semuel Tambuwun; Ellen Pesak; Ferry Efendi
Indonesian Journal of Global Health Research Vol. 8 No. 5 (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.v8i5.2207

Hypertension constitutes a major public health concern and serves as a primary risk factor for cardiovascular disease, stroke, renal failure, and premature mortality. Successful hypertension control necessitates a comprehensive approach that relies not only on pharmacological therapy but also on enhancing patient health literacy. The sustainable empowerment of health cadres through WhatsApp-based education represents an effective strategy for improving patient knowledge, thereby promoting behavioral change and enhancing blood pressure control. To analyze the effect of health cadre empowerment via WhatsApp on the level of knowledge and hypertension control. Methods: This study employed a quasi-experimental design with a pretest-posttest control group approach. Data were collected using a purposive sampling method with specified inclusion and exclusion criteria, a total of 60 respondents were involved, consisting of a control group (n = 30) and an experimental group (n = 30). Knowledge levels and blood pressure were assessed in both groups at baseline and following the intervention. To evaluate the intervention effect, the pre-post change scores of both groups were analyzed using the Wilcoxon signed-rank test. The significance level was set at p < 0.05 for all analyses. Prior to the intervention, the majority of respondents in the control group (73.3%) and the experimental group (60.0%) had a sufficient level of knowledge. Following the intervention, all respondents in the experimental group (100%) achieved a good level of knowledge. The mean reduction in systolic blood pressure was (Δ = 14.10 mmHg), and diastolic blood pressure decreased by (Δ = 5.3 mmHg). The Wilcoxon test results indicated a significant difference between blood pressure before and after the intervention, both for systolic (Z = -4.813; p < 0.001) and diastolic (Z = -4.489; p < 0.001) measurements. The empowerment of health cadres through WhatsApp-based health education is effective in improving knowledge and reducing blood pressure among hypertensive patients.

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