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Pengaruh Pelvic Rocking Menggunakan Birthing Ball Terhadap Nyeri Punggung Ibu Hamil Trimester 3 Di BPM Nurul Fajriah Fahmawati A.MD.Keb Nurul Fajriah Fatmawati; Tut Rayani Aksohini Wijayanti
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.1750

Abstract

During pregnancy, a woman's body undergoes various changes that are categorized into three stages: the first trimester (weeks 0 to 14), the second trimester (weeks 14 to 28), and the third trimester (weeks 28 to labor). The third trimester is often marked by increased physical discomfort, including back pain caused by hormonal changes and growing pressure from the uterus on the lower body structures. One non-pharmacological approach to reduce this complaint is pelvic rocking exercise using a birthing ball. This method is a relaxation technique aimed at relieving pain, improving posture, and helping the body prepare for labor. This study employed a pre-experimental design with a One Group Pre-Test and Post-Test model, comparing participants’ conditions before and after the intervention. The sampling technique used was total sampling, involving 40 third-trimester pregnant women experiencing back pain at PMB Nurul Fajriah Fatmawati during the period of April to May 2025. Data were analyzed using the Wilcoxon test. The test results showed a significance value of p = 0.000, which is less than α = 0.05, indicating a statistically significant effect. Therefore, it can be concluded that pelvic rocking using a birthing ball is effective in reducing the intensity of back pain in third-trimester pregnant women.
Effectiveness Of Lavender Aromatherapy In Reducing Active First-Stage Labor Pain At PMB Komariyah Rita Setyorini; Tut Rayani Aksohini Wijayanti
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.5606

Abstract

Labor pain in the active phase of the first stage is a major complaint among laboring women. This quasi-experimental study aimed to evaluate the effectiveness of lavender aromatherapy inhalation in reducing labor pain during the active phase of the first stage. A total of 32 women were assigned to intervention (n=16) and control (n=16) groups. The intervention group received 5% lavender essential oil inhalation every 2 hours for 10 minutes, while the control group received standard midwifery care. Pain intensity measured using the Numeric Rating Scale significantly decreased in the intervention group (from 7.81 ± 1.17 to 4.13 ± 1.02) compared with the control group (from 7.69 ± 1.08 to 6.88 ± 1.15) (p < 0.001). Lavender aromatherapy is effective as a complementary method to reduce labor pain in primary midwifery care. Lavender aromatherapy is recommended as a complementary non-pharmacological method for labor pain management in primary obstetric care.
Faktor – Faktor Yang Mempengaruhi Pemilihan KB IUD Pasca Plasenta Di RSU Muslimat Ponorogo Naning Fitriana; Tut Rayani Aksohini Wijayanti
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.5709

Abstract

Postpartum contraception is essential because fertility can return unpredictably soon after childbirth, even before the resumption of menstruation. This study aimed to examine the factors associated with mothers’ decisions to use an intrauterine device (IUD) as a postpartum contraceptive method. A cross-sectional quantitative design was applied, involving 100 postpartum mothers recruited through purposive sampling based on established inclusion criteria. Data collection was conducted using a validated questionnaire, and data analysis employed the Chi-Square test to identify associations between variables. The findings revealed that maternal age (p < 0.05) and education level (p < 0.05) were significantly associated with the selection of postpartum IUD. In contrast, occupation (OR = 0.399), parity (OR = 0.838), type of delivery (OR = 1.528), and husband’s support (OR = 0.678) did not demonstrate significant relationships (p > 0.05). These results indicate that age and education are key determinants influencing postpartum IUD uptake, while other demographic and obstetric factors have little impact. Strengthening counseling on Long-Acting Contraceptive Methods (LACM), particularly for younger mothers and those with lower education levels, is therefore necessary to improve IUD utilization in healthcare facilities. Enhancing provider communication and ensuring that postpartum counseling is consistently integrated into maternal health services may further support informed contraceptive decision-making.
Pengaruh Pendidikan Breastfeeding Father terhadap Dukungan Ayah dalam Pemberian ASI pada Ibu Postpartum di RSU Muslimat Ponorogo Kun Marátin Sholikhah; Tut Rayani Aksohini Wijayanti
Journal of Innovative and Creativity Vol. 5 No. 3 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i3.5736

Abstract

Exclusive breastfeeding during the first six months of life is crucial for ensuring optimal infant growth and preventing various diseases. The success of breastfeeding is not determined solely by the mother, but is also influenced by the husband’s involvement as a Breastfeeding Father. This study aims to examine the effect of Breastfeeding Father education on fathers’ support in exclusive breastfeeding. The research employed a quasi-experimental approach using a one-group pretest–posttest design. A total of 49 respondents were selected through purposive sampling. Data were collected using a questionnaire assessing fathers’ knowledge and support related to breastfeeding, and were analyzed using the Wilcoxon test. The findings demonstrated a significant effect of Breastfeeding Father education on increasing paternal support in exclusive breastfeeding (Z = –4.094; p < 0.001). Fathers’ support improved markedly after the educational intervention. Further analysis indicated that enhanced paternal knowledge directly contributed to stronger emotional and practical support for mothers. This study concludes that the husband’s involvement plays a vital role in the success of exclusive breastfeeding, and the results highlight the importance of implementing structured educational programs for fathers to strengthen exclusive breastfeeding outcomes.
PENGARUH PEMBERIAN AROMATERAPI PEPPERMINT TERHADAP MUAL MUNTAH PADA IBU HAMIL TRIMESTER 1: Riska Hadi Meilana Pratiwi1, Tut Rayani Aksohini Wijayanti2 Pratiwi, Riska Hadi Meilana; Wijayanti, Tut Rayani Aksohini
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.53217

Abstract

Kehamilan trimester pertama sering disertai mual muntah (emesis gravidarum) akibat perubahan hormonal yang dapat mengganggu asupan nutrisi ibu. Aromaterapi peppermint merupakan salah satu pendekatan komplementer nonfarmakologis yang berpotensi meredakan keluhan tersebut. Menilai dampak Efektivitas aromaterapi peppermint terhadap tingkat mual muntah pada ibu hamil trimester pertama. Desain penelitian berupa kuasi-eksperimen dengan pretest–posttest dan kelompok kontrol. Sebanyak 32 ibu hamil menjadi sampel melalui consecutive sampling. Kriteria inklusi meliputi usia gestasi 8–12 minggu, kehamilan tunggal, dan frekuensi mual muntah tidak lebih dari 10 kali per hari (kategori non-hyperemesis). Kriteria eksklusi yaitu adanya komplikasi kehamilan seperti hyperemesis gravidarum, perdarahan pervaginam, serta alergi terhadap aromaterapi peppermint. Analisis data memakai uji statistik McNemar dan Fisher exact Hasil penelitian mengungkapkan bahwa aromaterapi peppermint secara signifikan mampu mengurangi emesis gravidarum (p = 0,001). Skor PUQE di kelompok intervensi turun dari 9 menjadi 5 dengan pergeseran kategori dari sedang (75%) menjadi ringan (87,5%) (p < 0,001). Sebaliknya, di kelompok kontrol, skor PUQE hanya berubah dari 9 menjadi 8 (p = 0,500), sehingga tidak terdapat perubahan yang bermakna. Aromaterapi peppermint yang diberikan setiap pagi selama empat hari efektif membantu mengurangi emesis pada ibu hamil trimester pertama. Data ini menegaskan bahwa aromaterapi peppermint berpeluang menjadi metode komplementer yang praktis, aman, dan non-farmakologi, serta dapat diintegrasikan ke dalam perawatan antenatal rutin.
Pengaruh Pemberian Jus Wortel Berastagi (Daucus Carota L Berastagi) terhadap Intensitas Nyeri Haid (Dismenorea Primer) pada Siswi di SMP Ma’arif Kota Batu Rida Rahmawati; Tut Rayani Aksohini Wijayanti; Anik Purwati
Malahayati Nursing Journal Vol 7, No 7 (2025): Volume 7 Nomor 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i7.20724

Abstract

ABSTRAK Dismenorea atau nyeri menstruasi adalah penyakit yang terjadi selama menstruasi, yang dapat merusak aktivitas dan membutuhkan pengobatan. Jenis -jenis dismenorea primer terdiri dari nyeri selama menstruasi dan jenis disfungsi sekunder dari infeksi uterus lama. Remaja memiliki berbagai metode, termasuk nyeri menstruasi dan dismenorea, yaitu perawatan farmakologis dan non-farmakologis. Nyeri menstruasi (dismenorea primer) juga dapat diatasi dengan terapi yang tanpa obat , termasuk pijat, kompres hangat, olahraga ringan, dan konsumsi buah-buahan dan sayuran seperti jus wortel. Penyediaan jus wortel berastagi adalah salah satu kemungkinan non-farmakologis untuk mengurangi intensitas nyeri menstruasi atau dismenorea. Tujuan dari penelitian ini adalah untuk menentukan intensitas nyeri menstruasi atau dismenorea primer pada siswa dengan memberi jus wortel berastagi. Jenis-jenis studi yang digunakan dalam penelitian ini dilakukan secara kuantitatif dengan menggunakan tes sebelum dan sesudah intervensi dengan teknik pengambilan purposive sampel. Sampel dalam penelitian ini adalah remaja usia muda antara 12 dan 15 tahun, dan yang mengalami dismenorea primer yang menggunakan hingga 53 siswa. Dalam penelitian ini, menggunakan metode sampel yang ditargetkan. Survei menggunakan NRS (skala angka)  adalah alat yang digunakan dalam penelitian ini. Para peneliti menggunakan rasio nilai-p value = 0,05 untuk analisis univariat dan bivariat. Efek dari penelitian ini, yaitu, penunjukan administrasi jus wortel terhadap nyeri menstruasi siswa atau kekuatan sistem dismenorea primer dengan hasil akhir 0,000 0,05 dan H1 diterima. Kata Kunci: Dismenorea Primer, Intensitas Nyeri, Jus wortel, Menstruasi  ABSTRACT Dysmenorrhea or menstrual pain is a disease that occurs during menstruation, which can disrupt activities and requires treatment. Types of primary dysmenorrhea consist of pain during menstruation and types of secondary dysfunction from old uterine infections. Adolescents have various methods, including menstrual pain and dysmenorrhea, namely pharmacological and non-pharmacological treatments. Menstrual pain (primary dysmenorrhea) can also be overcome with non-drug therapy, including massage, warm compression, light exercise, and consumption of fruits and vegetables such as carrot juice. Providing Berastagi carrot juice is one of the non-pharmacological possibilities to reduce the intensity of menstrual pain or dysmenorrhea. The purpose of this study was to determine the intensity of menstrual pain or primary dysmenorrhea in students by feeding Berastagi carrot juice. The types of studies used in this study were carried out quantitatively using a post-post test draft with a negative sampling technique. The sample in this study was a young age between 12 and 15 years, and primary dysmenorrhea, which used up to 53 students in this study, used a targeted sampling method. Survey using NRS (number scale) is the tool used in this study. The researchers used the ratio of p-value = 0.05 for univariate and bivariate analysis. The effect of this study, namely, the appointment of carrot juice administration on students' menstrual pain or primary menstrual system strength, can be 0.000 LT. 0.05 and H1 is accepted Keywords: Primary Dysmenorrhea, Pain Intensity, Carrot Juice, Menstruation
The Effect of Warm Ginger Compresses on Back Pain Intensity in Third Trimester Pregnant Women at the Jailolo Community Health Centre Mahla Ahmad; Tut Rayani Aksohini Wijayanti
International Journal of Medicine and Health Vol. 4 No. 3 (2025): September : International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i3.6112

Abstract

Back discomfort is a common musculoskeletal complaint among pregnant women, particularly in the third trimester, caused by biomechanical and physiological changes during pregnancy. This condition can interfere with daily activities, reduce sleep quality, and decrease overall comfort. Pharmacological treatments during pregnancy are limited due to safety concerns, making non-pharmacological therapies essential in primary healthcare. One alternative is the use of warm ginger compresses, which combine the benefits of heat therapy with the anti-inflammatory properties of ginger. This study aimed to examine the effect of warm ginger compresses on reducing back pain intensity in third-trimester pregnant women at the Jailolo Community Health Centre. The research used a pre-experimental one-group pretest–posttest design. The sample consisted of 16 pregnant women selected through purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The treatment involved applying warm ginger compresses to the lower back following a standardized procedure. Data analysis was conducted using univariate and bivariate methods with the Wilcoxon signed-rank test. The results showed a significant reduction in back pain intensity after the intervention (p < 0.05). These findings indicate that warm ginger compresses are an effective, safe, and simple non-pharmacological method for reducing back pain in third-trimester pregnant women.
Comparison of the Effectiveness of Perinatal Yoga and Relaxation Techniques in Reducing Pain in Third Trimester Pregnant Women at the Bongo II Community Health Centre Maya Novitasari; Tut Rayani Aksohini Wijayanti
International Journal of Medicine and Health Vol. 4 No. 4 (2025): Desember : International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i4.6114

Abstract

Pain is a prevalent issue frequently seen by pregnant women in their third trimester, attributable to physiological, biomechanical, and psychological alterations during gestation. Non-pharmacological pain management is essential as a secure alternative to enhance the comfort of pregnant women. Perinatal Yoga and Relaxation Techniques are two commonly endorsed non-pharmacological therapies; yet, comparative analyses of their efficacy remain scarce, particularly within primary health care settings. This study is to evaluate the efficacy of Perinatal Yoga against Relaxation Techniques in alleviating pain among pregnant women in their third trimester at the Bongo II Community Health Centre. The research employed a quasi-experimental design with a two-group pretest-posttest methodology. The sample comprised 38 pregnant women in their third trimester, categorized into two groups: 19 participants in the Perinatal Yoga group and 19 participants in the Relaxation Techniques group. The Numeric Rating Scale (NRS) was utilized to assess pain severity prior to and following the intervention. A paired t-test was utilized for intra-group differences, whereas an independent t-test was employed to assess inter-group efficacy.The findings indicated that both Perinatal Yoga and Relaxation Techniques markedly diminished pain intensity in pregnant women throughout their third trimester (p<0.001). The decrease in pain in the Perinatal Yoga group was statistically significant compared to the Relaxation Technique group (p<0.05). This study concludes that Perinatal Yoga is superior than Relaxation Techniques in alleviating pain in pregnant women during their third trimester. Perinatal Yoga is indicated as an effective and practical non-pharmacological technique in antenatal treatment inside primary health facilities.
THE EFFECT OF AUTOGENIC RELAXATION TECHNIQUE ON REDUCINGANXIETY LEVELS IN THIRD-TRIMESTER PREGNANT WOMEN AT TPMBIKE SRI MEI WULAN, BULULAWANG, MALANG REGENCY Amaliyyah Jazilla; Tut Rayani Aksohini Wijayanti; Anik Purwati
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 10 No. 1 (2026): VOLUME 10 ISSUE 1 APRIL 2026
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/2026/Vol10/Iss1/822

Abstract

Primigravida women those experiencing pregnancy for the first time and lacking prior knowledge of physical changes and the childbirth process tend to experience higher levels of anxiety compared to multigravida women. Therefore, non-pharmacological interventions are needed to help facilitate the labor process, one of which is the use of autogenic relaxation techniques to reduce anxiety in third-trimester pregnant women. This study aimed to determine the effect of autogenic relaxation techniques on the anxiety levels of third-trimester pregnant women at TPMB Ike Sri Mei Wulan, Bululawang District, Malang Regency. The research employed a quantitative method with a pre-experimental design using a one-group pretest–posttest approach. The sample consisted of 27 third-trimester pregnant women selected through purposive sampling from a population of 40 individuals. The instrument used was the PRAQ-R2 questionnaire to measure anxiety levels before and after the intervention. Data analysis was conducted using univariate and bivariate methods, with the Wilcoxon Signed Rank Test applied for statistical analysis. The results showed that before the intervention, most respondents experienced moderate anxiety, while after the intervention, the majority experienced mild anxiety. The Wilcoxon test result indicated a p-value of 0.001 (p < 0.05), demonstrating a significant effect of autogenic relaxation techniques in reducing anxiety levels among third-trimester pregnant women. This therapy can be implemented as a non-pharmacological approach to help reduce anxiety in pregnant women during the third trimester.
The Impact of Audio-Visual Educational Media on Infant Basic Immunization Adherence at Rum Balibunga Primary Health Center Tika Nofiyanti Iskandar; Tut Rayani Aksohini Wijayanti
Jurnal Ilmu Kesehatan dan Gizi Vol. 4 No. 1 (2026): Januari: Jurnal Ilmu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v4i1.8786

Abstract

Background: Compliance with routine infant immunization is essential for the success of vaccination programs and the prevention of vaccine-preventable diseases. However, adherence to immunization schedules remains suboptimal due to limited parental knowledge, concerns about vaccine safety, and the limited effectiveness of conventional health education. Audio-visual media offer a promising solution by delivering information in a more engaging, clear, and consistent manner. Objective: This study aimed to evaluate the effectiveness of audio-visual educational media in improving adherence to basic immunization among infants in the service area of the Rum Balibunga Community Health Center. Methods: A quasi-experimental design with a one-group pretest-posttest approach was used. The sample included 40 mothers with infants aged 0-12 months selected through purposive sampling. Participants received an educational video on basic immunization. Adherence was assessed before and after the intervention based on completeness and timeliness according to the national schedule. Data were analyzed using univariate and bivariate methods, with the McNemar test for paired categorical data. Results: There was a significant improvement in immunization adherence after the intervention. Statistical analysis confirmed a meaningful difference before and after exposure, indicating the effectiveness of audio-visual media. Conclusion: Audio-visual education is an effective strategy to improve infant immunization adherence and can be widely applied in primary healthcare settings.