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All Journal Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Pengmas Kestra (JPK)
Nikmah Jalila Ritonga
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Health Professions Nursing Public Health Other

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Education of Ginger Drink and Accupresure as Theraphy to Relieving Primary Dismenorrhea Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga; Sitorus, Riris
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 1 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v3i1.1742

Abstract

Pain that comes with primary dysmenorrhea during menstruation often interferes with daily activities. Many dysmenorrhea sufferers do not understand how to control the pain that comes and many also use analgesic drugs in each menstrual period. Consumption of red ginger drinks and acupressure can reduce menstrual pain during primary dysmenorrhea. Provision of health education by utilizing non-pharmacological therapies, namely red ginger powder drink and acupressure for women of childbearing age can empower women to manage menstrual pain which will always be there every month. The purpose of this community service is to increase the knowledge and understanding of women of childbearing age in dealing with primary dysmenorrhea. The activity was carried out at the student dormitory of the Nutrition Study Program, Faculty of Public Health Medistra Institute of Health Lubuk Pakam. The partners in this dedication were 45 students in the first semester of the Nutrition Study Program, Faculty of Public Health, Medistra Institut of Health Lubuk Pakam. Implementation of activities begins with planning, implementation and evaluation. The educational method used is lectures and demonstrations with data collection starting from the pretest and posttest. The results of education in this activity before it was carried out the average of respondents who had good knowledge was 31.12% and after education it increased to 95.55 respondents who had good knowledge. The education implementation was going well, the respondents seemed to listen well and actively asked questions during the question and answer session. Health education is one of the activities that can increase the level of knowledge in women of childbearing age regarding the management of primary dysmenorrhea consuming red ginger drinks and doing acupressure during menstrual periods.
The Effect of Foot Massage on Comfort and Pain Intensity After Vaginal Delivery Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga; Damayanti
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i2.2079

Abstract

Childbirth is a mother's subjective experience that is very memorable in her life. It is important to maintain maternal comfort so that the process of adapting to motherhood can run well. Pain during postpartum is one of the factors that prevents mothers from having difficulty adapting during the postpartum period, especially in primapara mothers. A pharmacological method that can be given to increase comfort and reduce the intensity of pain is foot massage. The aim of this study was to determine the effect of foot massage on the comfort and intensity of maternal pain after vaginal delivery during the postpartum period. This type of quasi-experimental research sample consisted of 38 respondents and the sampling technique used simple random sampling. This research was conducted at the Independent Early Midwife Practice in Lubuk Pakam. Respondents consisted of 2 groups, namely the intervention group and the control group. The instruments used were questionnaires, Visual Analog Scale (VAS), Post Partum Comfort Scale (PCS). Data analysis used chi-square/Fisher's exact test, independent-samples t test and one-way analysis of variance (ANOVA). The mean maternal comfort score in the intervention group was higher than the control group (143.45 ± 8.96, 119.00 ± 14.65, respectively) with a value of p = 0.000. The mean pain score in the intervention group was lower than the control group (1.36 ± 1.22, 4.95 ± 2.27) and the p value = 0.000. Foot massage is effective in increasing comfort and reducing the intensity of pain after vaginal delivery. The increase in maternal comfort after intervention was 18.34% and the reduction in pain intensity after vaginal delivery was 73%. In this way, midwives can apply foot massage to every mother after vaginal delivery.
Empowering Mothers in Preventing Post Partum Depression Through Giving Meridian Accupoint Masssage Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga; Sitorus, Riris
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 2 (2023): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v3i2.1982

Abstract

Post partum depression is a serious disorder that occurs during the post partum period and can disrupt the activities of the mother and baby for a long period of time. One strategy to prevent post partum depression is by giving meridian accupoint massage. This intervention can be given during the normal postpartum period starting on the first day. Prevention is the best action that can reduce the mother's risk of developing post partum depression. The aim of this service community is to help pregnant women and post partum mothers empower themselves by knowing how to prevent post partum depression through meridian accupoint massage intervention. The target of this research was pregnant women and post partum mothers who were at the Nining Pelawati Lubuk Pakam Clinic, totaling 27 participants. The activity method was carried out twice by giving a pre-test, lecture, question and answer and role play and continued with the post-test by filling in a questionnaire. Evaluations were carried out on mothers by conducting interviews regarding their understanding of preventing postnatal depression. The results achieved in this activity are that people gain knowledge about postnatal depression. There was a change in the value of understanding knowledge before being given education, 8.85 and after being given health education, it became 15.6. It is hoped that this service activity will provide benefits to mothers in carrying out meridian accupoint massage interventions to prevent post partum depression. Midwives can apply meridian accupoint massage as a form of preventing post partum depression during the post partum period.
Optimizing the Implementation of Foot Massage as an Effort to Increase Comfort and Reduce Pain After Labor Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga; Saragih, Astri Ulina; Damayanti
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i1.2177

Abstract

Childbirth is a maternal experience that often results in trauma for the mother. Pain before and after delivery is one of the factors that makes the mother uncomfortable. The mother's discomfort will make the mother stressed and will not make the mother comfortable with her new assignment. Foot massage is one method that can be applied to postpartum mothers to reduce the pain and comfort experienced by most mothers in the early postnatal period. Comfort during postpartum will improve the mother's quality of life. The location of the service activity was at the Nining Independent Midwife Practice, Deli Serdang Regency with a total of 14 participants. The target of this activity is postpartum mothers and mothers' companions during treatment. The activity methods used are lectures, role plays and simulations. The activity was carried out twice, namely on 16 and 23 May 2024. The activity consisted of preparation, implementation and evaluation. The results of this service show that most of the participants were >35 years old, female and had a high school education. There is a change in knowledge regarding optimizing foot massage to reduce pain and comfort after childbirth. Before being given health education, the majority of participants had knowledge, namely less than 78.57% and those who had sufficient knowledge were 21.42%. After being given education, the majority of participants had good knowledge about foot massage (57.14%) and 4 participants (28.57%) had good knowledge about foot massage. The presentation of increased knowledge after being given health education was 78.57%. It is hoped that foot massage education can be optimally implemented for postpartum mothers during the postpartum period so that it can help mothers reduce the pain and discomfort that occurs during the postpartum care period.
The Effect Of Meridian Acupoint Massage On Fatigue, And Prevention Of Post Partum Depression During The Public Period Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.1890

Abstract

Postpartum fatigue is a feeling of tiredness experienced by around 65-80% of mothers after giving birth. Fatigue can trigger post partum depression during the postpartum period. In Indonesia, the incidence of post partum blues is 50% -70%. One of the method is meridian accupoints massage intervention to reduce fatigue and prevent post partum depression. This study aims to analyze the effects of meridian accupoint massage on fatigue and prevention post partum depression in the post partum period. A quasi experimental design with pretest posttest nonequivalent control group was utilized. The study group consisted of 28 postpartum women on the 5th day at the Nining Lubuk Pakam Clinic. The instrument used to measure fatigue is th. e Postpartum Fatique Scale, prevention of post partum depression is measured by the Edinburgh Postnatal Depression Scale (EPDS). Data analysis uses independent and dependent t-tests. The experimental group demonstrated a significantly larger decrease compared with the control groupin measures of fatique and prevention post partum depressive. There was a significant difference in maternal fatigue and prevention of post partum depression after meridian accupoint massage between the intervention group and the control group with a value of p=0.003; p=0.002. The average reduction in fatigue after meridian accupoint massage was 27.11%, while the reduction in stress as an assessment for preventing post partum depression was 43.41%. Meridian Accupoint Massage has been proven to have an influence on reducing fatigue and preventing post partum depression during the postpartum period. For midwives to be able to learn and apply this method to normal postpartum mothers in order to improve the quality of life of postpartum mothers. Meridian accupoint massage intervention can be used as learning material in complementary therapy during the postpartum period.
Co-Authors Anuhgera, Diah Evawanna Damayanti Saragih, Astri Ulina Sitorus, Riris