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All Journal Manuju : Malahayati Nursing Journal Abdimas Umtas : Jurnal Pengabdian kepada Masyarakat Healthcare Nursing Journal Jurnal Mitra Kencana Keperawatan dan Kebidanan Jurnal Kesehatan komunitas Indonesia Media Informasi Poltekita: Jurnal Ilmu Kesehatan JKM-Bid: Jurnal Kesehatan Masyarakat kebidanan
Lina Marlina
Universitas Bhakti Kencana
Religion Agriculture, Biological Sciences & Forestry Arts Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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Efektivitas Pijat Endorphine dan Bonapace Terhadap Penurunan Rasa Nyeri Persalinan Kala I Pada Primipara Eneng Daryanti; Meti Sulastri; Heni Nurakilah; Maria Ulfah Jamil; Lina Marlina
Malahayati Nursing Journal Vol 6, No 1 (2024): Volume 6 Nomor 1 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i1.12769

Abstract

ABSTRACT Pain is a natural process in the birth process. If it cannot be handled properly, it can cause other problems, for example increased anxiety during childbirth so that the production of the hormone adrenaline increases and can result in vasoconstriction which causes the mother's blood flow to the fetus to decrease. The fetus will experience hypoxia while the mother will experience prolonged labor and can increase systolic and diastolic pressure. Problems that occur during the first stage of labor, primiparous mothers experience an increase in the level of pain during the first stage, so it needs to be anticipated to reduce the pain, this encourages mothers who are about to give birth to choose surgery because they don't want to feel the pain. To analyze the effectiveness of endorphine massage with bonaface in reducing pain in the first stage of labor in primiparas. The method used was quasi-experimental with a pretest-posttest only control group design. Data analysis was carried out before and after the procedure using the Wilcoxon test, while to determine the effectiveness of the endorphine and Bonapace massage procedures using the Mann Whitney test. The results obtained showed that the endorphine and bonapace massage procedures each showed a p value of 0.005, which means that there was a significant difference in the mean of labor pain during the first active phase in primiparous mothers before and after the endorphine massage, as well as for bonapace. The results of the analysis carried out on these two actions obtained a p value of 0.74 (more than 0.005), this shows that there is no difference in the effectiveness of endorphine and bonapace massage in reducing pain in the first stage of labor in primiparas in the Malangbong Community Health Center working area. There is an effect of endorphine massage on reducing pain in the first stage of labor in primiparas and there is also an effect of bonapace on reducing pain in the first stage of labor in primiparas in the working area of the Malangbong Community Health Center, but there is no difference in the effectiveness of endorphine massage and bonapace in reducing pain during labor. I in primipara. Keywords: Massage Endorphine, Bonapace, Pain Labour  ABSTRAK Nyeri adalah proses alamiah dalam proses persalinan. Apabila tidak bisa diatasi dengan baik, dapat menimbulkan masalah lain misalnya meningkatnya kecemasan pada saat menghadapi persalinan sehingga produksi hormon adrenalin meningkat dan bisa mengakibatkan vasokonstriksi yang menyebabkan aliran darah ibu ke janin menurun. Janin akan mengalami hipoksia sedangkan ibu akan mengalami persalinan lama dan dapat meningkatkan tekanan sistolik dan diastolic (Solehati, 2018). Permasalahan yang terjadi pada proses persalinan kala I ibu primipara didapatkan tingkat nyeri saat proses kala I meningkat, sehingga perlu diantisipasi untuk mengurangi rasa sakit tersebut, hal ini mendorong ibu yang akan melahirkan memilih jalan dengan operasi karena tidak ingin merasakan rasa sakit. Untuk menganalisis keefektivitasan antara pijat endorphine dengan bonaface dalam menurunkan rasa nyeri persalinan kala I pada primipara. Metode yang digunakan adalah quasi eksperimen dengan rancangan preetest-posttest only control group design. Analisis data dilakukan sebelum dan sesudah tindakan menggunakan uji wilcoxon, sedangkan untuk mengetahui efektivitas dari tindakan pijat endorphine dan bonapace dengan uji mann whitney. Hasil yang diperoleh menunjukkan bahwa tindakan pijat endorphine dan bonapace masing-masing menunjukkan nilai p 0,005 yang artinya terdapat perbedaan rerata nyeri persalinan kala I fase aktif pada ibu primipara yang bermakna sebelum dan sesudah tindakan pijatan endorphine, begitu juga untuk bonapace. Hasil analisis yang dilakukan pada kedua tindakan ini mendapatkan nilai p 0,74 (lebh dari 0,005), hal ini menunjukkan bahwa tidak ada perbedaan efektivitas pijat endorphine dan bonapace terhadap penurunan rasa nyeri persalinan kala I pada primipara di wilayah kerja Puskesmas Malangbong. Ada pengaruh pijatan endorphine terhadap penurunan rasa nyeri persalinan kala I pada primipara dan ada pengaruh juga dari bonapace terhadap penurunan rasa nyeri persalinan kala I pada primipara di wilayah kerja Puskesmas Malangbong, akan tetapi tidak ada perbedaan efektivitas pijat endorphine dan bonapace terhadap penurunan rasa nyeri persalinan kala I pada primipara. Kata Kunci: Pijat Endorphine, Bonapace, Nyeri Persalinan 
Factors Affecting the Adherence of People Living with HIV/AIDS on Antiretroviral Treatment in Tasikmalaya City Iis Sopiah Suryani; Lina Marlina; Ana Ikhsan Hidayatulloh; Ai Rahmawati
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.3714

Abstract

The incidence of HIV/AIDS in Indonesia, including in West Java and Tasikmalaya City, continues to rise. In Tasikmalaya City alone, 345 cases have been recorded. Antiretroviral (ARV) therapy has revolutionized HIV treatment, but optimal adherence—ideally 100%—is essential to prevent drug resistance. However, adherence among people living with HIV/AIDS (PLWHA) in Tasikmalaya remains suboptimal, increasing the risk of treatment failure and resistance. This study employed a cross-sectional correlational design involving 62 PLWHA who actively participated in monthly meetings organized by the AIDS Countermeasures Commission (KPA) in Tasikmalaya. Participants were selected using purposive sampling. Data were collected using a validated questionnaire for treatment adherence and a researcher-developed instrument to assess additional variables. Factors found to influence ARV treatment adherence included age, gender, educational background, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and self-confidence. Among these, perceived barriers were identified as the most dominant factor affecting adherence (OR = 16.9). Although limited by a small sample size, this study highlights several psychosocial and demographic factors that influence ARV adherence among PLWHA. Addressing perceived barriers should be a priority in interventions aimed at improving adherence and preventing drug resistance.
PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG PEMERIKSAAN TRIPLE ELIMINASI MELALUI EDUKASI Iis Sopiah Suryani; Lina Marlina; Ai Rahmawati
JKM-Bid: JURNAL KESEHATAN MASYARAKAT KEBIDANAN (The Journal of Public Health Midwifery) Vol. 12 No. 02 (2026): Juni 2026
Publisher : Akademi Kebidanan Harapan Bunda Bima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71369/qxvx2k08

Abstract

This community service program aimed to improve pregnant women’s knowledge regarding triple elimination examinations (HIV, Syphilis, Hepatitis B) through structured health education in Cipedes Village, West Java. The method used was participatory education with lectures, discussions, and distribution of educational leaflets. A total of 40 pregnant women attended the session. Pre- and post-test results showed a significant increase in knowledge scores (average pre-test 56.5 vs post-test 82.3). The findings indicate that health education interventions conducted by midwives are effective in raising awareness and compliance with maternal screening programs. This activity contributes to maternal and neonatal health improvement and supports national targets for triple elimination.
Co-Authors Ai Rahmawati Ai Rahmawati Daryanti, Eneng Deni Candra Ramadhan Heni Nurakilah HIDAYATULLOH, ANA IKHSAN Ida Nurfikah Iis Sopiah Suryani Iis Sopiah Suryani Mamay Sugiharti Maria Ulfah Jamil Mega Lestari Meti Sulastri Reni Nurdianti Rifki Purnama Rikky Gita H Rikky Gita Hilmawan Sumarni Sumarni Sumarni Sumarni Tiara Puspa Indah Sari