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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.
HUBUNGAN PENGETAHUAN DENGAN PERILAKU SEKSUAL PADA REMAJA DI SMK MJPS 1 KOTA TASIKMALAYA Reni Nurdianti; Lina Marlina; Sumarni Sumarni
HealthCare Nursing Journal Vol. 3 No. 1 (2021): Healtcare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v3i1.1094

Abstract

Nowadays, sex among teenagers is not taboo. Sexual behavior among adolescents tends to increase, especially unmarried adolescents. In the24 countries in North America and Europe show that adolescent sexual behavior begins at the age of 15. The survey was conducted to 33,943 in 24 countries carried out by a French Non-Governmental Organization (NGO), showing that 13.2% of adolescents have been sexually active since the age of 15 and do not use contraceptives. Meanwhile, 82% use contraception.The purpose of this study was whether there was a relationship between knowledge and sexual behavior in adolescents at SMK MJPS 1 Tasikmalaya city. This research method is descriptive analytic with cross-sectional correlation approach. Samples taken in this study were students of class X-XII teenagers at SMK MJPS 1 Tasikmalaya city by using the sampling technique used was random sampling. The results of the respondent's data taken were 89 people. From the data obtained, students with sufficient knowledge amounted to 60 people or (67.4%) and a small number of students with less knowledge amounted to 7 people (7.9%) with less behavior amounted to 37 people or (41.6%) and good behavior amounted to 24 people or (27%). Statistical test results obtainedx²= 15.922, p-value 0.003 <0.05 means that there is a relationship between knowledge and sexual behavior in adolescents at SMK MJPS 1 Kota Tasikmalaya. Based on the results of the study, there is a need for education and counseling for adolescents by the local health center regarding the impact of sexual behavior on adolescents.
The Effect of Turnover Media on Increasing Knowledge of Compliance in Consumption of FE Tablets in Pregnant Women with Anemia Reni Nurdianti; Ai Rahmawati; Lina Marlina; Mia Rumiati
HealthCare Nursing Journal Vol. 7 No. 2 (2025): HealthCare Nursing Journal
Publisher : LP3M Universitas Muhammadiyah Tasikmalaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35568/healthcare.v7i2.6606

Abstract

Anemia in pregnant women is a health problem that still exists throughout the world and has a negative impact on both mother and baby. The success of the government's Fe tablet administration program to treat anemia is strongly influenced by the adherence of pregnant women to consuming Fe tablets, besides that it is also influenced by the knowledge of pregnant women about anemia. Providing education to pregnant women is needed to increase knowledge of adherence to consumption of Fe tablets. Research Objectives: to determine the effect of flipchart media on increasing knowledge of consumption of Fe tablets in anemic pregnant women at the Cigeureung Health Center. The method used is quantitative with a pre-experimental approach. The sample used was 32 respondents from a population of 215 anemic pregnant women, the sampling technique used was purposive sampling. The instrument used was a questionnaire on increasing knowledge of consumption of Fe tablets that had been tested for validity and flipchart media. The data analysis used is the Wilcoxon test. Research results showed that there was an effect of flipchart media on increasing knowledge of adherence to consumption of Fe tablets with a p-value of 0.000 (p <0.05). The knowledge of pregnant women before being given education is sufficient then after being given education it is good. There is an effect of flipchart media on increasing knowledge of adherence to consumption of Fe tablets in anemic pregnant women at the Cigeureung Health Center. It is hoped that after learning about adherence to consuming Fe tablets, pregnant women with anemia can consume Fe tablets regularly.
PERBANDINGAN EFEKTIVITAS PUDING KELOR (MORINGA OLEIFERA) DAN PUDING KATUK (SAUROPUS ANDROGYNUS) UNTUK MENINGKATKAN KUANTITAS ASI Reni Nurdianti; Ai Rahmawati; Fitriani Mardiana Hidayat; Lina Marlina; Iis Sopiah Suryani; Eneng Melda Febriana
Journal of Maternity Care and Reproductive Health Vol 9, No 3 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i3.12400

Abstract

Breast milk is the best source of nutrition for infants and plays a vital role in supporting optimal growth and development. However, many breastfeeding mothers still experience problems with breast milk production, which can affect the success of exclusive breastfeeding. Moringa (Moringa oleifera) and sauropus (Sauropus androgynus) leaves are plants known to contain lactagogum compounds that can stimulate breast milk production. One easily consumed form of moringa and sauropus leaf preparations is pudding. This study aims to compare the effectiveness of moringa leaf pudding and sauropus leaf pudding in increasing breast milk quantity in breastfeeding mothers. The quantitative research method used a quasi-experimental pretest-posttest design with two intervention groups. The research sample consisted of 15 people from the moringa pudding group and 15 people from the katuk pudding group with the inclusion criteria being breastfeeding mothers in Sambong Jaya Village, the working area of Sambong Pari Community Health Center and willing to be respondents, selected using a purposive sampling technique. Respondents were given an intervention in the form of consuming moringa pudding and katuk pudding twice a day for 7 days. The results of the analysis showed that giving moringa pudding significantly increased breast milk quantity (p = 0.005), while giving katuk pudding did not show a significant increase (p = 0.102). The conclusion of this study is that giving moringa pudding (Moringa oleifera) is more effective than katuk pudding (Sauropus Androgynus) in increasing breast milk quantity in breastfeeding mothers. Further research is recommended to use a larger sample and a randomized controlled trial design to obtain stronger evidence. Measurement of breast milk quantity should use an objective method with a standardized measurement time. Factors that can influence breast milk production, such as breastfeeding frequency, maternal intake, sleep quality, psychological well-being, infant age, and lactagogum use, also need to be controlled. Furthermore, longer intervention durations are needed to determine their effects over a longer period.