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Kombinasi Massage Effleurage Olive Oil dan Aromaterapi Diffuser Lavender terhadapTingkat Nyeri dan Kenyamanan pada Persalinan Kala I Sumiati, Yeti; Suryati, Yayat; Murtiningsih, Murtiningsih; Trisyani, Mira; Hidayat, Monna Maharani
Journal of Telenursing (JOTING) Vol. 7 No. 4 (2025): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/12c02815

Abstract

This study aimed to determine the effect of a combination of olive oil effleurage massage and lavender diffuser aromatherapy on reducing pain and increasing comfort during the first stage of labor, compared to the pursed lip breathing technique and lavender diffuser aromatherapy. The method used was a quasi-experimental design with a non-equivalent pre-test and post-test with a control group design. The results showed a difference in the mean pain scale between the pre-test and post-test results, with the intervention group experiencing a greater reduction in pain than the control group and the mean comfort level. The Wilcoxon test yielded a p-value of 0.00, indicating that both interventions could reduce labor pain and increase comfort. The Mann-Whitney test yielded a p-value of 0.00, indicating a significant difference in pain and comfort levels in the intervention group compared to the control group. In conclusion, the combination of olive oil effleurage massage, lavender diffuser aromatherapy, and pursed lip breathing can help mothers reduce first-stage labor pain and increase comfort.   Keywords: Aromatherapy, Effleurage, Comfort, Pain, Labor
Indonesian HIV women's perception about HIV- transmitted prevention in pregnancy intention: a peer support group survey Koeryaman, Mira Trisyani; Melinda, Yuyun; Sutini, Titin
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2802

Abstract

In Bandung city, the prevalence of HIV-positive women increased annually. It can potentially produce an infected fetus if they are pregnant because HIV (human immunodeficiency virus) can pass through the placenta and transmit to the fetus. With women's awareness, preventing transmission risk may be beneficial to achieve a safe conception, pregnancy and birth for women who are planning to have a baby. Aims. This study aims to identify HIV women's perception of the perinatal spread of HIV in pregnancy and highlights their role in managing transmission prevention. Method. Fifty-two women with diagnosed HIV belonging to active members of a peer support group (PSG) in Bandung city, Indonesia, answered survey questionnaires. The questions covered behaviors components on perceived HIV-transmitted risk, benefits and obstacles and self-confidence in HIV-transmitted prevention (5-point scale). The data collection was carried out about two months. Results. Participants generally have a positive perception of HIV-transmitted prevention. Of the 52 women, 51.4% (n=27) showed positive perceptions of HIV-transmitted susceptibility, 60% (n=30) felt no barriers to HIV-transmitted prevention, and 51.4% (n=27) had positive self-confidence in HIV-transmitted prevention. In contrast, 54.3% of women (n=28) indicated that they negatively perceive the benefits of HIV- transmitted prevention. Conclusions. These findings provide important clues for planning HIV management before pregnancy, highlighting the domains that health professionals should seriously focus on in giving proper intervention. Health professionals should use specific strategies to promote the benefits of HIV-transmitted prevention to achieve the demands of safe conception, pregnancy and postpartum.
Quality of Discharge Education: Chronic Diseases Patients’ Perspectives Rahmawati, Syifa Eka; Kurniawan, Titis; Sari, Eka Afrima; Trisyani, Mira; Pahria, Tuti
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3257

Abstract

Readmission is a condition where a patient needs to be re-hospitalized shortly after their initial discharge. One crucial component in preventing readmission is the quality of discharge education. Objective: This study aims to describe the quality of discharge education among patients with chronic diseases Method : A quantitative descriptive study design was used. A total of 121 in patients with chronic disease from a regional general hospital in West Java were selected through consecutive sampling. Demographic and characteristic questionnaires and the Quality of Discharge Teaching Scale (QDTS) were used as instruments. It consisting of 6 paired questions with a validity value 0.98 and reliability 0.92. Descriptive statistics were applied for data analysis. Results: Chronic patients' score of content needed and content received were high (46.7 ± 11.9). This means that patients have high information needs and the information they received from nurses answer their needs. However, there are some points where it is considered that the needed information has not been fulfilled by the information received. Conclusions: Even though the quality of the provided discharge education is high, the improvement particularly in terms of information related to who and when should be contacted and information about emotion are needed.
Readiness for Hospital Discharge among Family Caregivers of Patients with Chronic Diseases Fauzia, Salwa Ghaida; Kurniawan, Titis; Pratiwi, Sri Hartati; Trisyani, Mira; Pahria, Tuti
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): 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.v6i4.3306

Abstract

Families often act as informal caregivers for family members who suffer from chronic diseases. Intensive family involvement improved patients’ adherence in performing post-discharge treatment program, hospital readmission, clinical outcomes, and quality of life. To effectively help the patients managing their diseases, the family caregivers required not only understand but also must be ready for helping patients manage their conditions. This study aims to identify the readiness for hospital discharge among family caregivers of patients with chronic diseases. Data were collected from 121 family caregivers recruited consecutively from adult inpatients wards using the respondents’ characteristics questionnaire and Readiness for Hospital Discharge Scale for Family with Adult Patients (RHDS Fam) questionnaire (inter-item correlation = 0.90, and Cronbach alpha 0.89). Descriptive analysis was applied. The results showed that most of family were female (77.7%%), unemployed (69.4%), graduated from senior high school (57.9%), and had no chronic diseases (86.8%). Generally, family caregivers reported high readiness for hospital discharge (7.75 Out of 10). While the coping abilities identified as the readiness domain with highest average score (9.07±1.15), the personal domain identified as the lowest domain (7.07 ±0.68). Higher readiness was showed in the age group of 20-40 years, female, graduated from senior high school, employed, and are the siblings of the patients. It can be concluded that the family caregivers of chronic disease patients are ready to return home and help patients continue their post-discharge treatment program. However, interventions are needed to improve their readiness related to patient’s personal status, particularly those who are male, lower educational background, unemployed, has a relationship as parents of the patients, and has a chronic illness.
The Relationship Between the Level of Labor Fatigue and the Quality of Sleep in Fishermen Darmawati, Siska; Lukman, Mamat; Koeryaman, Mira Trisyani
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3487

Abstract

Work fatigue is a condition that can cause a decrease in efficiency as well as reduced strength or physical endurance of a worker's body and can affect the quality of sleep in workers. Fishermen have a high workload, irregular work schedules, which can affect fatigue and sleep quality. This study aims to determine the relationship between the level of work fatigue and the sleep quality of fishermen. The research method used is descriptive-correlative, using a cross sectional approach. The population in this study were all fishermen who actively worked in Karangjaladri Village, Parigi District, Pangandaran Regency, with a sample size of 131 fishermen. Data was obtained through the Job Fatigue Measuring Tool Questionnaire (KAUPK2) to measure the level of work fatigue and the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality in fishermen. The data analysis used to connect the two variables used the Spearman rank test. The results of the study showed that the level of work fatigue among fishermen in the less tired category was 19 fishermen (14.5%), 42 fishermen (32.1%) were tired, and 70 fishermen (53.4%) were very tired. The research results also showed that 21 fishermen (16%) had good sleep quality and 110 (84%) had poor sleep quality. The results of statistical tests show that there is a relationship between the level of work fatigue and the quality of sleep in fishermen, with a p value of 0.000. It can be concluded that fishermen have a level of work fatigue in the very tired category and have poor sleep quality.
Relationship of Sleep Quality with Menstrual Cycle in Teenagers Fatmaningsih, Nurul Khotimah; Koeryaman, Mira Trisyani; Rosidin, Udin
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): 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.v6i5.3598

Abstract

Adolescence is a very important time in the process of reproductive maturity, and adolescence has a high risk of being associated with sleep disorders. It is important for teenagers, especially schoolchildren, to have a good quality of sleep in order to be able to perform academic activities. However, students are very vulnerable to poor sleep quality, which will affect both psychological and physiological imbalances, including menstrual cycles. The aim of this study is to find out the relationship between sleep quality and the menstrual cycle in adolescents in SMAN 1 Sumedang. This research method uses a correlational analytical design with a cross-sectional approach. A large sample of 438 pupils was obtained. The research instrument used the PSQI questionnaire to measure sleep quality, consisting of categories such as objective sleep quality, sleep latency, sleep duration, sleep efficiency, daytime dysfunction, sleep disorders, sleeping pills, and menstrual cycle questionnaires over the last 3 months. The results of this study were obtained from 244 people who had good sleep quality. 48.4% had normal menstrual cycle patterns, and 7.3% had abnormal ones. And for 194 people with poor sleep quality, 25.6% had normal periods and 18.7% had unnormal periods. In the statistics, the chi-square test obtained a p-value of 0.000, so it can be concluded that there is a meaningful relationship between sleep quality and menstrual cycle in adolescents in SMAN 1 Sumedang.
FAKTOR RISIKO YANG MEMPENGARUHI KEJADIAN KEHAMILAN EKTOPIK BERULANG : STUDI KASUS Kurniawati, Anastasya Peni; Widiasih, Restuning; Koeryaman, Mira Trisyani
SINERGI : Jurnal Riset Ilmiah Vol. 1 No. 3 (2024): SINERGI : Jurnal Riset Ilmiah, Maret 2024
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/pd8tn796

Abstract

Latar Belakang: Kehamilan ektopik merupakan salah satu masalah kehamilan yang mengancam kehidupan baik janin maupun ibu, namun terbatas eksplorasi dan analisis terkait factor resiko terjadinya kehamilan ektopik. Studi kasus ini bertujuan untuk mengetahui faktor-faktor resiko yang mempengaruhi kehamilan ektopik. Metode: Metode yang digunakan dalam penelitian ini adalah dekriptif dengan pendekatan studi kasus terstruktur berdasarkan hasil laporan asuhan keperawatan yang dimulai dari pengkajian yang dilakukan dengan anamnesa pada klien dan keluarganya, terlebih terkait factor resiko. Sebelum melakukan pengkajian dan tindakan, peneliti menjelaskan terlebih dahulu tujuan dan melakukan informed consent. Analisis data dilakukan dengan membaca data, membandingkan antar data, dan meringkasnya sebagai presentasi kasus Hasil: Ny. A, usia 24 tahun, G3P0A1 dirawat di rumah sakit karena mengalami perdarahan. Riwayat kehamilan pertama, klien mengalami abortus pada minggu ke-14. Pada riwayat kehamilan keduanya, di usia 22 tahun, klien didiagnosa kehamilan ektopik terganggu di minggu ke-9, klien merasakan nyeri pada perutnya dan terjadi perdarahan selama 2 hari. Selama masa kehamilan ini klien merokok kurang lebih 6-8 batang perhari. Setelah 2 tahun, klien hamil yang ketiga dan klien didiagnosa mengalami kehamilan ektopik yang kedua kali pada minggu ke-8. Pada kehamilannya ini klien masih merokok kurang lebih 3 batang rokok perhari Pembahasan: Faktor yang berkontribusi terhadap terjadinya risiko kehamilan ektopik disebabkan oleh usia, paritas, riwayat merokok, riwayat kehamilan ektopik sebelumnya dan riwayat abortus. Faktor tersebut dapat menyebabkan penurunan fungsi organ-organ reproduksi seperti penurunan fungsi tuba fallopi, gangguan silia dan abnormalitas dari gerakan otot di tuba fallopi dan konstriksi atau penyempitan pada tuba fallopi. Disarankan kepada intitusi pelayanan kesehatan untuk memberikan pendidikan kesehatan kepada ibu terkait faktor resiko agar kedapannya dapat mengurangi resiko kejadian kehamilan ektopik dan perlunya melakukan konsultasi pada ibu dengan resiko tinggi seperti yang memiliki riwayat kehamilan ektopik sebelumnya terkait program kehamilan selanjutnya.  
Case Study on Postpartum Mothers with Severe Preeclampsia Through 4 Hour Blood Pressure Monitoring Apriliani, Annisa; Koeryaman, Mira Trisyani; Mamuroh, Lilis
Jurnal Kesehatan Mitra Sekawan Vol. 2 No. 2 (2026): Maret
Publisher : Utami Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jkmp.v2i2.558

Abstract

Preeclampsia is a pregnancy complication that can continue into the postpartum period and has the potential to cause serious organ disorders and increase the risk of maternal death. This condition can cause various complications, including seizures, impaired liver function and blood clotting, cerebral hemorrhage, fluid buildup in the lungs, and heart disease. One important effort in preventing these complications is regular blood pressure monitoring to ensure the effectiveness of antihypertensive therapy and hemodynamic stability. This case study aims to analyze the application of blood pressure monitoring every 4 hours in postpartum mothers with severe preeclampsia as an effort to detect complications early. This case study uses a descriptive approach with a single case study method on Mrs. N, 21 years old, postpartum day 1 with a history of Partus Maturus with Oxytocin Drip Augmentation: Severe Preeclampsia. For four days of care, the client received antihypertensive therapy 3 x 1 per day accompanied by blood pressure monitoring, physical examination and laboratory evaluation. Monitoring results showed that blood pressure continued to fluctuate until the fourth postpartum day, ranging from 127/90 mmHg to 180/120 mmHg, despite a decrease in edema from grade 3 to grade 2 and an improvement in hemoglobin levels. These findings indicate that despite clinical and laboratory improvements, the mother's hemodynamic condition was not stable until the fourth postpartum day. Therefore, intensive blood pressure monitoring and therapy evaluation are needed until blood pressure stability and optimal clinical improvement are achieved.
Exclusive Breastfeeding and Immunization as Determinants of Stunting Among Indonesian Children Under Five: Evidence from a Community-Based Case–Control Study Nurhidayah, Ikeu; Khaedar, Mochamad; Herawati, Yanti; Koeryaman, Mira Trisyani
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.108-115

Abstract

Background: Stunting remains a major public health issue in Indonesia, reflecting chronic undernutrition and recurrent infections in early childhood. Exclusive breastfeeding and immunization are key interventions to promote healthy growth and child survival, aligning with SDG 2 (Zero Hunger) and SDG 3 (Good Health and Well-Being). However, evidence on their combined effects on stunting is inconsistent, especially in rural areas like Sumedang, where local data are limited. Objective: This study aimed to examine the association between exclusive breastfeeding, immunization status, and stunting among children aged 2–5 years in rural Indonesia. Methods: A community-based, case–control study involved 132 children (66 stunted and 66 non-stunted), aged 24–59 months. Data on stunting, breastfeeding, and immunization were collected via structured questionnaires and verified through child health records. Purposive sampling was used. Statistical analyses included descriptive statistics, Chi-square tests, and odds ratios (ORs) with 95% confidence intervals (CIs). Results: Children not exclusively breastfed had a significantly higher risk of stunting (p=0.001; OR=3.27, 95% CI: 1.48–7.22). Immunization completeness was not significantly associated with stunting (p=0.380; OR=1.36, 95% CI: 0.68–2.71). Conclusion: Exclusive breastfeeding offers strong protection against stunting and is vital for achieving SDG 2 and SDG 3. While immunization was not directly linked to stunting in this study, it remains essential for preventing infections that may indirectly impair growth. Strengthening breastfeeding promotion and community health programs are crucial for reducing stunting in rural Indonesia.
Current Mobile Applications for The Prevention of Child Sexual Abuse: A Scoping Review Tetti Solehati; Yanti Hermayanti; Mira Trisyani; Rachelya Nurfirdausi Islamah; Cecep Eli Kosasih
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001138

Abstract

The use of mobile applications in child protection has increased in recent years, including their potential role in preventing child sexual abuse (CSA). However, the extent and nature of evidence supporting mobile application–based interventions for CSA prevention remain unclear. This scoping review aimed to identify, synthesize, and map existing evidence on the development and use of mobile applications for the prevention of child sexual abuse. Following the Arksey and O’Malley framework, a scoping review was conducted using systematic searches in ScienceDirect, CINAHL (EBSCO), and Scopus. Search terms included variations of mobile applications (including mobile and smartphone apps), prevention, and child sexual abuse. Eligible studies were quantitative intervention or mixed-methods studies that evaluated mobile application–based interventions targeting CSA prevention, were available in full text, published in English, and released between 2017 and 2024. Data were extracted manually and synthesized descriptively using thematic analysis. From 3,896 records, four studies met the inclusion criteria. Thematic analysis identified four key themes: (1) improved children’s awareness and protective skills; (2) promotion of self-protective behaviours; (3) enhanced parental knowledge; and (4) usability and accessibility of mobile applications. The available evidence on mobile applications for CSA prevention remains limited and heterogeneous. While existing studies suggest that mobile applications may support awareness-building and short-term preventive outcomes, the current evidence is insufficient to establish effectiveness. Further theory-informed and methodologically rigorous research is needed to evaluate sustained behavioural change, long-term outcomes, and equitable implementation across diverse contexts.