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PROGRAM KEMITRAAN KELOMPOK MASYARAKAT UNTUK MENCEGAH DAN MENGONTROL HIPERTENSI DENGAN EFFLEURAGE BACK MASSAGE DI PUSKESMAS SANANWETAN KOTA BLITAR Sepdianto, Tri Cahyo; Suprajitno, Suprajitno; Ciptaningtyas, Maria Diah
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 8 No. 1 (2024): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v8i1.4114

Hypertension is a non-communicable disease, with cases continuing to increase every year. Early detection of hypertension and management of hypertension through activity patterns and nutrition, as well as other non-pharmacological management such as effleurage back massage, are very important to control blood pressure in hypertension sufferers. The aim of this social project was to increase cadres' knowledge and skills in preventing and managing hypertension. The method was community empowerment through outreach activities about hypertension, early detection and management of hypertension, and non-pharmacological management training with effleurage back massage to control blood pressure in hypertension sufferers. The activity was attended by 25 POSBINDU PTM cadres in the Sananwetan Community Health Center, Blitar City. The results of the activity showed that there was an increase in cadres' knowledge of preventing and managing hypertension. Cadres' skills in non-pharmacological management through effleurage back massage were also increased. Effleurage Back Massage is a non-pharmacological management that can be easily applied by POSBINDU PTM cadres to hypertensive patients to control blood pressure and prevent complications.

Pengaruh Kombinasi Aromaterapi Mawar Dan Edukasi Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Pembedahan Elektif Di RSUD dr. Soedomo Trenggalek Marsaid; Deliya , Deliev; Wiyono, Joko; Ciptaningtyas, Maria Diah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Objective: To determine the effect of a combination of rose aromatherapy and education on anxiety levels in elective surgical preoperative patients at RSUD Dr. Soedomo Trenggalek. Methods: This article is quantitative with a quasi-experimental research design (two group pretest-posttest design). The sample in the study were 32 respondents who experienced anxiety before elective surgery using purposive sampling technique. The research instrument used the APAIS anxiety scale. The main data were analyzed using the Wilcoxon test. Results: The results showed that the average anxiety score before the intervention was 13.88 (moderate anxiety), while the average anxiety score after the intervention was 8.88 (mild anxiety) and the results obtained were ρ value 0.000 (ρ value 0.000 < α 0.05), meaning that there is a combined effect of rose aromatherapy and education on anxiety levels in preoperative elective surgical patients. Conclusion: So that the combination of rose aromatherapy and education can be used to reduce anxiety levels in elective surgical preoperative patients.

Hubungan Status Fisik Pra Anestesi Dengan Waktu Pulih Sadar Pasien Post Operasi Dengan General Anesthesia Hamarno, Rudi; Arif, Taufan; Arifaen, Aditya Mauludin Afkar Nur Arij; Ciptaningtyas, Maria diah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.23184

Introduction: The duration of recovery of consciousness in postoperative patients with general anesthesia is a common problem after the patient is transferred to the recovery room. The recovery period of patients after surgery and general anesthesia is influenced by several factors, one of which is the physical condition before anesthesia based on ASA status. The purpose of this study was to determine the relationship between ASA status and the recovery time of patients after surgery with general anesthesia in the recovery room. Method: The study design used a "cross-sectional" approach. The average population per month was 139 postoperative patients using general anesthesia aged 26-65 years. The sampling method used purposive sampling with 59 respondents. Determination of respondents was based on the inclusion criteria of patients undergoing elective surgery aged 26-65 years, patients who received ASA status 1 and 2. Data analysis tests used descriptive statistical tests to determine the characteristics of respondents. Results: Bivariate analysis used the Spearman rank test to determine the relationship between pre-anesthesia physical status and the recovery time of patients after surgery with general anesthesia. The results of the bivariate test of ASA physical status with a p-value of 0.000. Discussion: Pre-anesthesia physical status is related to the recovery time of patients after surgery with general anesthesia. Physical status conditions with accompanying illnesses can interfere with the anesthesia process and post-anesthesia recovery.

IMPACT OF PROGRESSIVE MUSCLE RELAXATION AND AROMATHERAPY ON MENSTRUAL PAIN INTENSITY AMONG ADOLESCENT GIRLS WITH PRIMARY DYSMENORRHEA Astuti, Erlina Suci; Solikhah, Fitriana Kurniasari; Prahasti, Azizah Ayu; Ciptaningtyas, Maria Diah
SYNTHESIS Global Health Journal Volume 3, Issue 1, 2025
Publisher : SYNTIFIC

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61543/syn.v3i1.126

Background. Primary dysmenorrhea, characterized by cramping pain during menstruation, significantly affects adolescents' quality of life. The purpose of this study was to evaluate the effects of progressive relaxation exercise and aromatherapy on pain intensity in female adolescents with primary dysmenorrhea. ResearchMethod. A total of 64 participants were divided into four groups: progressive relaxation, aromatherapy, combination therapy, and control. The research method used is a quasi-experimental pretest-posttest control group design. This study employs the Paired T-Test on the third treatment group, and the NGain-Score test is used to determine which independent variable is more closely related to the dependent variable. Findings. Statistical analysis showed significant reductions in pain intensity in all experimental groups (p = 0.000), with the combination therapy demonstrating the highest effectiveness (NGain-Score: 0.7571). Aromatherapy, particularly with lavender, and progressive relaxation exercises effectively reduced physical discomfort and psychological stress associated with dysmenorrhea. The findings suggest that non-pharmacological interventions, especially when combined, are effective in managing dysmenorrhea. Conclusion. Integrating progressive relaxation exercise and aromatherapy is a promising approach for alleviating primary dysmenorrhea pain in adolescents, offering a safe and natural alternative to conventional pain management.

Positive Effect of Chewing Gum and Early Mobilization on Intestinal Peristalsis Putra, Daffa Basandra; Arif, Taufan; Sepdianto, Tri Cahyo; Ciptaningtyas, Maria Diah
Journal of Ners and Midwifery Vol 10 No 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i1.ART.p092-099

Decreased intestinal peristalsis due to anesthesia before laparotomy surgery can result in inhibition of nerve impulses to the intestinal muscles, paralytic ileus can occur and inhibition of the work of the intestine itself. The purpose of this study was to determine the effect of chewing gum and early mobilization on intestinal peristalsis after laparotomy surgery. The research design used a quasi-experimental. The sampling technique used purposive sampling with 32 respondents divided into 2 groups. The treatment group was given an intervention of chewing gum and early mobilization, while the control group was given an intervention according to standard operating hospital procedures, namely tilting right and left and given 2 spoons of drinking after the patient was fully conscious in the room. The independent variables were chewing gum and early mobilization. The dependent variable was intestinal peristaltic. This study used univariate analysis to determine the characteristics of respondents. The bivariate analysis used paired t test and independent t test. The paired t test in the pre-posttest in the control group was 0.000, while the pre-posttest in the treatment group was 0.000. Independent T test on the post-test of the treatment group with the post-test of the control group of 0.000. There was an effect of chewing gum and early mobilization intervention on intestinal peristalsis in post laparotomy patients. Chewing gum and early mobilization can stimulate hormones in the gastrointestinal system such as gastrin, secretin, gastric inhibitory polypeptide, cholecystokinin, motilin, and enteroglukagon which will increase intestinal peristalsis

Perbedaan Pemberian Aromaterapi Lemon Dan Lavender Untuk Mengurangi Mual Muntah Akibat Kemoterapi Di RS Lavalette Kota Malang Kurniasari, Leni; Ciptaningtyas, Maria Diah; Marsaid
Borneo Nursing Journal (BNJ) Vol. 8 No. 1 (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.375

Mual dan muntah akibat kemoterapi merupakan efek samping yang sering dialami pasien kanker dan dapat ditangani secara farmakologis dengan antiemetik maupun nonfarmakologis sebagai terapi pelengkap, salah satunya melalui aromaterapi. Penelitian ini bertujuan mengetahui perbedaan pengaruh aromaterapi lemon dan lavender terhadap penurunan mual muntah pada pasien kemoterapi. Desain penelitian menggunakan quasi-eksperimental dengan pendekatan three group pretest-posttest pada 57 responden yang dipilih melalui purposive sampling dan dibagi menjadi tiga kelompok sesuai kriteria inklusi dan eksklusi. Variabel bebas adalah aromaterapi lemon dan aromaterapi lavender, sedangkan variabel terikat adalah mual muntah akibat kemoterapi yang diukur menggunakan kuesioner INVR. Analisis data dilakukan dengan uji Shapiro-Wilk untuk normalitas, dilanjutkan dengan uji Wilcoxon signed-rank dan uji Mann-Whitney. Hasil menunjukkan adanya perbedaan signifikan pada kelompok aromaterapi lemon (p=0,001) dan kelompok aromaterapi lavender (p=0,001), yang menandakan keduanya efektif menurunkan mual muntah, dengan aromaterapi lemon lebih efektif dibandingkan lavender. Temuan ini merekomendasikan penggunaan aromaterapi sebagai intervensi nonfarmakologis yang dapat melengkapi terapi farmakologis dalam mengurangi efek samping kemoterapi.

The relationship between psychological responses and pain levels in post-thyroidectomy patients at dr. Iskak General Hospital, Tulungagung Dahlia, Dina; Hidayah, Nurul; Ciptaningtyas, Maria Diah; Arif, Taufan; Subekti, Imam
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2141

Background: Patients undergoing thyroidectomy surgery often experience pain and psychological changes such as anxiety, stress, and depression. Objective: This study was conducted to determine the relationship between psychological responses and pain levels in post-thyroidectomy patients at Dr. Iskak Tulungagung Regional General Hospital. Methods: This study used a correlational analytic design with a cross-sectional approach. A sample of 34 patients was selected using a purposive sampling technique. Data were collected through interviews using two main instruments: the Depression Anxiety and Stress Scale (DASS) questionnaire to measure psychological responses and the Neck Pain and Disability Scale (NPADS) to measure pain levels within 24 hours after surgery. Data were analyzed using the Spearman Rank correlation test. Results: The study showed that the majority of patients experienced severe psychological responses (38.2%) and pain ranging from severe to very severe (26.5%). Statistical tests showed a very strong and significant relationship between psychological responses and pain levels (r = 0.959; p = 0.000). Conclusion: This study contributes to strengthening the biopsychosocial approach in perioperative nursing. Practical implications suggest that psychosocial interventions should be integrated into postoperative pain management.

The Relationship between Family Support and Anxiety Level in Preoperative Major Elective General Anesthesia Patients at dr. Soedomo Hospital Trenggalek Ridho, Syeikhu Alfa; Widodo, Dyah; Sulastyawati, Sulastyawati; Ciptaningtyas, Maria Diah
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 3 (2024): EDITION NOVEMBER 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i3.6047

surgical process. Family support plays a crucial role in helping patients manage preoperative anxiety. The study aimed to analyze the relationship between family support and anxiety levels in patients undergoing major elective surgery with general anesthesia. The research design was cross-sectional. The study population consisted of 92 patients, with a sample size of 75 recruited through non-probability purposive sampling. The study utilized family support and Amsterdam preoperative anxiety and information Scale (APAIS) questionnaires as instruments. Data were analyzed using descriptive and inferential statistical tests, including Spearman’s rank correlation (Rho) with a p-value less than 0.05 was considered statistically significant. The results showed that almost all participant received high levels of family support (81.3%) and moderate level of preoperative anxiety (81.3%). The Spearman rank test indicated a significant relationship between family support and anxiety levels (p-value = 0.000 0.05) with a very strong, negative correlation (r = -.870). In conclusion, higher the family support is associated with lower anxiety level in preoperative patients. It is recommended that families provide consistent support during preoperative phase to help reduce patient level of anxiety.

Pengaruh Kombinasi Aromaterapi Mawar Dan Edukasi Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Pembedahan Elektif Di RSUD dr. Soedomo Trenggalek Marsaid; Deliya , Deliev; Wiyono, Joko; Ciptaningtyas, Maria Diah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar

Objective: To determine the effect of a combination of rose aromatherapy and education on anxiety levels in elective surgical preoperative patients at RSUD Dr. Soedomo Trenggalek. Methods: This article is quantitative with a quasi-experimental research design (two group pretest-posttest design). The sample in the study were 32 respondents who experienced anxiety before elective surgery using purposive sampling technique. The research instrument used the APAIS anxiety scale. The main data were analyzed using the Wilcoxon test. Results: The results showed that the average anxiety score before the intervention was 13.88 (moderate anxiety), while the average anxiety score after the intervention was 8.88 (mild anxiety) and the results obtained were ρ value 0.000 (ρ value 0.000 < α 0.05), meaning that there is a combined effect of rose aromatherapy and education on anxiety levels in preoperative elective surgical patients. Conclusion: So that the combination of rose aromatherapy and education can be used to reduce anxiety levels in elective surgical preoperative patients.

Hubungan Status Fisik Pra Anestesi Dengan Waktu Pulih Sadar Pasien Post Operasi Dengan General Anesthesia Hamarno, Rudi; Arif, Taufan; Arifaen, Aditya Mauludin Afkar Nur Arij; Ciptaningtyas, Maria diah
Jurnal Keperawatan Muhammadiyah Vol 9 No 4 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i4.23184

Introduction: The duration of recovery of consciousness in postoperative patients with general anesthesia is a common problem after the patient is transferred to the recovery room. The recovery period of patients after surgery and general anesthesia is influenced by several factors, one of which is the physical condition before anesthesia based on ASA status. The purpose of this study was to determine the relationship between ASA status and the recovery time of patients after surgery with general anesthesia in the recovery room. Method: The study design used a "cross-sectional" approach. The average population per month was 139 postoperative patients using general anesthesia aged 26-65 years. The sampling method used purposive sampling with 59 respondents. Determination of respondents was based on the inclusion criteria of patients undergoing elective surgery aged 26-65 years, patients who received ASA status 1 and 2. Data analysis tests used descriptive statistical tests to determine the characteristics of respondents. Results: Bivariate analysis used the Spearman rank test to determine the relationship between pre-anesthesia physical status and the recovery time of patients after surgery with general anesthesia. The results of the bivariate test of ASA physical status with a p-value of 0.000. Discussion: Pre-anesthesia physical status is related to the recovery time of patients after surgery with general anesthesia. Physical status conditions with accompanying illnesses can interfere with the anesthesia process and post-anesthesia recovery.

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