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Differences In Knowledge And Attitudes Of Pregnant Women In The Thirty Trimester Regarding Labor Pain Management With Complementary Therapy Through The Development Of Interactive E-Module Media Dianna, Dianna; Fitriani, Henny; Damayanti, Dini Fitri; Putri, Devita Cahyani
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 9 (2025): Volume 11 Nomor 9 September 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i9.21107

Abstract

Latar Belakang: Seiring berlangsungnya proses pembukaan dan penipisan serviks, nyeri yang dirasakan oleh setiap ibu yang melahirkan akan semakin meningkat. Dari hal tersebut maka ibu hamil harus diberikan edukasi tentang bagaimana manajemen nyeri persalinan kala I. Salah satu media pembaruan yang dapat dikembangkan pada era digitalisasi 4.0 yaitu e-modul interaktif.Tujuan: Menganalisis perbedaan pengetahuan dan sikap ibu hamil trimester III tentang manajemen nyeri persalinan dengan terapi komplementer melalui media e-modul interaktif.Metode: Menggunakan metode quasy eksperimen, pendekatan pre & posttest without control group design pada 40 ibu hamil trimester III di wilayah kerja Puskesmas Segedong, menggunakan teknik simple random sampling. Pengambilan data menggunakan kuesioner. Analisis bivariat menggunakan uji Wilcoxon.Hasil: Hasil penelitian diperoleh nilai p-value =<0,001 menunjukkan terdapat perbedaan pengetahuan dan sikap ibu hamil trimester III tentang manajemen nyeri persalinan dengan terapi komplementerKesimpulan: Terdapat perdedaan pengetahuan dan sikap ibu hamil trimester III tentang manajemen nyeri persalinan dengan terapi komplementer melalui pengembangan media e-modul interaktifSaran: Pemanfaatan media dan referensi dalam penyuluhan saat kelas ibu hamil atau posyandu serta sebagai sumber pengetahuan. Kata Kunci : E-Modul, Komplementer, Nyeri, Pengetahuan, Sikap ABSTRACT Background: As the process of cervical opening and thinning progresses, the pain felt by every mother who gives birth will increase. From this, pregnant women must be given education on how to manage labor pain in the first stage. One of the media updates that can be developed in the era of digitalization 4.0 is interactive e-modules.Purpose: Analyzing the differences in knowledge and attitudes of pregnant women in the third trimester regarding labor pain management with complementary therapy through interactive e-module media.Methods: Using the quasi-experimental method, pre & posttest approach without control group design on 40 pregnant women in the third trimester in the Segedong Health Center work area, using simple random sampling techniques. Data collection using questionnaires. Bivariate analysis using the Wilcoxon test.Results: The results of the study obtained a p-value = <0.001 indicating that there are differences in knowledge and attitudes of pregnant women in the third trimester regarding labor pain management with complementary therapyConclusion: There are differences in knowledge and attitudes of pregnant women in the third trimester regarding labor pain management with complementary therapy through the development of interactive e-module mediaSuggestions: Utilization of media and references in counseling during pregnancy classes or integrated health posts and as a source of knowledge. Keywords: E-Module, Complementary, Pain, Knowledge, Attitude.
The Effect Of Prenatal Yoga On The Mental Health Of Third Trimester Pregnant Women Dianna, Dianna; Sulistiawati, Rini; Kaamilah, Nurul
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 10 (2025): Volume 11 No 10 Oktober 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i10.23147

Abstract

Latar Belakang: Ibu hamil adalah salah satu golongan kelompok yang rentan terkena masalah kesehatan mental karena perubahan yang dialami pada berbagai tahapan yang mempengaruhi kesehatan mentalnya. Kesehatan mental termasuk kecemasan kehamilan terbukti dapat dikurangi atau dihilangkan melalui latihan fisik yang direkomendasikan adalah yoga karena biaya rendah, mudah untuk dilakukan dan sangat bermanfaat untuk kebugaran fisik dan psikologi.Tujuan: Menganalisis pengaruh prenatal yoga terhadap kesehatan mental ibu hamil trimester III di wilayah kerja Puskesmas Tekarang Kabupaten Sambas.Metode: Metode penelitian menggunakan desain penelitian dengan quasi eksperimental menggunakan rancangan pre-post-test design. Sampel penelitian ini yaitu ibu hamil trimester III yang berkunjung saat pemeriksaan ANC berjumlah 20 orang yang terbagi menjadi 10 orang kelompok kontrol dan 10 orang kelompok intervensi. Teknik pengambilan sampel dengan teknik purposive sampling. Intrumen penelitian menggunakan kuesioner Hospital Anxiety and Depression Scale (HADS). Analisis bivariat menggunakan uji paired sample t-testHasil: Hasil penelitian didapatkan nilai Sig. (2-tailed) adalah 0.000, yang lebih kecil dari 0.05 (batas signifikansi) sehingga p-value yang sangat kecil ini menunjukkan bahwa ada perbedaan yang signifikan antara hasil pretest dan posttest.Kesimpulan: Ada pengaruh prenatal yoga terhadap kesehatan mental ibu hamil trimester III di wilayah kerja Puskesmas Tekarang Kabupaten Sambas.Saran: Diperlukan survey minat  ibu hamil dalam mengikuti prenatal yoga, beserta faktor pendukung dan penghambatnya. Kata Kunci : Prenatal yoga; kesehatan mental; ibu hamil; trimester III ABSTRACTBackground: Pregnant women are a group vulnerable to mental health problems due to the changes experienced across various stages that affect their mental well-being. Mental health issues, including pregnancy-related anxiety, have been shown to be reduced or eliminated through recommended physical exercise, specifically yoga. This is because yoga is low-cost, easy to perform, and highly beneficial for both physical and psychological fitness.Purpose: To analyze the effect of prenatal yoga on the mental health of third-trimester pregnant women in the working area of Tekarang Public Health Center, Sambas Regency.Methods: The research method employed a quasi-experimental design using a pre-post-test design. The study sample comprised 20 third-trimester pregnant women who attended Antenatal Care (ANC) examinations. The sample was divided into 10 individuals for the control group and 10 for the intervention group. The sampling technique used was purposive sampling. The research instrument was the Hospital Anxiety and Depression Scale (HADS) questionnaire. Bivariate analysis was conducted using the paired sample t-test.Results: The results of the study showed a Sig. (2-tailed) value of 0.000, which is smaller than 0.05 (the significance threshold). This very small p-value indicates a significant difference between the pretest and posttest scores.Conclusion: There is an effect of prenatal yoga on the mental health of third-trimester pregnant women in the working area of Tekarang Public Health Center, Sambas Regency.Suggestions: A survey should be conducted to determine pregnant women's interest in participating in prenatal yoga, along with the identifying supporting and inhibiting factors. Keywords: prenatal yoga; mental health; pregnant women; third-trimester
The Effectiveness Of Counter Pressure And Effleurage Massage On The Intensity Of Labor Pain During The Active Phase I Dianna, Dianna; Oktaviyani, Dwi
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 8 (2024): Volume 10,No.8 Agustus 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i8.14908

Abstract

Latar Belakang: Nyeri dapat meningkatkan pernapasan dan denyut jantung ibu, dan jika tidak ditangani dengan cepat, bisa berakibat fatal bagi ibu dan bayi. Bidan biasanya menghabiskan lebih banyak waktu dengan pasien yang mengalami nyeri dibandingkan dengan petugas kesehatan lainnya. Peran bidan meliputi mengidentifikasi dan mengatasi penyebab nyeri serta memberikan intervensi yang tepat untuk mengurangi nyeri. Karena itu, penanganan dan pemantauan nyeri pada fase aktif persalinan sangat penting untuk menentukan apakah persalinan akan berlangsung normal atau memerlukan tindakan medis karena komplikasi yang disebabkan oleh nyeri yang sangat hebat.Tujuan: Menganalisis efektivitas counter pressure dan effleurage massage terhadap intensitas nyeri persalinan kala I fase aktif di RSUD dr. Rubini Mempawah.Metode:  Penelitian ini menggunakan desain kuasi-eksperimen dengan rancangan pretest-posttest nonequivalent control group design. Populasi yang diteliti adalah ibu-ibu yang menjalani persalinan pada fase aktif selama bulan Mei dan Juni, dengan jumlah 78 orang. Sampel penelitian terdiri dari 20 orang, dibagi menjadi 10 orang untuk intervensi counter pressure dan 10 orang untuk intervensi pijat effleurage. Teknik pengambilan sampel yang digunakan adalah consecutive sampling.Hasil: Terdapat perbedaan signifikan dalam intensitas nyeri persalinan pada fase aktif sebelum dan setelah penerapan metode counter pressure dengan nilai p < 0,004. Begitu pula, terdapat perbedaan signifikan dalam intensitas nyeri sebelum dan setelah penerapan pijat effleurage, juga dengan nilai p < 0,004. Selain itu, efektivitas antara metode tekanan kontra dan pijat effleurage dalam mengurangi intensitas nyeri persalinan pada fase aktif juga berbeda secara signifikan, dengan nilai p < 0,001.Kesimpulan: Counter pressure lebih efektif daripada effleurage massage dengan nilai post-test counter pressure memiliki selisih nilai median 3 sedangkan nilai post-test effleurage massage memiliki selisih nilai median 2.Saran: Diharapkan peneliti selanjutnya dapat menerapkan terapi komplementer untuk mengurangi intensitas nyeri persalinan. Penelitian ini diharapkan dapat menjadi referensi untuk studi lebih lanjut mengenai efektivitas metode counter pressure dan pijat effleurage dalam mengurangi intensitas nyeri persalinan pada fase aktif. Kata Kunci : counter pressure, effleurage, nyeri persalinan                ABSTRACT Background: Pain can increase maternal breathing and heart rate, and if not treated quickly, can be fatal for both mother and baby. Midwives usually spend more time with patients experiencing pain than other health workers. The role of midwives includes identifying and addressing the causes of pain and providing appropriate interventions to reduce pain. Therefore, pain management and monitoring in the active phase of labor are very important to determine whether labor will proceed normally or require medical intervention due to complications caused by very severe pain.Purpose:  To analyze the effectiveness of counter pressure and effleurage massage on the intensity of labor pain in the first stage of the active phase at RSUD dr. Rubini Mempawah.Methods:  This study used a quasi-experimental design with a pretest-posttest nonequivalent control group design. The population studied were mothers who underwent labor in the active phase during May and June, totaling 78 people. The study sample consisted of 20 people, divided into 10 people for counter pressure intervention and 10 people for effleurage massage intervention. The sampling technique used was consecutive sampling.Results: There was a significant difference in the intensity of labor pain in the active phase before and after the application of the counter pressure method with a p value <0.004. Likewise, there was a significant difference in the intensity of pain before and after the application of effleurage massage, also with a p value <0.004. In addition, the effectiveness between the counter pressure method and effleurage massage in reducing the intensity of labor pain in the active phase also differed significantly, with a p value <0.001.Conclusion: Counter pressure is more effective than effleurage massage with post-test counter pressure values having a median value difference of 3 while post-test effleurage massage values have a median value difference of 2.Suggestions; It is hoped that further researchers can apply complementary therapy to reduce the intensity of labor pain. This study is expected to be a reference for further studies on the effectiveness of the counter pressure method and effleurage massage in reducing the intensity of labor pain in the active phase. Keywords: : counter pressure, effleurage, labor pain  
Pengaruh Media Video Pernikahan Usia Dini Terhadap Tingkat Pengetahuan Remaja Putri Dianna, Dianna; Fitriani, Henny; Hidayati, Nur Kurnia
MAHESA : Malahayati Health Student Journal Vol 4, No 6 (2024): Volume 4 Nomor 6 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i6.13131

Abstract

ABSTRACT Marriage that takes place in adolescence will generally cause problems both physiologically, psychologically and socio-economically. The impact of marriage at a young age is more evident in adolescent girls than in adolescent boys. Video media increases recall from 14% to 38%. So that it can increase knowledge. Knowing the Effect of Video Media on Early Marriage on the Knowledge of Adolescent Girls in the Tebas Health Center Working Area. Using the Quasi Experiment method, pre & post test approach without control group design. The sample of adolescent girls in Tebas Sungai Village, Tebas Health Center Working Area was 89 respondents with proportionate stratified random sampling technique. Wilcoxon statistical test. There is an effect of Video Media on Early Marriage on the Knowledge of Adolescent Girls in the Tebas Health Center Working Area with a p value of 0.000 <0.05. There is an effect of Video Media on Early Marriage on the Knowledge of Adolescent Girls in the Working Area of Puskesmas Tebas. Keywords: Knowledge, Video Media, Early Marriage  ABSTRAK Pernikahan yang terjadi pada usia remaja pada umumnya  menimbulkan permasalahan fisiologis, psikologis, dan sosial ekonomi.  Dampak pernikahan di usia muda lebih terasa pada remaja perempuan dibandingkan remaja laki-laki. Media Video meningkatkan ingatan dari 14% menjadi 38%. Sehingga dapat meningkatkan pengetahuan. Mengetahui Pengaruh Media Video Pernikahan Usia Dini Terhadap Tingkat Pengetahuan Remaja Putri Di Wilayah Kerja Puskesmas Tebas. menggunakan metode Quasi Experiment, pendekatan pre & post test without control group design. Sampel remaja putri di Desa Tebas Sungai Wilayah Kerja Puskesmas Tebas sebanyak 89 responden dengan tekhnik proportionate Stratified Random sampling. Uji statistik Wilcoxon. Terdapat pengaruh Media Video tentang Pernikahan Usia Dini terhadap Pengetahuan Remaja Putri di Wilayah Kerja Puskesmas Tebas dengan nilai p value 0,000 < 0,05. Terdapat pengaruh Media Video tentang Pernikahan Usia Dini terhadap Pengetahuan Remaja Putri di Wilayah Kerja Puskesmas Tebas. Kata Kunci: Pengetahuan, Media Video, Pernikahan Usia Dini
The Effect of Red Binahong Extract (Andredera cordifolia (Ten.) Steenis) on Healing of Cesarean Section Surgical Wounds Nurulita, Tien Tirta; Pangestu, Jehani Fajar; Dianna, Dianna
MEDICA (International Medical Scientific Journal) Vol. 7 No. 3 (2025): MEDICA (Internasional Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v7i3.676

Abstract

Cesarean section is an artificial delivery procedure involving an incision in the abdominal wall and uterus, which can cause pain at the suture site for up to six months. Binahong leaves are known to have properties that accelerate wound healing, both externally and internally. This study aims to determine the effect of binahong leaf extract on wound healing after cesarean section at the Sambas Regional General Hospital, Sambas Regency. This study used a quantitative method with a quasi-experimental design and a posttest nonequivalent control group design. Sampling was conducted using non-probability sampling with purposive sampling techniques, involving 34 respondents. The Shapiro-Wilk normality test showed that the data were not normally distributed (p<0.05), so the analysis was continued with the Mann Whitney non-parametric test. The test results showed a p-value of 0.000, which means that there was a significant difference between the intervention and control groups. Thus, the administration of binahong leaf extract had an effect on accelerating the healing of cesarean section wounds. The conclusion of this study is that binahong leaf extract significantly accelerates the average healing of post-cesarean section wounds at Sambas Regional General Hospital, making it a potential adjunct therapy in post-surgical care.