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The Effect of Block Play on Fine Motor Development Among Children in Pre-School Fauziah, Resti; Puspitasari, Amalia Indah
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 4 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL) : SPECIAL EDIT
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i4.735

Aims: to find out the influence of block games on the development of fine motor skills in preschool children aged 4-5 years at TKAT ARRIDLO. Methods: this study used an experimental type of research with a pre- experimental design using a pre-test and post-test design. The population in this study were all preschool children at TKAT ARRIDLO who experienced fine motor development disorders. The sampling technique is to use the entire total population so that the total sample is 17 people. The results of the study were then analyzed using the Wilcoxon test. Results: The research revealed that 11.8% of children had untested fine motor development before a block game, while 82.2% had suspect development. After the game, 29.4% had suspect development, and 70.6% had normal development. The Wilcoxon test indicated H1 as accepted. Conclusions: this shows that there is an effect of playing with blocks on the fine motor development of preschoolers at TKAT ARRIDLO. It is hoped that research sites can routinely apply games that train children's motor development, especially fine motor skills.

Perbandingan Terapi Komplementer Counter Pressure dan Aromaterapy Lavender terhadap Penurunan Intensitas Nyeri Pada Persalinan Masithoh, Siti; Puspitasari, Amalia Indah
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 14 No 4 (2024): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Oktober 2024
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v14i4.2175

Persalinan tentunya akan selalu disertai dengan rasa nyeri. Apabila nyeri tidak segera diatasi maka prognosis terburuk adalah hipoksia janin akibat asidosis, detak jantung janin semakin cepat yang akan mengakibatkan kematian pada janin didalam kandungan. Rasa nyeri saat persalinan juga dapat meningkatkan prevalensi secio caesarea elektif. Pemberian obat-obat analgesia yang disuntikkan melalui infuse intravena, melalui inhalasi saluran pernapasan, atau dengan memblokade saraf yang menghantarkan rasa sakit akan menimbulkan efek samping. Sehingga cara yang paling aman dilakukan oleh bidan adalah cara non medis. Tujuan penelitian ini adalah menganalisis perbandingan efektivitas terapi komplementer counter pressure dan aromaterapi lavender. Penelitian menggunakan desain quasy eksperimental. Lokasi yang digunakan penelitian ini adalah di PMB Ambar Susilawati S.S.T Kabupaten Serang pada Januari tahun 2024. Sampel yang digunakan dalam penelitian ini, adalah 30 ibu bersalin yang terbagi dalam 2 kelompok yaitu 15 responden counter pressure dan 15 responden aromaterapi menggunakan total sampling. Analisa bivariat yang digunakan dalam penelitian ini adalah uji independent t test. Hasil uji independent T menghasilkan nilai p value sebesar 0,044 < 0,05 dapat disimpulkan bahwa pemberian intervensi counter pressure efektif dalam menurunkan skala nyeri persalinan pada ibu bersalin kala 1. Hasil uji independent T test aromaterapi menghasilkan nilai p velue sebesar 0,034 < 0,05, maka dapat disimpulkan bahwa aromaterapi secara statistic lebih signifikan dibanding counterpressure dalam menurunkan nyeri persalinan kala 1.

Pengaruh Penyuluhan Kanker Serviks dan Inveksi Visual Asetat (IVA) dengan Audiovisual terhadap Keikutsertaan Pemeriksaan IVA pada Wus di Desa Kampung Asem Panunggangan Barat Kota Tangerang Nasrifin, Nasrifin; Puspitasari, Amalia Indah
MAHESA : Malahayati Health Student Journal Vol 5, No 3 (2025): Volume 5 Nomor 3 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i3.16794

ABSTRACT Cervical cancer is one of the most feared diseases and is seen as the main cause of death throughout the world. The still high incidence of cervical cancer in Indonesia is caused by several factors, including the low awareness of married women or women who have sexual relations in carrying out early detection. One of the right ways to treat cervical cancer early is to provide education about cervical cancer prevention using media that can attract attention and convince WUS. To find out whether there is an effect of Cervical Cancer Counseling and Visual Inspection of Acetic Acid with Audiovisual on the participation of IVA examination at WUS in Kampung Asem Village, Panunggangan Barat, Tangerang City. The experimental method used is quantitative with pre and post test without control. In this study design, the researcher will only intervene in a group without a comparison with the number of respondents of 46 WUS, Data techniques are included in Univariate Analysis using frequency distribution and Bivariate Analysis using statistical calculations of the SPSS program. From the results of this study, it was shown that a p value of 0.000 < α (0.05) was obtained, so it can be concluded that there was a significant influence between WUS knowledge before and after cervical cancer counseling and IVA test and the participation of 11 WUS respondents after counseling about cervical cancer and IVA test using Audiovisual. There was a significant influence between WUS knowledge before and after cervical cancer counseling and IVA test and the participation of 11 WUS respondents after counseling on cervical cancer and IVA test using Audiovisual. Keywords: Cervical cancer, IVA Test, Audiovisual ABSTRAK Kanker serviks merupakan salah satu penyakit yang paling ditakuti dan dipandang sebagai penyebab utama kematian diseluruh dunia. Masih tingginya insiden Kanker Serviks di Indonesia disebabkan oleh beberapa faktor, diantaranya kesadaran wanita yang sudah menikah atau wanita yang melakukan hubungan seksual dalam melakukan deteksi dini masih rendah. Salah satu cara yang tepat untuk mengatasi kanker serviks secara dini adalah dengan memberikan edukasi tentang pencegahan kanker serviks dengan menggunakan media yang dapat menarik perhatian serta meyakinkan WUS. Untuk mengetahui apakah ada pengaruh Penyuluhan Kanker Serviks dan Inspeksi Visual Asam Asetat dengan Audiovisual terhadap keikutsertaan pemeriksaan IVA pada WUS di Desa Kampung Asem Panunggangan Barat Kota Tangerang. Metode Experiment yang digunakan yaitu kuantitatif dengan pre dan post test without control. Pada desain penelitian ini, peneliti hanya akan melakukan intervensi pada kelompok tanpa pembanding dengan jumlah responden 46 WUS, Teknik data termasuk dalam Analisa Univariat menggunakan distribusi frekuensi dan Analisa bivariat menggunakan perhitungan statistic program SPSS. Diperoleh p value 0,000 < α (0,05) maka dapat disimpulkan bahwa terdapat pengaruh yang signifikan antara pengetahuan WUS sebelum dan sesudah dilakukan penyuluhan kanker serviks dan IVA test serta keikutsetaan responden sebanyak 11 WUS setelah dilakukan penyuluhan tentang kanker servisk dan IVA test dengan menggunakan Audiovisual. Terdapat pengaruh yang signifikan antara pengetahuan WUS sebelum dan sesudah dilakukan penyuluhan kanker serviks dan IVA test serta keikutsetaan responden sebanyak 11 WUS setelah dilakukan penyuluhan tentang kanker servisk dan IVA test dengan menggunakan Audiovisual. Kata Kunci: Kanker Serviks, IVA Test, Audiovisual

Strategi Terapis Wicara yang Dapat Diterapkan oleh Orang Tua Penderita Keterlambatan Berbicara (Speech Delay) Mayasari, Anggia Minanti; Puspitasari, Amalia Indah
MAHESA : Malahayati Health Student Journal Vol 5, No 3 (2025): Volume 5 Nomor 3 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i3.16790

ABSTRACT The problem of speech delay in children is a serious problem that must be addressed immediately because it is one of the most common causes of developmental disorders in children. This study aims to determine the factors that influence speech delay in children and also the treatment that can be given by parents and the environment. To explore strategies that can be used by parents of children with speech delay to overcome the problem of speech delay. The research method uses a mixed method between quantitative and qualitative. Primary data were obtained from interviews with 3 speech therapists working at Hermina Hospital Jatinegara and observation of 30 children with speech delay. Data analysis used quantitative descriptive statistics followed by data reduction, data presentation and conclusion checking. Based on 10 children with inappropriate speech and language development, speech delay disorders are more common in children aged 3 to <5 years, as many as 6 people or 60%. Children's speech and language development after therapy is mostly in the Good category (18 people or 60%). Strategies that parents can apply to overcome speech delays in children include: (1) Train children to speak correctly, slowly and repeatedly, (2) When speaking, always pay attention to the grammar spoken, (3) Always involve children in speaking in every situation by correcting children's pronunciation that is still wrong, (4) Use of technological media that supports children's vocabulary and (5) Regular consultation with Medical Rehab doctors and pediatricians. Speech delay in children is a complex problem involving various internal and external factors. Handling speech delay requires a holistic approach through proper stimulation from the environment, both from parents and teachers. Appropriate therapy, such as Applied Behavior Analysis (ABA) with Discrete Trial Training (DTT) techniques. Keywords: Strategy, Speech Therapist, Speech Delay ABSTRAK Masalah keterlambatan bicara pada anak merupakan masalah yang cukup serius yang harus segera ditangani karena merupakan salah satu penyebab gangguan perkembangan yang paling sering ditemukan pada anak. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi keterlambatan bicara (speech delay) pada anak dan juga perlakuan yang dapat diberikan oleh orang tua dan lingkungan. Mengeksplorasi strategi yang dapat digunakan oleh orang tua penderita keterlambatan bicara (speech delay) untuk mengatasi masalah keterlambatan berbicara (speech delay). Metode penelitian menggunakan metode campuran (mix method) antara kuantitatif dan kualitatif. Data primer diperoleh dari hasil wawancara terhadap 3 orang terapis wicara yang bekerja di RS Hermina Jatinegara dan observasi terhadap 30 orang anak penderita keterlambatan bicara (speech delay). Analisis data menggunakan statistik deskriptif kuantitatif yang dilanjutkan dengan reduksi data, penyajian data dan pemeriksaan kesimpulan. Dari 10 orang anak dengan perkembangan bicara dan bahasa yang tidak sesuai, gangguan keterlambatan bicara lebih banyak dialami pada anak usia 3 hingga < 5 tahun yaitu sebanyak 6 orang atau 60%. Perkembangan bicara dan bahasa anak pasca dilakukan terapi sebagian besar berada dalam kategori Baik (18 orang atau 60%). Strategi yang bisa diterapkan orang tua untuk mengatasi keterlambatan bicara pada anak, antara lain: (1) Melatih anak berbicara dengan benar, pelan dan berulang-ulang, (2) Saat berbicara selalu memperhatikan tata bahasa yang diucapkan, (3) Selalu melibatkan anak berbicara pada setiap keadaan dengan memperbaiki pengucapan anak yang masih keliru, (4) Penggunaan media teknologi yang mendukung pembendaharaan kata anak-anak dan (5) Konsultasi rutin dengan dokter Rehab Medik dan dokter anak. Keterlambatan bicara (speech delay) pada anak merupakan masalah yang kompleks yang melibatkan berbagai faktor internal dan eksternal. Penanganan keterlambatan bicara memerlukan pendekatan yang holistik melalui stimulasi yang tepat dari lingkungan, baik dari orang tua maupun guru. Terapi yang tepat, seperti Applied Behavior Analysis (ABA) dengan teknik Discrete Trial Training (DTT). Kata Kunci: Strategi, Terapis Wicara, Keterlambatan Bicara.

The Influence of Anxiety Levels in Third Trimester Pregnant Women Through Health Education on Childbirth Preparation at the Marlina Clinic, Ciputat District, Tangerang Selatan City Sari, Indah Permata; Puspitasari, Amalia Indah
MAHESA : Malahayati Health Student Journal Vol 5, No 3 (2025): Volume 5 Nomor 3 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i3.16791

ABSTRACT The third trimester is an important period in pregnancy when the mother makes mental and physical preparations for childbirth. Untreated anxiety can increase the risk of complications during childbirth, such as premature labor and low birth weight babies. Additionally, anxiety is associated with the emergence of postpartum depression (PPD) and post-traumatic stress (PTS), which can result in a lack of emotional bonding with the baby. The aim of this study was to determine the influence of anxiety levels in third trimester pregnant women through health education on childbirth preparation at the Marlina Clinic, Ciputat District, Tangerang Selatan City, in 2024. This is a quantitative study using a quasi-experimental method. The research location is the Marlina Clinic, Ciputat District, Tangerang Selatan City. The research period starts from May 2024 until completion. The population in this study consists of pregnant women who received antenatal care from May to June 2024 at the Marlina Clinic, Ciputat District, Tangerang Selatan City. The sample in this research includes all third trimester primigravida pregnant women at the Marlina Clinic, totaling 30 people. The sampling technique used in this research is purposive sampling. The questionnaire used in this research was the Hamilton Anxiety Rating Scale (HARS). The bivariate analysis used in this research is the paired t-test. Based on the results of the frequency of respondent characteristics, most respondents were under 25 years old. The majority of respondents had a high school education, totaling 22 people. Respondents were predominantly mothers who did not work, totaling 21 people. Based on data on the frequency distribution of anxiety levels, the highest levels of anxiety before providing health education about childbirth preparation were moderate and severe anxiety. After providing health education about childbirth preparation, the level of anxiety was predominantly mild anxiety. Based on the table on the influence of anxiety levels, it can be seen that health education regarding childbirth preparation for third trimester pregnant women has a very significant effect on the anxiety levels of pregnant women. This is evident from the p-value of 0.00 < 0.05 (95% confidence level). Keywords: Anxiety, Pregnancy, Health Education, Antenatal Care, Third Trimester

Pengaruh Massage Effluerage terhadap Penurunan Nyeri Pada Kala I Aktif di PMB Wilayah Kerja Babelan II Bekasi Soleha, Umi Matus; Puspitasari, Amalia Indah
MAHESA : Malahayati Health Student Journal Vol 5, No 3 (2025): Volume 5 Nomor 3 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i3.16793

ABSTRACT Labor pain in the first stage of labor is caused by contractions of the uterine muscles, hypoxia of the contracting muscles, stretching of the cervix when opening, ischemia of the uterine corpus and stretching of the lower uterine segment. Effleurage massage is applying hand pressure to soft tissue, usually muscles or ligaments, without causing movement or changes in joint position to relieve pain, produce relaxation, and/or improve circulation. Effleurage massage on the back for 3-10 minutes can lower blood pressure, slow heart rate, improve breathing and stimulate the production of endorphin hormones which relieve pain naturally. The purpose of this study was to determine the effect of effleurage on reducing pain during the first stage on labor pain active phase 1 of PMB in the working area of the Babelan II Public Health Center in 2024. The type of research used is a quasi-experimental with a quantitative approach. The sampling technique used is consecutive sampling. The sample consisted of two groups, namely the treatment group and the comparison group, each group consisted of 15 people so that the sample consisted of 30 people. The instruments used in this study were interview guide questionnaires and analog sheets on a numerical pain intensity scale of 0-10. The test used is the Wilcoxon test. The results of the Wilcoxon signed ranks test statistic on the pain scale after the intervention obtained p value = 0.000 <0.05. This means that there is a difference in the level of pain in the active phase of the first stage of labor between the effleurage massage group and the control group at PMB in the working area of the Babelan II Public Health Center in 2024. There is a difference in the level of pain in pregnant women in the first stage of the. Keywords: Massage Efflurage, Labor Pain, Maternal Maternity, First Stage ABSTRAK Nyeri persalinan pada persalinan kala I disebabkan oleh muncul nya kontraksin otot-otot uterus, hipoksia dari otot-otot yang mengalami kontraksi, peregangan servik pada waktu membuka, iskemia korpus uteri dan peregangan segmen bawah rahim. Massage effleurage merupakan melakukan tekanan tangan pada jaringan lunak, biasanya otot atau ligamentum, tanpa menyebabkan gerakan atau perubahan posisi sendi untuk meredakan nyeri, menghasilkan relaksasi, dan atau memperbaiki sirkulasi. Massage effleurage pada punggung selama 3-10 menit dapat menurunkan tekanan darah, memperlambat denyut jantung, meningkatkan pernapasan dan merangsang produksi hormone endorphin yang menghilangkan sakit secara alamiah. Tujuan dari penelitian ini mengetahui pengaruh effleurage terhadap penurunan nyeri persalinan kala 1 di Fase aktif di PMB Wilayah Kerja Puskesmas Babelan II Tahun 2024. Jenis Penelitian yang digunakan adalah quasi experimen dengan pendekatan kuantitatif. Teknik pengambilan sample yang digunakan yaitu consecutive sampling. Sampel terdiri dari dua kelompok yaitu kelompok perlakuan dan kelompok pembanding, masing-masing kelompok terdiri dari 15 orang sehingga sampel berjumlah 30 orang. Instrument yang digunakan dalam penelitian ini adalah kuisioner panduan wawancara dan lembar analog skala intensitas nyeri numeric 0-10. Uji yang digunakan adalah uji Wilcoxon. Hasil uji statistik Wilcoxon signed ranks test pada skala nyeri sesudah dilakukan intervensi diperoleh nilai p value = 0,000 < 0,05. Hal ini berarti ada perbedaan tingkat nyeri pada ibu bersalin kala I fase aktif antara kelompok massage effleurage dan kelompok Kontrol di PMB Wilayah Kerja Puskesmas Babelan II. Terdapat perbedaan tingkat nyeri pada ibu bersalin kala I fase aktif antara kelompok massage effleurage dan kelompok kontrol di PMB Wilayah Kerja Puskesmas Babelan II. Kata Kunci: Massage Efflurage, Nyeri Persalinan, Ibu Bersalin, Kala 1

Pengaruh Keikutsertaan Senam Hamil dengan Waktu Persalinan Kala II pada Primipara Winda, Winda; Puspitasari, Amalia Indah
MAHESA : Malahayati Health Student Journal Vol 5, No 3 (2025): Volume 5 Nomor 3 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i3.16789

ABSTRAK Senam hamil merupakan salah satu kegiatan dalam pelayanan selama kehamilan atau prenatal care yang bertujuan untuk mempersiapkan dan melatih otot sehingga dapat dimanfaatkan secara optimal dalam persalinan normal. Bila dicermati lebih lanjut, sebenarnya dalam gerakan senam hamil terkandung efek relaksasi yang dapat menstabilkan emosi ibu hamil. Senam hamil penting bagi seorang ibu yang sedang mempersiapkan diri untuk persalinan terutama untuk ibu dengan usia kehamilan lebih dari 26 minggu. Wanita hamil yang melakukan senam hamil secara teratur dilaporkan memiliki keuntungan persalinan yaitu masa aktifnya (kala II) menjadi lebih pendek, mengurangi insiden section caesaria, mengurangi pengeluaran mekonium dalam cairan amnion, dan mengurangi terjadinya gawat janin pada waktu persalinan.Tujuan dari penelitian ini mengetahui pengaruh keikutsertaan senam hamil dengan waktu persalinan kala II pada primipara di PMB Sulis Yulianti, S.Tr., Keb. Bdn Desa Sumber Katon Kecamatan Seputih Surabaya Kabupaten Lampung Tengah Tahun 2024. Jenis Penelitian yang digunakan adalah penelitian kuantitatif yang menggunakan desain eksperimen dengan rancangan penelitian only control group design yakni rancangan eksperimen yang melibatkan pengukuran variabel pada kelompok kontrol dan kelompok eksperimen setelah pemberian iklan. Hasil uji statistik dengan uji T-Independen diketahui nilai signifikan sebesar 0,000 < 0,05, maka dapat disimpulkan Ho ditolak dan Ha diterima, dengan demikian dapat disimpulkan bahwa ada pengaruh keikutsertaan senam hamil dengan waktu persalinan kala II pada primipara di PMB Sulis Yulianti, S.Tr., Keb. Bdn Desa Sumber Katon Kecamatan Seputih Surabaya Kabupaten Lampung Tengah Tahun 2024. Terdapat pengaruh keikutsertaan senam hamil dengan waktu persalinan kala II pada primipara di PMB Sulis Yulianti, S.Tr., Keb. Bdn Desa Sumber Katon Kecamatan Seputih Surabaya Kabupaten Lampung Tengah Tahun 2024 Kata Kunci: Senam Hamil, Kala I,I Primipara ABSTRACT Prenatal exercise, particularly pregnancy gymnastics, is a key activity in prenatal care aimed at preparing and training muscles for optimal use during normal delivery. On closer examination, the movements in pregnancy gymnastics also contain relaxation effects that can stabilize the emotions of pregnant women. Pregnancy gymnastics is essential for mothers preparing for childbirth, especially those with a gestational age of more than 26 weeks. Pregnant women who regularly participate in pregnancy gymnastics reportedly have several childbirth benefits, including shorter active labor (stage II), reduced incidence of cesarean sections, decreased meconium discharge in amniotic fluid, and reduced fetal distress during delivery. This study aims to determine the effect of participation in pregnancy gymnastics on the duration of stage II labor in primiparas at PMB Sulis Yulianti, S.Tr., Keb. Bdn, Sumber Katon Village, Seputih Surabaya Subdistrict, Central Lampung Regency, in 2024. This quantitative study employs an experimental design with an only control group design, involving the measurement of variables in both the control and experimental groups after intervention. Statistical analysis using the independent T-test revealed a significant value of 0.000 < 0.05, leading to the rejection of the null hypothesis (Ho) and acceptance of the alternative hypothesis (Ha). Thus, it can be concluded that there is an effect of participation in pregnancy gymnastics on the duration of stage II labor in primiparas at PMB Sulis Yulianti, S.Tr., Keb. Bdn, Sumber Katon Village, Seputih Surabaya Subdistrict, Central Lampung Regency, in 2024. Participation in pregnancy gymnastics influences the duration of stage II labor in primiparas at PMB Sulis Yulianti, S.Tr., Keb. Bdn, Sumber Katon Village, Seputih Surabaya Subdistrict, Central Lampung Regency, in 2024. Keywords: Pregnancy Exercise, Second Stage, Primipara

Perbandingan Pijat Laktasi dan Pijat Oxytocin Terhadap Peningkatan Produksi ASI Pada Ibu Postpartum Maryati, Maryati; Puspitasari, Amalia Indah
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42411

Breastfeeding is a skill that requires time and patience to meet the nutritional needs of babies, especially during the first six months. The coverage of exclusive breastfeeding in DKI Jakarta in 2023 is still low, around 65.63%, lower than the national average. Irregular breast milk production often makes mothers switch to formula milk, which can hinder exclusive breastfeeding and affect the growth and development of babies. Efforts to increase breast milk production and provision are through lactation massage and Oxytocin massage, both of these massage techniques can help increase breast milk production naturally and provide physical and emotional benefits for breastfeeding mothers.To determine the comparison between lactation massage and Oxytocin massage on increasing breast milk production in postpartum mothers at Maya Mom and Baby Care.Using Quasi Experimental Design with Non-equivalent Control Group Design. The sample consisted of 30 respondents selected using the Total Sampling technique. Data analysis was carried out using the Wilcoxon Range List statistical test. The results of the analysis in the group receiving Oxytocin massage obtained a Z-Score of -3.410b and a P-value <0.001 (p <0.05). While the lactation massage group obtained a Z-Score of -3.422b and a P-value <0.001 (p <0.05). These results indicate that Oxytocin massage is more effective and efficient than lactation massage in increasing breast milk production. There is a significant difference between lactation massage and Oxytocin massage in increasing breast milk production in postpartum mothers at Maya Mom and Baby Care in 2024. It is hoped that postpartum mothers can be more fluent in providing exclusive breastfeeding to their babies, which is very important to support optimal baby growth and development

Pengaruh Kombinasi Counter Pressure dan Terapi Musik Terhadap Penurunan Nyeri Punggung Pada Ibu Bersalin Kala 1 di Klinik Siti Nugraha Medika Tahun 2024 Puspitasari, Amalia Indah; Wulansari, Arti
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42406

Back pain is one of the main complaints experienced by mothers in the first stage of labor, caused by uterine contractions, opening of the cervix, and changes in the position of the fetus in the birth canal. This study aims to analyze the effect of a combination of counter pressure and music therapy on reducing back pain in mothers in the first stage of labor. Analyzing the effect of a combination of counter pressure techniques and music therapy on reducing the intensity of back pain in mothers in the first stage of labor at the Siti Nugraha Medika Clinic. This research uses quantitative methods with a quasi-experimental pretest-posttest design. The research sample consisted of 30 mothers who met the inclusion criteria. Pain level measurement was carried out using the Numeric Rating Scale (NRS). The data were analyzed using the Paired Sample T-Test. There was a significant influence between the pre-test and post-test pain levels and values (p = 0.000). Before the intervention, the majority of respondents experienced severe pain (52.8%), while after the intervention, the majority experienced moderate pain (56.1%). The combination of counter pressure and music therapy has proven to be effective in reducing the intensity of back pain, with an average reduction of 1.93 points. The combination of counter pressure and music therapy can be a safe, simple and effective non-pharmacological method for reducing back pain in mothers in the first stage of labor, as well as increasing comfort during the labor process.

Pengaruh Kombinasi Metode Birthingball dan Jarik Shaking The Apple Tree Terhadap Nyeri Ibu Bersalin Kala I Fase Aktif di BPM Nuri Afanti Tahun 2024 Puspitasari, Amalia Indah; Ardianti, Reni
Jurnal Ners Vol. 9 No. 2 (2025): APRIL 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i2.42610

Persalinan adalah proses alamiah yang sering disertai nyeri, ketidak nyamanan, dan kecemasan, yang dapat menghambat kemajuan persalinan dan meningkatkan risiko operasi caesar. Nyeri persalinan terutama disebabkan oleh kontraksi rahim dan dilatasi serviks. Metode birthball dan jarik shaking the apple tree merupakan tindakan nonfarmakologi yang dapat membantu mengurangi nyeri persalinan, memperpendek kala I persalinan, dan membantu ibu bersalin melakukan perubahan posisi yang optimal. Berdasarkan studi di BPM Nuri Afanti Lawang Malang . intervensi menggunakan teknik birthball dan jarik shaking the apple tree belum pernah dilakukan.Untuk mengetahui pengaruh kombinasi metode birthingball dan jarik shaking the apple tree terhadap nyeri ibu bersalin kala I fase aktif di BPM Nuri Afanti Lawang Kabupaten Malang Tahun 2024. Penelitian ini merupakan penelitian kuantitatif menggunakan metode pre-eksperimen dan desain one group pretest posttest without control group. Populasi adalah ibu bersalin kala I Fase Aktif dengan accidental sampling dan didapatkan sebanyak 25 responden. Uji statistic menggunakan Paired sample t-test untuk mengetahui perbedan dan pengaruh sebelum dan sesudah diberikan intervensi. Sebelum intervensi mayoritas responden mengalami kategori jauh lebih sangat nyeri sebanyak 11 responden (44%) dengan nilai rata-rata 4,67. Setelah diberikan intervensi mayoritas responden mengalami penurunan kategori menjadi tidak nyeri sama sekali sebanyak 7 responden (32%) dengan nilai rata-rata 2,79. Terdapat perbedaan yang signifikan antara kedua test dengan nilai selisih rata-rata adalah 1.876. Sehingga dapat disimpulkan bahwa ada pengaruh kombinasi teknik birthingball dan jarik shaking the apple tree terhadap penurunan intensitas nyeri pada ibu bersalin kala I fase aktif di BPM Nuri Afanti dengan nilai p-value 0,000.

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