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All Journal Viva Medika: Jurnal Kesehatan, Kebidanan dan Keperawatan NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN
Wahyu Ningrum, Ema
Unknown Affiliation
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Hubungan Literasi Kesehatan Dengan Perilaku Vaksinasi Covid-19 Pada Masyarakat Di Desa Panusupan Kecamatan Rembang Kabupaten Purbalingga Anggara, Yayan Bayu; Kumala Dewi, Feti; Wahyu Ningrum, Ema
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 2 (2024): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i2.2204

Abstract

Vaccines are the most effective way to prevent infectious diseases. Vaccine hesitancy and misinformation present major barriers to achieving community coverage and immunity. Evidence-based health literacy needs to be developed as an effective strategy to encourage vaccine uptake. The aim of the study was to determine the relationship between health literacy and covid-19 vaccination behaviour in the community in Panusupan Village, Rembang Subdistrict, Purbalingga Regency. The research design was a correlation study survey with a cross sectional approach. Sample of this study were residents targeted for covid-19 vaccination in Panusupan Village, Rembang Subdistrict, Purbalingga Regency, 92 respondents using proportionate stratified random sampling technique. Research instrument used the eHealth Literacy Scale During Covid Indonesia Version questionnaire. Data analysis using the spearman-rank. Results showed spearman rank test obtained a p-value of 0.0001 ≤ α (0.05) and rho value: 0.499. The conclusion is that there is a weak relationship with a positive direction between health literacy and covid-19 vaccination behaviour in the community in Panusupan Village, Rembang District, Purbalingga Regency.
Efektivitas Slow Stroke Back Massage (SSBM) Terhadap Nyeri Akut Pasien Post Sectio Caesarea di Ruang HCU Maternal RSUD Dr. Margono Soekarjo Purwokerto Konitasari, Rizky Rofiana; Wahyu Ningrum, Ema
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2614

Abstract

Sectio Caesarea (SC) delivery has side effects such as severe pain in the postoperative wound. Pain is an unpleasant symptom experienced by post sectio caesarea patients. Pain in post sectio caesarea can be treated with various alternatives, both pharmacological and non-pharmacological. Pharmacologically, it can be treated with analgesic drugs. One natural method that is considered effective in reducing pain is Slow Stroke Back Massage therapy. This case study aims to describe the application of Slow Stroke Back Massage therapy in Post Sectio Caesarea Patients With Acute Pain at Dr Margono Soekarjo Purwokerto Hospital. Case studies conducted by observation for 3x meetings and interventions providing Slow Stroke Back Massage therapy for 3 days on 16-18 January 2025. The results of the case study of the application of Slow Stroke Back Massage therapy on the first day the patient was still in pain and showed a decrease in the pain scale on the second day. On the first day, the patient's pain intensity before being given Slow Stroke Back Massage therapy with a pain scale of 7 (severe pain), on the second day there was a decrease in pain scale after giving Slow Stroke Back Massage therapy to scale 5 (moderate pain) and on the third day there was a significant decrease in pain scale after giving Slow Stroke Back Massage therapy to scale 3 (mild pain). Giving Slow Stroke Back Massage therapy to Post Sectio Caesarea Patients With Acute Pain at Dr. Margono Soekarjo Purwokerto Hospital is effective in reducing pain applied for 3x24 hours showing significant results from a pain scale of 7 (severe pain) to a pain scale of 3 (mild pain).
Penerapan Pijat Oksitosin Pada Ibu Post Partum Dengan Menyusui Tidak Efektif Di Ruang Mawar RSUD Kardinah Tegal Solikhah, Afifatus; Wahyu Ningrum, Ema
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 16 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v16i1.2677

Abstract

Ineffective breastfeeding is a common issue among postpartum mothers and can hinder the provision of exclusive breastfeeding, which may negatively impact infant growth and development. Non-pharmacological interventions such as oxytocin massage have been proven to improve breastfeeding effectiveness by stimulating the release of oxytocin, a hormone essential for the milk ejection reflex, while also promoting maternal relaxation. This study aimed to examine the effectiveness of oxytocin massage in addressing ineffective breastfeeding among postpartum mothers. A descriptive case study design was employed, utilizing a nursing care process approach. The subject was a 34-year-old postpartum mother (Ny. T) on her second day after spontaneous delivery, experiencing difficulties in breastfeeding. Oxytocin massage was administered over a 3-day period from January 13 to 15, 2025, following standard operating procedures (SOP), with each session lasting 15–20 minutes. Evaluation included observation of breastfeeding frequency, expressed breast milk volume, infant suckling strength, and post-feeding infant behavior.The evaluation revealed a significant improvement in breastfeeding effectiveness. The frequency of breastfeeding increased from 3 to 8 times per day, milk volume rose from approximately 5 ml to 30 ml per session, infant suckling strength improved, and the baby appeared satisfied after feeding. The breastfeeding effectiveness score increased from 2 (ineffective) to 4 (effective). Additionally, the mother reported feeling more confident and less anxious. Oxytocin massage proved to be an effective, simple, safe, and low-cost non-pharmacological intervention for enhancing breastfeeding among postpartum mothers. This technique can be integrated into maternal nursing care practices in healthcare facilities.
Effectiveness of Deep Breath Relaxation Technique to Reduce Acute Pain in Spontaneous Post Partum Patients Nur Fitriani, Revica; Wahyu Ningrum, Ema
Viva Medika Vol 17 No 2 (2024)
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v17i2.1454

Abstract

The puerperium phase refers to the period immediately after childbirth for 6 weeks or 42 days, in which case the reproductive organs will undergo subtle changes that resemble the changes that occurred before pregnancy. The main factor causing the high maternal mortality rate is the lack of care and attention given to postpartum women. The purpose of this case study is to assess the effectiveness of breathing relaxation techniques in reducing acute pain in postpartum patients. This study used case study methodology to investigate the patient's experience during the nursing process. The nursing process includes nursing assessment, nursing diagnosis, nursing intervention, nursing implementation, and nursing evaluation. The results showed that deep breath relaxation for 2x24 hours, before the intervention, the patient complained of pain in the birth canal with a pain scale of 5 (moderate). After the intervention, the patient's complaints of pain in the birth canal decreased with a pain scale of 3 (mild). In conclusion, deep breath relaxation is effective as an effort to reduce the intensity/level of pain in postpartum patients.
Co-Authors Anggara, Yayan Bayu Konitasari, Rizky Rofiana Kumala Dewi, Feti Nur Fitriani, Revica Solikhah, Afifatus