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Journal : Lentera Perawat

Akupuntur Dalam Mengurangi Nyeri Dan Menurunkan Tekanan Darah Pasien Hipertensi Suryanda; Rustiati, Nelly
Lentera Perawat Vol. 3 No. 1 (2022): Lentera Perawat
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v3i1.162

Abstract

Jumlah penyandang hipertensi terus meningkat setiap tahunnya, diperkirakan pada tahun 2025 akan ada 1,5 Miliar orang yang terkena hipertensi, akupuntur sebagai salah satu terapi alternative perlu dilihat sejauhmana hubungannya dalam menurunkan tekanan darah dan mengurangi persepsi nyeri. Penelitian dilaksanakan diwilayah kerja UPTD Puskesmas sukaraya tahun 2021. Dari data 86 orang yang menjalankan terapi akupuntur didapatkan sebanyak 45 sampel, sesuai kriteria hipertensi dan mengalami nyeri. Hasil penelitian setelah dilakukan akuputur, sebanyak 26 (57,8%) pasien menyatakan nyeri berkurang dan 19 (42,2%) orang berkata belum berkurang atau bertambah nyeri. Pasien yang mengalami penurunan tekanan darah setelah dilakukan akupuntur sebesar 31 orang (68,9%) dan yang tidak mengalami penurunan tekanan darah sebanyak 14 orang (31,1%). Hasil analisis hubungan akupuntur dalam menurunkan tekanan darah dan mengurangi nyeri dengan Chi-square, didapatkan angka 0,091 maka disimpulkan tidak ada hubungan bermakna. Penggunaan akupuntur dalam menurunkan tekanan darah dan mengurangi nyeri relative berguna tetapi perlu penanganan dan penelitian lebih lanjut untuk lebih meningkatkan efektifitas akupuntur.
Combination of Breast Care and Acupressure Interventions to Increase Milk Production and Breast Care in Breastfeeding Mothers Rosa, Eni Folendra; Aisyah, Aisyah; Dina Oktavia; Rustiati, Nelly
Lentera Perawat Vol. 6 No. 1 (2025): January - March
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i1.410

Abstract

Breast milk is the optimal method to fulfil the nutritional needs of infants for optimal growth and development. However, limited milk production and ejection in the first days after delivery is often a barrier to exclusive breastfeeding. Breast engorgement in breastfeeding mothers is also a common challenge, which can hinder breastfeeding. This study used a case study design with a nursing process approach. The subjects were two breastfeeding mothers over 25 years old who experienced breast engorgement. The interventions provided included a combination of breast care and acupressure, which was carried out for four consecutive days with a duration of 20-30 minutes per session. Data were collected through observation, interview, and cheque sheet. The results showed a significant decrease in the intensity of breast engorgement and an increase in milk production in both subjects. In client I, the frequency of breastfeeding increased from 5 times to 9 times per day, and the frequency of baby's BAK increased from 5 times to 7 times per day. In client II, the frequency of breastfeeding increased from 6 times to 10 times per day, and the frequency of baby's BAK increased from 5 times to 7 times per day. Both clients reported decreased pain and increased comfort while breastfeeding. The combination of breast care and acupressure intervention is effective in overcoming the problem of breast engorgement and increasing milk production in breastfeeding mothers. The researcher suggested the combination of breast care and acupressure as part of breast care management in breastfeeding mothers.       
Implementation of tandem walking and balance exercise combination for fall prevention among older adults with balance disorders : A case study Lisdahayati, Lisdahayati; Pome, Gunardi; Saprianto, Saprianto; Martadinata, Umar Hasan; Rustiati, Nelly; Sukmawati, Ratna
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.565

Abstract

Background: The aging process leads to a progressive decline in physiological function, including muscle strength and body balance, which increases the risk of falls among older adults. Falls are one of the leading causes of injury-related morbidity and mortality in the elderly, significantly reducing quality of life.. Objective: This study aimed to implement a combination of tandem walking and balance exercises as an intervention to prevent falls in older adults with balance impairments at the Tanjung Agung Community Health Center. Methods: A descriptive case study design with a nursing process approach was applied. Two elderly participants with moderate fall risk, as assessed by the Berg Balance Scale (BBS), were included. The intervention consisted of tandem walking and balance exercise sessions twice weekly for four weeks. Balance outcomes were measured pre- and post-intervention using the BBS, complemented by structured interviews and direct observation.. Results: Both participants demonstrated improvement in balance performance. The BBS score of Participant 1 increased from 40 to 51, shifting from moderate to low fall risk. Participant 2 improved from 39 to 46, reflecting enhanced postural stability, though still within moderate risk. Both reported greater confidence and stability during standing and walking, with reduced reliance on external support. Conclusion: The combination of tandem walking and balance exercises was effective in improving static and dynamic balance while reducing fall risk in older adults with balance disorders. This intervention is recommended as a practical fall-prevention strategy in community and primary healthcare settings.
The effectiveness of postnatal gymnastics on reducing diastasis rectus abdominis and improving knowledge in postpartum women: A case study Aisyah, Aisyah; Rosa, Eni Folendra; Lisdahayati, Lisdahayati; Rustiati, Nelly; Lestari, Rahayu Dini
Lentera Perawat Vol. 6 No. 3 (2025): July - September
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v6i3.582

Abstract

Background: Diastasis rectus abdominis (DRA) is a common condition in postpartum women characterized by abdominal muscle separation, which may lead to functional disorders and reduced quality of life. One of the effective interventions is postpartum exercise, a simple physical activity designed to strengthen the abdominal muscles and accelerate recovery. Objective: This study aimed to describe the implementation of education and postpartum exercise to reduce DRA and increase knowledge among postpartum mothers. Methods: A descriptive case study design with a nursing care approach was applied to two multiparous postpartum mothers with DRA >2.5 cm. Interventions consisted of health education and postpartum exercise training conducted over seven consecutive days. Data were collected through interviews, observations, questionnaires, and DRA measurements using a simple caliper. Results: The findings showed a reduction in DRA size, from 2.96 cm to 2.78 cm in client I and from 2.86 cm to 2.64 cm in client II. Knowledge scores also increased significantly, with correct responses on the questionnaire improving from 4–5 to 10 out of 10 items. Conclusion: Education and postpartum exercise with a nursing care approach were proven to reduce DRA size and enhance maternal knowledge. Postpartum exercise can be recommended as a simple, cost-effective, and practical nursing intervention to support abdominal muscle recovery in postpartum mothers.