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All Journal Belitung Nursing Journal Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) JURNAL PENELITIAN KEBIDANAN & KESPRO Jurnal Pengmas Kestra (JPK) Optimal Midwife Journal
Anuhgera, Diah Evawanna
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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The Effect Of Meridian Acupoint Massage On Fatigue, And Prevention Of Post Partum Depression During The Public Period Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.1890

Abstract

Postpartum fatigue is a feeling of tiredness experienced by around 65-80% of mothers after giving birth. Fatigue can trigger post partum depression during the postpartum period. In Indonesia, the incidence of post partum blues is 50% -70%. One of the method is meridian accupoints massage intervention to reduce fatigue and prevent post partum depression. This study aims to analyze the effects of meridian accupoint massage on fatigue and prevention post partum depression in the post partum period. A quasi experimental design with pretest posttest nonequivalent control group was utilized. The study group consisted of 28 postpartum women on the 5th day at the Nining Lubuk Pakam Clinic. The instrument used to measure fatigue is th. e Postpartum Fatique Scale, prevention of post partum depression is measured by the Edinburgh Postnatal Depression Scale (EPDS). Data analysis uses independent and dependent t-tests. The experimental group demonstrated a significantly larger decrease compared with the control groupin measures of fatique and prevention post partum depressive. There was a significant difference in maternal fatigue and prevention of post partum depression after meridian accupoint massage between the intervention group and the control group with a value of p=0.003; p=0.002. The average reduction in fatigue after meridian accupoint massage was 27.11%, while the reduction in stress as an assessment for preventing post partum depression was 43.41%. Meridian Accupoint Massage has been proven to have an influence on reducing fatigue and preventing post partum depression during the postpartum period. For midwives to be able to learn and apply this method to normal postpartum mothers in order to improve the quality of life of postpartum mothers. Meridian accupoint massage intervention can be used as learning material in complementary therapy during the postpartum period.
113Mothers' Knowledge and Attitudes in the First 1,000 Days of Life (HPK) Regarding Stunting Prevention Behaviors Diah Evawanna Anuhgera; Yohana Putri Apryanti; Lidia Lusinta
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6pctpj22

Abstract

Stunting is a public health problem caused by chronic malnutrition, particularly during the first 1,000 days of life (HPK). Maternal factors such as knowledge, attitudes, and behavior play a crucial role in stunting prevention efforts through appropriate feeding practices and utilization of health services. This quantitative research design employed a descriptive correlational approach and cross-sectional methods. The study location was the Kasih Ibu Galang Clinic, Deli Serdang Regency. The sample consisted of mothers with children aged 6–24 months, with 51 respondents selected using a purposive sampling technique. Data collection was conducted using a questionnaire. The results showed that 39.21% of respondents had good knowledge, 76.47% had positive attitudes, and 70.58% demonstrated good stunting prevention behaviors. Statistical analysis revealed a strong and significant relationship between knowledge and behavior (r=0.862; p=0.001) and between attitudes and behavior (r=0.727; p=0.002). There is a significant relationship between knowledge and attitudes during the first 1000 days of life (HPK) and stunting prevention behaviors. Improved health education and ongoing support are essential to support optimal feeding practices and reduce stunting prevalence.
HYPNOPRESSURE ON BREASTFEEDING SELF EFFICACY AND BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS Diah Evawanna Anuhgera; Elsaria Sembiring
Optimal Midwife Journal Volume 1 No. 1 Juni 2024
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.67717/740717

Abstract

Breastfeeding is one of the most important factors in a baby's health. Evaluate maternal performance and provide feedback to increase breast milk production and breastfeeding self-efficacy. Hypnopressure can help breastfeeding mothers increase breast milk production and breastfeeding self-efficacy. Low self-efficacy affects new mothers' ability to maintain breastfeeding. The aim of this study was to evaluate the effect of hypnopressure on breast milk production and breastfeeding self-efficacy. The population in this study were all post partum mothers who breastfed on the first day of birth who were at the Nining Pelawati Lubuk Pakam Clinic, Deli Serdang. The intervention group received hypnopressure; the control group received standard care. Data between groups was compared for breast milk production and breastfeeding self-efficacy scores. The sampling technique used was simple random sampling with a sample of 34 respondents. The instruments for this research are the Standard Operational Procedure for Hypnopressure, an Electric Breast Pump and the Breastfeeding Self Efficacy Scale (BSES) Short Form. The data analysis used is the dependent, independent t test, Wilcoxon test and Mann Whitney test. The results of this study showed that there was a change in increasing breast milk production before and after being given hyonopressure with a mean difference of 57.58 and a p value = 0.00, thus showing an increase in breast milk production before and after the intervention. The breastfeeding self-efficacy variable shows changes before and after with a mean difference of 19.3 and a p value = 0.00. Hypnopressure increases breast milk production and breastfeeding self-efficacy in breastfeeding mothers. Hypnopressure can be effective in maintaining breastfeeding in mothers by 41.18% and increasing breast milk production by 60.05%. It is recommended that midwives apply the hypopressure method in providing the best service for mothers and babies.
The Effect of Progressive Muscle Relaxation on Low Back Pain And Anxiety in Primiparas Diah Evawanna Anuhgera; Nikma Jalilah; Riris Sitorus; Dwi Handayani; Debi Dinha Octora
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i2.2379

Abstract

Pregnancy changes that result in looseness and instability of joints in the third trimester of pregnancy often cause lower back pain in mothers. This certainly disturbs the mother's discomfort and causes anxiety. Progressive muscle relaxation is a combination of deep breathing and progressive muscle relaxation techniques by stretching and relaxing the muscles systematically. The purpose of this study was to analyze the effect of progressive muscle relaxation on lower back pain and anxiety in primigravida pregnancies. This study used all experiments with a pretest-posttest controlled group design for primigravida pregnant women with a gestational age of 28-36 weeks at the Misriah Galang Clinic as many as 28 respondents. The sampling technique used was simple random sampling. There were two groups in this study, namely the intervention group with progressive muscle relaxation and the control group. The research instruments used were VAS (Visual Analog Scale), Hamilton Anxiety Rating Scale (HARS) and questionnaires. Data analysis used was the dependent t-test and independent t-test to measure pain intensity and the Wilcoxon test with Mann Whitney to measure anxiety. There was a difference in the intensity of pain and anxiety before and after the progressive muscle relaxation intervention with a value of p = 0.001 and 0.004. The percentage of pain reduction after the intervention was 45.71%. There was a difference in the average pain and anxiety after the intervention between the control and intervention groups with a value of p = 0.000; p = 0.002. Progressive muscle relaxation has been proven effective in reducing the intensity of lower back pain and anxiety. Obstetric practitioners can apply this method to pregnant women who experience lower back pain and anxiety. The progressive muscle relaxation method can be used as material in Complementary Therapy in Pregnancy to develop obstetric science.
Co-Authors Anita Sri Gandaria Purba Apryanti, Yohana Putri Ari Suwondo Astri Ulina Saragih Damayanti Damayanti . Damayanti Damayanti Damayanti Damayanti Debi Dinha Octora Sitepu Desika Wali Pardede Desikawali Pardede Dwi Handayani Dwi Handayani Eka Defi Mulyani Eka Fitria Panjaitan Elsaria Sembiring Fitriani . Ginting, Desideria Yosepha Grace Erlyn Grace Erlyn Damayanti` S Hani Amaliah Majidah Iskandar Markus Sembiring Jalilah, Nikmah Juni Mariati Simarmata Juni Mariati Simarmata Kardina Hayati Lidia Lusinta Mardiyono, Mardiyono Munthe, Novita Br Ginting Nia Surtika Gulo Nikma Jalilah Nikmah Jalila Ritonga Nikmah Jalilah Ritonga Nikmah Jalilah Ritonga Nita Triana Saragih Rahmad Gurusinga Raisha Octavariny Rina Purnama Nasution Riris Sitorus Ritonga, Nikmah Jalilah Rizky Yolanda Sembiring, Elsaria Simarmata, Juni Mariati Siregar, Wilda Wahyuni Sri Sumarni Sri Wulan Tjahjono Kuncoro Yuni Sartika Limbong