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Effectivity of the Oketani Massage and the Back Massage Combination towards Breastmilk Production and to Prevent Breast Engorgement of Postpartum Mothers Ayesha Hendriana Ngestiningrum; Nuryani Nuryani; Astuti Setiyani
Health Notions Vol 6, No 01 (2022): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60104

Abstract

Breast milk is the most important baby food, especially during the first weeks of a baby's life. To help postpartum mothers with breastfeeding problems and breast engorgement, the researchers developed a combination of Oketani massage and back massage to increase breastmilk production and to prevent breast engorgement. This was quasi-experimental research designed with a pretest-posttest and with a control group. The research population consisted of post-partum mothers in the Lembeyan Community Health Center area, Magetan Regency, East Java with a consecutive sampling technique. The respondents consisted of 50 people. The independent variable was the combination of the Oketani Massage and the Back Massage, meanwhile, the dependent variables were breastmilk production and prevention of breast engorgement in postpartum mothers. The combination of the Oketani Massage and Back Massage was effective in increasing breastmilk production. This could be seen from the results of the independent t-test with a significance value of 0.00 (less then 0.05). To determine the effectiveness of massage combinations to prevent breast engorgement, the researcher used the Chi-square test, which resulted in a significant value of 0.011 (less then 0.05). The combination of the Oketani massage and back massage is effective in increasing breast milk production as well as preventing breast engorgement. Keywords: combination; oketani massage; back massage; breastmilk production; breast engorgement
Introduction to Health Research for High School Students Ayesha Hendriana Ngestiningrum
Aloha International Journal of Health Advancement (AIJHA) Vol 2, No 11 (2019): November
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/%x

Abstract

Introduction to Health Research for High School Students
The Effectiveness of Combination of The Bomb Method and Rolling Massage to Speed the Expenditure of Breast Milk Nuryani Nuryani; Ayesha Hendriana Ngestiningrum; Astuti Setiyani
Aloha International Journal of Health Advancement (AIJHA) Vol 4, No 2 (2021): February
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha40202

Abstract

Background: Breastmilk is the most important baby food, especially in the first months of a baby's life. The basic problem that often makes mothers feel confused and finally chooses other alternatives to meet the baby's needs. The issue of early breastfeeding has a negative impact on the life of the baby. The problem of expressing breastmilk on the first day after delivery can be caused by reduced stimulation of the hormone oxytocin and psychological factors. To help postpartum mothers with breastfeeding issues, considering that the success of exclusive breastfeeding is very much determined in the first days after delivery by developing a combination of the BOM Method and Rolling Massage to facilitate breastfeeding. Methods: The research design used was a quasi-experimental study with a post test only design with a control group. The study population of postpartum mothers in the Puskesmas Lembeyan area used consecutive sampling technique with independent variables. Combination of BOM and Rolling Massage methods, the dependent variable was the release of breast milk in postpartum mothers. Results: The results showed that the combination of the BOM method and the rolling massage technique was effective in increasing breastfeeding with a significant value of the Manova test of 0.000. The BOM method by massaging the breasts and expressing milk so that the reflex for the release of breast milk can be optimal. Combining the Rolling Massage method will stimulate milk production to help post-partum mothers expedite breastfeeding. Conclusion: The combination of the BOM method and the rolling massage method is very effective in accelerating breastfeeding, so it is necessary to apply this method to accelerate milk production, especially in the first days of post partum so that optimal breastfeeding can support the exclusive breastfeeding program. Keywords: combination of BOM method and rolling massage; breastfeeding expression
EFEKTIFITAS METODE “INDEX CARD MATCH” DAN CERAMAH DALAM MENINGKATKAN PENGETAHUAN, SIKAP DAN PERILAKU PERSONAL HYGIENE SAAT MENSTRUASI PADA REMAJA Ayesha Hendriana Ngestiningrum; Nuryani Nuryani; Astuti Setiyani
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 7, No 2 (2017): Mei 2017
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.166 KB)

Abstract

Pendidikan kesehatan yang menyenangkan diperlukan agar remaja lebih memahami tentang menstruasi. Tujuan penelitian untuk mengetahui perbandingan pengaruh metode index card match dan ceramah terhadap peningkatan pengetahuan dan sikap serta perilaku personal hygiene saat menstruasi pada remaja, menggunakan rancangan pretest-postest design. Sampel penelitian adalah remaja putri kelas VII SMPN 1 Slahung Ponorogo. Instrumen penelitian adalah kuesioner pengetahuan, sikap dan perilaku tentang personal hygiene menstruasi. Perbandingan efektifitas kedua metode diuji dengan independent t-test dan Mann Whitney. Hasil penelitian adalah ada perbedaan antara Index card match dan ceramah dalam meningkatkan perilaku. Metode index card match lebih baik daripada metode ceramah dalam meningkatkan perilaku personal hygiene saat menstruasi. Disimpulkan bahwa metode index card match dan ceramah efektif dalam meningkatkan pengetahuan, sikap, dan perilaku personal hygiene saat menstruasi pada remaja. Index card match lebih efektif dalam meningkat perilaku personal hygiene saat menstruasi pada remaja dibandingkan dengan metode ceramah. Kata kunci: Index card match, Ceramah, Pengetahuan, Sikap, Personal hygiene, Menstruasi
Support Tipe Keluarga Terhadap Kegagalan Cakupan ASI Eksklusif Sunarto Sunarto; Ayesha Hendriana Ngestiningrum; Wiwin Fajar Suryani
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 2 (2022): April 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i2.1974

Abstract

Research on exclusive breastfeeding coverage is often associated with direct variables such as; husband's support, information support, promotion, mother's knowledge, mother's job, socio-cultural, attitude and behavior of health workers. This study focuses on family type support as an indirect factor that affects the failure of exclusive breastfeeding in the working area of Sine Health Center, Ngawi. The purpose of this study was to determine the effect of nuclear family and extended family support on exclusive breastfeeding. This type of research is observational with a cross-sectional approach. The subjects of this study were 31 mothers who had babies aged one month. The method of data collection was using guided interviews, which contained 28 questions. The data analysis technique was the proportion and prevalensice ratio, while the proof of the hypothesis was done by using the Chi-Square test. The results showed that the most education was basic education, the most occupations were housewives, and the highest income was Rp. 1,500,000 to Rp. 2,500,000. Negative family support was more often received by breastfeeding mothers from extended family types. Negative family support had an effect on the failure of exclusive breastfeeding by 64.3%. Positive family support but the effect of exclusive breastfeeding failure was 23.5%. Negative family support was a risk factor for failure in exclusive breastfeeding with a prevalensice ratio of 2.73. The results of the Chi-Square test showed p = 0.022, meaning that there was a relationship between family support and exclusive breastfeeding in the first month of birth (0-1 month). It was concluded that negative family support regarding exclusive breastfeeding had an impact on the failure of the exclusive breastfeeding program. Negative family support is played predominantly by grandmother's decisions. The existence of breastfeeding mothers in the extended family type is at risk of experiencing failure in exclusive breastfeeding due to the grandmother's dominance factor. Information support and continuous health education are needed for grandmothers, husbands and other family members about the importance of exclusive breastfeeding for infants aged 0-6 months through various media.Keywords: family support; family type; exclusive breastfeeding ABSTRAK Penelitian tentang cakupan ASI eksklusif sering dikaitkan dengan variabel langsung seperti; dukungan suami, dukungan informasi, promosi, pengetahuan ibu, pekerjaan ibu, sosial budaya, sikap dan perilaku petugas kesehatan. Penelitian ini berfokus pada support tipe keluarga sebagai faktor tidak langsung yang mempengaruhi kegagalan ASI eksklusif di wilayah kerja Puskesmas Sine, Ngawi. Tujuan penelitian ini adalah untuk mengetahui pengaruh support keluarga tipe nuclear family dan extended family terhadap pemberian ASI eksklusif. Jenis penelitian ini adalah observasional dengan pendekatan cross-sectional. Subyek penelitian ini adalah 31 ibu yang memiliki bayi usia satu bulan. Metode pengumpulan data adalah menggunakan wawancara terbimbing, yang berisi 28 pertanyaan. Teknik analisis data adalah proporsi dan rasio prevalensisi, sedangkan pembuktian hipotesis dilakukan dengan menggunakan uji Chi-Square. Hasil penelitian menujukkan bahwa pendikan terbanyak adalah pendidikan dasar, pekerjaan terbanyak adalah ibu rumah tangga, penghasilan terbanyak adalah Rp 1.500.000 sampai Rp 2.500.000. Support keluarga negatif lebih sering diterima oleh ibu menyusui dari tipe keluarga extended family. Support keluarga negatif memberikan pengaruh terhadap kegagalan pemberian ASI eksklusif sebesar 64,3%. Support keluarga positif tetapi memberikan efek kegagalan ASI eksklusif sebesar 23,5%. Support keluarga negatif merupakan faktor resiko penyebab kegagalan dalam pemberian ASI eksklusif dengan besar rasio prevalensisi = 2,73. Hasil uji Chi-Square menunjukkan p = 0,022, artinya terdapat hubungan antara support keluarga dengan pemberian ASI eksklusif pada bulan pertama kelahiran (0-1 bulan). Disimpulkan bahwa support keluarga negatif tentang ASI eksklusif berdampak pada kegagalan program pemberian ASI eksklusif. Support keluarga negatif diperankan secara dominan oleh keputusan nenek. Keberadaan ibu menyusui di tipe keluarga extended family beresiko mengalami kegagalan dalam pemberian ASI secara eksklusif dari faktor dominasi nenek. Diperlukan dukungan informasi dan pemberian pendidikan kesehatan terus menerus kepada nenek, suami dan anggota keluarga lainnya tentang pentingnya ASI eksklusif pada bayi usia 0-6 bulan melalui berbagai media.Kata kunci: support keluarga; tipe keluarga; ASI eksklusif
Civilizing High School Students to Make Scientific Work in the Field of Health Ayesha Hendriana Ngestiningrum
Aloha International Journal of Multidisciplinary Advancement (AIJMU) Vol 1, No 4 (2019): APRIL
Publisher : Alliance of Health Activists (AloHA)

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Abstract

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Perbedaan Respon Nyeri Haid Setelah Pemberian Ektrak kunyit dan Ekstrak Daun Kelor Rusmiati Rusmiati; Sunarto Sunarto; Rahayu Sumaningsih; Ayesha Hendriana Ngestiningrum
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 12, No 3 (2022): Agustus 2022
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik12317

Abstract

 Young women more often experience pain due to menstrual pain or primary dysmenorrhea because the hormonal cycle they are experiencing is not yet stable. This study aims to prove that there are differences in the response to menstrual pain after being given the treatment of turmeric extract and Moringa leaf extract. The design used was two group pretest-posttest. Pain level was measured using the NRS pain scale (Numeric Rating Scale). Testing for changes in pain was carried out using the T test. The results showed that the p value was less than 0.05 for both groups. Furthermore, it was concluded that there was a significant change in pain response (decreased) after administration of turmeric extract and administration of moringa leaf extract; and administration of turmeric extract has a significantly greater effect.Keywords: turmeric extract; moringa leaf extract; menstrual painABSTRAK Remaja putri lebih sering merasakan sakit akibat nyeri haid atau dismenore primer karena siklus hormonal yang dialami belum begitu stabil. Penelitian ini bertujuan untuk membuktikan adanya perbedaan respon nyeri haid setelah diberikan perlakuan pemberian ekstrak kunyit dan ekstrak daun kelor. Desain yang digunakan adalah two group pretest-posttest. Tingkat nyeri diukur menggunakan skala nyeri NRS. Pengujian perubahan nyeri dilakukan menggunakan uji T. Hasil penelitian menunjukkan bahwa nilai p adalah kurang dari 0,05 untuk kedua kelompok. Selanjutnya disimpulkan bahwa ada perubahan respon nyeri secara signifikan (terjadi penurunan) setelah pemberian ekstrak kunyit dan pemberian ekstrak daun kelor; dan pemberian ekstrak kunyit memberikan efek yang lebih besar secara signifikan.Kata kunci: ekstrak kunyit; ekstrak daun kelor; nyeri haid
Strategi dan Jenis Koping Mahasiswa dalam Menghadapi Stres Akademik Rizki Lestari Widia Larasati; Sunarto Sunarto; Rahayu Sumaningsih; Ayesha Hendriana Ngestiningrum
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 12, No 3 (2022): Agustus 2022
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik12315

Abstract

Every student experiences stress when dealing with thesis, so it takes types and coping strategies to deal with stress. The purpose of this study is to describe the strategies and types of coping used by students in dealing with their thesis, based on student characteristics. This type of research was descriptive. The population of this study were 58 Diploma 4 students at the Midwifery Campus, Poltekkes Kemenkes Surabaya, who were all involved in the research. The independent variables were the type of coping, coping strategies and demographic characteristics of students which include age, employment status and marital status. The data were collected by filling out a questionnaire. The data were analyzed descriptively in the form of frequency and proportion. The results showed that the most dominant type of coping used by students dealing with academic stress was adaptive coping, namely 65.5%. The most dominant coping strategy used by students was problem focus coping (PFC) as much as 62.1%. Teenage students were more dominant using Emotional focus coping (EFC) coping strategies, while adult students were more likely to use PFC coping strategies (66.7%). Students who were already working were more likely to use PFC coping strategies (58.8%) and students who were not working are more likely to use EFC coping strategies 33.3%. Married students were more likely to use PFC coping strategies (60.6%), and unmarried students tend to use PFC coping strategies (64%). Furthermore, it was concluded that the dominant type of coping in students was adaptive coping.Keywords: coping strategies; coping type; student; academic stress ABSTRAK Setiap mahasiswa mengalami stres saat menghadapi skripsi, sehingga dibutuhkan jenis dan strategi koping untuk mengatasi stress. Tujuan penelitian ini adalah menggambaran strategi dan jenis koping yang digunakan mahasiswa dalam menghadapi skripsi, berdasarkan karakteristik mahasiswa. Jenis penelitian ini adalah deskriptif. Populasi penelitian ini adalah 58 mahasiswa Diploma 4 di Kampus Kebidanan, Poltekkes Kemenkes Surabaya, yang seluruhnya dilibatkan dalam penelitia. Variabel bebas adalah jenis koping, strategi koping dan karakteristik demografi mahasiswa yang meliputi umur, status pekerjaan dan status pernikahan. Data dikumpulkan melalui pengisian kuesioner. Data dianalisis secara deskriptif berupa frekuensi dan proporsi. Hasil penelitian menunjukkan bahwa jenis koping yang paling dominan digunakan mahasiswa dalam menghadapi stres akademik adalah jenis koping adaptif yakni 65,5%. Strategi koping paling dominan yang digunakan oleh mahasiswa yaitu Problem focus coping (PFC) sebanyak 62,1%. Mahasiswa berusia remaja lebih dominan menggunakan strategi koping Emotional focus coping (EFC), sedangkan mahasiswa berusia dewasa lebih cenderung menggunakan strategi koping PFC (66,7%). Mahasiswa yang sudah bekerja lebih cenderung menggunakan strategi koping PFC (58,8%) dan mahasiswa yang belum bekerja lebih cenderung menggunakan strategi koping EFC 33,3%. Mahasiswa yang sudah menikah lebih cenderung menggunakan strategi koping PFC (60,6%), dan mahasiswa yang belum menikah cenderung menggunakan strategi koping PFC (64%). Selanjutnya disimpulkan bahwa jenis koping yang dominan pada mahasiswa adalah jenis koping adaptif.Kata kunci: strategi koping; jenis koping; mahasiswa; stress akademik
A Midwife: Professional Ethics in Midwifery Practices, Managing Pregnancy and Childbirth Complications, and Legal Rights for Nursing Mothers Ayesha Hendriana Ngestiningrum; siska diana sari; Rizka Rizka; Taadi Taadi; Sofyan Wimbo agung Pradnyawan; Sigit Sapto Nugroho; Dewi Iriani
Journal of Global Pharma Technology Volume 12 Issue 09 (2020) Sept. 2020
Publisher : Journal of Global Pharma Technology

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Abstract

This study aims to discuss a midwife as a health professional, professional ethics in midwifery practices, the management of pregnancy and childbirth complication, and legal rights for nursing mothers. This qualitative research utilizes interview as a main instrument. The data are collected from interviews conducted with: 1.) pregnant women who gave premature birth, 2.) nursing women and families supporting breastfeeding program, and 3.) Public Health Office staffs. The study reveals that legal ethics between midwives and patients is significantly crucial. There is a need for effective communication between midwives and patients. Patients have the right to obtain information as clearly as possible and midwives also have the right to get the trust of patients to perform medical procedures without any interventions. In addition to the aforementioned result, this study reports that there is pregnancy and premature childbirth complication. It is a maternal health issue occurred during pregnancy causing premature birth. This study also highlights a breach of guarantee to nursing mothers who breastfeed up to 2 years of age. The results of study conclude three points. First, it reports informed consent. It is a process for getting permission before conducting a healthcare intervention on a person, or on disclosing personal information. Second, legal practice regulating rights for nursing mothers and its legal sanctions for someone who prohibits breastfeeding for working women or health workers who provide formula milk to newborns without medical indication. Third, the authorized party will conduct an investigative audit of cases of complications of pregnancy and childbirth that cause infant mortality.
Survey Kualitas Pelayanan Posyandu Balita di Desa Majasem, Kecamatan Kendal, Kabupaten Ngawi Mufida Aziza Baroroh; Heru Santoso Wahito Nugroho; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 1 (2021): Maret 2021
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.911 KB) | DOI: 10.36568/gebindo.v10i1.2

Abstract

Posyandu is the role of the community, which organizes a system services to fulfill basic needs, improve human quality, empirically has been able to equalize services in the health sector. The utilization rate of posyandu services by the community especially to maternal is still not running optimally. This is show by the number of Posyandu visits that have not reach 70% target of Ngawi Regency. Therefore, researcher wanted to conduct a Quality Survey for child Posyandu Services. This research type is descriptive. The sample was 220 maternal. This research used Simple Random Sampling techniques. The instrument of this research closed questionnaire filled by respondents. The research only uses a single variable that’s Quality of child Posyandu Services. The results of the study shown that almost every attribute Quality of child posyandu services based on the leve l of importance and performance in relatively encouraging posyandu patients. Priority attributes include posyandu places, availability of toilets, consultation with officers (cadres or midwivery), officers in measuring height quickly and precisely and subsequent posyandu schedule information. Keywords: quality; attributes; posyandu.