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Progressive Muscle Relaxation for Sleep Quality in Menopausal Women's Andriani, Anita Duwi; Berthy, Chanda Paramitha; Mulyaningsih, Erika Agung
Journal of Applied Nursing and Health Vol. 5 No. 2 (2023): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v5i2.145

Abstract

Background: Problems that often occur in women who experience menopause psychologically are emotional disturbances, feelings of fear, anxiety, irritability, difficulty concentrating, depression, and impaired libido. Physiologically there are problems, including pain during intercourse, menstrual cycles and increasingly varied bleeding patterns, hot flashes (repeated periods of sweating), respiratory problems, vaginal dryness, dry skin, disturbed sleep patterns, and sleep quality. During the transition process of menopausal women, sleep quality is one of the most common and disturbing problems. This research aims to analyze the influence of Progressive Muscle Relaxation (PMR) on Sleep Quality in Menopausal Women. Methods: this research, using the purposive sampling technique, the researcher selected the respondents according to the inclusion criteria so that respondents have the same opportunity to be selected. In the intervention group, respondents were given progressive Muscle Relaxation (PMR). The sampling method is non-probability sampling with a purposive sampling technique. The number of samples is 17 respondents, carried out at menopause in Badang Village, Ngoro District, Jombang Regency on 04 - 19 July 2023. The analysis used the Wilcoxon Signed Ranks Test. Results: Statistical test results using the Wilcoxon Signed Ranks test obtained p value = .000, which means that there is an influence of progressive Muscle Relaxation (PMR) in improving Sleep Quality in Menopausal WomenDusun Wates Elderly PosyanduBadang Village, Ngoro District, Jombang Regency. Conclusion: Progressive Muscle Relaxation (PMR) is Effectively used to help improve sleep quality in postmenopausal women. Because the therapy trains the muscles of the head, neck, arms, and back in a controlled manner, it works against the sympathetic nervous system to achieve a relaxed and calm state and is easy to do.
Non-Pharmacological Approaches in the Management of Primary Dysmenorrhea: A Literature Review Mulyaningsih, Erika Agung; Juwita, septiana; Nahariani, Pepin; Mudhawaroh, Mudhawaroh
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i2.591

Abstract

Background: The incidence of primary dysmenorrhea is a condition experienced by almost all adolescent women and of childbearing age, negatively impacting their quality of life and productivity. Although pharmacological treatments such as NSAIDs are frequently used, many individuals seek non-pharmacological alternatives to avoid long-term side effects. This study aims to explore the effectiveness of complementary therapies, including acupressure, herbal medicine, and yoga, in managing primary dysmenorrhea. Method: A systematic literature review (SLR) was conducted using the PRISMA approach, selecting relevant articles from PubMed, ScienceDirect, and Google Scholar based on specific keywords. Articles that met the inclusion criteria, such as publication range (2020-2025) and topic relevance, were further analyzed. Results: From a review of 17 articles that met the inclusion criteria, it was found that yoga can significantly reduce pain intensity by increasing relaxation and improving blood circulation in the pelvic area. Acupressure therapy, particularly on the SP6 point, has been proven effective in reducing menstrual pain by increasing the release of beta-endorphins. In addition, consumption of herbal medicines such as ginger has anti-inflammatory effects that help reduce the production of prostaglandins, one of the main causes of menstrual pain. Conclusion: Non-pharmacological therapies—such as yoga, acupressure, and herbal remedies—are effective, safe, and affordable alternatives to pharmacological management. It is recommended that healthcare professionals, particularly midwives, provide education and facilitate the implementation of these complementary therapies as part of promotive and preventive efforts to address menstrual pain in adolescents and women of childbearing age.
Peran manajemen mutu dalam meningkatkan kualitas layanan kesehatan primer Sestu Retno Dwi Andayani; Erika Agung Mulyaningsih; Firdaus Azzahra Ramadhani Bestiantono
Co-Creation : Jurnal Ilmiah Ekonomi Manajemen Akuntansi dan Bisnis Vol. 4 No. 2 (2025): Co-Creation : Jurnal Ilmiah Ekonomi Manajemen Akuntansi dan Bisnis (In Progress
Publisher : ARKA INSTITUTE

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55904/ajhqbz48

Abstract

Layanan kesehatan primer (PHC) memiliki peran strategis dalam mendukung pencapaian Universal Health Coverage, namun kualitas layanan terkait efektivitas sistem, keselamatan pasien, dan efisiensi masih menjadi tantangan. Penelitian ini bertujuan menganalisis peran manajemen mutu dalam meningkatkan kualitas layanan PHC menggunakan pendekatan scoping review mengikuti alur PRISMA-ScR. Pencarian literatur dilakukan pada database PubMed, Scopus, dan Google Scholar periode 2016–2025; dari 320 artikel yang teridentifikasi, terdapat 12 artikel yang memenuhi kriteria kelayakan untuk dianalisis menggunakan narrative synthesis dan pendekatan PICO. Hasil kajian menunjukkan bahwa manajemen mutu meningkatkan kualitas PHC melalui strategi peningkatan kinerja tim, penguatan sistem informasi dan inovasi, serta penguatan pendekatan sistem dan masyarakat. Kesimpulannya, manajemen mutu merupakan komponen kunci dalam meningkatkan kualitas PHC melalui implementasi continuous quality improvement (CQI) serta optimalisasi data kesehatan. Oleh karena itu, diperlukan dukungan kebijakan komprehensif serta investasi berkelanjutan pada sistem informasi kesehatan untuk memastikan mutu pelayanan yang optimal.
Non-Pharmacological Approaches in the Management of Primary Dysmenorrhea: A Literature Review Erika Agung Mulyaningsih; septiana Juwita; Pepin Nahariani; Mudhawaroh Mudhawaroh
Jurnal Kebidanan dan Kesehatan Tradisional Jurnal Kebidanan dan Kesehatan Tradisional Volume 10 Number 2 Year 2025
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jkkt.v10i2.591

Abstract

Background: The incidence of primary dysmenorrhea is a condition experienced by almost all adolescent women and of childbearing age, negatively impacting their quality of life and productivity. Although pharmacological treatments such as NSAIDs are frequently used, many individuals seek non-pharmacological alternatives to avoid long-term side effects. This study aims to explore the effectiveness of complementary therapies, including acupressure, herbal medicine, and yoga, in managing primary dysmenorrhea. Method: A systematic literature review (SLR) was conducted using the PRISMA approach, selecting relevant articles from PubMed, ScienceDirect, and Google Scholar based on specific keywords. Articles that met the inclusion criteria, such as publication range (2020-2025) and topic relevance, were further analyzed. Results: From a review of 17 articles that met the inclusion criteria, it was found that yoga can significantly reduce pain intensity by increasing relaxation and improving blood circulation in the pelvic area. Acupressure therapy, particularly on the SP6 point, has been proven effective in reducing menstrual pain by increasing the release of beta-endorphins. In addition, consumption of herbal medicines such as ginger has anti-inflammatory effects that help reduce the production of prostaglandins, one of the main causes of menstrual pain. Conclusion: Non-pharmacological therapies—such as yoga, acupressure, and herbal remedies—are effective, safe, and affordable alternatives to pharmacological management. It is recommended that healthcare professionals, particularly midwives, provide education and facilitate the implementation of these complementary therapies as part of promotive and preventive efforts to address menstrual pain in adolescents and women of childbearing age.