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Eni Folendra Rosa
Program Studi D-III Keperawatan Baturaja, Poltekkes Kemenkes Palembang

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Combination of Breast Care and Acupressure Interventions to Increase Milk Production and Breast Care in Breastfeeding Mothers Eni Folendra Rosa; Aisyah Aisyah; Dina Oktavia; Nelly Rustiati
Lentera Perawat Vol. 6 No. 1 (2025): January - March
Publisher : School of Health Sciences Al-Ma'arif

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.       
Audiovisual health education and changes in ovarian cancer knowledge, attitudes, and observed skills in two women of reproductive age: A two-case descriptive study Siti Nuraisyah; Rosdiana Rosdiana; Rita Kamalia; Nelly Rustiati; Eni Folendra Rosa
Lentera Perawat Vol. 7 No. 4 (2026): October - December
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i4.946

Abstract

Background: In 2022, ovarian cancer accounted for an estimated 324,603 new cases and 206,956 deaths globally, including 15,130 new cases in Indonesia. Reliable symptom awareness is relevant to primary care, but educational outcomes should not be confused with cancer screening. Objective: To describe changes in ovarian cancer knowledge, attitudes, and recorded psychomotor scores among two community-dwelling women following a brief, home-based audiovisual nursing education sequence. Methods: This uncontrolled two-case descriptive nursing education study involved women aged 33 and 38 years in Tanjung Baru Village, Ogan Komering Ulu, Indonesia, during a January–June 2026 study period. Each completed six home-based meetings comprising baseline assessment, four education-focused meetings using video, booklet, and discussion, and final assessment. Knowledge was assessed with a 20-item questionnaire before and at the final meeting; attitude was recorded using a four-category response scale, and psychomotor outcomes were reported as checklist percentages. Session lengths and calendar dates were not documented. Descriptive, case-level analysis was informed by relevant CARE reporting items and TIDieR intervention-description principles; no comparison group was included. Results: Knowledge scores increased from 7/20 (35%) to 18/20 (90%) in Case 1 and from 8/20 (40%) to 19/20 (95%) in Case 2. Attitude percentages increased from 53% to 65% and from 52% to 78%, respectively. Reported psychomotor percentages changed from 35% to 90% and from 40% to 95%, exactly mirroring knowledge percentages. Both women completed six visits. No delayed follow-up, validated instrument properties, or item-level psychomotor records were available. Conclusion: The education sequence was followed by higher recorded scores in these two cases; the data do not establish a causal effect, long-term retention, or improved screening or health behavior. Future evaluations require validated measures, reproducible materials, and longer-term comparison.