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Breathing techniques belly and ujjay on declining levels of anxiety in the third trimester of pregnant women Ratih Kumorojati; Dian Puspitasari; Corry Ocvita Sari
Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v14i2.901

Abstract

Pregnancy and childbirth in a woman is a normal and natural cycle, but the cycle remains a burden for a woman. Mothers who are experiencing pregnancy and want to give birth normally, are required not only to be physically ready, but also to be mentally ready. This study aims to obtain information about the effectiveness of belly and ujjay breathing techniques to reduce anxiety levels in third trimester pregnant women at Klinik Pratama Asih Waluyo Jati, Bantul. This study was a quasi-experimental with two groups of pre-test and post-test with control with a cohort time study approach. The population was third trimester pregnant women in Klinik Pratama Asih Waluyo Jati. The sample was 16 third trimester pregnant women with a sample selection using consecutive sampling techniques. This study uses the Zung Self-Rating Anxiety Scale (ZSAS) anxiety questionnaire, a readiness questionnaire in the face of labor, a checklist of belly breathing techniques and ujjay breathing. Analysis univariate using distribution frequency and bivariate using paired T-test because the data was normally distributed. The univariable analysis was displayed that most respondent was in 20-35 years old (100%), in intermediate education (62.5%) and not working mother (56.2%). The bivariate analyzed results showed in the relaxation group obtained pretest mean 30.06; post test mean 25.94; mean difference 4.12; p-value 0.004 which means there was relaxation of breath in an effective way to reduce anxiety in third trimester pregnant women.
STATUS GIZI DAN PENGETAHUAN ORANG TUA TENTANG ASUPAN NUTRISI BALITA DITAMAN PENITIPAN ANAK (TPA) PELANGI NUSA Ratih Kumoro Jati
MEDIA ILMU KESEHATAN Vol 1 No 2 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: National Final Examination (UAN) often gives psychological impacts for students, especially anxiety. If anxiety is allowed to continue, it will give negative impacts on teens, such as a decision to commit promiscuity. Therefore, there are needs for therapies that can reduce the anxiety of students in facing exam, one of which is Emotional Freedom Techniques (EFTs). Objective: To determine the effect of EFT on anxiety in the face of UAN at high school students. Methods: The research method was quasi experimental with pretest-posttest design. Prior to therapy, anxiety screening was performed on 137 students using a questionnaire of Pasco-Hernando Community College (PHCC) Anxiety Test. After that, 28 were taken students as the sample divided into 2 groups (control and intervention), each 14 students. The intervention group received 3 times of EFT therapy sessions. Analysis of data was to determine the effect by using a paired t-test and to know the comparison used independent t-test, with α of 0.05. Results: The initial screening results were as follows: mild to moderate anxiety (58, 4%) and moderate to severe anxiety (0.7%). Test results of paired t-test showed p = 0, 046 (p <0, 05). In addition, based on independent t-test, p was 0.000 (p <0.05); thus, the mean value of anxiety of the intervention group was significantly lower than that of the control group. Conclusion: EFT effectively reduced student anxiety in facing UAN in SMA N 1 Pakem, Sleman, Yogyakarta. It is suggested EFT can be used as a non-pharmacological psychological therapy. Keyword: EFT, anxiety, adolescents
GAMBARAN PENGETAHUAN IBU MENYUSUI TENTANG TEKNIK MENYUSUI YANG BENAR DI PUSKESMAS PAKUALAMAN YOGYAKARTA Ratih Kumorojati; Windayani
MEDIA ILMU KESEHATAN Vol 6 No 1 (2017): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v6i1.182

Abstract

Background: Breastfeeding Mother's (ASI) is the main meal and perfect for babies, in which breast milk contains almost all the nutrients in the composition according to the needs of the baby to grow and develop optimally (Perinasia, 2009). Results of a preliminary study in Healt Pakualaman of 10 nursing mothers found, as many as 6 having problems ie breast nipple abrasions. Objective: Knowing the level of knowledge of nursing mothers about breastfeeding technique right at the health center in Yogyakarta Pakualaman. Methods: Descriptive quantitative research methods, the implementation of the research conducted at the health center in Yogyakarta Pakualaman, in November 2015. This study used purposive sampling techniques, a number of 34 respondents who had infants aged 0-6 months and still breastfeeding exclusively. Data collection tool was a questionnaire, data analysis using univariate analysis. Results: The level of knowledge of nursing mothers about breastfeeding technique right at the health center in Yogyakarta that is knowledgeable good Pakualaman as many as 10 respondents, quite as much as 22 respondents, less by 2 respondents. Conclusions: The majority of breastfeeding mothers level of knowledge about proper breastfeeding technique at the health center that is knowledgeable enough Pakualaman Yogyakarta as many as 22 respondents, well as much as 10 respondents, and less by 2 respondents. Keywords: Knowledge,Technical Breastfeeding Right
HUBUNGAN ANTARA TINGKAT STRES DENGAN KUALITAS TIDUR PADA WARGA BINAAN DI LEMBAGA PEMASYARAKATAN KLAS IIA YOGYAKARTA Dheska Arthyka Palifiana; Ratih Kumoro Jati
MEDIA ILMU KESEHATAN Vol 7 No 1 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i1.220

Abstract

Background: To have rest or to sleep is basic need that needed by everyone. To have enough rest or sleep will make body functioned optimally. By sleeping people can restore or to rest the physical after whole day activities, it can reduce stress and anxiety. It also improve concentration and improve ability when doing daily activities. Factors that affect quality and quantity of sleep include ill, fatigue, environment, lifestyle, emotional stress, diet, smoking, stimulant, alcohol, and motivation. The stress level on assisted citizen of woman’s prisoner will be more severe than who are not in prison so as stress can be overcome then the quality of sleep becomes better. Objective:To know the correlation between stress levels and sleep quality on assisted people in woman Penitentiary class II A Yogyakarta. Methods: The research was conducted at women's prison class II A Yogyakarta. Research population was 117 women prisoners. The sample was 50 women prisoners. Type of the research was descriptive analytic research with cross sectional design. Statistical analysis used chi square. The sampling technique used purposive sampling. Results: The stress level was mostly in high category as many as 17 respondents experienced stress (34%). Sleep quality of the respondents were mostly in bad category as many as 38 respondents (76%). There is a correlation between stress level and sleep quality on women prisoners in Penitentiary class II A Yogyakarta with p-value (0.033). Conclusion: There is a correlation between stress level and sleep quality on women prisoners in Penitentiary class II A Yogyakarta. Keywords: Stress level, sleep quality, assisted people, penitentiary
Pengaruh penggunaan spin card yoga terhadap motivasi ibu hamil untuk melakukan yoga mandiri Ratih Kumorojati; Alfie Ardiana Sari; Dian Puspitasari; Nur Rahmawati Sholihah
MEDIA ILMU KESEHATAN Vol 10 No 3 (2021): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v10i3.706

Abstract

Background: The care provided by midwives to reduce discomfort is by teaching Yoga to pregnant women a safe physical exercise for mother and fetus, yoga is usually done every day that trains the mother's breathing, physical and psychological, the implementation of Yoga in pregnant women must be accompanied by a facilitator who competent. During the COVID-19 pandemic, pregnant women have difficulty doing yoga in health facilities. In overcoming these obstacles, independent yoga media is needed that is safe for pregnant women, the media can be in the form of videos, flashcards, and spin cards as well as practical and easy-to-use yoga movement pictures as a guide.Objective: The purpose of this study was to determine the effectiveness of using Spin Card Yoga on the motivation of pregnant women to carry out independent yoga.Methods: This type of research is a quasi-experimental research with one group pre-test-post-test design. This research was conducted by giving a pretest (initial observation) in the form of a questionnaire before being given an intervention. After that the intervention was given, then a posttest (final observation) in the form of a questionnaire was also carried out (Hidayat, 2007). The population in this study was 30 pregnant women living in the working area of the Asih Waluyojati clinic. The sampling technique used is the convenience sampling technique (nonprobability). The sample in this study was 25 people. data analysis using the Wilcoxon test.Results: The majority of mothers' motivation in participating in yoga before being given spin cards yoga in the less category (76.19%), while after being given spin cards yoga intervention, the majority of respondents' motivation was in the high category as much as 75%. Based on the pairwise comparison test using Wilcoxon , the value of P = 0.001 was obtained. This value means P<0.05, which means that there is an effect of using spin cards on the motivation of pregnant women to do yoga.Conclusion: Based on the discussion that has been described, it can be concluded that the majority of motivation before using spin cards yoga is less (76.19%), the majority of motivation after using spin cards yoga is high (75%), and the use of spin cards yoga affects the increase in motivation of pregnant women to do yoga independently.
EFEKTIFITAS PRENATAL YOGA TERHADAP PENGURANGAN KETIDAKNYAMANAN DALAM KEHAMILANTRIMESTER III DI KLINIK PRATAMA ASIH WALUYO JATI Dheska Arthyka Palifiana; Nur Khasanah; Ratih Kumoro Jati
Jurnal Kebidanan Indonesia Vol 11, No 1 (2020): JANUARI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.634 KB) | DOI: 10.36419/jkebin.v11i1.325

Abstract

Latar Belakang :Periode yang membutuhkan perhatian khusus selama kehamilan adalah trimester III, masa ini merupakan masa terjadi pertumbuhan dan perkembangan janin yang semakin meningkat. Berat badan yang meningkat drastic menyebabkan ibu hamil merasa cepat lelah, sukar tidur, nafas pendek, kaki dan tangan bengkak.Hal ini menyebabkan ibu merasakan rasa pegal pada pinggang, varises dan kram pada kaki. Ibu hamil trimester III juga mengalami kesulitan untuk tidur dikarenakan berbagai macam keluhan yang timbul selama kehamilan sehingga mengakibatkan kualitas tidur yang buruk. Ketidaknyamanan kehamilan dan peningkatan kualitas tidur bisa diatasi dengan melakukan prenatal yoga. Tujuan:Mengetahui Efektifitas Prenatal Yoga terhadap Pengurangan Ketidaknyamanan dalam Kehamilan Trimester III di Klinik Pratama Asih Waluyo Jati. Metode :Jenis penelitian quasi experimentwith two group pre-test post-test with control. Jumlah sampel 40 ibu hamil trimester III dengan kelompok kasus 20 ibu hamil yang melakukan prenatal yoga sebanyak enam kali dan kelompok control 20 ibu hamil yang tidak melakukan prenatal yoga. Analisis data bivariate menggunakan uji Wilcoxon dan uji Chisquare sedangkan analisis multivariate menggunakan uji regresi. Hasil:Ada pengaruh prenatal yoga terhadap kualitas tidur (0,002
OPTIMALISASI PERAN SUAMI SEBAGAI PERSIAPAN PENDAMPING PERSALINAN MELALUI PRENATAL COUPLE YOGA DI WILAYAH YOGYAKARTA TAHUN 2018 Dheska Arthyka Palifiana; Ratih Kumoro Jati
Avicenna : Journal of Health Research Vol 2, No 1 (2019): Maret
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.126 KB) | DOI: 10.36419/avicenna.v2i1.254

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Latar Belakang: Persalinan merupakan proses alami yang akan dialami oleh setiap wanita, dan tidak bisa dipungkiri bahwa proses untuk menjadi seorang ibu adalah proses yang sangat mendebarkan dan penuh tantangan. Di Indonesia ibu hamil yang mengalami kecemasan dalam menghadapi persalinan sebanyak 107.000 orang (28,7%). Dukungan yang diterima di lingkungan tempatnya melahirkan, termasuk dari mereka yang mendampinginya sangat mempengaruhi psikologisnya, maka ibu yang bersalin harus ditemani oleh orang yang dipercaya yaitu suaminya. Tujuan: Penelitian ini bertujuan untuk mengetahui apakah ada pengaruh prenatal couple yoga terhadap pengetahuan dan kesiapan suami dalam persiapan menjadi pendamping persalinan di wilayah Yogyakarta Tahun 2018. Metode: Jenis penelitian ini adalah Quasi experiment menggunakan rancangan one group pretest-posttest. Sampel penelitian ini adalah suami yang mengikuti prenatal couple yoga di wilayah Yogyakarta yang berjumlah 80 responden dengan teknik total sampling. Alat pengumpulan data menggunakan kuesioner. Analisis data menggunakan uji Chi Square. Hasil: Pengetahuan suami tentang pendamping persalinan sebelum diberikan prenatal couple yoga sebagian besar dalam kategori kurang sebanyak 52 responden (41,6) sedangkan sesudah diberikan prenatal couple yoga pengetahuan suami sebagian besar dalam kategori baik sebanyak 50 responden (40%). Kesiapan suami dalam persiapan menjadi pendamping persalinan sebelum diberikan prenatal couple yoga sebagian besar dalam kategori kurang siap sebanyak 63 responden (50,4%) sedangkan sesudah diberikan prenatal couple yoga sebagian besar dalam kategori siap sebanyak 60 responden (4%). Ada pengaruh prenatal couple yoga terhadap pengetahuan suami tentang pendamping persalinan (p-value 0,000). Ada pengaruh prenatal couple yoga terhadap kesiapan suami menjadi pendamping persalinan (p-value 0,001). Simpulan: Ada pengaruh prenatal couple yoga terhadap pengetahuan dan kesiapan suami dalam persiapan menjadi pendamping persalinan di wilayah Yogyakarta tahun 2018.
Effect of Yoga Exercise on Cortisol Hormone Levels in Pregnant Women in Kinik Pratama Asih Waluyojati Banguntapan Bantul Yogyakarta Ratih Kumorojati; Alfie Alfie; Agus Warseno
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8, No 4 (2020)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(4).292-297

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Maternal mortality rates in 2016 rose compared to 2015. The causes of maternal death in 2016 were Severe Preeclampsia (PEB) as much as 33% (4 cases), Bleeding by 17% (2 cases), Heart Failure 17% (2 cases), Sepsis 17% (2 cases) and Other 16% (2 cases). Some studies state that preeclampsia occurs due to the influence of anxiety during pregnancy. Pregnancy is a period of crisis that involves also psychological factors, hormonal changes causing the mother's emotions to become lame. In addition to physical factors, psycho social factors can add anxiety in pregnant women. High stress in pregnancy can increase stress hormones, it can also lead to increased blood pressure and birth weight loss. Prevention can be done by pregnant women to have a healthy condition both the mother and her fetus, as well as through the normal labor process that is by exercising, gymnastics, dancing, and yoga. At this time yoga becomes one of the self help that can support the process of pregnancy, birth. Physiological of yoga performed during pregnancy is reversing the effects of stress involving the parasympathetic part of the central nervous system. The effects of such stress will be inhibited by relaxation, so that the hormones that cause body dysregulation (cortisol) will be reduced in number. The hormone cortisol is an increased hormone in anxiety so by masterminding this hormone can lower the anxiety levels of pregnant women which has an impact on the decreased risk of PEB. Look at the effect of Yoga exercise on cortisol hormone levels in pregnant women. This type of quantitative research is True Experimental research method, with Posttest-Only Control Group Design. Respondents who used pregnant women who participated in prenatal yoga, samples taken with the Formula Freeder obtained 16 pregnant women with control as many as 16. Data analysis was performed using the Pearson Chi-Square test with a result of p <0.00 which indicates a correlation. There is an effect of yoga on cortisol levels in pregnant women.
Pengurangan Nyeri Haid Melalui Yoga Pada Remaja di Wilayah Kerja Puskesmas Kalasan Yogyakarta Lily Yulaikhah; Dian Puspitasari; Ratih Kumorojati; Eniyati -; Anastasia Agnes Wulandari; Aisyah Anamardiyah Ramadani; Anisa Putri Arthadewi; Ayu Widyastuti; Desmanita
The Journal of Innovation in Community Empowerment Vol 4 No 1 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i1.717

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ABSTRAK. Masa remaja merupakan masa transisi dari masa anak-anak menuju dewasa yang ditandai dengan terjadinya perubahan-perubahan di dalam tubuh yang memungkinkan untuk bereproduksi. Perubahan biologis yang mendasar pada remaja disebut pubertas, gangguan menstruasi yang sering dialami perempuan seperti nyeri perut bagian bawah, menstruasi yang tidak teratur, nyeri pinggang, dan salah satunya yaitu dismenore. Upaya penanganan untuk mengurangi dismenore adalah dengan pemberian terapi farmakologi dan terapi non farmakologis diantaranya adalah menggunakan teknik relaksasi, olahraga dan yoga. Yoga merupakan tehnik yang mengajarkan seperti tehnik relaksasi, pernafasan, dan posisi tubuh untuk meningkatkan kekuatan, keseimbangan dan mengurangi rasa nyeri. Oleh karenanya dalam rangka memberikan pemahaman bagi para remaja tentang nyeri haid dan yoga telah dilaksanakan kegiatan pengabdian kepada masyarakat dalam bentuk edukasi dan melatih remaja untuk menggunakan beberapa gerakan yoga yang dapat digunakan untuk mengurangi nyeri haid. Kegiatan ini dilaksanakan selama dua hari secara daring menggunakan zoom meeting dan luring bertempat di Balai Desa Tirtomartani Wilayah Kerja Puskesmas Kalasan. Sasaran dalam kegiatan ini adalah remaja perempuan dari Parikesit dengan tujuan meningkatkan pemahaman remaja mengenai yoga serta melatih gerakan yoga untuk mengurangi nyeri haid. Hasil dari kegiatan ini terdapat peningkatan pengetahuan remaja tentang yoga untuk mengurangi nyeri haid berdasarkan hasil pretes dengan rata-rata 68,33 dan postes dengan rata-rata 83,06. Dengan adanya peningkatan pengetahuan remaja dapat dievaluasi bahwa pendidikan kesehatan yang diberikan dapat meningkatkan pengetahuan remaja tentang nyeri haid dan yoga untuk mengatasi nyeri haid. Dalam praktik yoga sebagian besar peserta juga dapat mengikuti gerakan yoga dengan tepat. Luaran dari kegiatan ini berupa publikasi di jurnal nasional serta media koran elektronik tribunnews. Diharapkan dengan adanya kegiatan ini pengetahuan remaja senantiasa dijaga dan ditingkatkan serta dapat diterapkan dalam mengatasi dismenorhea saat menstruasi. Pihak Puskesmas diharapkan dapat melakukan pemantauan terhadap remaja dalam implementasi yoga untuk mengurangi nyeri saat haid serta memberikan pendidikan kesehatan lain terkait dengan remaja.
The effect of transcutaneous electrical nerve stimulation (TENS) on decreasing primary dysmenorrhea pain in adolescents Nur Rahmawati Sholihah; Ratih Kumorojati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 3 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(3).251-261

Abstract

Background: Dysmenorrhea is medical condition indicated by an increase of the prostaglandin (PG) F2-alpha hormone and cyclooxygenase (COX-2) causing hypertonic as well as vasoconstriction activity to the myometrium. It leads to ischemia and stimulating pain in the uterine organs. The condition influence quality of life and productivity of majority female patients. Dysmenorrhea incidence in Indonesia is reported by 64.25% and a total of 52% of students in Yogyakarta experienced drop activity during menstruation. Objectives: This study aimed to evaluate the effect of TENS in reducing primary dysmenorrhea pain among female adolescents in General Ahmad Yani University YogyakartaMethods: A quasi experiment study with pretest-posttest control group design was conducted. A total of 24 participants for intervention and control group were recruited. In order to recruit study participants, this research implemented a quota sampling approach. Primary dysmenorrhea pain measured using Numerical Rating Scale (NRS) and bivariate analysis between both groups carried out using T-test.Results: A significant difference (p<0.05) reported from both groups before and after the intervention. Prior to the treatment, the average pain score for intervention group was 6 (1.70) and ranging from 4-10. After the treatment being delivered, the intervention group experienced lower pain intensity by average 3.42 (1.6) between 1-6 score range. Control group in this study reported average pain score before the intervention by 4 (1.16) with and ranging from 3-6. The treatment decreased control group participants pain level to average 1.50 (0.52) between the range of 1-2. TENS is effective for severe pain management. Effleurage massage suitable for moderate level pain management. TENS intervention effective to lower pain by 3.50%.Conclusions: TENS and massage intervention potential to decrease pain intensity of primary dysmenorrhea. This study reported lower pain level associated with TENS by 3.50%. TENS had significant effect for reducing dysmenorrhea pain by 3.50%.