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Peni Cahyati, Peni Cahyati
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Humanities Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Nursing Public Health

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Combination of Warm Compress and Woolwich Massage on Breast Milk Production in Post Sectio Caesarea Mothers in the Melati Room 2a Dr. Hospital Soekardjo, Tasikmalaya City Syaukia Adini, Syaukia Adini; Tetet Kartilah, Tetet Kartilah; Sofia Februanti, Sofia Februanti; Novi Indriani, Novi Indriani; Peni Cahyati, Peni Cahyati
Jurnal Medika Cendikia Vol 12 No 01 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i01.327

Abstract

Breastfeeding a baby is the next stage after giving birth. Previous research shows that giving exclusive breast milk can meet the baby's nutritional needs. However, many postpartum mothers still have difficulty breastfeeding properly and easily. The World Health Organization (WHO) states that 46% of new mothers experience difficulty in providing exclusive breastfeeding. Therefore, efforts that can be made to facilitate breast milk production are through massage by applying a combination technique of warm compresses with Woolwich massage which can stimulate the release of the hormones prolactin and oxytocin which influence the smooth production of breast milk. The purpose of writing this scientific paper is to provide care. Nursing for Post-Section Caesarean mothers in increasing the flow of breast milk by providing a combination technique of warm compresses with Woolwich massage. This action was carried out for 3 days, starting from 17 to 19 November 2023. The final result after being given a combination of warm compresses and Woolwich massage, both respondents experienced changes in the smoothness of breast milk production. Respondent 1 had a pre-intervention score of 0 and post-intervention had a final score of 3 (poor breast milk production), while respondent 2 had a pre-intervention score of 0 and post-intervention with a final score of 6 (good breast milk production). The conclusion of this scientific paper is that Woolwich massage can influence the increase in the smooth production of breast milk in post partum mothers, caesarean section.
Application of 5 Finger Hypnosis Therapy and Murrotal Al-Qur'an to Reduce Anxiety in Patients Congestive Heart Failure (CHF) In Melati Room 2B RSUD Dr. Soekardjo, Tasikmalaya City Novi Indriani, Novi Indriani; Peni Cahyati, Peni Cahyati; Ridwan Kustiawan, Ridwan Kustiawan; Iwan Somantri, Iwan Somantri; Syaukia Adini, Syaukia Adini
Jurnal Medika Cendikia Vol 12 No 01 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i01.328

Abstract

CHF is a condition where the heart is unable to pump enough blood to supply nutrients and oxygen to the body's tissues. Heart failure patients will experience significant psychological impacts such as excessive anxiety, depression, sleep disorders, or excessive sensitivity, resulting in a decrease in quality of life. The aim of this scientific work is to provide an overview of the application of 5-finger hypnosis therapy and Murotal Al-Qur'an to CHF patients to reduce signs and symptoms of anxiety. The method used in this scientific paper is quantitative in the form of a case study approach that explores nursing problems, especially anxiety in patients with heart failure. The data collection techniques used were interviews, observation and physical examination as well as the HARS scale assessment which was used to determine the anxiety scores for the two subjects. The results obtained by both respondents experienced severe anxiety problems so they were given implementation in the form of 5 Finger hypnosis therapy and murrotal Al-Qur'an with a duration of 30 minutes for 3 days with an intensity of once a day. The conclusion is that both respondents experienced a decrease in anxiety after the intervention, but there was a difference in the decrease in anxiety scores between the two respondents. According to the HARS scale, the reduction in anxiety scores was better for respondent 1 because the severity of the disease suffered by the two respondents was different. Respondent 2 has a history of hypertension and diabetes mellitus since three years ago and is obese and has a decrease in intelligence in the form of memory loss, but in respondent 1 there is none. It is hoped that the problem of nursing anxiety in CHF patients will be given more attention because it not only impacts the physical condition but also disrupts the psychological condition, thus affecting the healing process.
The Effect of Classical Music Therapy and Expressive Writing Combination on Anxiety Scores of Primigravid Pregnant Women in the Third Trimester at Cibeureum Public Health Center in Tasikmalaya City Selvia Dewi, Selvia Dewi; Peni Cahyati, Peni Cahyati; Ridwan Kustiawa, Ridwan Kustiawan; Dudi Hartono, Dudi Hartono
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.373

Abstract

Primigravida pregnant women in the third trimester are prone to anxiety triggered by uncertainty before giving birth and adapting to the new role as parents. Excessive anxiety risks causing negative impacts on maternal and fetal health, such as sleep disorders, preeclampsia, premature birth, and low birth weight. Therefore, effective non-pharmacological interventions are needed to help reduce anxiety levels in pregnant women. This study aims to determine the effect of a combination of classical music therapy and expressive writing on anxiety scores of primigravida pregnant women in the third trimester at the Cibeureum Health Center, Tasikmalaya City. This study used a quantitative approach with a pre-experimental design and a one group pretest-posttest approach. The research sample consisted of 26 respondents selected by purposive sampling. The intervention in the form of classical music therapy and expressive writing was given for three consecutive days with a duration of 20–30 minutes per session. Anxiety scores were measured using the Hamilton Anxiety Rating Scale (HARS) before and after the intervention. Data analysis used the paired sample t-test statistical test. The results showed a significant decrease in anxiety scores after being given a combination of classical music therapy and expressive writing. The p value obtained was 0.000 (p <0.05), which indicated that the difference before and after the intervention was statistically significant. The combination of classical music therapy and expressive writing has been proven effective in reducing anxiety scores in primigravida pregnant women in the third trimester. This intervention is recommended as a non-pharmacological alternative that can be applied in primary health services to support the mental health of pregnant women.
The Effect of Squishy Ball Therapy on Anxiety Scores in Third Trimester Pregnant Mothers in the Work Area of Tamansari Community Health Center Lisnia Desi Santika, Lisnia Desi Santika; Peni Cahyati, Peni Cahyati; Asep Riyana, Asep Riyana; Ridwan Kustiawan, Ridwan Kustiawan
Jurnal Medika Cendikia Vol 12 No 02 (2025): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v12i02.375

Abstract

The third trimester of pregnancy is a period prone to increased anxiety due to physical and emotional changes, as well as concerns about the upcoming childbirth. If left unaddressed, anxiety may negatively affect both the mother and the fetus, leading to complications such as preterm labor or obstetric disorders. Based on this condition, this study aims to determine the effect of squishy ball therapy on anxiety scores among third-trimester pregnant women in the working area of Tamansari Public Health Center. The theoretical basis of this research includes the concepts of pregnancy, anxiety, maternal anxiety, squishy ball therapy, the benefits, use, and effects of squishy ball therapy. This study utilized a pre-experimental design with a one-group pretest-posttest approach, involving 19 respondents selected through purposive sampling. The instrument used was the Perinatal Anxiety Screening Scale (PASS) questionnaire. The paired t-test results showed a decrease in anxiety scores from a mean of 40.05 to 28.21 with a p-value of 0.000 (p < 0.05), indicating a significant effect. This decrease demonstrates that simple activities such as repeatedly squeezing a squishy ball can stimulate the parasympathetic nervous system, increase endorphin release, and produce a relaxing effect that helps reduce anxiety levels. This therapy is non-pharmacological, practical, easy to perform, and has no side effects, making it highly suitable for use as an independent nursing intervention. The conclusion of this study states that squishy ball therapy is effective in reducing anxiety in third-trimester pregnant women. It is recommended that this therapy be integrated into independent nursing practices in antenatal care services and be included as learning material in nursing education.
Co-Authors Asep Riyana, Asep Riyana Dudi Hartono, Dudi Hartono Iwan Somantri, Iwan Somantri Lisnia Desi Santika, Lisnia Desi Santika Novi Indriani, Novi Indriani Ridwan Kustiawa, Ridwan Kustiawan Ridwan Kustiawan, Ridwan Kustiawan Selvia Dewi, Selvia Dewi Sofia Februanti, Sofia Februanti Syaukia Adini, Syaukia Adini Tetet Kartilah, Tetet Kartilah