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Comparison of Giving Peppermint Aromatherapy and Lemon Aromatherapy Against Vomiting Nausea in Pregnant Women with Hyperemesis Gravidarum Level I Ismah Khaerunisa; Yulia Herliani; Herni Kurnia
JURNAL KEBIDANAN Vol 13, No 1 (2023): April 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i1.7038

Abstract

According to WHO, symptoms of nausea and vomiting are experienced by around 70% of pregnant women in the first trimester. Management for nausea and vomiting can be pharmacological or non-pharmacological. One of the non-pharmacological treatments is peppermint aromatherapy and lemon aromatherapy which can overcome or eliminate nausea and vomiting. The purpose of this study was to compare the administration of peppermint aromatherapy and lemon aromatherapy to nausea and vomiting in pregnant women with Hyperemesis Gravidarum Level I in the Work Area of the Cigalontang Health Center in 2021. The research method is Quasy Experiment with  two group pretest-posttest design. The samples in this study was 32 respondents with total sampling technique. Giving aromatherapy, both peppermint aromatherapy and lemon aromatherapy, is done by giving two drops of aromatherapy that the researcher bought with the brand "N" on the tissue that the researcher bought with the brand "T" then the tissue is stored in the chest, then inhale for 10 minutes. Giving aromatherapy is given 2 times at 06.00 WIB and 18.00 WIB. Giving is done 6 days in a row. The statistical test uses Paired-Sample T-Test to determine the effect of the intervention, and uses Independent T-Test to compare the effect of the intervention. The results of the analysis obtained a p value of 0.000 which means that there is a difference in the scale of nausea and vomiting in pregnant women with level I hyperemesis gravidarum in the Work Area of the Cigalontang Health Center in 2021 which was given intervention by giving peppermint and lemon aromatherapy.The conclusion in this study is that peppermint aromatherapy is more effective than lemon aromatherapy against nausea and vomiting in pregnant women with Hyperemesis Gravidarum Level I in the Work Area of the Cigalontang Health Center in 2021.
Health Education Prevention and Control of Hypertension in the Elderly in Sei Rotan Village, Batang Kuis Working Area of Puskesmas Batang Kuis Deli Serdang Liesmayani, Elviera; Khaerunisa, Ismah; Arisman, Yessy
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i2.2432

Abstract

Hypertension is one of the common health problems in the elderly and has a significant impact on the quality of life and the risk of complications such as cardiovascular disease and stroke. Prevention and control of hypertension in the elderly requires a holistic approach involving promotive, preventive, curative, and rehabilitative efforts. This Community Service activity aims to provide information to the community, especially the elderly, about the prevention and control of hypertension, with an emphasis on lifestyle interventions, pharmacological treatment, and health education. The method used in this community service is Education on Prevention and Control of Hypertension in the Elderly using lecture and discussion methods and blood pressure checks, blood sugar and cholesterol checks. The socialization was attended by 79 participants, which lasted for 2.5 hours. Educational activities were carried out by delivering the main material, discussion as well as a question and answer discussion and closing. In addition, before the material event began, a blood pressure and blood sugar/cholesterol examination was carried out first. The results of this activity, the elderly who attended received education about the knowledge of Prevention and Control of hypertension (healthy lifestyle, stress management, physical activity), and the results of laboratory tests showed that out of 79 elderly people there were 30 people with normal blood pressure, 28 people positive cholesterol and 21 elderly people with positive blood sugar <200 mg/dl. This health education is expected to be able to detect early increases in cholesterol and uric acid and blood sugar in the elderly. In addition, it is also to increase the knowledge of the elderly about the prevention and control of hypertension in the elderly in the Batang Kuis Deli Serdang Health Center.
Faktor Presdisposing dan Reinforcing Yang Mempengaruhi Penggunaan Metode Kontrasepsi Suntik 3 Bulan Diwilayah Kerja Puskesmas Garung Kabupaten Wonosobo Haryono, Nathasia Elga; Sinaga, Sri Putriani; Ladyvia, Fiyola; Khaerunisa, Ismah
Madani: Jurnal Ilmiah Multidisiplin Vol 3, No 2 (2025): March
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.14840678

Abstract

The 3-month injectable contraceptive is the most widely used method in the working area of Puskesmas Garung, accounting for 50% of the total active contraceptive coverage, which stands at 78.90%. However, this method has several drawbacks, such as an effectiveness rate of only 98% and a failure risk of 60 per 1,000 users according to WHO, which is higher compared to IUDs, implants, MOW, and MOP. The high usage of the 3-month injectable contraceptive may lead to suboptimal birth control, potentially increasing maternal mortality rates (MMR). This study aims to identify predisposing and reinforcing factors influencing the selection of the 3-month injectable contraceptive. Using a descriptive qualitative method with consecutive sampling involving 9 respondents, data were collected through questionnaires and analyzed univariately. The findings indicate that age, education, and knowledge (predisposing factors) are the most influential factors in choosing this contraceptive method. Therefore, healthcare providers are encouraged to offer in-depth counseling on the effectiveness and drawbacks of the 3-month injectable contraceptive to encourage mothers to switch to long-acting contraceptive methods (LACMs).
PENGARUH DEEP BACK MASSAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I Khaerunisa, Ismah
Journal Of Midwifery And Nursing Studies Vol. 7 No. 1 (2025): Edisi Mei 2025
Publisher : Akademi Kebidanan Tahirah Al Baeti Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57170/jmns.v7i1.168

Abstract

Abstrak Nyeri saat persalinan merupakan proses fisiologis yang dapat berdampak pada kondisi fisik dan psikologis ibu. Salah satu pendekatan nonfarmakologis yang terbukti efektif dalam meredakan nyeri persalinan adalah teknik deep back massage. Penelitian ini bertujuan untuk mengevaluasi pengaruh deep back massage terhadap tingkat nyeri pada fase pertama persalinan. Studi ini menggunakan desain pra-eksperimen dengan pendekatan one-group pretest-posttest design. Penelitian dilaksanakan di wilayah kerja Puskesmas Garung pada tanggal 22 Agustus hingga 4 September 2023, dengan melibatkan delapan ibu bersalin kala I yang dipilih melalui teknik total sampling. Tingkat nyeri diukur sebelum dan sesudah intervensi menggunakan Numeric Rating Scale (NRS). Hasil menunjukkan bahwa rata-rata intensitas nyeri sebelum diberikan intervensi adalah 7,25, dan menurun menjadi 4,38 setelah intervensi, dengan selisih penurunan sebesar 2,87. Uji statistik menggunakan Paired Sample T-Test menghasilkan nilai p = 0,000 (? = 0,05), yang menunjukkan adanya pengaruh signifikan dari deep back massage terhadap penurunan nyeri persalinan kala I. Teknik ini bekerja berdasarkan teori Gate Control, di mana stimulasi pada kulit dapat menghambat transmisi impuls nyeri menuju otak, sehingga persepsi nyeri berkurang. Selain itu, deep back massage juga merangsang pelepasan endorfin yang berfungsi sebagai analgesik alami dan membantu meningkatkan relaksasi. Oleh karena itu, deep back massage dapat dijadikan sebagai alternatif nonfarmakologis yang efektif dalam manajemen nyeri selama persalinan.
Optimizing the Mother–Toddler Class to Address Wasting Through the Tangan Baliku Program Towards a Healthy and High-Quality Generation in the Working Area of Purbaratu Primary Health Center Ladyvia, Fiyola; Khaerunisa, Ismah; Leandra, Maulinda Nur Amalina; Siagian, Rosmawaty Irma Suryani; Yatini, Yatini
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/w0t01y29

Abstract

Wasting in children under five remains a significant public health problem, especially in developing countries like Indonesia, where nutritional issues such as wasting, stunting, and underweight are still prevalent. This study aimed to develop and implement a community-based innovation program named Tangan Baliku (Integrated Management of Underweight Children) to address the high incidence of wasting in the working area of Purbaratu Primary Health Center. This innovation was designed and implemented in April 2022 through cross-sectoral collaboration, focusing on promotive, preventive, curative, and educational approaches. The methodology used was a descriptive participatory approach involving community empowerment through optimizing the existing mother–toddler class, home visits, nutrition counseling, supplementary feeding, and regular monitoring. The results show that Tangan Baliku effectively increases early detection and management of underweight children, improves mothers' knowledge of nutrition, and encourages higher participation in toddler health services. It also helps in reducing the number of children with poor nutritional status through structured follow-up and referral systems. In conclusion, the Tangan Baliku program is a comprehensive and sustainable strategy that addresses wasting by strengthening maternal involvement, community participation, and cross-sector collaboration in child nutrition improvement. This program contributes to better health outcomes for children under five and supports the development of a healthy and high-quality future generation.
PROGRAM INOVASI KOMUNITAS WANOJA SEHAT SIAP NIKAH “WASSINI” Khaerunisa, Ismah; Fiyola Ladyvia; Nathasia Elga Haryono
Jurnal Pengabdian Masyarakat FKIP UTP Vol 7 No 1 (2026): PROFICIO : Jurnal Abdimas FKIP UTP
Publisher : FKIP UNIVERSITAS TUNAS PEMBANGUNAN SURAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36728/jpf.v7i1.5808

Abstract

Program inovasi komunitas Wanoja Sehat Siap Nikah “WASSINI” dilaksanakan untuk meningkatkan kesiapan remaja putri dalam menghadapi pernikahan dan perencanaan kehamilan sehat. Kegiatan ini dilatarbelakangi oleh kurangnya edukasi dini mengenai kesehatan pranikah dan prakonsepsi pada remaja usia 17–18 tahun di wilayah kerja Puskesmas Purbaratu, Tasikmalaya. Tujuan program ini adalah untuk meningkatkan kesadaran serta peran aktif remaja, keluarga, dan kader masyarakat terkait pentingnya edukasi pranikah dan prakonsepsi. Metode kegiatan meliputi analisis situasi, koordinasi internal dengan pembimbing dan petugas kesehatan, pembuatan media edukasi, serta penyuluhan langsung di posyandu remaja. Hasil kegiatan menunjukkan peningkatan pengetahuan dan kesadaran remaja mengenai persiapan pranikah dan prakonsepsi. Program WASSINI memberikan dampak positif terhadap kesiapan remaja menuju kehidupan reproduksi yang sehat serta direkomendasikan untuk dilanjutkan dan diperluas dengan dukungan lintas sektor.
PENGARUH DEEP BACK MASSAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I Ismah Khaerunisa
Journal Of Midwifery And Nursing Studies Vol. 7 No. 1 (2025): Edisi Mei 2025
Publisher : Akademi Kebidanan Tahirah Al Baeti Bulukumba

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57170/jmns.v7i1.168

Abstract

Abstrak Nyeri saat persalinan merupakan proses fisiologis yang dapat berdampak pada kondisi fisik dan psikologis ibu. Salah satu pendekatan nonfarmakologis yang terbukti efektif dalam meredakan nyeri persalinan adalah teknik deep back massage. Penelitian ini bertujuan untuk mengevaluasi pengaruh deep back massage terhadap tingkat nyeri pada fase pertama persalinan. Studi ini menggunakan desain pra-eksperimen dengan pendekatan one-group pretest-posttest design. Penelitian dilaksanakan di wilayah kerja Puskesmas Garung pada tanggal 22 Agustus hingga 4 September 2023, dengan melibatkan delapan ibu bersalin kala I yang dipilih melalui teknik total sampling. Tingkat nyeri diukur sebelum dan sesudah intervensi menggunakan Numeric Rating Scale (NRS). Hasil menunjukkan bahwa rata-rata intensitas nyeri sebelum diberikan intervensi adalah 7,25, dan menurun menjadi 4,38 setelah intervensi, dengan selisih penurunan sebesar 2,87. Uji statistik menggunakan Paired Sample T-Test menghasilkan nilai p = 0,000 (? = 0,05), yang menunjukkan adanya pengaruh signifikan dari deep back massage terhadap penurunan nyeri persalinan kala I. Teknik ini bekerja berdasarkan teori Gate Control, di mana stimulasi pada kulit dapat menghambat transmisi impuls nyeri menuju otak, sehingga persepsi nyeri berkurang. Selain itu, deep back massage juga merangsang pelepasan endorfin yang berfungsi sebagai analgesik alami dan membantu meningkatkan relaksasi. Oleh karena itu, deep back massage dapat dijadikan sebagai alternatif nonfarmakologis yang efektif dalam manajemen nyeri selama persalinan.
Hubungan Antara Faktor-Faktor Klinis Dan Kejadian Ruptur Perineum Pada Ibu Bersalin Di TPMB Silvy Kusmiran Amd.Keb, 2024 Ai Hanifah Nurlatifah; Rosi Kurnia Sugiharti; Yulianti; Ika Kania Fatdo Wardani; Ismah Khaerunisa
Borneo Nursing Journal (BNJ) Vol. 8 No. 1
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i1.315

Abstract

Latar Belakang: Ruptur perineum adalah robekan jalan lahir yang terjadi saat persalinan, baik dengan bantuan alat maupun tidak. Menurut WHO, ada sekitar 2,7 juta kasus ruptur perineum pada ibu bersalin, dan jumlah ini diperkirakan meningkat hingga 6,3 juta pada tahun 2050. Tujuan: Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan terjadinya ruptur perineum pada ibu bersalin di TPMB Silvy Kusmiran Amd.Keb tahun 2024. Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Populasi adalah semua ibu bersalin periode Januari–Desember 2024 sebanyak 86 orang, dengan teknik total sampling. Analisis data dilakukan menggunakan uji chi-square. Hasil: Penelitian menunjukkan terdapat hubungan antara paritas (p=0,003), jarak kehamilan (p=0,004), dan berat badan bayi lahir (p=0,031) dengan kejadian ruptur perineum. Untuk faktor umur ibu (p=0,063), hasil menunjukkan ada kecenderungan hubungan, meski tidak signifikan. Kesimpulan: Faktor yang berhubungan dengan ruptur perineum adalah paritas, jarak kehamilan, dan berat badan bayi lahir. Temuan ini dapat menjadi masukan bagi bidan untuk memberikan pelayanan kebidanan yang lebih baik guna mengurangi risiko ruptur perineum.
The Effect Of Cocoa Cream (Theobroma Cacao L) Administration On Breast Engorgement In Primigravida Postpartum Mothers NATHASIA HARYONO; Sri Putriani Sinaga; Fiyola Ladyvia; Ismah Khaerunisa
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/9rk55z42

Abstract

Breast engorgement is a common problem among postpartum mothers, especially primigravida, which can cause pain, swelling, and hinder the breastfeeding process. Conventional management such as warm compresses often provides only temporary relief, thus alternative therapies that are more effective and natural are needed. Cocoa (Theobroma cacao L.) contains flavonoids, polyphenols, and cocoa butter with anti-inflammatory, antioxidant, and emollient properties. This study aimed to determine the effect of cocoa cream on reducing breast engorgement in primigravida postpartum mothers. This research employed a quasi-experimental design with a pretest-posttest control group approach. A total of 36 primigravida postpartum mothers were recruited and divided into two groups: the intervention group (cocoa cream) and the control group (warm compresses). Measurements were conducted on days 1, 3, 5, and 7 using breast circumference measurement and the Visual Analog Scale (VAS) for pain. Data were analyzed using Paired t-test and Independent t-test with a significance level of p<0.05. Independent t-test results showed no significant differences at pretest (p=0.674) and day 3 (p=0.068). However, significant differences were observed from day 5 (p=0.003) and became more pronounced on day 7 (p=0.000), with the intervention group demonstrating greater reduction in pain and swelling compared to the control group. Cocoa cream was more effective than warm compresses in reducing breast engorgement among primigravida postpartum mothers, particularly after the fifth day postpartum. Cocoa cream may be recommended as a safe, natural, and non-invasive complementary therapy to support successful breastfeeding.
PEMBERDAYAAN KADER MELALUI PROGRAM KAGENCAR (GERAKAN KADER MELEK PEMERIKSAAN IVA TEST) DALAM MENINGKATKAN KESADARAN DETEKSI DINI KANKER SERVIKS PADA WANITA USIA SUBUR DI DESA SUMBERJAYA Ismah Khaerunisa; Tesa Lugina Laelasari; Fiyola Ladyvia; Nathasia Elga Haryono
Jurnal Pengabdian Masyarakat FKIP UTP Vol 7 No 2 (2026): PROFICIO : Jurnal Abdimas FKIP UTP
Publisher : Fakultas Keguruan dan Ilmu Pendidikan Universitas Tunas Pembangunan Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36728/jpf.v7i2.6860

Abstract

Kanker serviks masih menjadi salah satu penyebab utama kematian pada perempuan, namun dapat dicegah melalui deteksi dini menggunakan pemeriksaan Inspeksi Visual Asam Asetat (IVA) Test. Rendahnya cakupan pemeriksaan IVA Test di wilayah kerja UPTD Puskesmas Panumbangan menunjukkan masih rendahnya kesadaran masyarakat terhadap pentingnya deteksi dini kanker serviks. Kegiatan pengabdian kepada masyarakat ini bertujuan memberdayakan kader kesehatan melalui pembentukan KAGENCAR (Gerakan Kader Melek Pemeriksaan IVA Test) sebagai upaya meningkatkan edukasi dan partisipasi wanita usia subur dalam pemeriksaan IVA Test. Kegiatan dilaksanakan di Desa Sumberjaya dengan tahapan pengkajian masalah, analisis prioritas masalah, penyusunan inovasi, pengembangan media edukasi berupa lembar balik dan buku panduan, pelatihan kader, pembentukan organisasi KAGENCAR, serta simulasi penyuluhan menggunakan media edukasi. Hasil kegiatan menunjukkan bahwa program KAGENCAR berhasil membentuk kader khusus IVA Test yang memiliki pengetahuan dan keterampilan dasar dalam memberikan edukasi kepada masyarakat mengenai kanker serviks dan pentingnya pemeriksaan IVA Test. Lembar balik dan buku panduan menjadi media pendukung yang membantu kader menyampaikan informasi secara lebih sistematis dan mudah dipahami. Program KAGENCAR menjadi salah satu strategi pemberdayaan masyarakat yang mendukung peningkatan promosi kesehatan serta berpotensi meningkatkan partisipasi wanita usia subur dalam deteksi dini kanker serviks melalui pemeriksaan IVA Test secara berkelanjutan.