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All Journal Journal of Health Empowerment and Interprofessional Practice
Tri Lestari Handayani
Hermina Health Institute
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Effects of Counterpressure and Effleurage Techniques on Pain and Anxiety Among Women in The Active Phase of The First Stage of Labor Tri Lestari Handayani; Novita Hesti Rahayu; Nur Endah Rakhmawati
Journal of Health Empowerment and Interprofessional Practice Vol. 2 No. 1 (2026): Journal of Health Empowerment and Interprofessional Practice
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/jheip.v2i1.71

Abstract

Background: Labor pain and anxiety commonly occur during the active phase of the first stage of labor and may negatively affect maternal comfort and labor progress. This study aimed to compare the effectiveness of counterpressure and effleurage techniques in reducing pain and anxiety among women in labor.Methods: A quasi-experimental comparative design was applied involving 36 women in the active phase of the first stage of labor at Hermina Banyumanik Hospital, Semarang. Participants were divided into counterpressure and effleurage intervention groups. Pain intensity was measured using the Numerical Rating Scale (NRS), and anxiety was assessed using the Visual Analog Scale for Anxiety (VAS-A). Data were analyzed using paired and independent t-tests.Results: Both counterpressure and effleurage significantly reduced pain and anxiety levels (p < 0.05). Effleurage showed a greater reduction in pain compared to counterpressure, while no significant difference was found between the two techniques in reducing anxiety.Conclusion: Counterpressure and effleurage are effective non-pharmacological interventions for reducing pain and anxiety during labor. Effleurage may be more effective for pain reduction.
Impact of Tera Exercise on Musculoskeletal Health in Older Adults Shinta Silaswati; Dwi Juliani Pramestika; Tri Lestari Handayani
Journal of Health Empowerment and Interprofessional Practice Vol. 2 No. 1 (2026): Journal of Health Empowerment and Interprofessional Practice
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/jheip.v2i1.72

Abstract

Background of study: The aging process in older adults is accompanied by musculoskeletal changes that frequently manifest as joint pain, impairing daily functioning, independence, and overall quality of life. Non-pharmacological interventions are increasingly explored, with tera exercise—a light exercise emphasizing stretching, joint mobility, flexibility, circulation, and relaxation—emerging as a promising approach.Aim : This study aimed to evaluate the effectiveness of tera exercise in reducing joint pain among elderly residents of a private nursing home in Jakarta, thereby providing empirical evidence for its role as a non-pharmacological intervention to improve musculoskeletal health and quality of life.Methods: A quasi-experimental design with a one-group pretest–posttest approach was employed. Using purposive sampling, 20 respondents were recruited. Joint pain levels were measured using the Numeric Rating Scale (NRS) before and after a two-week tera exercise program conducted three times per week. Data were analyzed using the Wilcoxon Signed Rank Test.Result: Prior to the intervention, 10 respondents (50%) reported mild to moderate pain, while 10 respondents (50%) experienced severe to very severe pain. After the intervention, 17 respondents (85%) reported mild to moderate pain, and only 3 respondents (15%) remained in the severe to very severe category. Statistical analysis yielded a p-value < 0.05 and a Z-score of -2.646, indicating a significant reduction in joint pain.Conclusion: Tera exercise is an effective non-pharmacological strategy for alleviating joint discomfort and improving musculoskeletal health among older adults in nursing home settings. However, limitations include the small sample size and absence of a control group. Future studies should employ larger samples, randomized controlled designs, longer observation periods, and examine additional factors such as physical activity, psychological status, and pharmacological therapies.
Co-Authors Dwi Juliani Pramestika Novita Hesti Rahayu Nur Endah Rakhmawati Shinta Silaswati