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Field Massage as a Complementary Therapy to Phototherapy in Neonates with Hyperbilirubinemia Rizki Amelia; Motik, Rachmawati Putri; Hendra, Hendra; Supriadi, Supriadi; Pramono, Joko Sapto; Jasmawati, Jasmawati; Syukur, Nursari Abdul; Raihana, Siti; Ratna Wati; Putri, Rosalin Ariefah; Cholsakhon, Panyada
Ahmar Metastasis Health Journal Vol. 4 No. 4 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i4.429

Abstract

Hyperbilirubinemia is a common neonatal condition requiring prompt treatment to prevent complications. While phototherapy is the standard approach, it has limitations and potential side effects, such as diarrhea, dehydration, skin rashes, retinal damage, hyperthermia, extended hospital stays, maternal-infant separation, and disruptions in breastfeeding. This study aimed to evaluate the effectiveness of Field massage as a complementary therapy to phototherapy in reducing serum bilirubin levels in neonates. Field massage is a gentle manipulation technique performed on the face, chest, abdomen, limbs, and neck to stimulate the vagus nerve and enhance metabolic processes, which is believed to help lower serum bilirubin levels and has shown no negative side effects. This research method used a quasi-experimental study conducted at Abdoel Wahab Sjahranie Hospital from March to June 2024 involving 20 neonates divided into two groups: a treatment group that received Field massage and phototherapy (n = 10) and a control group that only received phototherapy (n = 10). Field massage was administered twice daily at 07:00 and 16:00 for 15–20 minutes, at least one hour after feeding. Statistical analysis was conducted using the Paired T-Test to assess changes in bilirubin levels before and after treatment, while the Independent T-Test was used to compare outcomes between the treatment and control groups. The results of the study showed serum bilirubin levels decreased significantly in both groups, with a greater reduction observed in the treatment group (15.28 ± 3.01 mg/dL to 7.09 ± 1.60 mg/dL, p = 0.000) compared to the control group (15.94 ± 2.88 mg/dL to 8.63 ± 1.57 mg/dL, p = 0.000). Post-intervention analysis confirmed the superior efficacy of the combined therapy (p = 0.043). These results suggest that combining field massage with phototherapy is more effective in reducing bilirubin levels than is phototherapy alone. It was concluded that Field massage enhances phototherapy’s effectiveness in managing neonatal hyperbilirubinemia. Future research should include larger samples and explore additional therapies to reduce bilirubin. Examining phototherapy duration, hospitalization length, and bowel movement frequency could provide deeper insights.
Efektivitas Gamifikasi Genially dalam Meningkatkan Pengetahuan dan Keterampilan Sadari pada Remaja Putri di Samarinda Fihayati, Nastiti; Pramono, Joko Sapto; Hendriani, Dwi
Jurnal Penelitian Inovatif Vol 5 No 2 (2025): JUPIN Mei 2025
Publisher : CV Firmos

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54082/jupin.1541

Abstract

Kanker payudara merupakan penyebab kematian tertinggi kedua pada perempuan Indonesia sebanyak 22.598 jiwa, dengan sebagian besar kasus terdiagnosis pada stadium lanjut yang menyebabkan sulitnya penanganan. Keterlambatan diagnosis ini sebagian besar diakibatkan oleh rendahnya pengetahuan dan kesadaran tentang deteksi dini SADARI, serta hambatan internal seperti rasa malu atau takut. Mengingat rendahnya edukasi kesehatan reproduksi digital, penelitian ini bertujuan untuk menguji efektivitas gamifikasi Genially dalam meningkatkan pengetahuan dan keterampilan SADARI di kalangan remaja putri. Studi ini menggunakan desain pre-experimental one-group pretest-posttest dengan 67 partisipan siswi kelas X dari SMKN 4 Samarinda yang dipilih secara proportionate stratified random sampling. Intervensi dilakukan dua sesi (120 menit/sesi) menggunakan media gamifikasi Genially. Data pengetahuan dan keterampilan dikumpulkan melalui kuesioner, kemudian dianalisis menggunakan uji Wilcoxon Signed-Rank. Hasil uji statistik menunjukkan pengaruh signifikan gamifikasi Genially terhadap peningkatan pengetahuan SADARI (Z = -7.047, ρ < 0.001) dari 14,9% menjadi 92,5% pada kategori "Baik" dan peningkatan keterampilan SADARI (Z = -8.011, ρ < 0.001) dari 0% menjadi 95,5% pada kategori "Baik". Temuan ini memperluas bukti bahwa gamifikasi Genially efektif sebagai strategi promotif kanker payudara di kalangan remaja.
Hubungan Pengetahuan Ibu Dengan Deteksi Keterlambatan Bicara (Speech Delay) Pada Balita 1-3 Tahun Sulistyana, Anik; Pramono, Joko Sapto; Suryani, Heni; Era, Dwi Prihatin
Bunda Edu-Midwifery Journal (BEMJ) Vol. 7 No. 1 (2024): Februari 2024
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v7i1.137

Abstract

Speech delay or late speech is one of the disturbances in the stages of child development. Initial observations in the working area of the Rantau Hempang Muara Kaman sub-district health center found children who were considered to have speech disorders. The aim was to determine the relationship between mother's knowledge and speech delay detection in toddlers 1-3 years old. This type of research is an analytic survey with a cross-sectional design. The population is mothers who have toddlers aged 1-3 years who come to Posyandu Lestari which is the working area of the Rantau Hempang auxiliary health center as many as 61 people. The sampling technique is total sampling, so the sample is 61 people. Data analysis used the chi-square test. Most of the characteristics of mothers aged between 22-35 years (83.6 percent), mother's education graduated from junior high school (45.9 percent), mother's work as housewife (62.3 percent), child age 2 years (44.3 percent) ), male sex (54.1 percent), the order of the 1st and 2nd children (31.1 percent), the number of siblings is 1 person (36.1 percent) and the number of family members is 4 people (31, 1 percent). Most mothers' knowledge about speech delay detection was sufficient (45.9 percent) and the detection of speech delay in children 1-3 years was mostly good (65.6 percent). The value of the Chi square test results is obtained p value: 0.010 less than α : (0,05). There is a relationship between mother's knowledge and speech delay detection in toddlers 1-3 years.
Behavioral Control in Belian Traditional Healing Beliefs in Eheng Village West Kutai Santosa, Aji; Pramono, Joko Sapto; Rahayu, Eka Putri
Jurnal Ayurveda Medistra Vol 6 No 2 (2025): Jurnal Ayurveda Medistra
Publisher : STIKes Medistra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51690/medistra-jurnal123.v6i2.119

Abstract

Buying traditional medicine is very popular in West Kutai, especially Eheng Village, this is a culture that has been passed down from generation to generation from their ancestors. because this treatment is felt ttreatment and that they do not experience changes in health when undergoing medical treatment, so that people feel that the pain that arises is not a medical disease but rather pain that comes from spirits that live side by side. . Their imagine confabulate invent plan contrive This research uses observation methods and also in-depth interviews. The sampling technique in this research used a purposive sampling technique with 2 main informants and 5 supporting informants. The results of this research used interactive analysis techniques with the help of the Maxqda application. Thus, behavioral control regarding beliefs in Belian treatment is influenced by relatives, family and also customs whose behavior agrees or accepts Belian treatment. It is explained that this treatment has been started since their ancestors and they also believe in it from past to present. So families tend to prefer buying this treatment when they feel that medical treatment is not yet capable of treating them.
The Effectiveness of Health Education Using Truth or Dare Cards on Motivation to Maintain Female Reproductive Health at SMKN 14 Samarinda Kamiliya, Nurjihan; Pramono, Joko Sapto; Ardyanti, Dian
Panakeia Journal of Epidemiology Vol. 2 No. 1 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v2i1.3070

Abstract

The lack of personal hygiene habits among adolescent girls can increase the risk of various health problems, particularly those related to the female reproductive system, such as cervical cancer. According to data from the Global Cancer Observatory (2022), there were 662,301 cases of cervical cancer worldwide (14.1%), with 348,874 deaths or approximately 7.1%. This study aims to analyze the effectiveness of the Truth or Dare card media in increasing the motivation of female students at SMKN 14 Samarinda to maintain reproductive health. This research employed a pre-experimental method with a One Group Pretest-Posttest design. A total of 67 students were selected using total sampling. Data analysis using the Wilcoxon test showed an increase in the percentage of students with high motivation from 69.8% to 100%, and positive attitudes from 73% to 96.8% after the intervention. The Truth or Dare card media proved effective in enhancing motivation to maintain reproductive health, with a significance value of ρ = 0.000. It can be concluded that this media positively influences the motivation of female students at SMKN 14 Samarinda.
Efektivitas Video Edukasi Terhadap Pengetahuan dan Sikap Ibu Hamil Dalam Pencegahan Stunting di Puskesmas Sepaso Anna Jalaili; Joko Sapto Pramono; Heni Suryani
Midwifery Care Journal Vol 5, No 1 (2024): January 2024
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v5i1.10575

Abstract

Introduction : East Kutai district has a highest stunting incidence with 27.5%. Prevention for stunting beginning from early pregnancy to increase knowledge, attitudes and behavior of maternal because chronic energy deficiency during pregnancy can lead to stunting in children. Purpose of this study was to test the effectiveness of providing videos to pregnant women on knowledge and attitudes towards stunting prevention in Sepaso Health Center East Kalimantan in 2023thMethod : The study uses quasi-experimental design pretest-posttest design with control group. Population was pregnant women in Sepaso Health Center. Sampling technique was non-probabilistic sampling which counted 36 peoples.Results : The results of this study showed by bivariate analysis techniques using wilcoxon. In the experimental group with video, has Pvalue 0.000 (α) and in control group using leaflet, has Pvalue 0.001 (α)Conclusions : Mothers knowledge and attitudes regarding stunting have changed significantly after given health education with videos, so that its use can be further enhanced in health promotion
Pengaruh Intervensi Edukasi Ludo terhadap Peningkatan Pengetahuan, Sikap dan Praktik Kebersihan Menstruasi Pada Santriwati Putri, Defi Salsabila; Pramono, Joko Sapto; Hendriani, Dwi
Jurnal Media Informatika Vol. 6 No. 3 (2025): Jurnal Media Informatika
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jumin.v6i3.6146

Abstract

Kebersihan menstruasi memegang peran dalam menjaga kesehatan dan kualitas hidup perempuan. Praktik kebersihan yang buruk dapat memicu gangguan kesehatan, seperti infeksi saluran kemih, gangguan reproduksi hingga berpotensi terkena kanker serviks. Di lingkungan pondok pesantren, santriwati seringkali mengalami kendala berupa minimnya fasilitas sanitasi dan kurangnya akses informasi tentang kebersihan menstruasi. Inovasi pembelajaran melalui permainan ludo dinilai efektif dalam menciptakan metode edukasi yang menarik dan partisipatif. Penelitian ini bertujuan menganalisis pengaruh intervensi edukasi permainan ludo terhadap peningkatan pengetahuan, sikap dan  praktik kebersihan menstruasi pada santriwati. Metode yang digunakan adalah pre-experimental dengan desain one group pre-post test. Sampel terdiri dari 56 santriwati Pondok Pesantren Al-Husna kelas 7-9 yang dipilih dengan teknik proportionate stratified random sampling. Intervensi dilakukan dalam dua sesi menggunakan media permainan Ludo yang telah dimodifikasi, mencakup kartu informasi, pertanyaan dan tantangan. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan uji Wilcoxon. Hasil menunjukkan adanya peningkatan signifikan pada pengetahuan (ρ-value = 0,000), sikap (ρ-value = 0,002), dan praktik (ρ-value = 0,021) setelah  intervensi. Hasil ini menunjukkan bahwa metode edukasi melalui permainan Ludo mampu meningkatkan pemahaman dan mendorong perubahan perilaku kebersihan menstruasi secara signifikan. Oleh karena itu, permainan Ludo dapat dijadikan sebagai media edukasi alternatif yang efisien, menarik, dan sesuai untuk diterapkan dalam upaya peningkatan kebersihan menstruasi di kalangan remaja putri di lingkungan pesantren.
EFEKTIVITAS PENDIDIKAN KESEHATAN MENGGUNAKAN KARTU TRUTH OR DARE TERHADAP PENGETAHUAN DAN SIKAP MENJAGA KESEHATAN REPRODUKSI WANITA DI SMKN 14 SAMARINDA Kamiliya, Nurjihan; Pramono, Joko Sapto; Ardyanti, Dian
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.45467

Abstract

Kesehatan reproduksi remaja penting untuk mencegah masalah keputihan tidak normal hingga kanker serviks Pengetahuan yang minim dan kebiasaan personal hygiene pada remaja putri yang kurang baik berpotensi meningkatkan risiko berbagai gangguan kesehatan, termasuk pada sistem reproduksi wanita seperti kanker serviks. Edukasi yang interaktif dibutuhkan untuk meningkatkan kesadaran mereka, salah satunya menggunakan media permainan kartu Truth or Dare. Penelitian ini bertujuan menganalisis efektivitas kartu Truth or Dare terhadap pengetahuan dan sikap remaja putri menjaga kesehatan reproduksi di SMKN 14 Samarinda. Jenis penelitian ini menggunakan pre eksperimental dengan desain One Group Pretest Posttest. Sampel penelitian berjumlah 67 siswi dengan menggunakan teknik total sampling. Teknik analisa data yang digunakan adalah uji Wilcoxon. Hasil analisis data menunjukkan pengetahuan siswi dengan kategori baik saat pretest sebanyak 69,8% meningkat menjadi 100% dan sikap siswi dengan kategori positif saat pretest sebanyak 73% meningkat menjadi 96,8%. Hasil analisis menunjukkan terdapat efektivitas kartu Truth or Dare terhadap peningkatan pengetahuan (ρ = 0,000) dan sikap (ρ = 0,000) siswi dalam menjaga kesehatan reproduksi. Kesimpulan yang didapat yaitu terdapat efektivitas kartu Truth or Dare terhadap peningkatan pengetahuan dan sikap menjaga kesehatan reproduksi wanita di SMKN 14 Samarinda.
PENERAPAN KANTIN SEHAT DI SEKOLAH DASAR NEGERI 009 LOA JANAN ILIR KOTA SAMARINDA Rani, Tista; Hendriani, Dwi; Chifdillah, Nino Adib; Pramono, Joko Sapto
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.48666

Abstract

Kantin sehat berperan penting dalam menyediakan makanan bergizi demi mendukung tumbuh kembang siswa. Di Kota Samarinda, masih banyak ditemukan jajanan tidak sehat di lingkungan sekolah, sehingga penerapan kantin sehat perlu diperkuat secara berkelanjutan. Sekolah Dasar Negeri 009 Loa Janan Ilir merupakan salah satu sekolah yang telah menerapkan konsep kantin sehat sebagai upaya menciptakan lingkungan belajar yang aman dan menyehatkan. Penelitian ini bertujuan untuk menganalisis komponen input, activity, dan output dalam pelaksanaan kantin sehat di sekolah tersebut. Penelitian menggunakan pendekatan kualitatif dengan desain studi kasus. Informan berjumlah enam orang yang terdiri dari satu informan kunci, tiga informan utama, dan dua informan pendukung. Hasil menunjukkan bahwa pada aspek input terdapat kerja sama antara pihak sekolah, pedagang, Puskesmas, dan BPOM, serta ketersediaan fasilitas dan bahan makanan yang umumnya memenuhi standar kesehatan. Pada aspek activity, pengelolaan dilakukan melalui pembagian tugas, pengawasan rutin, penyusunan aturan, serta edukasi tentang gizi dan perilaku hidup bersih. Pada aspek output, program menghasilkan tersedianya makanan sehat, meningkatnya kesadaran siswa terhadap gizi, serta terciptanya lingkungan sekolah yang mendukung hidup bersih dan sehat. Secara keseluruhan, program kantin sehat terbukti efektif membentuk kebiasaan konsumsi makanan sehat di kalangan siswa, meskipun masih diperlukan peningkatan kedisiplinan pedagang serta inovasi menu agar minat siswa tetap tinggi.
EFEKTIVITAS MEDIA FLASHCARD DENGAN METODE BUZZ GROUP TERHADAP PENGETAHUAN DAN SIKAP TENTANG PENCEGAHAN DIARE PADA SISWA MADRASAH IBTIDAIYAH AR-RAHMAN SIMPANG TIGA Anjarani, Lovelya; Pramono, Joko Sapto; Hazanah, Sri
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.49341

Abstract

Diare masih menjadi penyebab utama kematian anak, dengan 525.000 kasus per tahun dan di Indonesia mencapai 8% seluruh kelompok usia. Di Madrasah Ibtidaiyah Ar-Rahman Simpang Tiga, siswa menunjukkan pengetahuan dan sikap rendah terkait pencegahan diare, serta belum mendapatkan edukasi berbasis media flashcard. Media flashcard sebagai media pembelajaran aktif dan menyenangkan. Penelitian ini bertujuan mengetahui efektivitas media flashcard dengan metode buzz group terhadap pengetahuan dan sikap siswa tentang pencegahan diare. Peneltian ini menggunakan pendekatan kuantitatif dengan desain pre-eksperimental, One Group (Pre-test and Post-test Design). Sampel penelitian berjumlah 58 siswa kelas V dengan menggunakan teknik simple stratified sampling. Intervensi edukasi dilakukan selama 3 hari berdasarkan teori kurva lupa dan data dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan skor rata-rata pengetahuan sebelum intervensi sebesar 67,16, meningkat menjadi 87,76 setelah intervensi. Sedangkan skor sikap sebelum intervensi sebesar 77,00, meningkat menjadi 86,02 setelah intervensi. Hasil uji Wilcoxon pada variabel pengetahuan dan sikap menunjukkan nilai ρ-value 0.000 < α 0,05, yang berarti terdapat perbedaan signifikan antara sebelum dan sesudah intervensi. Penggunaan media flashcard dengan metode buzz group terbukti efektif dalam meningkatkan pengetahuan dan sikap siswa tentang pencegahan diare di Madrasah Ibtidaiyah Ar-Rahman Simpang Tiga. Penelitian ini dapat dijadikan referensi untuk pelaksanaan edukasi kesehatan di sekolah dengan metode pembelajaran yang interaktif dan menyenangkan sehingga mampu meningkatkan kesadaran hidup sehat pada anak.
Co-Authors Abd.Kadir Abigael Rante Toding Ade Baginda Adriana Suviani Afifah Rahmawati, Afifah Ahmad Andrian Ahmad, Najiah Ajeng Rahayu Aji Santosa Amiruddin Andi Lis Arming Gandini Anjarani, Lovelya Anna Jalaili Arsyawina Arsyawina Arumike Septriana Azhari Azhari Baginda, Ade Bernadetha Bernadetha Bernadetha Bernadetha, Bernadetha Bernadheta Bernadheta Bety Mure Chifdillah, Nino Adib Cholsakhon, Panyada Dewi Samara Putri Dian Ardyanti Dian Ardyanti Dian Ardyanti Rauf Dwi Hendriani Edi Purwanto Eka Putri Rahayu Emelia Tonapa Era Tiara Putri Bulaan Era, Dwi Prihatin Erna Sari Farida Agustini Fihayati, Nastiti Frana Andrianur Grace Carol Sipasulta hapsari hapsari Hazanah, Sri Hendra Hendra Heni Suryani Heni Suryani Heni Suryani Heri Purwanto Hijriyati, Yoanita Hilda Hilda Isnaini Isti Khomatul Masita Jalaili, Anna Jasmawati, Jasmawati Juati Junardin Djamaluddin junita Lusty Kamiliya, Nurjihan Kurniati Dwi Utami Kurniati Dwi Utami Kurniati Dwi Utami L. Lisnawati Lukman Nulhakim Lushinta, Lidia Marhamah Martha Lirung Hanye Motik, Rachmawati Putri Mustaming Natalia Fitriani Ningsih, Rini Nino Adib Chifdillah noorma, nilam Nuraini Nurhaliza Nurjihan Kamiliya Nursari Abdul Syukur Nuryanti Palin T, Yona Perintisari, Dian Hepy Pirda Wulandari Pusaka, Semerdanta Putri, Defi Salsabila Rahayu, Eka Putri Raihana, Siti Rani, Tista Rasmun, Rasmun Ratanto Ratanto Ratna Wati Renatha Widyarisa Kristiono Riana Sudding Riana Sudding Rizki Amelia Rosalin Ariefah Putri Salsabilla Halwa Sepsina Reski Sepsina Reski Septriana, Arumike Singgih Dwi Karsono Siska Febriananda Siti Fatimah Djaja PN Siti Romlah Sopia Fitriani Sri Hazanah Sulistyana, Anik Sumiati Sumiati Supriadi Supriadi Supriadi Supriadi Suryani, Heni Sutrisno, Sutrisno Tedi Suryanto Tini Tini Tini Tini Tini Tini Trinumasari, Aris Ulfah Wahyuni Umi Kalsum Veny Agustina Paluttu wahyuni, rahmawati Winarno, Shinta Adetya Wiyadi Wiyadi Wiyadi Wiyadi Yona Palin Yona Palin T Yusnita Florentina Yusriati Zharfa Shabrina Dinnisa