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Progressive Muscle Relaxation and Benson Therapy in Reducing Anxiety in Breast Cancer Patients Rusmiyati Rusmiyati; Ellyzabeth Sukmawati; Dayat Trihadi; Achmad Solechan; Dias Choirun Nisa
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.4206

Abstract

Background: This study aimed to examine the effect of non-pharmacological therapy, specifically progressive muscle relaxation and Benson relaxation, on anxiety levels in breast cancer patients undergoing chemotherapy. Chemotherapy is known to trigger psychological disorders, including anxiety, which can negatively affect treatment outcomes. Methods: A pre-experimental design with a one-group pretest–posttest approach was applied, involving 43 purposively selected respondents. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). Results: The majority of respondents were aged 46–55 years, had completed high school or vocational school, were unemployed, and had undergone chemotherapy 1–6 times. The Wilcoxon signed-rank test revealed a significant reduction in anxiety scores after the intervention. Conclussion: These findings indicate that progressive muscle relaxation and Benson relaxation are effective in reducing anxiety among breast cancer patients undergoing chemotherapy, highlighting the importance of integrating non-pharmacological interventions into supportive oncology care.
Peran Support System dalam Menghadapi Kecemasan Ibu Hamil Ellyzabeth Sukmawati; Widya Mariyana; Norif Didik Nur Imanah; Qomariyah Qomariyah; Kristina Maharani; Fazar Kumaladewi Soedjarwo
Jurnal Bidan Komunitas Vol 9, No 2 (2026): EDISI MEI
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/jbk.v9i2.6835

Abstract

Pendahuluan:Kecemasan selama kehamilan merupakan masalah kesehatan mental yang signifikan dan dapat berdampak pada kesejahteraan ibu serta perkembangan janin. Prevalensinya dilaporkan lebih tinggi di negara berkembang, termasuk Indonesia. Dukungan sistem, khususnya dari keluarga dan pasangan, berperan sebagai faktor protektif dalam menurunkan kecemasan ibu hamil.Tujuan:Tinjauan sistematis ini mengeksplorasi efektivitas berbagai bentuk dukungan sistem (dukungan sosial, pasangan, keluarga, dan profesional) dalam mengurangi kecemasan pada ibu hamil.Metode: Jenis penelitian kualitatif dengan pendekatan systematika review. Pencarian literatur dilakukan melalui PubMed, Scopus, Web of Science, dan Google Scholar menggunakan kata kunci terkait kecemasan ibu hamil, dukungan sosial, dan intervensi psikologis. Studi primer berbahasa Indonesia atau Inggris, tersedia full-text, dan terbit dalam 10 tahun terakhir diinklusi, lalu disintesis secara naratif.Hasil:Dari 500 artikel, 75 memenuhi kriteria inklusi, dan 30 dianalisis lebih lanjut. Mayoritas studi dilakukan pada 2020–2021 dengan desain potong lintang. Dukungan suami merupakan faktor paling konsisten dalam menurunkan kecemasan, diikuti dukungan keluarga (emosional, instrumental, informatif, penghargaan). Dukungan sosial juga meningkatkan self-efficacy, kepatuhan ANC, serta kelekatan ibu dan janin.Kesimpulan:Dukungan sistem terkoordinasi, terutama suami dan keluarga inti, krusial dalam menurunkan kecemasan ibu hamil dan mendukung perlunya intervensi berbasis keluarga serta penguatan literasi kesehatan calon ayah.
The Role of Accompaniment in Reducing Anxiety of Pregnant Women Ahead of Childbirth Ellyzabeth Sukmawati
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1734

Abstract

Anxiety during pregnancy, particularly approaching childbirth, is a common psychological condition that may negatively affect maternal well-being and fetal outcomes. Elevated anxiety has been associated with adverse consequences such as prolonged labor, increased operative delivery, and higher risk of preterm birth. Therefore, an adequate support system—including partners, family members, and healthcare providers—plays a crucial role in helping pregnant women cope with emotional distress and enhancing childbirth readiness. This study aims to examine the role of support systems in reducing anxiety among pregnant women through a systematic review approach. Literature was searched across major databases, including MEDLINE, Embase, and Google Scholar, using keywords related to pregnancy anxiety, social support, partner support, and psychological interventions. Eligible studies were original research articles published in English or Indonesian between 2000 and 2023, available in full text. Findings from the included studies were synthesized narratively. The review indicates that partner (husband) support is consistently associated with lower anxiety levels, improved maternal confidence, and better preparedness for childbirth. Family support, counseling, and educational interventions also contribute to increased self-efficacy and adherence to antenatal care. In conclusion, a strong and coordinated support system is essential in mitigating anxiety during pregnancy and promoting positive maternal outcomes.
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY.N USIA 29 TAHUN G2P1A0 DIWILAYAH KERJA PUSKESMAS MAOS Rini Rochayati; Ellyzabeth Sukmawati; Yuli Sya’baniah K; Norif Didik Nur Imanah; Dahlia Arief Rantauni
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.582

Abstract

One indicator of the state’s health status is the decrease in the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Central Java Province in 2020 the MMR is 98,60 per 100.000 live births and the IMR is 8,2 per 1000 live births. Cilacap Regency MMR and IMR in recent years are still quite high. AKI in 2019 reached 15 cases. With continuous midwifery care from pregnancy to the selection of contraceptives, it is hoped that it will be an effort to reduce MMR and IMR in Indonesia and achieve optimal maternal and child health. The writing of this final project is in the form of a case study using a midwifery process approach using 7 steps of Varney and SOAP. The results of this study were obtained by Mrs. N during her pregnancy, she was in good health, the delivery process was normal, the puerperium involution was running normally, the baby was not jaundiced and was walking normally, and on family planning counseling the mother chose a 3-month injectable contraceptive. The conclusion of this study the author has applied continuous midwifery care to Mrs. N which is marked by the mother having followed all the recommendations, the mother’s complaints during pregnancy are resolved, the mother gives birth at a health facility, the postpartum period is running normally, the baby’s condition is normal, and the mother chooses a shhort-term contraceptive method.
ASUHAN KEBIDANAN PADA Ny.M MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA DI PUSKESMAS SAMPANG Diana Dwi Lestari; Norif Didik Nur Imanah; Septi Tri Aksari; Ellyzabeth Sukmawati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.583

Abstract

Asuhan kebidanan dalam bentuk studi kasus pada Ny M Umur 31 Tahun di Wilayah Kerja Puskesmas Sampang Kota Cilacap Metode Penulisan Karya Tulis Ilmiah ini menggunakan pendekatan proses kebidanan 7 langkah varney dan SOAP. Pengkajian dilakukan dengan melihat hasil data subjektif dan objektif, dan observasi secara kunjungan rumah. Hasil diperoleh diagnosa GII PI A0 Usia Kehamilan 39+6 minggu fisiologis tidak ada keluhan,riwayat persalinan fisiologis yang diikuti masa nifas fisiologis, pada kasus tersebut mendapat penanganan dengan tindakan yang sesuai, Riwayat BBL bayi dilahirkan dengan BB: 2900 gr, PB: 49 cm, LD: 33 cm, LK :32 cm jenis kelamin perempuan ada laserasi derajat II pada jalan lahir. Hasil penelitian pada kehamilan asuhan yang diberikan telah sesuai dengan teori. Pada asuhan kehamilan terdapat kesenjangan yaitu kujrangnya mendapatkan imunisasi TT dan VT yang diperiksa kurang dari 4 jam, persalinan terdapat kesenjangan tidak pakai APD lengkap sepatu booots, pada asuhan BBL, nifas dan KB tidak terdapat kesenjangan. Pada penerapan asuhan kebidan kesenjangan antara teori dan praktek terdapat pada persalinan tidak memakai APD lengkap dalam proses melakukan tindakan asuhan.
STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.W MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS ,DAN KELUARGA BERENCANA : CASE STUDY: MIDWIFE CARE ON MY WHILE TRIMESTER III PREGNANCY, LABOR, NIFAS, NEONATES, AND FAMILY PLANNING Nur Silvia; Norif Didik Nur Imanah; Yuli Sya’baniah; Ellyzabeth Sukmawati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 2 (2022): Mei: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i2.584

Abstract

Pregnancy, childbirth, newborns, postpartum, and until the mother decides to use family planning which aims to provide continuity of care services by assisting pregnant women until the family planning period by all elements in the community, including students. Students are expected to be able to provide comprehensive midwifery care to mothers starting from pregnancy, childbirth, newborns, postpartum and family planning. In this case study, the author uses descriptive research methods with data collection techniques in the form of primary data (anamnesis, physical examination) according to Varney's 7-step management and secondary data (MCH book, client's medical records). Documentation of research results using the Varney and SOAP methods. Based on a comprehensive assessment of midwifery care for Mrs. W, starting from pregnancy, childbirth, postpartum and newborn, as well as family planning, there was no data that referred to an emergency or pathology, the mother and baby were in physiological condition. From the results of this case study, it can be concluded that comprehensive midwifery care for Ny. W have been done starting from pregnancy, childbirth, postpartum, newborn and family planning there are some gaps between theory and practice but there are no complications
ASUHAN KEBIDANAN PADA Ny.H MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA DI PUSKESMAS MAOS: MIDWIFE CARE ON Mrs. H TRIMESTER III PREGNANCY, LABOR, PARTNERSHIP, NEONATUS AND FAMILY PLANNING AT MAOS PUSKESMAS Risnawati Risnawati; Septi Tri Aksari; Yuli Sya’baniah; Ellyzabeth Sukmawati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.585

Abstract

Every single woman will pass a pregnancy process, maternity and childbirth, it‘s a Physiological process. During the process there might be a health problem who can increase the pain even death for a mother and the baby. therefore, solutions are needed to prevent nor solving the problem, One of them Continuity of Care. The purpose of this research is provide comprehensive care from the period of pregnancy to contraception.Writing this Final Project Report in the form of case studies who uses Varney's 7-step midwifery management approach and documented in SOAP form. The sample used is 1 sample, namely Mrs.H at Puskesmas Maos. The results of this study obtained a diagnosis of Mrs H age 24 years old G2P1A0 gestational age 42 weeks physiological , on February 22, 2022, at 13.30 o‘clock, obtained complaints of regular heartburn spreading from the lower abdomen to the waist. on February 22, at 16.30 o‘clock the baby is born normally. In the care of newborns and neonatal visits were not a problem. On post partum and during home visits there are no problems, Mother has chosen to be an acceptor birth control pill for 3 month. The research results can be concluded there are no gaps between theories and practice on the application of midwifery care, in the upbringing process and Physiological changes. Every individual has uniqueness so that the care provided is also adapted to the patient's condition.
STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.W MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA: CASE STUDY: MIDWIFE CARE ON MY WHILE TRIMESTER III PREGNANCY, LABOR, NIFAS, NEONATUS AND FAMILY PLANNING Nafisatul Khoiriah Rapi; Septi Tri Aksari; Ellyzabeth Sukmawati; Yuli Sya’baniah; Norif Didik Nur Imanah
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.587

Abstract

During the Covid-19 pandemic, there was a decrease in the coverage of pregnancy services compared to the previous year. Especially during a pandemic like this sometimes pregnant women don't want to check themselves and their wombs for fear of being exposed to the Covid-19 virus. Continuity of Care (COC) or comprehensive midwifery care is a sustainable midwifery service and is one way to reduce MMR and IMR, especially those that occur at the Maos Health Center by providing care for pregnant women in the third trimester, childbirth, postpartum, neonates and family planning, at the Maos Health Center. With the provision of comprehensive midwifery care, it is hoped that every pregnant woman will get quality maternal health services so that mothers and babies remain healthy and can reduce maternal and infant mortality rates.
STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.D MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA Diana Sriyani; Septi Tri Aksari; Dahlia Arief Rantauni; Ellyzabeth Sukmawati
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.588

Abstract

Midwives have an important role in strategies to reduce maternal mortality and infant mortality. Midwives are responsible for providing continuous and plenary services through health education, counseling, health promotion, and normal delivery assistance as well as early detection of referral cases by conducting comprehensive supervision, care and management of pregnant women, maternity, postpartum, BBL, neonates, and family planning. The author of this final project in the form of a case study using midwifery management approach using 7 steps varney and documented in the form of SOAP. The subjects of this case study were pregnant women in the third trimester, namely Mrs. D age 24 years gestational age 35+4 weeks followed by physiological pregnancy, maternity, puerperium, BBL, and family planning. The results of this case study obtained Ny. D diagnosis G2P0A1 gestational age 35+4 weeks with good circumstances, and physiological delivery. Physiological puerperium, physiological newborns, neonates upbringing and physiologically provided family planning. Comprehensive midwifery care in Ny. D found gaps in pregnancy that is less than 6x ANC examination, Tetanus Toxoid immunization is not complete. No gaps were found in the puerperium, BBL, and neonates. The conclusion from the results of this case study is that comprehensive midwifery care has been given to Mrs. D of pregnant, maternity, puerperal, BBL, neonate and family planning with the result that all care is carried out and the mother and baby are in good condition.
STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.E MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA Risa Intan Fitriyani; Ellyzabeth Sukmawati; Dahlia Arief Rantauni
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 3 (2022): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i3.589

Abstract

This report is a comprehensive midwifery care carried out at the Maos Health Center in 2022 for Mrs. “E” G2P1A0 35 weeks 5 days of pregnancy which was carried out from January to March from the third trimester of pregnancy, maternity, postpartum, newborn and family planning services. The documented Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to see the welfare of a nation in determining optimal health status (Prawiroharjo, 2016). The number of maternal deaths in Indonesia in 2020 increased by 8.92% from the previous year, which was 4,221 to 4,627 people. One of the efforts made in reducing maternal and infant mortality is increasing quality antenatal care, with the aim of alleviating these morbidity and mortality rates. This report is a comprehensive midwifery care carried out at the Maos Health Center on Ny. “E” G2P1A0 The gestational age of 35 weeks 5 days was carried out from January to March from the third trimester of pregnancy, postpartum, postpartum, neonate and family planning services that were documented with the application of varney management and SOAP documentation. Based on the observations of this Final Project, no gaps were found between theory and practice during the implementation of comprehensive midwifery care provided from the initial visit to the last visit.
Co-Authors Achmad Solechan Agustiningsih, Ita Akhmad Ramli Aksar , Septi Tri Aksari , Septi Tri Aksari, Septi Tri Albertus Setyo Sumargo Alfiani, Titi Amaliah, Lili Ansar CS Anugrah Wulandari Ardiana Batubara Arifin Arifin Astika AyuningTyas, Astika Bambang Budi Raharjo Bredyna Agnesiana Bredyna Agnesiana Budi Priyanto Dahlia Arief Rantauni Dahlia Arif Rantauni Dayat Trihadi Desi Soraya Desi Soraya Devin Mahendika Dewi Puspitaningrum Di Huang Diana Dwi Lestari Diana Sriyani Dias Choirun Nisa Didik Cahyono Didik Nur Imanah, Norif Eddy Wibowo EFENDI Eni, Eka Fitri Failuna Azizah Fazar Kumaladewi Soedjarwo Heni Rusmitasari Imanah , Norif Didik Nur Imanah, Norif Didik Nur Imtitsal, Inas Indah Sulistyoningrum Indah Sulistyoningrum Ismi Elya Wirdati Ismonah Ismonah Iwan Adhicandra I’ien Noeraini Kartini Marzuki Khomsah, Yuli Sya’baniah Kristina Maharani Linda Suwarni Maretalinia, Maretalinia Maria Ulfah Kurnia Dewi Marshanda Qisty Prabasari Maya Cobalt Angio Muhajir Musa Nafisatul Khoiriah Rapi Natalia Yeni Nella Vallen I.P Nella Vallen Ika P Norif Didik Nur Imah Norif Didik Nur Imamah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah Norif Didik Nur Imanah, Norif Didik Nur Imanah Norif Didik Nurimanah Nuke Devi Indrawati Nur Afifah Harahap Nur Imanah, Norif Didik Nur Safika Nur Silvia Nurhasanah Nurhasanah Nurhasanah Nurhasanah Nuridin Widya Pranoto Nurwijayanti Kusumaningrum Oki Candra Puji Suwariyah QOMARIYAH Qomariyah Qomariyah Qomariyah Qomariyah Qomariyah Qomariyah Qomariyah Qomariyah Qomariyah Qomariyah Rahmawati, Rahmawati Rini Rochayati Risa Intan Fitriyani Risnawati Risnawati Rony Sandra Yofa Zebua Ropitasari Ropitasari Rusmiyati -, Rusmiyati Septi Tri Aksari Siti Juwariyah Sucahyo, Nur Sudiniasih Sulistyaningrum, Danny Putri Sumarni Rumfot Supriatin Supriatin, Supriatin Susanto Susanto Swanny Trikajanti Widyaatmadja Umi Fatonah Vilda Hiktiawati Wahyu Khusnul Fauziyah Wahyuni, Nuniek Tri Weraman, Pius Widya Mariyana Widya Mariyana Widya Mariyana Yoesoep Edhie Rachmad Yuli Sya’baniah Yuli Sya’baniah K Yuli Sya’Baniah Khomsah Zulkifli Zulkifli