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All Journal Jurnal Penelitian Pendidikan IPA (JPPIPA) Quality : Jurnal Kesehatan
Ida Mardalena
Poltekkes Kemenkes Yogyakarta
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Education Materials Science & Nanotechnology Nursing Physics

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The Influence of Birth Ball Exercise and Lemon Aromatherapy on Cortisol Levels in Pregnant Women Wenny Indah Purnama Eka Sari; Kurniyati; Yusniarita; Ida Mardalena
Jurnal Penelitian Pendidikan IPA Vol 12 No 3 (2026): In Progress
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v12i3.14741

Abstract

Pregnancy is a natural and physiological condition. During pregnancy, various changes occur in the body due to the hormones estrogen and progesterone, which affect both the physical and psychological conditions of the mother. Anxiety during pregnancy is an emotional reaction related to the mother's concerns about her baby. Persistent anxiety can affect the sympathetic nervous system and the release of the stress hormone cortisol. The purpose of this study is to examine the effect of birth ball exercise and lemon aromatherapy on cortisol levels in pregnant women. This study employed a posttest-only control group approach in a quasi-experimental design. Thirty third-trimester pregnant women who engaged in pregnancy exercises made up the study sample; they were chosen using purposive sampling. For four weeks, the respondents in the intervention group received the lemon aromatherapy and birth ball exercise twice a week for forty-five minutes each. A questionnaire with respondent characteristics and a cortisol level column were part of the research tool. The non-parametric Mann-Whitney test was used for data analysis. The average cortisol levels in the intervention group and the control group differed significantly, as indicated by the results, which showed p = 0.000. This indicates that cortisol levels in third-trimester pregnant women are considerably impacted by lemon aromatherapy and birth ball exercise. cortisol levels are lowered by the physiological and psychological effects of the birth ball exercise and lemon aromatherapy, which relax the body and calm the mind. Pregnant women may benefit from combining lemon aromatherapy with birth ball exercise to lower anxiety levels and avoid excessive cortisol elevation.
PENGARUH PENDAMPINGAN ORANG TUA DAN DISTRAKSI BERBASIS GADGET TERHADAP TINGKAT KECEMASAN ANAK SELAMA INDUKSI ANESTESI : THE EFFECT OF PARENTAL PRESENCE AND DIGITAL DEVICE DISTRACTION ON PEDIATRIC ANXIETY LEVELS DURING ANESTHESIA INDUCTION Arvid Muzzamille; Yusniarita Yusniarita; Rosa Delima Ekwantini; Ida Mardalena
Quality: Jurnal Kesehatan Vol 20 No 1 (2026): Quality: Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/qjk.v20i1.1483

Abstract

Background: Preoperative anxiety is a prevalent psychological response among pediatric patients undergoing surgery, which tends to escalate during the induction of anesthesia. Elevated anxiety levels can trigger negative behavioral manifestations—such as crying, screaming, and resisting medical procedures—while adversely affecting the anesthesia induction process, postoperative recovery, and the child's overall psychological well-being. Parental presence and the utilization of digital devices as distraction methods represent potential non-pharmacological interventions to alleviate pediatric anxiety throughout the perioperative period. Method: This study employed a quasi-experimental pretest–posttest with a control group design. The study population comprised 371 pediatric patients undergoing anesthesia at Dr. Hasan Sadikin Central General Hospital, Bandung. A sample of 60 respondents was selected via purposive sampling and allocated into either the intervention group or the control group. The intervention group received parental presence combined with digital device distraction, whereas the control group received parental presence alone. Anxiety levels were measured using the Modified Yale Preoperative Anxiety Scale (mYPAS). Data analysis was performed using the Wilcoxon and Mann–Whitney U tests due to the non-normal distribution of the data. Result: The mean difference in pre-to-postoperative anxiety scores was 11.50 in the intervention group and 10.50 in the control group. The comparative analysis of anxiety levels revealed a significant difference between the intervention and control groups during the induction of anesthesia (p = 0.047; p < 0.05).Conclusion: Parental presence integrated with digital device distraction is significantly more effective in mitigating pediatric anxiety during anesthesia induction than parental presence alone. This intervention can be recommended as a viable non-pharmacological strategy to minimize preoperative anxiety and foster a more positive perioperative experience for pediatric patients.
Co-Authors Arvid Muzzamille Kurniyati Kurniyati Rosa Delima Ekwantini Wenny Indah Purnama Eka Sari Yusniarita Yusniarita Yusniarita