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The Effect of Lemongrass Aromatherapy on Sleep Quality in Perimenopausal Women Tiara Blessenzeqi; Nila Widya Keswara
Green Health International Journal of Health Sciences Nursing and Nutrition Vol. 3 No. 1 (2026): January: Green Health: Journal of Health Sciences, Nursing and Nutrition
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/greenhealth.v3i1.297

Sleep disturbances are a common complaint among perimenopausal women due to hormonal, psychological, and physiological changes, which impact their health and quality of life. Safe and easy-to-apply non-pharmacological approaches, such as lemongrass aromatherapy (Cymbopogon citratus), have the potential to be a supportive alternative in overcoming sleep disturbances during this phase. However, empirical evidence regarding the effect of lemongrass aromatherapy on the sleep quality of perimenopausal women is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effect of lemongrass aromatherapy on the sleep quality of perimenopausal women. This study used a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 30 perimenopausal women selected using total sampling technique in the working area of Pustu Paring Lahung UPT Tumpung Laung. The intervention in the form of lemongrass aromatherapy through inhalation was carried out regularly before bedtime. Sleep quality was measured before and after the intervention using a standardized questionnaire. Data analysis was performed descriptively and bivariately using Fisher's Exact Test. Descriptively, there was an improvement in sleep quality after the administration of lemongrass aromatherapy, marked by a decrease in the proportion of poor sleep quality and an increase in good sleep quality. However, the statistical test results showed that the relationship between sleep quality before and after treatment was not statistically significant (p = 0.515). Lemongrass aromatherapy showed a tendency toward clinically significant improvement in sleep quality, but this was not statistically significant. Further research with a stronger design and longer intervention duration is needed to confirm the effectiveness of lemongrass aromatherapy on the sleep quality of perimenopausal women.

The Effect of Salted Fish Consumption on Blood Pressure in Postpartum Mothers on Days 1-28 Sri Sudharmi; Nila Widya Keswara
International Journal of Medicine and Health Vol. 4 No. 4 (2025): Desember : International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i4.6105

The postpartum period is an important time for the mother's physiological recovery after childbirth, during which various bodily changes are still ongoing and health risks, including changes in blood pressure, may occur. One factor that is thought to affect blood pressure during the postpartum period is dietary patterns, particularly high sodium intake. Salted fish is a food commonly consumed by the community and is known to have a high salt content. This study aims to analyze the effect of salted fish consumption on blood pressure in postpartum mothers from day 1 to day 28. This study used a quantitative approach with an analytical observational design through a cross-sectional method. The study sample consisted of 20 postpartum mothers on days 1–28 who were selected using purposive sampling. The independent variable was salted fish consumption, while the dependent variable was the systolic blood pressure of postpartum mothers. Data were collected through interviews using a structured questionnaire and blood pressure measurements with a standard tensiometer. Data analysis was performed using univariate and bivariate methods. The Shapiro–Wilk normality test showed that the data were not normally distributed, so the analysis was continued with the Wilcoxon test. The results of the study show a significant difference between systolic blood pressure before and after exposure to salted fish consumption, indicating that consumption of foods high in salt affects changes in blood pressure in postpartum women. This study concludes that salted fish consumption has the potential to affect the blood pressure of postpartum women. Therefore, nutrition education related to limiting the intake of foods high in salt during the postpartum period needs to be improved as part of efforts to prevent postpartum hypertension.

THE EFFECTIVENESS OF THE ENDORPHIN, OXYTOCIN, AND SUGGESTIVE MASSAGE STIMULATION METHOD ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS: IMPLICATIONS FOR MIDWIFERY EDUCATION Mahastra Aulya Kartika; Rifzul Maulina; Nila Widya Keswara
EDUCATIONE Volume 3, Issue 2, July 2025
Publisher : CV. TOTUS TUUS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59397/edu.v3i2.76

Breast milk is the optimal source of nutrition for infants, but exclusive breastfeeding rates in Indonesia and globally remain below target, largely due to maternal anxiety, insufficient milk production, and inadequate support systems. Innovative, integrative interventions that address both physiological and psychological barriers are urgently needed to support successful lactation outcomes. This study aimed to evaluate the effectiveness of the Stimulasi Pijat Endorphin, Oksitosin, dan Sugestif (SPEOS) method—an integrative technique combining oxytocin massage, endorphin massage, and positive suggestion—in increasing breast milk production among postpartum mothers at PMB Fatimah Bandungrejosari, Malang. A quasi-experimental posttest-only control group design was implemented, involving 36 postpartum mothers (days 1–40) who were divided equally into intervention and control groups. The intervention group received the SPEOS method (20-minute sessions for nine consecutive days), while the control group received only standard informational leaflets. Data on breast milk production were collected using validated observation sheets and baby scales, and analyzed using univariate and bivariate methods, including the Mann-Whitney test. The findings revealed that 66.7% of mothers in the SPEOS group achieved high breast milk production, compared to just 16.7% in the control group. Statistical analysis confirmed a significant difference between groups (p = 0.002). The SPEOS intervention demonstrated not only physiological benefits, through hormonal stimulation, but also psychological benefits, by improving maternal confidence and emotional well-being. The SPEOS method is an effective, holistic, and easily adopted intervention for enhancing breast milk production in postpartum mothers. Its integrative approach, targeting both hormonal and psychological pathways, makes it suitable for inclusion in maternal health education and practice. This research supports the integration of the SPEOS method into midwifery education and practice as a low-cost, evidence-based strategy to promote exclusive breastfeeding, maternal empowerment, and optimal infant health. The study provides a foundation for further research and broader implementation in diverse healthcare settings. Larger-scale and longer-term studies are recommended to confirm these findings, explore additional maternal and infant health outcomes, and refine SPEOS implementation protocols for various populations.

Pengaruh Pemberian Jus Nanas terhadap Nyeri Haid pada Anak Remaja Putri di PKM Kalumpang Ternate Suryani Suryani; Nila Widya Keswara
JURNAL KESEHATAN DELIMA PELAMONIA Vol 9 No 2 (2025): September : Jurnal Kesehatan Delima Pelamonia
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v9i2.917

Dysmenorrhea is a common complaint among adolescent girls and can interfere with their academic performance, productivity, and quality of life. One nonpharmacological approach that can be used to reduce menstrual pain is the consumption of pineapple juice, which contains the enzyme bromelain with anti-inflammatory and analgesic effects. This study aimed to analyze the effect of pineapple juice administration on menstrual pain among adolescent girls at the Kalumpang Ternate Community Health Center. The study used a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 adolescent girls selected using purposive sampling. Pain levels were measured using the Numeric Rating Scale (NRS) before and after the administration of pineapple juice, then analyzed using the Wilcoxon test with a significance level of 5%. The results showed that before the intervention, most respondents experienced moderate pain (66.7%), whereas after the intervention, the majority experienced mild pain (66.7%), and no respondents experienced severe pain. The Wilcoxon test indicated a significant effect of pineapple juice administration on reducing the intensity of menstrual pain (p=0.000). It can be concluded that pineapple juice is effective as a complementary therapy based on local food in reducing menstrual pain in adolescent girls. The use of pineapple juice can be considered as part of reproductive health education and services for adolescents in schools and health care facilities.

Pengaruh Pemberian Edukasi Tentang Pentingnya ASI terhadap Motivasi Ibu Hamil dalam Persiapan Menyusui di Puskesmas Sikov Uki Sani; Nila Widya Keswara
JURNAL KESEHATAN DELIMA PELAMONIA Vol 9 No 2 (2025): September : Jurnal Kesehatan Delima Pelamonia
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v9i2.918

Breast milk is the best source of nutrition for infants and plays a crucial role in improving the health status of both mothers and infants. However, the success of exclusive breastfeeding is still influenced by low maternal motivation to prepare for the breastfeeding process starting from pregnancy. Antenatal education is one strategy that can enhance mothers’ readiness and confidence to breastfeed optimally. This study aimed to analyze the effect of education on the importance of breast milk on the motivation of pregnant women in preparing for breastfeeding at the Siko Community Health Center. The study used a pre-experimental design with a one-group pretest-posttest design. The study sample consisted of 40 pregnant women selected using total sampling. Motivation data were collected via questionnaires administered before and after the educational session, then analyzed using univariate and bivariate analyses with the Wilcoxon test at a 95% significance level. The results showed that prior to the intervention, the majority of respondents had “moderate” (47.5%) or “low” (35.0%) motivation levels. After receiving the education, the proportion with “good” motivation increased to 47.5%, while the proportion with “low” motivation decreased to 7.5%. Statistical analysis revealed a significant effect of education on the importance of breastfeeding on the motivation of pregnant women in preparing for breastfeeding (p=0.000), with a strong correlation (r=0.757). These findings indicate that antenatal education is effective in increasing mothers’ motivation to prepare for the breastfeeding process; therefore, it should be continuously integrated into antenatal care to support the success of exclusive breastfeeding.

Hubungan Antara Pengetahuan dengan Upaya Pencegahan Anemia pada Ibu Hamil di Puskesmas Sulamadaha Zulyani Hi. Ali; Nila Widya Keswara
JURNAL KESEHATAN DELIMA PELAMONIA Vol 9 No 2 (2025): September : Jurnal Kesehatan Delima Pelamonia
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37337/jkdp.v9i2.925

Anemia during pregnancy remains a health issue that contributes to an increased risk of complications for both the mother and the fetus. Efforts to prevent anemia are influenced by various factors, one of which is the level of knowledge among pregnant women regarding the causes, effects, and prevention methods. This study aims to analyze the relationship between the level of knowledge and efforts to prevent anemia among pregnant women at the Sulamadaha Community Health Center. The study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 35 pregnant women selected using total sampling. Data were collected using a structured questionnaire and documentation forms, then analyzed univariately and bivariately using the Spearman Rank test with a 95% confidence level. The results showed that the majority of respondents had a “sufficient” level of knowledge (42.9%) and engaged in “sufficient” anemia prevention efforts (45.7%). Bivariate analysis revealed no significant association between knowledge levels and anemia prevention efforts among pregnant women (p=0.654; r=0.133). These findings suggest that anemia prevention behaviors are influenced not only by knowledge but also by other factors such as adherence to iron supplement intake, dietary patterns, family support, and access to health care services. Therefore, anemia prevention efforts should be implemented through a comprehensive approach that integrates education, family support, and strengthened antenatal care to promote behavioral changes in pregnant women.

Efektivitas Kualitas Konseling Laktasi terhadap Keberhasilan Menyusui pada Ibu Postpartum di RSUD Dr H Andi Abdurrahman Noor Hairunnisa Hairunnisa; Nila Widya Keswara
Garuda Pelamonia Jurnal Keperawatan Vol. 8 No. 1 (2026): Februari: Garuda Pelamonia Jurnal Keperawatan
Publisher : Institut Kesehatan Pelamonia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.4425/garuda.v8i1.921

Successful breastfeeding is a key indicator of improved maternal and infant health; however, it remains influenced by various factors, including the quality of lactation counseling provided by healthcare professionals. Lactation counseling is expected to enhance mothers’ knowledge, skills, and confidence in breastfeeding, thereby supporting successful breastfeeding. This study aims to analyze the effectiveness of the quality of lactation counseling on breastfeeding success among postpartum mothers at Dr. H. Andi Abdurrahman Noor Regional General Hospital. The study used a quantitative analytical design with a cross-sectional approach. The study sample consisted of 30 postpartum mothers selected using purposive sampling. The quality of lactation counseling was measured using a questionnaire, while breastfeeding success was assessed through an observation sheet based on breastfeeding technique, latch, milk ejection, and the type of infant feeding. Data analysis was performed using univariate and bivariate methods, employing the Contingency Coefficient test with a 95% confidence level. The results showed that the majority of respondents rated the quality of counseling as “fair” and “good” (43.3% each), while breastfeeding success reached 86.7%. Statistical analysis revealed no significant association between the quality of lactation counseling and breastfeeding success (p=0.170; r=0.325). These findings suggest that breastfeeding success in this study is likely influenced more by other factors, such as breastfeeding experience, parity, family support, and the mother-baby rooming-in system. Therefore, continuous efforts to improve the quality of lactation counseling are still necessary, taking into account the various factors that influence breastfeeding success.

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