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Jambura Journal of Health Sciences and Research
Published by Universitas Negeri Gorontalo
ISSN : 26230674     EISSN : 2655643X     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Jambura Journal of Health Sciences and Research is a health scientific journal which published original articles of public health. This articles Published Twice a year in January and July. Which Focus and Scope in public health issues, including : Epidemiology, Health Education and Promotion, Environmental Health, Occupational Health and Safety, Health Administration and Policy, Biostatistics, Reproductive Health, Hospital Management, Nutrition Science, Health Information System. Moreover, Author can submit articles on any issue relating to public health with editor consideration.
Arjuna Subject : -
Articles 339 Documents
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EVALUATING THE IMPLEMENTATION OF PEDIATRIC DHF CLINICAL PATHWAY IN TYPE D HOSPITAL IN YOGYAKARTA Cornel Anggara; Merita Arini; Ikhlas M. Jennie
Jambura Journal of Health Sciences and Research Vol 3, No 2 (2021): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v3i2.10673

Abstract

AbstractBackground: Dengue haemorrhagic fever (DHF) is an endemic disease that has a high incidence and mortality rate in Indonesia. Implementating clinical pathways (CP) in hospitals can be used as the basis for treating patients with DHF so as to improve service quality and minimize complications. Objective: This study aims to evaluate the implementation of CP DHF in the pediatric unit at Type D Private Hospital in Yogyakarta. Methods: This is a mix method research with case study design. Qualitative data was collected through in-depth interviews and observations of pediatricians n=2), nurses (n=3), directors of medical services (n=1) and medical committees (n=1). Quantitative data was collected through document review and interviews with the Integrated Clinical Pathway Appraisal Tools (ICPAT). Results: Documents is true a CP. The role of the organization has been running well. The process of documenting, developing and implementing CP DHF is not optimal. The maintenance process is bad. Compliance completes of CP DHF is 9%. The majority of lenght of stay are above 3.86 days with treatment costs above the BPJS package. The incidence of complications is low. The obstacles found during the implementation of CP DHF were that the patient did not have access to CP, low adherence to CP and human resource management factors. Conclusion: The development and implementation of CP DHF needs to be improved both in terms of content and quality. Strong policies are needed, good organizational support and the active role of clinicians are the keys to the successful implementation of CP.Keywords: Clinical Pathway, Dengue Haemorragic Fever, Integrated Services
ACUTE TOXICITY TEST OF WHITE TURMERIC (CURCUMA ZEDOARIA) EXTRACT ON HISTOPATHOLOGICAL ANALYSIS OF THE HEART MUSCLE Nicholas Nicholas; Fiska Maya Wardhani; Erny Tandanu; Rico Alexander
Jambura Journal of Health Sciences and Research Vol 4, No 3 (2022): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i3.12374

Abstract

Kunyit putih (Curcuma zedoaria) adalah tanaman herbal yang banyak digunakan sebagai obat herbal di Asia, khasiatnya dipercaya dapat meningkatkan imun tubuh, sebagai anti nyeri dan anti inflamasi. Penggunaan obat herbal secara umum dipercayai oleh masyarakat memiliki efek samping cenderung rendah dibandingkan obat modern, akan tetapi belum ada banyak penelitian mengenai efek samping dari penggunaan kunyit putih. Kebaruan dalam penelitian ini karena meneliti uji akut ekstrak kunyit putih terhadap analisis gambaran histopatologi otot jantung. Penelitian ini bertujuan untuk menguji toksisitas akut dari ekstrak etanol rimpang kunyit putih terhadap gambaran histopatologi otot jantung. Penelitian menggunakan 30 ekor tikus putih (Rattus norvegicus) dengan berat antara 150-200 gr. Sampel dikelompokkan menjadi 2 kelompok kontrol dan 4 kelompok perlakuan. Perlakuan yang dilakukan yaitu pemberian aquades, NaCMC1%, dosis EKP 250 mg/KgBB, EKP 500 mg/KgBB, EKP 750mg/KgBB, dan EKP 2000 mg/KgBB. Parameter yang diamati adalah hiperemi, hemoragi dan degenerasi dari sel otot jantung. Hasil penelitian ini menunjukkan bahwa tidak terdapat tikus yang mati akibat pemberian EKP, akan tetapi terdapat kerusakan ringan pada dosis EKP 250 mg/KgBB, kerusakan sedang pada dosis EKP 500 mg/KgBB, kerusakan sedang-berat pada dosis EKP 750mg/KgBB dan kerusakan berat pada dosis EKP 2000 mg/KgBB. Berdasarkan hasil penelitian ini, maka dapat disimpulkan bahwa kerusakan sel otot jantung meningkat secara signifikan seiring dengan peningkatan dosis ekstrak etanol rimpang kunyit putih dimana kerusakan sel otot jantung terberat pada dosis EKP 2000mg/kgBB.Kata kunci : jantung; kunyit putih; tikus. AbstractWhite turmeric (Curcuma zedoaria) is a herbal plant that is widely used as herbal medicine in Asia because of its properties which are believed to increase the body's immune system, anti-inflammatory, and an analgesic. The use of herbal medicine is generally believed by the public to have lower side effects than modern medicine, but in reality, there has not been much research on the side effects of white turmeric usage. The novelty in this study was due to the acute study of white turmeric extract on the histopathological analysis of heart muscle. Therefore, this study aims to determine the acute toxicity of white turmeric's rhizome ethanol extract on histopathological features of the heart muscle. This experiment used 30 male white Wistar rats (Rattus norvegicus) with a weight between 150-200 grams. Rats were divided into 2 control groups and 4 groups of treatment. Treatment given to the rats are aquadest, NaCMC 1% WTE 250mg/KgBW, WTE 500mg/KgBW, WTE 750mg/KgBW, and WTE 2000mg/KgBW . The parameters observed are hyperemia, hemorrhage, and degeneration of heart muscle cells. The result showed in this study were that there were no mice that died due to EKP administration, but there was mild damage at WTE dose of 250 mg/KgBB, moderate damage at WTE dose of 500 mg/KgBB, moderate-severe damage at WTE dose of 750mg/KgBB and severe damage on WTE dose of 2000 mg/KgBW. Based on the results of this research, it can be concluded that there is significant damage found along with an increasing dose of white turmeric extract given, where the damage on heart muscle cells is most severe at WTE dose of 2000 mg/KgBW.
TESTICULAR YOLK SAC TUMOR IN AN ONE- YEAR AND SEVENT- MONTHS OLD Nadirah Rasyid Ridha; Farid Huzein; Emir Amal
Jambura Journal of Health Sciences and Research Vol 4, No 1 (2022): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i1.11666

Abstract

Background: Yolk sac tumor (YST), which most frequently arises in the gonads as a type of germ cell tumor, is rare in children but is highly malignant. He most common testicular tumor in young children under the age of 3 is yolk sac tumor, and it is also known as infantile embryonal carcinoma. Case Presentation: We present the clinical future YST in an one- year and sevent-months old. In this report, we described testicular of YST in terms of the clinical manifestation, imaging, and histopathology findings, diagnosis and treatment. It has been suggested that alpha-fetoprotein (AFP) can be applied as a feasible tumor marker because its level was elevated in 90% of YST. The treatment generally involves debulking surgery of tumors followed by systemic chemotherapy. Conclusion: Our case report has a good prognosis because good responds with chemotherapy. Although YST is rare in children, pediatric physicians should be aware of this and prompt treatment should be addressed.Keywords: yolk sac tumor, chemotherapy, pediatric
ANALYSIS OF WATER POLLUTION IN VARIOUS TYPES OF MICRO BUSINESS CASE STUDY IN HULUDUOTAMO VILLAGE, SUWAWA DISTRICT, BONE BOLANGO REGENCY Irwan irwan; Ekawaty Prasetya; Muh rian Tahengo
Jambura Journal of Health Sciences and Research Vol 4, No 1 (2022): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i1.12070

Abstract

Water pollution is a change in conditions in a water reservoir such as lakes, rivers, oceans and groundwater due to human activities. The purpose of this study was to determine the physical and biological impact of water pollution caused by micro-enterprises in Huluduotamo Village, Suwawa District, Bone Bolango Regency. This type of research is research with a survey approach, namely by making a description or description of a situation objectively. Qualitative research methods are used to solve or answer the problems being faced in the current situation. The results showed that the physical parameters in the Lambongo river were polluted. The results of water quality measurements obtained using physical parameters had exceeded the class (III) water quality standards. Based on biological parameters, well water samples taken in residential areas adjacent to the Lambongo river turned out to be all samples contaminated with Colifrom bacteria and Escherichia Coli bacteria. It is recommended to carry out DLH) Bone Bolango Regency to carry out sanitation inspections especially on Micro-enterprises in Huluduotamo Village Keywords: Water Pollution, Physical Parameters, Biological Parameters.
EFFECTIVENESS ANTIBACTERIAL OF POWWOOD EXTRACT (SPATHOLOBUS LITTORALIS HASSK) AGAINST PSEUDOMONAS AERUGINOSA Weldy Stephan; Angelia Armita; Qori Fadillah; Sahna Ferdinand
Jambura Journal of Health Sciences and Research Vol 4, No 3 (2022): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i3.12368

Abstract

Bajakah Tampala (Spatholobuslittoralis Hassk) adalah salah satu tanaman yang banyak tumbuh pada Kalimantan Tengah namun belum banyak dimanfaatkan. Kebaruan dalam penelitian ini karena melakukan uji efektivitas kandungan anti bakteri dari bajakah terhadap bakteri Pseudomonas Aeruginosa. Tujuan penelitian untuk mengetahui konsentrasi yang terbaik yang dapat menghambat pertumbuhan kedua bakteri tersebut. Metode penelitian menggunakan metode Disc Diffusion (Kirby-Bauer) untuk menguji bakteri Pseudomonas Aeruginosa dengan memakai kertas cakram yang didalamnya  terdapat ekstrak akar kayu bajakah  pagar kemudian diletakkan ke media kultur (MHA) metode ini berguna untuk mengamati diameter zona hambat ekstrak kemudian hasilnya batch-to-batch yang baik. Metode pengolahan data yang digunakan dalam uji coba penelitian adalah Shapiro-Wilk yaitu oneway ANOVA untuk mengetahui efek antibakteri dari ekstrak daun jarak pagar dan uji Least Significant Difference (LSD) untuk mengetahui perbedaan efek antibakteri antar 2 kelompok perlakuan. Hasil penelitian yang didapatkan adalah bakteri Pseudomonas Aeruginosa memiliki nilai rata-rata lebih tinggi diameter zona hambat tertinggi pada perlakuan 100% sekitar 22,4 mm dengan menggunakan kontrol positif (Ciprofloxacin)  sebagai perbandingan dengan rata – rata 50.1 mm. Kesimpulannya adalah ekstrak kayu bajakah memiliki efektivitas pada bakteri Pseudomonas Aeruginosa.Kata Kunci : Akar Kayu Bajakah; Antibakteri; Pseudomonas Aeruginosa.AbstractBajakah Tampala (Spatholobus littoralis Hassk) is one of the most widely grown plants in Central Kalimantan but has not been widely used. The novelty in this research is to test the effectiveness of the anti-bacterial content of bajakah against Pseudomonas aeruginosa bacteria. The purpose of the study was to determine the best concentration that could inhibit the growth of the two bacteria. The research method uses the Disc Diffusion (Kirby-Bauer) method to test Pseudomonas Aeruginosa bacteria using disc paper in which there is an extract of the root of the bajakah fence then placed into culture media (MHA). -good batches. The data processing method used in the research trial was the Shapiro-Wilk one-way ANOVA to determine the antibacterial effect of jatropha leaf extract and the Least Significant Difference (LSD) test to determine the difference in antibacterial effect between the two treatment groups. The results obtained were Pseudomonas aeruginosa bacteria had a higher average value of the highest inhibition zone diameter at 100% treatment of about 22.4 mm using a positive control (Ciprofloxacin) as a comparison with an average of 50.1 mm. The conclusion is that the extract of bajakah wood has effectiveness on Pseudomonas aeruginosa bacteria.
ANALYSIS OF THE DISTRIBUTION OF THE EVENT OF DENTAL FEVER THROUGH THE APPLICATION OF GEOGRAPHIC INFORMATION SYSTEM DATA Lintje Boekosoe
Jambura Journal of Health Sciences and Research Vol 3, No 2 (2021): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v3i2.10469

Abstract

 Every year dengue hemorrhagic fever (DHF) is still a public health problem, especially in Gorontalo City. Monitoring activities for patients need to be carried out to prevent disease transmission caused by mosquito bites as an intermediary vector. The utilization of Geographic Information Systems (GIS) related to the monitoring and identifying DHF mosquitoes has recently been widely used in public health science. This study aims to describe the pattern of the spread of dengue fever events through the application of geographic information system data in surveillance activities. This research is a descriptive-analytic study with an ecological approach and geographic information; the design used is Time Series. The research was conducted over six months. The study results based on the results of the Spearmen correlation test between climatic conditions and the incidence of DHF obtained a significance value of p 0.05. The distribution pattern of dengue fever in Gorontalo City is not related to climatic factors (temperature, humidity, rainfall, and rainy days). Conclusion: The distribution pattern of dengue fever in Gorontalo City is not related to climatic factors, including temperature, humidity, rainfall, and rainy days.
THE ASSOCIATION BETWEEN ONLINE GAME ADDICTION AND DEPRESSION IN MEDICAL STUDENTS Antonia Joscelin; Eva Suryani; Yunisa Astiarani; Satya Joewana
Jambura Journal of Health Sciences and Research Vol 3, No 2 (2021): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v3i2.10570

Abstract

The rate of internet use is quite high among college students. Internet is used as a media to play online games, which if played extensively may lead to addiction. Excessive play of online games is found to be associated with decreased psychosocial wellbeing and may cause depressive mood. The rate of depression disorder in Indonesia, especially among college students is quite high. This research aims to find out the association between online game addiction and depression in preclinical students of Atma Jaya Catholic University of Indonesia's Medicine and Health Science Faculty.This research uses cross-sectional method on preclinical students of Atma Jaya Catholic University of Indonesia's Medicine and Health Science Faculty year 2017-2019. The instruments used are questionnaires (demographic, Game Addiction Scale, and Patient Health Questionnaire-9). Out of 215 respondents, 3,7% had online game addiction. It was found that the rate of mild depression is 34%, moderate depression is 18.1%, moderately severe depression is 7.4%, and severe depression is 2.3%. Statistical analysis indicates that there is a significant association between online game addiction and depression (p 0,05). In conclusion, there is an association between online game addiction and depression in preclinical students of Atma Jaya Catholic University of Indonesia's Medicine and Health Science Faculty.
RELATIONSHIP OF WORK STRESS ON DEPRESSION AND ANXIETY SYMPTOMS IN NURSES TREATING COVID-19 PATIENTS AT ROYAL PRIMA RSU Tika Amalia; Adhayani Lubis; Sri Wahyuni Nasution
Jambura Journal of Health Sciences and Research Vol 4, No 1 (2022): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i1.12208

Abstract

Abstrak Berdasarkan World Health Organization (WHO) Covid-19 adalah penyakit menular baru yang disebabkan oleh virus corona. Gejala umumnya adalah demam, kelelahan, batuk, kejang, dan diare. Alasan petugas kesehatan merasa cemas antara lain persyaratan kerja yang tinggi, jam kerja yang panjang saat jumlah pasien meningkat, stigmatisasi masyarakat terhadap petugas kesehatan garda depan membuat dukungan sosial semakin sulit. Dengan tujuan untuk mengetahui bagaimana hubungan dan mengetahui lebih dalam gambaran stres kerja, symptom depresi dan ansietas pada perawat pasien Covid- 19 di RSU Royal Prima. Jenis penelitian adalah analitik korelasi menggunakan rancangan cross sectional. Pengumpulan data pada penelitian ini melalui data primer dengan metode kuesioner secara tertulis oleh responden pada bulan Maret 2021 – Juni 2021. Penggunaan metode kuesioner dikarenakan data yang didapatkan lebih akurat dan sebagai peneliti bisa memastikan semua responden mengisi data. Data penelitian ini akan dianalisis dengan menggunakan software SPSS versi 25. Pengambilan sampel dilakukan dengan consecutive sampling. Dengan kriteria inklusi dan eksklusi yaitu perawat berjenis kelamin perempuan, usia 20-40 tahun, tidak sedang mengalami gangguan jiwa serta tidak memiliki riwayat penggunaan obat ansiolitik dan antidepresan. Pada penelitian didapatkan nilai rata-rata usia responden yang tidak mengalami stress kerja, depresi dan ansietas adalah 28 tahun sedangkan rata-rata usia yang mengalami stress kerja adalah 25 tahun serta rata-rata usia yang mengalami depresi dan ansietas adalah 27 tahun. Dimana nilai korelasi p= 0.859 (p 0.05) yang berarti terdapat hubungan yang tidak signifikan antara stress kerja terhadap simtom depresi dan ansietas. Kata kunci: Ansietas; COVID-19; Depresi; Perawat; Stres Abstract According to the World Health Organization (WHO), Covid-19 is a new infectious disease caused by the coronavirus. The common symptoms are fever, fatigue, cough, seizures, and diarrhea. Reasons of health workers feel anxious include high work requirements, long working hours as patient numbers rise, community stigmatization of frontline health workers making social support increasingly difficult. With the aim to know how the relationship and to know more deeply the frequency of work stress, depression symptom and anxiety in nurses of Covid-19 patients at RSU Royal Prima. The type of this research was correlation analytics using cross sectional design. Data collection was through primary data in writing by respondents. The use of questionnaire methods is due to the data obtained more accurately and as researchers can ensure all respondents fill out the data. The data in this study will be analyzed using SPSS version 25 software. Technique of sampling is done with consecutive sampling. With the criteria of inclusion and exclusion were female nurses, aged 20-40 years, are not experiencing mental disorders and do not have a history of using the ansiolytic drugs and antidepressants. In this study, the average age of respondents who did not experience work stress, depression and anxiety was 28 years, while those who experienced work stress was 25 years as well as depression and anxiety was 27 years. There was a correlation value of p = 0.859 (p 0.05) which means there was an insignificant relationship between work stress to symptoms of depression and anxiety.
IMPLEMENTATION OF AUTOMATIC HANDWASHING WAIST FOR COVID-19 PREVENTION Izza Anshory; Dwi Hadidjaja; Indah Sulistiyowati
Jambura Journal of Health Sciences and Research Vol 3, No 2 (2021): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v3i2.9798

Abstract

Abstrak  Penyebaran Corona Virus (COVID-19) di dunia yang sangat cepat perlu diikuti dengan tindakan pencegahan berupa protolol kesehatan, salah satunya yaitu mencuci tangan. Tujuan kegiatan pengabdian masyarakat ini adalah mengimplementasikan wastafel otomatis di TK. ABA 67 yang terletak di Kelurahan Morokrembangan Kota Surabaya sebagai sarana pencegahan penularan penyakit wabah Covid-19. Metode yang digunakan dalam pelaksanaan kegiatan pengabdian masyarakat ini adalah pertama pembuatan alat cuci tangan yang bisa mengalirkan air dan sabun secara otomatis. Kedua adalah memberikan edukasi kepada 30 peserta yang terdiri atas guru, karyawan, dan wali murid TK mengenai pentingnya protokol kesehatan untuk mencegah Covid-19. Hasil dari kegiatan kegiatan pengabdian masyarakat ini adalah 90 % peserta memahami mengenai bahayanya penyakit virus corona, cara penyebaran, serta cara penanggulangannya yaitu melalui adaptasi kebiasaan untuk cuci tangan dengan air dan sabun, sedangkan sisanya yaitu 10%  perlu diberikan edukasi lebih lanjut. Selain itu pada akhir acara dilakukan penyerahan alat wastafel otomatis untuk TK. ABA 67 Kelurahan Morokrembangan Kota Surabaya sehingga dapat dipergunakan dalam menyambut datangnya pembelajaran tatap muka. Kata Kunci: Covid-19, protokol kesehatan, pnemonia, sensor otomatis Abstract  The very rapid spread of Corona Virus (COVID-19) in the world needs to be followed by preventive measures in the form of health protocols, one of which is washing hands. The purpose of this community service activity is to implement an automatic sink in kindergarten. ABA 67 is located in Morokrembangan Urban Village, Surabaya City as a means of preventing the transmission of the Covid-19 outbreak. The method used in the implementation of this community service activity is the first to manufacture a hand washing device that can drain water and soap automatically. The second is to provide education to 30 participants consisting of teachers, employees, and guardians of kindergarten students about the importance of health protocols to prevent Covid-19. The result of this community service activity is that 90% of participants understand the dangers of the Coronavirus, how it is spread, and how to overcome it, namely through the adaptation of the habit of washing hands with soap and water. the remaining 10% needs to be given further education. Besides, at the end of the event, an automatic sink device was handed over to the kindergarten. ABA 67 Kelurahan Morokrembangan, Surabaya City so that it can be used in welcoming face-to-face learning. Keyword :  Covid-19, health protocol, pneumonia, automatic sensor 
EFFECT OF THE BIRTHBALL METHOD AND MASSAGE ENDORPHIN ON THE INTENSITY OF LABOR PAIN Rika Hairunnisyah; Ekadewi Retnosari
Jambura Journal of Health Sciences and Research Vol 4, No 2 (2022): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v4i2.12495

Abstract

AbstrakPersalinan bagi ibu primigravida umumnya akan menyebabkan nyeri. Nyeri berlebihan akan menghasilan luaran persalinan yang buruk bagi ibu dan bayi. Latihan birthball dan massage endorphin pada  ibu bersalin akan membuat ibu lebih relaks sehingga nyeri persalinan dapat berkurang. Kebaruan penelitian ini karena meneliti tentang pengaruh metode birthball dan massage endorphin terhadap intensitas nyeri persalinan pada ibu bersalin. Penelitian ini bertujuan untuk mengetahui pengaruh metode birth ball dan massage endorphin terhadap intensitas nyeri persalinan di praktik mandiri bidan (PMB) Yuniarti dan Piska  mariati tahun 2021. Desain penelitian ini menggunakan Quasy experiment dengan rancangan pre post test with  control group. Subjek penelitian adalah ibu bersalin normal. Kriteria inklusi dalam penelitian ini adalah sebagai berikut: Ibu Bersalin dengan kehamilan pertama, usia kehamilan aterm {37 – 42 minggu), kehamilan normal dengan kondisi ibu dan janin sehat, janin tunggal, dapat berkomunikasi dengan baik, bersedia mengikuti prosedur penelitian, presentasi kepala dengan penunjuk ubun-ubun kecil. Kriteria eksklusi pada penelitian ini adalah Ibu dengan Riwayat kehamilan komplikasi, memiliki masalah kesehatan kronis dan kehamilan tidak diinginkan. Jumlah Sampel yaitu 90 orang terdiri dari 30 orang kelompok control, 30 orang kelompok endorphine dan 30 orang kelompok birthball. Analisis data menggunakan uji anova. Hasil uji statistic ada perbedaan intensitas nyeri pada kelompok control dengan kelompok birthball dan endorphine (p value= 0,000). Tidak ada perbedaan intensitas nyeri pada kelompok birthball dan kelompok endorphine (p value 1,000).Disimpulkan bahwa pendidikan kesehatan birthball dan massage endorphine bagi ibu bersalin dapat mengurangi nyeri. Kata kunci: Birthball; Endorphine; Nyeri Persalinan AbstractLabor for primigravida mothers will generally cause pain. Excessive pain will result in poor labor outcomes for both mother and baby. Birthball exercises and endorphin massage in maternity mothers will make the mother more relaxed so that labor pain can be reduced. The novelty of this study is because it examines the influence of birthball and endorphin massage methods on the intensity of labor pain in maternity mothers. This study aims to determine the effect of the Birth Ball and Endorphin Massage Method on the Intensity of Labor Pain in the Independent Practice of Midwives (PMB) Yuniarti and Piska Mariati in 2021. The design of this study used a quasy experiment with a pre post test design with a control group. The research subjects were mothers who gave birth normally. The inclusion criteria in this study were as follows: Maternal with first pregnancy, gestational age at term {37 – 42 weeks), normal pregnancy with healthy mother and fetus, single fetus, able to communicate well, willing to follow the study procedure, head presentation with small crown pointer. The exclusion criteria in this study were mothers with a history of complicated pregnancy, chronic health problems and unwanted pregnancies. The number of samples is 90 people consisting of 30 people in the control group, 30 people in the endorphine group and 30 people in the birthball group. Data analysis using ANOVA test. The results of statistical tests showed that there was a difference in pain intensity in the control group with the birthball and endorphine groups (p value = 0.000). There was no difference in pain intensity in the birthball group and the endorphine group (p value 1,000). The conclusion that birthball health education and endorphin massage for maternity mothers could reduce pain.   Keywords: Birthball; Endorphins; Labor Pain

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All Issue Vol 7, No 4 (2025): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 7, No 3 (2025): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 7, No 2 (2025): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 7, No 1 (2025): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 6, No 4 (2024): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 6, No 3 (2024): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 6, No 2 (2024): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 6, No 1 (2024): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 5, No 4 (2023): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 5, No 3 (2023): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 5, No 2 (2023): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 5, No 1 (2023): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 4, No 3 (2022): OKTOBER: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 4, No 2 (2022): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 4, No 2 (2022): Jambura Journal of Health Sciences and Research Vol 4, No 1 (2022): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 4 (2022): SPECIAL EDITION JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 3, No 2 (2021): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 3, No 1 (2021): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 2, No 2 (2020): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 2, No 1 (2020): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 1, No 2 (2019): July Vol 1, No 2 (2019): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH Vol 1, No 1 (2019): JANUARI More Issue