Jurnal Medika Usada merupakan jurnal ilmiah yang diterbitkan resmi oleh STIKES Advaita Medika Tabanan sebagai sarana publikasi hasil penelitian dan sharing perkembangan ilmu kesehatan, Jurnal ini memuat artikel yang belum pernah dipublikasikan sebelumnya yang berupa artikel hasil penelitian ataupun penelitian terapan, artikel telaah yang berkaitan dengan perkembangan ilmu keperawatan dan ilmu kebidanan. Penulis artikel tidak dibatasi pada civitas akademika STIKES Advaita Medika Tabanan, tetapi terbuka juga bagi masyarakat umum yang memiliki artikel ilmiah dibidang ilmu keperawatan dan kebidanan. informasi mengenai pedoman penulisan artikel dan prosedur pengiriman artikel terdapat pada setiap penerbitan.Semua artikel yang masuk akan melelui "peer-review process" setelah memenuhi persyaratan sesuai pedoman penulisan artikel. Penerbitan jurnal ini dilakukan setiap 6 (enam) bulan sekali yaitu pada bulan Pebruari dan bulan Agustus.
PERBEDAAN INTENSITAS NYERI PUNGGUNG BAWAH PADA IBU HAMIL TRIMESTER III SEBELUM DAN SETELAH DIBERIKAN TERAPI GYM BALL
Abstract Intoduction: Reducing pain is done with therapy using a gym ball. The aim of the research was to determine the difference in the intensity of lower back pain in third trimester pregnant women, before and after being given gym ball therapy at the independent practice of midwife Ni Made Mariyati, S.Tr.Keb. Methods: This type of research is a quasi experiment with a one group pretest posttest design. Quasi-experiment. Intervention with gym ball therapy. The sample size of 21 people was taken by purposive sampling. Data analysis with Wilcoxon. Result: The results of the study before the intervention were that the highest pain level was 3 (57.2%), the median was 3, the lowest pain score before the intervention was given was a median of 3 and a mean of 3, after being given the intervention a median of 1 and a mean of 1.2, p value 0.001. There was a change in pain scores before and after being given gym ball therapy, this was because it helped stimulate postural reflexes which helped reduce pain. Suggestion: Regular and continuous check-ups need to be carried out to control the health condition of teenage girls to prevent problems or disturbances in their health and nutritional status. Keywords: Pregnant Women, Back Pain, Gymnastics Ball
EDUCATION ON CLEAN AND HEALTHY LIVING BEHAVIOR (PHBS) FOR STUDENTS OF ELEMENTARY SCHOOL SDI. FATUFETO 2 KUPANG CITY
Health improvement is one of the national development efforts to achieve awareness, willingness and ability to live healthily for every resident in realizing the highest level of public health. The implementation of health development is directed at increasing awareness, willingness and ability to live healthily for every person to have PHBS in the family, school and community environments. Efforts are needed to educate early childhood to behave in a clean and healthy way, one of which is in the school environment. Clean and Healthy Living Behavior in the school environment is a step to empower students, teachers and the school community so that they can and want to carry out clean and healthy living behaviors in creating healthy schools. The design of this study is descriptive and the number of samples is 50 respondents. The variables in this study are health education for students about healthy and clean living behaviors. Data collection techniques use interview, observation and documentation methods. The results of the study showed that it could increase participants' knowledge and understanding of PHBS where there was an increase in knowledge of 57%. PHBS education activities in schools can be continued in other areas as an effort to foster clean and healthy living behaviors at an early age.
PENGETAHUAN DAN SKOR KETERAMPILAN SUAMI DALAM MELAKUKAN PIJAT OKSITOSIN SETELAH DIBERIKAN BIMBINGAN TENTANG PIJAT OKSITOSIN
Air Susu Ibu (ASI) merupakan makanan yang paling sesuai untuk bayi dimana ASI mengandung zat-zat atau nutrisi yang dibutuhkan bayi untuk pertumbuhan dan perkembangannya. Salah satu cara untuk mengatasi masalah produksi dan pengeluaran ASI adalah dengan melakukan pijat oksitosin Metode: Penelitian ini merupakan penelitian deskripif dengan pendekatan cross sectional. Teknik sampling penelitian ini menggunakan total sampling dengan jumlah sampel sebanyak 19 orang suami dari ibu nifas hari pertama sampai hari kedua yang bersalin di PMB di wilayah kerja UPTD Puskesmas Gianyar I dan Gianyar II. Hasil: Dari analisa data didapatkan hasil dari penelitian ini adalah dari 19 reponden seluruh responden (100 %) memiliki tingkat pengetahuan baik dan dari 19 responden sebagian besar yaitu sebanyak 13 (68,4 %) responden terampil dan ada 6 (31,6 %) responden yang tidak terampil dalam melakukan pijat oksitosin pada ibu nifas hari pertama sampai hari kedua di PMB wilayah kerja UPTD Puskesmas Gianyar I dan Gianyar II. Saran: Dari hasil penelitian tersebut diharapkan bidan dapat memberikan bimbingan pujat oksitosin kepada suami dan keluarga guna meningkatkan kualitas dalam pelayanan kebidanan khususnya pada masa nifas dan dalam mengatasi masalah ASI. Kata Kunci : Pengetahuan, keterampilan, pijat oksitosin, menyusui
Efektivitas Acuyoga terhadap Keluhan Insomnia pada Ibu Hamil Trimester III di BPM Ni Putu Atrini Tati, S.Keb
SEKOLAH TINGGI ILMU KESEHATAN BINA USADA BALI PROGRAM STUDI S1 KEBIDANAN Skripsi, Januari 2025 Putu Krisna Lila Samhita Efektifitas Acuyoga Terhadap Keluhan Insomnia Pada Ibu Hamil Trimester III di BPM Ni Putu Atrini Tati, S.Keb (xiii + 54) halaman + 5 tabel + 3 gambar + 14 lampiran ABSTRAK Kehamilan merupakan suatu keadaan yang fisiologis dimana terjadi berbagai perubahan yang dialami ibu, baik itu perubahan secara fisik maupun psikologis. Perubahan-perubahan adaptasi yang dialami ibu selama hamil dapat menimbulkan ketidaknyaman psikis yakni berupa insomnia. Terapi acuyoga dan akupresure merupakan metode non farmakologi yang dapat memberikan perasaan rileks kepada pasien sehingga bisa mengurangi tingkat insomnia. Tujuan penelitian ini adalah untuk mengetahui efektivitas acuyoga terhadap keluhan insomnia pada ibu hamil trimester III. Penelitian ini menggunakan desain penelitian quasi-eksperiment dengan rancangan Non Equivalent Control Group dengan accidental sampling, yang melibatkan 34 ibu hamil. Insomnia diukur menggunakan lembar insomnia rating scale kemudian dilakukan analisis data dengan wilcoxon t- test dan mann whitney test karena data berdistribusi tidak normal. Hasil sebagian besar ibu hamil TM III adalah mengalami tingkat insmonia sedang, sedangkan nilai mean post-test kelompok perlakuan adalah 16,71 yang berarti rerata ibu ibu hamil TM III setelah diberikan perlakuan mengalami tingkat insomnia sedang. Uji menggunakan Wilxocon nilai p-value pada pre-test kelompok perlakuan didapatkan 0.000<0.05 yang artinya bahwa ada perbedaan tingkat insomnia ibu hamil TM III pada kelompok perlakuan setelah diberikan intervensi, sedangkan p-value post-test pada kelompok kontrol 1.000>0.05 yang artinya bahwa tidak ada perbedaan tingkat insomnia pada kelompok kontrol. Diharapkan teknik acuyoga dan akupresure dapat digunakan sebagai bahan pertimbangan dalam memberikan asuhan kebidanan yang komprehensif pada ibu hamil sehingga dapat menurunkan kejadian insomnia pada ibu hamil. Kata Kunci : acuyoga, akupresure, insomnia, ibu hamil Daftar pustaka : 17 (2015-2024)
PICTURE OF NUTRITIONAL STATUS OF UNDERWEIGHT AND NOT GAIN IN TODDLERS GIVEN ADDITIONAL FOOD MADE FROM LOCAL FOOD MATERIALS
Intoduction: Toddlers are the group most vulnerable to experiencing nutritional problems, especially malnutrition problems such as being thin, short and malnourished. The government is implementing a program for providing additional food made from local food, which is one of the strategies for dealing with nutritional problems for children under five. Methods: This research uses a quantitative design with an analytical observational design with a questionnaire and primary data sources. The research was carried out in October 2024 using total sampling. The sample size in this study was 36 respondents. Result: The research results found that the nutritional status of toddlers after receiving additional food made from local food was underweight in the category of two toddlers (5.6%). There were 15 (41.7%) toddlers with good nutritional status, while there were 19 (52.8%) toddlers with normal weight. The nutritional status of toddlers improved after being given additional food made from local ingredients due to the role of cadres in processing, supervising and providing education regarding the provision of local additional food so that mothers are able to prepare additional food, diligent toddlers to integrated service posts, democratic parenting. Suggestion: It is hoped that the Puskesmas nutrition program managers will continue the program of providing additional food made from local food to improve the nutritional status of children with problems Keywords: hemoglobin, body mass index, upper arm circumference, nutritional status. Keywords: Nutritional status; Additional Food Made from Local Food.
PENGARUH AROMATERAPI LEMON TERHADAP INTESITAS NYERI PADA IBU POST SC DI RS BHAYANGKARA
Intoduction: According to the World Health Organization (WHO), deliveries by caesarean section throughout the world in 2023 will be around 10-15% per 1,000 births in the world. The main problem that arises in post-SC patients is pain. Untreated post-operative pain can result in clinical and psychological changes that impair quality of life. The aim of this study was to determine the effect of lemon aromatherapy on pain in post-cesarean section mothers at Bhayangkara Hospital. Metohds: This study used a quasi-experimental research design with a one group pre-post test design with purposive sampling, which involved 30 pregnant women. Anxiety was measured using the Anxiety Questionnaire related to pregnancy-revision 2 (PRAQ-R2) and then analyzed the data with the Wilcoxon t-test because the data were not normally distributed. Suggestion: The results of the research show that the characteristics of mothers giving birth after SC show that the average age of respondents is 28 years, most respondents have a high school education and the average number of parities is second parity. Analysis of anxiety levels using Wilcoxon obtained a p-value < α (p-value = 0.000, α = 0.05), so H0 was rejected and Ha was accepted, meaning that there was lemon aromatherapy given to the intensity of maternal pain post SC in the treatment group. The results of this research are expected to provide lemon aromatherapy can be used as a consideration in providing midwifery care to reduce pain in post-SC mothers.
PENGARUH TERAPI MUSIK KERONCONG LANGGAM JAWA TERHADAP TINGKAT STRES MAHASISWA AKHIR DI UNIVERSITAS SAHID SURAKARTA
Background: Students study at a university for three to four years and complete their studies by writing a thesis as an admission requirement. The stress experienced by students working on their thesis is academic stress. Academic stress can be addressed with non-pharmacological therapies such as Javanese keroncong music therapy. Objective: To identify the effect of Javanese keroncong music therapy on stress levels in final-semester students at Sahid University, Surakarta. Method: This study used a pre-experimental design with a one-group pretest-posttest. The population was 93 students. The sampling technique used purposive random sampling, with 48 samples. This study was conducted at Sahid University, Surakarta. The DASS21 questionnaire was used as a stress measurement tool. The data were analyzed using paired-sample t-tests. Results: The average stress level before receiving Javanese keroncong music therapy was 13.31. The average stress level after receiving Javanese keroncong music therapy decreased to 10.35. The paired-sample test showed a p-value of 0.001. Conclusion: There was an effect of Javanese keroncong music therapy on stress levels in final-semester students at Sahid University, Surakarta (p-value <0.001).
EFEKTIFITAS REBUSAN SIMPLISIA DAUN BINAHONG TERHADAP PENYEMBUHAN LUKA PERINIUM PADA IBU NIFAS
Background: Perineal wounds occur due to excessive and sudden stretching of the birth canal when the fetus is born due to the size of the fetus' head or shoulders or the size of the large child. One way to speed up the healing of perineal wounds is by consuming a simplicia decoction of binahong leaves. Objective: This study aims to determine the effectiveness of consuming simplicia decoction of binahong leaves among postpartum women in healing perineal wounds at the RRJ Ubu Riri Community Health Center, Katikutana District, Central Sumba Regency. Method: This research uses a Quasi-experimental research design with a Nonequivalent Control Group Design. The research population was 30 postpartum mothers who experienced perineal wounds, the sampling technique used total sampling and the research sample was 30 respondents who were divided into 2 groups, namely 15 people in the treatment group and 15 people in the control group. The data collection technique uses an instrument in the form of a perineal wound observation sheet. The data analysis method used is the Mann-Whitney test. Results: Most of the 9 (60.0%) respondents from the treatment group who consumed simplicia decoction of binahong leaves experienced good category of perineal wound healing and almost all 13 (86.7%) respondents from the control group experienced poor category of perineal wound healing. The results of the Mann-Whitney test prove that giving simplicia decoction of binahong leaves is effective in healing perineal wounds in postpartum mothers at the RRJ Ubu Riri Health Center, Kec. Katikutana, Kab. Central Sumba obtained a p value = (0.000) < (0.05). Conclusion: There was a significant difference in perineal wound healing in the treatment group consuming binahong leaf simplicia decoction and the control group, where perineal wound healing in the group consuming binahong leaf simplicia decoction healed faster. With this research, it is hoped that the public can utilize binahong leaf decoction as an alternative that can be used to heal perineal wounds. Keywords: Postpartum; Perineal Wounds; Binahong leaves
Perbedaan Pengetahuan Ibu Dalam Penanganan Pertama Kejang Demam Pada Anak Balita Sebelum dan Setelah Diberikan Edukasi Dengan Media Leaflet
Febrile seizure is a situation when a child experiences a seizure attack due to a body temperature that rises above 38°C which does not occur due to problems in the skull. If febrile seizures are not resolved properly, it has an impact on the inhibition of the brain development process, paralysis, mental retardation, and 2-10% can develop into epilepsy and even die. This study is aimed at understanding the differences in mothers knowledge regarding the first treatment of febrile seizures in children under five before and after being educated through leaflet media. The type of pre-experimental research used one group pretest-posttest design through purposive sampling techniques. The research was carried out in October 2024 at the Sakura Ward of Buleleng Regency Hospital which had a total sample of 32 people. The results of the pre-test were obtained that the majority of respondents had a low level of knowledge, which was 90.6%. The results of the post-test were obtained that the majority of respondents had a good level of knowledge, which was 93.8%. The results of the research through testing using the paired t-test statistical test, a value of p = 0.000 was obtained. Because the value of p < α 0.05, H0 is rejected Ha is accepted. It can be concluded that there is a difference in mothers knowledge regarding the first treatment of febrile seizures in children under five before and after being educated through leaflet media at the Sakura Ward of Buleleng Regency Hospital. Therefore, health workers are expected to be able to use leaflet media in delivering education in a short, concise and clear manner, so that the dissemination of information related to the prevention of fever seizures in toddlers runs effectively and efficiently.
Identifikasi Depresi Postpartum Menggunakan Edinburgh Postnatal Depression Scale di RS Tk II Udayana
Background: Postpartum depression has become a common condition that is often unnoticed in its onset. Postpartum depression can become more severe if not detected and managed adequately. Objective: This study aims to identify postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS) at RS Tk II Udayana. Method: The research design uses a quantitative approach, specifically descriptive with a cross-sectional approach. The sample of this study consisted of 30 respondents selected using the accidental sampling technique. Data analysis was conducted using descriptive analysis. Results: The results of the descriptive test found that the education level was high school for 20 people (66.7%), in early adulthood for 26 people (86.7%), gravida 1 for 14 people (46.7%), and housewives for 15 people (50%). The identification of postpartum depression found that the majority of postpartum mothers respondents experienced mild depression, with 28 individuals (93.3%) and 2 individuals (6.7%) experiencing moderate depression. Conclusion: The conclusion of this study is that almost all respondents experienced mild depression. The research results indicate that almost all postpartum mothers are at risk of experiencing more severe depression if early detection and further intervention are not carried out.