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<![CDATA[STUDI KORELASI UMUR KEHAMILAN DENGAN KEJADIAN NYERI PUNGGUNG IBU HAMIL ]]>
<![CDATA[Ulfah, Mariah]]>;
<![CDATA[Wirakhmi, Ikit Netra]]>
<![CDATA[ Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto 2017: PROSIDING SEMINAR NASIONAL DAN PRESENTASI HASIL-HASIL PENELITIAN SERTA PENGABDIAN MASYARAKAT B ]]>
Publisher : <![CDATA[Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto ]]>
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<![CDATA[Back pain is common in pregnancy. The experience of back pain is often experienced by pregnant women about 24% -90% during pregnancy (JosPt, 2014). There are several factors that contribute to these symptoms during pregnancy including pelvic changes as well as changes in loading due to increasing gestational age (Sabino, Jennifer 2008). Puskesmas Kembaran I is a health center that runs pregnant women's classes. Based on a preliminary study conducted in the class of pregnant women in Purbadana and Kembaran villages in March 2016, of 31 pregnant women stated that 65% had back pain, which was quite disturbing to patients, often using pharmacologic treatment by taking calcium or using oil white wood. Based on the phenomenon, the authors are interested to know to know the relationship between pregnancy age and body mass index of pregnant women with low back pain in pregnant women. Problem formulation is as follows: how the correlation of gestational age with low back pain in pregnant women? The purpose of this study is to know the correlation of gestational age with lower back pain in pregnant women. Keywords: age of pregnancy, back pain]]>
<![CDATA[PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO ]]>
<![CDATA[Novitasari, Dwi]]>;
<![CDATA[Wirakhmi, Ikit Netra]]>
<![CDATA[ Media Ilmu Kesehatan Vol 7 No 2: MIK Agustus 2018 ]]>
Publisher : <![CDATA[Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta ]]>
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DOI: 10.30989/mik.v7i2.278
<![CDATA[Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache.
Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation.
Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test.
Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000.
Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache.
Keywords: autogenic relaxation, headache, hypertension.]]>
<![CDATA[Perbedaan manfaat sebelum dan sesudah latihan pelvic tilt terhadap nyeri punggung ibu hamil trimester III ]]>
<![CDATA[Ulfah, Mariah]]>;
<![CDATA[Wirakhmi, Ikit Netra]]>
<![CDATA[ MEDISAINS Vol 15, No 2 (2017) ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Purwokerto ]]>
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DOI: 10.30595/medisains.v15i2.1644
<![CDATA[Latar Belakang: Perubahan sistem muskuloskeletal terjadi pada saat umur kehamilan semakin bertambah terutama trimester III. Adaptasi muskuloskelatal ini mencakup: peningkatan berat badan, bergesernya pusat akibat pembesaran rahim, relaksasi dan mobilitas. Pusat gravitasi tubuh bergeser ke depan dan jika dikombinasikan dengan peregangan otot abdomen yang lemah ini akan mngakibatkan lekukan pada bahu serta dagu yang menggantung. Ada kecenderungan bagi otot untuk memendek jika otot abdomen meregang sehingga dapat menyebabkan ketidakseimbangan otot disekitar pelvis, dan tegangan tambahan dapat dirasakan diatas ligament tersebut, sehingga menyebabkan nyeri punggung yang biasanya berasal dari sakroiliaka atau lumbar. Berdasarkan fenomena tersebut perlu dilakukan pengelolaan nyeri yang baik untuk mengurangi komplikasi yang timbul akibat nyeri. Tujuan penelitian: mengetahui perbedaan nyeri punggung bawah pada ibu hamil trimester III sebelum dan seudah latihan pelvic tilt Metode Penelitian: Penelitian ini menggunakan quasy experimental dengan desain pre dan post design. Sampel yang digunakan sebanyak 21 ibu hamil ibu hamil trimester III yang mengalami nyeri punggung bawah, teknik pengambilan secara incidental sampling. Penelitian dilakukan di kelas ibu hamil di PKD. Analisa data menggunakan paired t test Hasil Penelitian: rata-rata nyeri punggung pada ibu hamil trimester III sebelum latihan pelvic tilt adalah 4.44 dengan standar deviasi 1.88. kemudian pada pengukuran hari ke 7 latihan didapat rata-rata 1.27 dengan standar deviasi 1.43. 2) perbedaan rata-rata antara pengukuran sebelum dan seudah latihan pelvic tilt adalah 3.71 dengan standar deviasi 2.03. 3) terdapat perbedaan yang signifikan antara nyeri punggung bawah sebelum dan sesudah latihan pelvic tilt Kesimpulan: latihan pelvic tilt dapat mengurangi nyeri nyeri punggung bawah pada ibu hamil ibu hamil trimester III]]>
<![CDATA[PENURUNAN NYERI KEPALA PADA LANSIA DENGAN HIPERTENSI MENGGUNAKAN RELAKSASI AUTOGENIK DI KELURAHAN MERSI PURWOKERTO ]]>
<![CDATA[Novitasari, Dwi]]>;
<![CDATA[Netra Wirakhmi, Ikit]]>
<![CDATA[ MEDIA ILMU KESEHATAN Vol 7 No 2 (2018): Media Ilmu Kesehatan ]]>
Publisher : <![CDATA[Universitas Jenderal Achmad Yani Yogyakarta ]]>
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DOI: 10.30989/mik.v7i2.229
<![CDATA[Background: Headache in the occipital region is the most common symptom of hypertension, caused by enhanchement intra-cranial pressure and vasoconstriction resulting in decreased perfusion of cerebral tissue. This causes insomnia, decreased concentration and decreased ability of daily living activity. Autogenic relaxation causes vasodilation and a calm emotional response that increases the response of the parasympathetic system. This modulation stimulus can decrease perception of headache. Objective: The aims of this study was to find out how the reduction of headache on hypertension before and after autogenic relaxation. Methods: The design of this research was pre experimental with one group pretest-postest design approach. The sample are 38 patients with hypertension who complained of headache in Mersi Purwokerto. Selection has been using purposive sampling. Measurement of head pain using visual analog scale. Data analysis using Wilcoxon test. Results: The mean headache before the autogenic relaxation technique was 5.24, and the mean headache after autogenic relaxation technique was 3.47, including the range of moderate pain. There was a significant difference between headache before and after the autogenic relaxation technique with p value: 0,000. Conclusion: Autogenic relaxation can be used by the elderly with hypertension to reduce headache. Keywords: Autogenic relaxation, headache, hypertension.]]>
<![CDATA[Comparison of Listening Mozart Music With Murotal Al Quran on the Pain of Hypertension Patients ]]>
<![CDATA[Wirakhmi, Ikit Netra]]>;
<![CDATA[Utami, Tin]]>;
<![CDATA[Purnawan, Iwan]]>
<![CDATA[ Jurnal Keperawatan Soedirman Vol 13, No 3 (2018) ]]>
Publisher : <![CDATA[Jurusan Keperawatan FIKES UNSOED ]]>
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DOI: 10.20884/1.jks.2018.13.3.813
<![CDATA[AbsstractThe number of people with hypertension is increasing over time. The most frequest complaint experienced by people with hypertension is pain. Complications of pain can be avoided through correct pain management. Listening to music and murotal Al Quran on some researches can provide a relaxation effect that potentially reduces pain. This study was aimed to identify differences effect in listening mozart music with murotal Al Quran in order to purifying pain of hypertensive sufferers. This research was quasi experiment with pre-test and post-test with two groups design. Data were collected using consecutive sampling technique with 15 respondents for each group. Pain measurement was taken twice before and after listening to music mozart or murotal Al Quran for 15 minutes. Statistic test using mann whitney showed that there was significant mean difference of pain before and after treatment in the murotal group of Al Quran (value p = 0,002). While in the mozart group the difference of pain before and after treatment was not significant (p = 0,051). Listening to murotal Al Quran is more effective in reducing pain in hypertensive sufferers compared to that in mozart music.AbstrakJumlah penerita hipertensi terus mengalmi peningkatan. Salah satu keluhan yang sering dialami oleh penderita hipertensi adalah rasa sakit. Komplikasi dari nyeri dapat dihindari melalui manajemen nyeri yang benar. Mendengarkan musik dan murotal Al Quran pada beberapa penelitian dapat memberikan efek relaksasi yang berpotensi mengurangi rasa sakit. Penelitian ini bertujuan untuk mengidentifikasi perbedaan dalam efek mendengarkan musik mozart dengan murotal Al Quran dalam memurnikan rasa sakit penderita hipertensi. Penelitian ini merupakan eksperimen semu dengan pre test dan post test dengan dua desain kelompok. Data dikumpulkan menggunakan teknik consecutive sampling dengan 15 responden untuk setiap kelompok. Data nyeri masing-masing responden diambil dua kali sebelum dan sesudah mendengarkan musik mozart atau murotal Al Quran selama 15 menit. Uji statistik menggunakan mann whitney menunjukkan bahwa ada perbedaan rerata nyeri sebelum dan sesudah perlakuan pada kelompok murotal Al Quran (nilai p = 0,002). Sedangkan pada kelompok mozart perbedaan nyeri sebelum dan sesudah perlakuan tidak signifikan (p = 0,051). Mendengarkan murotal Al Quran lebih efektif dalam mengurangi rasa sakit penderita hipertensi dibandingkan dengan musik mozart.]]>
<![CDATA[Respon Fisiologis Pasien Pasca Operasi Caesar Setelah Terapi Murotal Ar-Rahman ]]>
<![CDATA[Wirakhmi, Ikit Netra]]>;
<![CDATA[Hikmanti, Arlyana]]>
<![CDATA[ Jurnal Keperawatan Soedirman Vol 11, No 2 (2016) ]]>
Publisher : <![CDATA[Jurusan Keperawatan FIKES UNSOED ]]>
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DOI: 10.20884/1.jks.2016.11.2.654
<![CDATA[Pain results in sympathetic stimulation, which leads to releasing of epinephrine, and affects in rapid heart rate, rapid and shallow breathing, increased artheries pressure. Selected drugs for pain promote side effects such as nausea, vomiting and dependence. A nonpharmacological such as reciting Quran is required. This study was to examine the effect listening recited Ar Rahmaan on physiological responses among post section caesarean patients in dr. Goeteng Hospital. A quasy experimental study with Control Group pre-test and post-test desing was conducted. A consecutive sampling recruited 40 respondents divided into a control group (20) and treatment (20). The treatment group accepted standard therapy plus listening Ar Rahman murotal therapy for 13 minutes 55 seconds once. While the control group accepted standard therapy. Measurements conducted before and after the treatments. Changes of physical responses were analysed by Wilcoxon and Paired Samples t-test. Then, the differences in physiological responses changes and pain intensity between two groups were analysed Mann Whitney test. Results showed a significant differences in blood pressure between before and after treatment both in the control group and the treatment with p systole 0.003 and p diastole 0.018. However, there were no significant differences on the pulse rate and respiratory rate p (0.429 and 0,0666) respectively. It concluded that among post section cesarean patients murotal Ar Rahman decreased blood pressure but not it was not for pulse and respiratory rate ]]>
<![CDATA[Efficacy of Listening to Murattal in Reducing the Pain Experienced by ICU Patients ]]>
<![CDATA[Purnawan, Iwan]]>;
<![CDATA[Hidayat, Arif Imam]]>;
<![CDATA[Sutrisna, Eman]]>;
<![CDATA[Alivian, Galih Noor]]>;
<![CDATA[Wirakhmi, Ikit Netra]]>
<![CDATA[ Jurnal Keperawatan Soedirman Vol 16, No 3 (2021) ]]>
Publisher : <![CDATA[Jurusan Keperawatan FIKES UNSOED ]]>
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DOI: 10.20884/1.jks.2021.16.3.1567
<![CDATA[Background: Pain is one of the main problems in patients with ICU. Inadequate handling can cause adverse effects such as unstable hemodynamics, trigger stress, and thus hinder the healing process. Non-pharmacological intervention is needed to help manage pain in patients with ICU. Purpose: This study aims to identify the effect of murottal listening to pain in ICU patients. Methods: This is a quasi-experiment with pre-test and post-test with control group design. The sampling technique was simple random sampling, consisting of 40 respondents divided into two groups. The Critical Pain Observation Tool (CPOT) is used to measure pain. Statistics using a paired t-test, Wilcoxon-test, and Mann Whitney. Results: Significant decreases in pain scores were observed in treatment groups of 4, 5 to 4,0; p = 0,013. In the control group, there was a significant decrease in pain scores from 4,8 to 4,3; p = 0,001. There was no significant difference between the median decrease in pain in the intervention group (0.001 (-1-2.0) and the control group (0.001 (0.001-1.0)) with p = 0.242. Conclusion: Murottal listening does not have a significant effect on pain in patients of ICU.]]>
<![CDATA[KARAKTERISTIK IBU BERSALIN DI RSUD dr. R. GOETENG TARUNADIBRATAPURBALINGGA TAHUN 2011 – 2015 ]]>
<![CDATA[Ikit Netra Wirakhmi]]>
<![CDATA[ Viva Medika Vol 9 No 2 (2016) ]]>
Publisher : <![CDATA[Universitas Harapan Bangsa Purwokerto ]]>
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DOI: 10.35960/vm.v9i2.126
<![CDATA[Childbirth is a physiological process of the uterus to remove the products of conception.Labor can walk normally, but if the delivery process encountered resistance should be performedsurgery. World Health Organization (WHO) states that globally, pregnancy and childbirth are the main cause of the persistently high Maternal Mortality Rate (MMR) and morbidity in women of reproductive age in countries - developing countries today. More than 300 million women in thecountry - poor and developing countries experienced a decline in health or sickness of the body,both in the short time until the condition is severe and long illness due to pregnancy and childbirthare experienced. Factors complications and maternal mortality and neonatal mostly occurred inthe period surrounding childbirth. Dr. R. Goeteng Tarunadibrata a government hospital type CPurbalingga which accommodates referral services from health centers and were heading type B(RS education). Medical and paramedical personnel in hospitals. dr. R. Goeteng Tarunadibratamust know the various characteristics of the women giving birth by maternal age so that they canmake early detection and prevention of complications of maternal and implementing safemotherhood in an effort to lower the maternal mortality ratio. To analyze the characteristics of women giving birth in hospitals dr. R. GoetengTarunadibrata Purbalingga years 2011 – 2015. The study was descriptive. The sampling technique in this research is consecutive sampling.The number of samples in this study is a random sampling with inclusion criteria, namely: (a)Mothers who deliver in hospitals dr. R. Goeteng Tarunadibrata Purbalingga at 1 January 2011 -December 31, 2015 and (b) RM complete patient data. Data taken from hospital medical recordsand analyzed using univariable (distribution, frequency and average). Medical Things that affect labor in dr. R. Goeteng Tarunadibrata Purbalingga Year 2011 -2015 consists of antepartum bleeding, prolonged labor, pre-eclampsia and eclampsia, serotinus,premature rupture of membranes, breech presentation, presentation latitude and parturitionprematurus. Characteristics of women giving birth in hospitals dr. R. Goeteng TarunadibrataPurbalingga years 2011 - 2015 is the largest and most categories premature rupture ofmembranes at the age of 20-35 years. Keywords: maternal characteristics, maternal age]]>
<![CDATA[GAMBARAN USIA MENARCHE PADA SISWI KELAS VII DAN VIII DI SMP NEGERI 1 KEMBARAN KECAMATAN KEMBARAN PERIODE JULI 2008 ]]>
<![CDATA[Hidayah Hidayah]]>;
<![CDATA[Reni Dwi Setyaningsih]]>;
<![CDATA[Ikit Netra Wirakhmi]]>
<![CDATA[ Viva Medika Vol 2 No 1 (2009) ]]>
Publisher : <![CDATA[Universitas Harapan Bangsa Purwokerto ]]>
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DOI: 10.35960/vm.v2i1.162
<![CDATA[Background: Early functioning of the ovary is marked with the first menstruation.Symptoms of menstruation or menstruation is a very important event in puberty as abiomarker of sexual maturation in girls. Menstrual events that occur periodically willcause various reactions of teenagers puberty. Knowledge of reproduction is an importantcapital to undergo a phase of his life and carry out the development process. It is necessaryto avoid potential interference with reproductive health Objective: To determine the age of menarche picture in class VII and VIII in SMP Negeri 1Kembaran period July 2008 Methods: This type of research used in this research is descriptive quantitative researchwith cross sectional approach. Samples were taken by simple random sampling techniquewith a total sample of 73 people. RESULTS: Adolescent girls experience menarche at age ≥ 12 years more that 59respondents (80.8%), the majority of respondents had experienced menarche is not thesame as the biological mother as much as 45 respondents (61.6%), the majority ofrespondents still have a father as many as 59 respondents as many as 56 respondents(94.9%) had menarche at age ≥ 12 years, adolescent girls who experience menarche ≥ 12years on socioeconomic status were as many as 52 respondents (71.3%) Conclusion: Of the 73 respondents, showed more girls experience menarche at age ≥ 12years, the majority of respondents experienced menarche is not the same as the biologicalmother, the majority of respondents still have a father experienced menarche at age ≥ 12years, adolescent girls who experience menarche ≥ 12 years at the most in socio-economicstatus was Keywords : girls, menarche]]>
<![CDATA[GAMBARAN PENGETAHUAN REMAJA PUTRI TENTANG KEPUTIHAN PADA KELAS X DI SMK NEGERI 3 PURWOKERTO PERIODE JULI-AGUSTUS 2009 ]]>
<![CDATA[Ikit Netra Wirakhmi]]>
<![CDATA[ Viva Medika Vol 2 No 2 (2009) ]]>
Publisher : <![CDATA[Universitas Harapan Bangsa Purwokerto ]]>
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DOI: 10.35960/vm.v2i2.166
<![CDATA[Whitish is a very frequent symptom experienced by most women. Based on a survey of teenage girls in class X in SMK Negeri 3 Purwokerto found that 7 out of 10 young women experience vaginal discharge and say not knowing about the definition, causes and treatment in case of vaginal discharge. Objective: To determine the knowledge level overview of the white girls at SMK Negeri 3 Purwokerto, Banyumas Regency period July August, 2009. Methods: The study was descriptive quantitative research with cross sectional approach. The study population were teenage girls in class X in SMK Negeri 3 Purwokerto as many as 200 people. These samples included 50 people by using simple random sampling technique. The instrument used was a questionnaire. Results: Overview of the young women knowledge about vaginal discharge in class X in SMK Negeri 3 Purwokerto period July-August 2009 is known mostly have poor knowledge about vaginal discharge (48.0%), an overview of knowledge by understanding whitish young women mostly have poor knowledge (40.0%), based on the cause of vaginal discharge mostly have poor knowledge (42.0%), based on the prevention and treatment of vaginal discharge mostly have poor knowledge (40.0%). Conclusion: Overview of the young women knowledge about vaginal discharge in class X in SMK Negeri 3 Purwokerto period JulyAugust 2009 is known mostly have poor knowledge and a fraction having good knowledge. Keywords: Knowledge, Young Women, Whitish]]>
