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PENGARUH YOGA HAMIL TERHADAP KUALITAS TIDUR PADA IBU HAMIL TRIMESTER III DI KLINIK PRATAMA ASIH WALUYO JATI BANTUL YOGYAKARTA Alfie Ardiana Sari; Ratih Kumorojati
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 5 No 1 (2020): JURNAL KESEHATAN MASYARAKAT DAN LINGKUNGAN HIDUP
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Masalah tidur selama hamil sering menjadi keluhan, salah satunya dipengaruhi oleh perubahan kadar hormon. Pada ibu hamil yang kurang tidur dapat menyebabkan badan kurang segar dan mudah lelah yang dapat mengakibatkan kontraksi rahim, dimana jika terjadi di trimester I dapat mengakibatkan abortus dan jika terjadi di trimester II dan III dapat mengakibatkan persalinan premature. Salah satu upaya yang dapat dilakukan oleh ibu hamil untuk mengatasi gangguan tidur adalah dengan yoga hamil. Yoga merupakan sejenis olah tubuh, pikiran dan mental yang sangat membantu ibu hamil melenturkan persendian dan menenangkan pikiran terutama pada kehamilan trimester III. Klinik Pratama Asih Waluyo Jati Bantul Yogyakarta merupakan salah satu klinik yang membuka kelas prenatal gentle yoga dengan peminta yang cukup banyak setiap minggunya untuk mengikuti kegiatan yoga hamil. Desain penelitian ini adalah studi eksperimental menggunakan rancangan acak lengkap dengan metode pre-post test group design dan pengujian hasil dilakukan sebelum dan setelah intervensi. Sampel terdiri dari ibu hamil trimester III yang mengikuti yoga hamil minimal 3 kali, dengan jumlah sampel 34 responden. Kualitas tidur diukur menggunakan. Pengukuran kualitas tidur sebelum dan sesudah perlakuan dengan menggunakan kuesioner PSQL. Data hasil pengamatan dianalisis dengan mmenggunakan Uji Wilcoxon. Kualitas tidur ibu hamil sebelum pemberian perlakuan didapatkan 59,5% responden dengan kualitas tidur yang buruk. Setelah diberikan perlakuan yoga hamil terjadi peningkatan, dimana sejumlah 73% responden mengalami kualitas tidur yang baik. Ada pengaruh yoga hamil terhadap kualitas tidur pada ibu hamil trimester III di Klinik Pratama Asih Waluyo Jati Bantul Yogyakarta

Pengaruh penggunaan spin card yoga terhadap motivasi ibu hamil untuk melakukan yoga mandiri Ratih Kumorojati; Alfie Ardiana Sari; Dian Puspitasari; Nur Rahmawati Sholihah
MEDIA ILMU KESEHATAN Vol 10 No 3 (2021): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v10i3.706

Background: The care provided by midwives to reduce discomfort is by teaching Yoga to pregnant women a safe physical exercise for mother and fetus, yoga is usually done every day that trains the mother's breathing, physical and psychological, the implementation of Yoga in pregnant women must be accompanied by a facilitator who competent. During the COVID-19 pandemic, pregnant women have difficulty doing yoga in health facilities. In overcoming these obstacles, independent yoga media is needed that is safe for pregnant women, the media can be in the form of videos, flashcards, and spin cards as well as practical and easy-to-use yoga movement pictures as a guide.Objective: The purpose of this study was to determine the effectiveness of using Spin Card Yoga on the motivation of pregnant women to carry out independent yoga.Methods: This type of research is a quasi-experimental research with one group pre-test-post-test design. This research was conducted by giving a pretest (initial observation) in the form of a questionnaire before being given an intervention. After that the intervention was given, then a posttest (final observation) in the form of a questionnaire was also carried out (Hidayat, 2007). The population in this study was 30 pregnant women living in the working area of the Asih Waluyojati clinic. The sampling technique used is the convenience sampling technique (nonprobability). The sample in this study was 25 people. data analysis using the Wilcoxon test.Results: The majority of mothers' motivation in participating in yoga before being given spin cards yoga in the less category (76.19%), while after being given spin cards yoga intervention, the majority of respondents' motivation was in the high category as much as 75%. Based on the pairwise comparison test using Wilcoxon , the value of P = 0.001 was obtained. This value means P<0.05, which means that there is an effect of using spin cards on the motivation of pregnant women to do yoga.Conclusion: Based on the discussion that has been described, it can be concluded that the majority of motivation before using spin cards yoga is less (76.19%), the majority of motivation after using spin cards yoga is high (75%), and the use of spin cards yoga affects the increase in motivation of pregnant women to do yoga independently.

Effect of Yoga Exercise on Cortisol Hormone Levels in Pregnant Women in Kinik Pratama Asih Waluyojati Banguntapan Bantul Yogyakarta Ratih Kumorojati; Alfie Alfie; Agus Warseno
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 8, No 4 (2020)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2020.8(4).292-297

Maternal mortality rates in 2016 rose compared to 2015. The causes of maternal death in 2016 were Severe Preeclampsia (PEB) as much as 33% (4 cases), Bleeding by 17% (2 cases), Heart Failure 17% (2 cases), Sepsis 17% (2 cases) and Other 16% (2 cases). Some studies state that preeclampsia occurs due to the influence of anxiety during pregnancy. Pregnancy is a period of crisis that involves also psychological factors, hormonal changes causing the mother's emotions to become lame. In addition to physical factors, psycho social factors can add anxiety in pregnant women. High stress in pregnancy can increase stress hormones, it can also lead to increased blood pressure and birth weight loss. Prevention can be done by pregnant women to have a healthy condition both the mother and her fetus, as well as through the normal labor process that is by exercising, gymnastics, dancing, and yoga. At this time yoga becomes one of the self help that can support the process of pregnancy, birth. Physiological of yoga performed during pregnancy is reversing the effects of stress involving the parasympathetic part of the central nervous system. The effects of such stress will be inhibited by relaxation, so that the hormones that cause body dysregulation (cortisol) will be reduced in number. The hormone cortisol is an increased hormone in anxiety so by masterminding this hormone can lower the anxiety levels of pregnant women which has an impact on the decreased risk of PEB. Look at the effect of Yoga exercise on cortisol hormone levels in pregnant women. This type of quantitative research is True Experimental research method, with Posttest-Only Control Group Design. Respondents who used pregnant women who participated in prenatal yoga, samples taken with the Formula Freeder obtained 16 pregnant women with control as many as 16. Data analysis was performed using the Pearson Chi-Square test with a result of p <0.00 which indicates a correlation. There is an effect of yoga on cortisol levels in pregnant women.

Pengurangan Nyeri Haid Melalui Yoga Pada Remaja di Wilayah Kerja Puskesmas Kalasan Yogyakarta Lily Yulaikhah; Dian Puspitasari; Ratih Kumorojati; Eniyati -; Anastasia Agnes Wulandari; Aisyah Anamardiyah Ramadani; Anisa Putri Arthadewi; Ayu Widyastuti; Desmanita
The Journal of Innovation in Community Empowerment Vol 4 No 1 (2022): Journal of Innovation in Community Empowerment (JICE)
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/jice.v4i1.717

ABSTRAK. Masa remaja merupakan masa transisi dari masa anak-anak menuju dewasa yang ditandai dengan terjadinya perubahan-perubahan di dalam tubuh yang memungkinkan untuk bereproduksi. Perubahan biologis yang mendasar pada remaja disebut pubertas, gangguan menstruasi yang sering dialami perempuan seperti nyeri perut bagian bawah, menstruasi yang tidak teratur, nyeri pinggang, dan salah satunya yaitu dismenore. Upaya penanganan untuk mengurangi dismenore adalah dengan pemberian terapi farmakologi dan terapi non farmakologis diantaranya adalah menggunakan teknik relaksasi, olahraga dan yoga. Yoga merupakan tehnik yang mengajarkan seperti tehnik relaksasi, pernafasan, dan posisi tubuh untuk meningkatkan kekuatan, keseimbangan dan mengurangi rasa nyeri. Oleh karenanya dalam rangka memberikan pemahaman bagi para remaja tentang nyeri haid dan yoga telah dilaksanakan kegiatan pengabdian kepada masyarakat dalam bentuk edukasi dan melatih remaja untuk menggunakan beberapa gerakan yoga yang dapat digunakan untuk mengurangi nyeri haid. Kegiatan ini dilaksanakan selama dua hari secara daring menggunakan zoom meeting dan luring bertempat di Balai Desa Tirtomartani Wilayah Kerja Puskesmas Kalasan. Sasaran dalam kegiatan ini adalah remaja perempuan dari Parikesit dengan tujuan meningkatkan pemahaman remaja mengenai yoga serta melatih gerakan yoga untuk mengurangi nyeri haid. Hasil dari kegiatan ini terdapat peningkatan pengetahuan remaja tentang yoga untuk mengurangi nyeri haid berdasarkan hasil pretes dengan rata-rata 68,33 dan postes dengan rata-rata 83,06. Dengan adanya peningkatan pengetahuan remaja dapat dievaluasi bahwa pendidikan kesehatan yang diberikan dapat meningkatkan pengetahuan remaja tentang nyeri haid dan yoga untuk mengatasi nyeri haid. Dalam praktik yoga sebagian besar peserta juga dapat mengikuti gerakan yoga dengan tepat. Luaran dari kegiatan ini berupa publikasi di jurnal nasional serta media koran elektronik tribunnews. Diharapkan dengan adanya kegiatan ini pengetahuan remaja senantiasa dijaga dan ditingkatkan serta dapat diterapkan dalam mengatasi dismenorhea saat menstruasi. Pihak Puskesmas diharapkan dapat melakukan pemantauan terhadap remaja dalam implementasi yoga untuk mengurangi nyeri saat haid serta memberikan pendidikan kesehatan lain terkait dengan remaja.

The effect of transcutaneous electrical nerve stimulation (TENS) on decreasing primary dysmenorrhea pain in adolescents Nur Rahmawati Sholihah; Ratih Kumorojati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 10, No 3 (2022)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2022.10(3).251-261

Background: Dysmenorrhea is medical condition indicated by an increase of the prostaglandin (PG) F2-alpha hormone and cyclooxygenase (COX-2) causing hypertonic as well as vasoconstriction activity to the myometrium. It leads to ischemia and stimulating pain in the uterine organs. The condition influence quality of life and productivity of majority female patients. Dysmenorrhea incidence in Indonesia is reported by 64.25% and a total of 52% of students in Yogyakarta experienced drop activity during menstruation. Objectives: This study aimed to evaluate the effect of TENS in reducing primary dysmenorrhea pain among female adolescents in General Ahmad Yani University YogyakartaMethods: A quasi experiment study with pretest-posttest control group design was conducted. A total of 24 participants for intervention and control group were recruited. In order to recruit study participants, this research implemented a quota sampling approach. Primary dysmenorrhea pain measured using Numerical Rating Scale (NRS) and bivariate analysis between both groups carried out using T-test.Results: A significant difference (p<0.05) reported from both groups before and after the intervention. Prior to the treatment, the average pain score for intervention group was 6 (1.70) and ranging from 4-10. After the treatment being delivered, the intervention group experienced lower pain intensity by average 3.42 (1.6) between 1-6 score range. Control group in this study reported average pain score before the intervention by 4 (1.16) with and ranging from 3-6. The treatment decreased control group participants pain level to average 1.50 (0.52) between the range of 1-2. TENS is effective for severe pain management. Effleurage massage suitable for moderate level pain management. TENS intervention effective to lower pain by 3.50%.Conclusions: TENS and massage intervention potential to decrease pain intensity of primary dysmenorrhea. This study reported lower pain level associated with TENS by 3.50%. TENS had significant effect for reducing dysmenorrhea pain by 3.50%.

The effect of yoga movements in reducing complaints symphysis pubis dysfunction in pregnancy Ratih Kumorojati; Alfie Ardiana Sari; Ika Fitri Ayuningtyas
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 1 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(1).86-94

Background: The incidence of Section Caesarea (SC) based on the results of the 2018, states that the highest prevalence is in the DKI Jakarta area with a percentage reached 31.3% while the Papua region percentage is only 6.7%. It is known that the causes of birth with CS include, a narrow pelvis, disproportion of the fetal head, malposition of the fetus, and disorders of the descent of the fetal head which often cause complaints of symphysis pubis dysfunction (SPD). Every pregnant woman needs to empower herself to increase her self-confidence in facing the pregnancy process until before delivery. Several studies have stated that practicing yoga during pregnancy can reduce pregnancy complaints. During the Covid-19 pandemic, pregnant women were limited to doing activities outside the home. In this case, independent yoga media is needed that is safe, easy to understand, and as a guide for pregnant women, both in the form of videos, flashcards, spin cards, and picture cards of practical yoga movements.Objectives: To find out the effectiveness of yoga movements in dealing with complaints of symphysis pubis dysfunction in pregnancy.Methods: This research method uses quasi-experimental research with a one-group pre-test design which reveals a causal relationship involving one group of subjects. Respondents consisted of 25 pregnant women entering the third trimester of pregnancy with the inclusion criteria of pregnant women experiencing dysfunction of the symphysis pubis before the intervention. The interventions that will be carried out are measuring pain scales, printing yoga movement cards, teaching, and doing yoga 4 times in 1 month.Results: It is known that the number of respondents who did yoga before the intervention was mostly in the mild pain category (36%) and moderate (28%). After the intervention, the majority of respondents were in the no-pain category (44%). Respondents with severe pain before intervention (16%) decreased to (8%) post-intervention. The results of statistical tests using the Wilcoxon test obtained p = 0.036 where this value is below 0.05, which means that there is an effect of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy.Conclusions: From the results of the research that has been done, it can be concluded that there is an influence of yoga movements in reducing complaints of symphysis pubis dysfunction in pregnancy. There were significant changes in pregnant women before and after the intervention. Therefore pregnant women are encouraged to do yoga regularly to reduce complaints of pregnancy discomfort which can interfere with the delivery process.

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