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Kreasi dan Inovasi COMUT (Coklat Temulawak Imut) Penambah Nafsu Makan Lina Puspitasari
Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat Vol 1 No 2 (2020): Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat
Publisher : LPPM Akbid Harapan Ibu Pekalongan

Decreased appetite is a health problem that often occurs especially in children. Various ways of being taken by parents to solve the problem, either through drugs or pharmacology and nonfarmochology in the form of herbal-banquets based Temulawak. Temulawak is one of the spices produced in Cilacap regency that has not been utilized optimally. During this time, Temulawak is processed in a form of powder and made in beverage packaging. Temulawak Chocolate is an innovation that we develop to utilize Temulawak while addressing health problems in the form of decreased appetite. Because if the problem is not handled immediately, it can result in less nutrition or even poor nutrition. COMUT (cute Temulawak chocolate) is an innovation that we have developed to address the problem. The goal of community service is to implement COMUT in children and toddlers in PAUD Amanah Cilacap as an effort to increase appetite. The method used is a pretests post test one group, measuring the appetite level using the quesioner before and after given treatment of chocolate Temulawak. The results of community service is a change of appetite between before being given Temulawak chocolate and after given Temulawak chocolate. The result of Quesioner counting of 30 samples showed that the average score before given the Temulawak chocolate amounted to 29.4 and after the average COMUT was given to 35.1. As for the development of food from a portion of rata2 increases and snacks increase.

Sistem Pakar Deteksi Dini Penyakit Preeklamsia pada Ibu Hamil Menggunakan Metode Certainty Factor Nur Wachid Adi Prasetya; Linda Perdana Wanti; Laura Sari; Lina Puspitasari
Infotekmesin Vol 13 No 1 (2022): Infotekmesin: Januari, 2022
Publisher : P3M Politeknik Negeri Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35970/infotekmesin.v13i1.1050

Preeclampsia is a disease in pregnant women characterized by high blood pressure and positive urine protein. The disease has a high risk of maternal and fetal death, so there is a need for early detection of mothers at risk of preeclampsia. Early online detection of preeclampsia is the best solution during the Covid-19 pandemic by analyzing the influencing factors. The purpose of this study is to build an expert system for early detection of preeclampsia in pregnant women using the Certainty Factor method and the waterfall system development model in order to provide the possibility of pregnant women suffering from preeclampsia. Testing the accuracy of 30 medical record data for pregnant women resulted in a system accuracy level of 90%, while usability testing resulted in a user satisfaction level of 55 with the System Usability Testing (SUS) score criteria being "Poor", therefore improvements are needed on expert system in the future.

MANFAAT PENGUATAN OTOT ABDOMEN DAN PEMIJATAN LUMBAL TERHADAP PERCEPATAN PROSES PERSALINAN KALA I Lina Puspitasari; Ernawati .
Jurnal Kebidanan VOLUME 10. No. 01, JUNI 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v10i01.295

ABSTRAKPersalinan lama akan berdampak buruk pada ibu dan janin, hal ini dapat berakibat pada kematian. Penyebab permasalahan tersebut adalah kurang adekuatnya kontraksi uterus. Latihan penguatan otot abdomen dan pemijatan lumbal dapat dijadikan solusi dalam penyelesaian masalah tersebut.Â Tujuan penelitian ini untuk mengetahui manfaat penguatan otot abdomen dan pemijatan lumbal terhadap percepatan lamanya proses persalinan Kala I yang dihitung nilai rata-rata lama pembukaan serviks dari 0 cm sampai dengan 10 cm. Metode penelitian ini adalah eksperimen semu jenis one group without control design. Populasi penelitian sebanyak 50 orang ibu bersalin di BPM Ny. C Desa Mentasan Kecamatan Kawungan Kabupaten Cilacap selama 2 bulan. Sampel penelitian diambil secara purposive sebanyak 30 orang. Untuk menganalisis efek perlakuan yaitu lama persalinan menggunakan Paired T-test dengan SPSS dengan analisis pre post test. Hasil Penelitian dan Pembahasan terdapat hubungan yang bermakna pada lama persalinan sebelum dan setelah dilakukan treatmen. Pemberian treatmen berupa penguatan otot abdomen dan pemijatan lumbal terbukti dapat membantu percepatan lamaÂ proses persalinan kala I. Latihan otot abdomen dan pemijatan lumbal akan meningkatkan reseptor oksitosin yang menyebabkan kualitas kontraksi uterus menjadi adekuat yang berdampak pada percepatan persalinan. Selain itu teknik tersebut menyebabkan sekresi opioid yang merangsang saraf parasimpatik dan penurunan kadar hormon kortisol dan katekolamin sehingga dapat menghilangkan rasa nyeri. Simpulan Latihan penguatan otot abdomen dan pemijatan lumbal terbukti berdampak terhadap percepatan proses persalinan Kala I. Diharapkan ada penelitian lebih lanjut terkait faktor-faktor lain yang mempengaruhi proses dan lamanya persalinan kala I sehingga dapat meningkatkan kualitas asuhan kebidanan.Kata Kunci: Penguatan, Abdomen, Pijat, Lumbal, PersalinanBENEFITS OF STRENGTHEN THE MUSCLES OF THE ABDOMEN AND LUMBAR MASSAGE AGAINST ACCELERATION DURATION BIRTHING ON ACTIVE PHASE OF LABORABSTRACTLong Labor will impact badly on the mother and fetus, it can result in death. The cause of these problems is less adekuatnya uterine contractions. Muscle strengthening exercises abdominal and lumbar massage can be used as a solution in the settlement of the issue.Â The purpose of the study to find out the benefits of strengthening the muscles of the abdomen and lumbar massage against acceleration duration birthing on active phase of labor calculated the average value of cervical opening old from 0 cm to 10 cm.Â Â Research methods Design study was quasi experiment and One group without control design. Population studies as many as 50 people mother birthing in BPM Ny. C Mentasan Village sub district of Cilacap Regency Kawungan for 2 months. Samples taken in purposive research as many as 30 people. To analyze the effect of the treatment that is the old labor using Paired T-test with SPSS. Research results and Discussion there is a meaningful relationship on the old labor before and after the treatmen. The grant in the form of muscle reinforcement treatmen abdomen lumbar massage and proved the old acceleration can help birthing on active phase of labor. Exercise abdominal and lumbar massage will increase the receptor of oxytocin which causes uterine contraction qualities become a adekuat impact on the acceleration of labor. In addition this technique causes the secretion of parasympathetic nerves that stimulate opioid and a decrease in the hormone levels of cortisol and Catecholamines so as to eliminate the pain. Summary of muscle strengthening exercises and abdominal massage lumbar proved to have an impact against the acceleration of the process of childbirth on active phase of labor. expected further research related to other factors that affect the process and length of labor on active phase of labor so can improve the quality of obstetric care. Key Words: Reinforcement, Abdominal, Lumbar Massage, Labor

EFEKTIFITAS TEKNIK EFFLEURAGE DAN COUNTER PRESSURE VERTEBRA SACRALIS TERHADAP PENURUNAN NYERI PERSALINAN KALA I Lina Puspitasari
Jurnal Kebidanan VOLUME 12. No.01, JUNI 2020
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v12i01.364

ABSTRAKNyeri persalinan merupakan suatu yang tidak bisa dipisahkan dari proses persalinan. Hal ini terjadi akibat peningkatan kontraksi uterus yang membuat janin turun memasuki ruang pelvis dan terus meningkat sampai dengan pembukaan serviks lengkap. Nyeri yang tidak ditangani segera dalam waktu lama dapat mengakibatkan kelelahan pada ibu dan stres yang meningkat dapat mengakibatkan rasa sakit yang semakin kuat dan berdampak pada persalinan lama Tujuan penelitian ini adalah untuk mengetahui efektifitas teknik effleurage dan counter pressure vertebra sacralis terhadap penurunan nyeri persalinan Kala I. Metode penelitian ini adalah eksperimen semu jenis one group without control design. Populasi penelitian sebanyak 142 ibu bersalin selama 3 bulan. Teknik pengambilan sampel dengan cara purposive sampling sebanyak 30 responden. Teknik Effleurage dan Counter Pressure Vertebra Sacralis diberikan kepada pasien oleh peneliti bersama dengan satu bidan sebagai enumerator secara bergantian dengan lama masing-masing 30 menit. Nyeri diukur dengan menggunakan lembar skala nyeri sebelum (pre test) dan sesudah tindakan (post test) oleh peneliti. Efek dari perlakukan terhadap nyeri persalinan dianalisis menggunakan Paired T-test dengan SPSS analisis pre post test. Hasil analisis data diperoleh nilai mean intesitas nyeri sebelum dan sesudah perlakuan, responden mengalami penurunan menjadi (1.45). Hasil uji one sample T-test menunjukkan bahwa keknik Effleurage dan Counter Pressure Vertebra Sacralis efektif menurunkan nyeri pada kala I persalinan dengan nilai sig 0.001 (t-hitung 11.22). Simpulan teknik effleurage dan counter pressure vertebra sacralis terbukti berdampak terhadap pengurangan nyeri persalinan Kala I. Diharapkan ada penelitian lebih lanjut terkait faktor-faktor yang mempengaruhi nyeri persalinan kala I sehingga dapat meningkatkan kualitas asuhan kebidanan. Kata kunci : Effleurage, Pressure, Sacralis, Nyeri, Persalinan EFFECTIVENESS OF TECHNIQUE OF EFFLEURAGE AND COUNTER PRESSURE VERTEBRA SACRALIS TO DECREASED LABOR PAINSABSTRACTLabor pain is an inseparable process of childbirth. This occurs due to an increase in uterine contractions that make the fetus fall into the pelvic chamber and continue to increase up to complete cervical opening. Pain that is not treated immediately for a long time can lead to fatigue in the mother and increased stress can lead to stronger pain and impact on old Labor The purpose of this research is to find out the effectiveness of the technique of effleurage and counter pressure vertebrae sacralis to decreased labor pain The study population of 142 maternity mothers for 3 months. The sampling technique by purposive sampling as many as 30 respondents. The Effleurage and Counter Pressure vertebrae Sacralis techniques are administered to patients by researchers along with one midwives as an enumerator alternately with a length of 30 minutes each. Pain is measured using the pain scale before (pre test) and after the action (post test) by the researcher. The effects of the treat against labor pains were analyzed using the Paired T-test with SPSS pre post test analysis. Data analysis results obtained the value of pain varying before and after treatment, the respondent decreased into (1.45). The T-Test one sample test results showed that the Effleurage and Counter Pressure Vertebra Sacralis were effective in reducing the pain at the time I was delivery with a value of sig 0.001 (T-count 11.22). The technique of effleurage and counter pressure vertebrae sacralis proved to affect the reduction of childbirth pain Kala I. It is hoped that more research is related to the factors that affect labor pain so that it can improve the quality of obstetric care. Keywords: Effleurage, Pressure, Sacralis, pain, childbirth

Efektifitas Abdomen Exercise, Pelvic Rocking dan Stimulation Nipple terhadap Percepatan Persalinan Azizatul Misti; Lina Puspitasari; Ernawati Ernawati
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 11 No 1 (2021): Supp Januari 2021
Publisher : LPPM STIKES KENDAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v11i1.1214

Persalinan memanjang atau persalinan tidak normal merupakan masalah yang masih belum teratasi secara optimal. Dampak dari permasalahan tersebut adalah memberikan resiko kematian pada ibu dan janin. Salah satu penanganan yang sedang dikembangkan oleh dunia kesehatan adalah penanganan komplementer sebagai pencegahan atau pengoptimalisasi tindakan medis. Para ibu hamil trimester III berlatih untuk melakukan senam hamil dalam persiapan persalinan dengan harapan masyarakat mampu melakukan tindakan preventif secara mandiri. Tujuan Penelitian adalah mengetahui efektifitas Abdomen Exercise, Pelvic Rocking dan Stimulation Nipple terhadap proses percepatan persalinan kala I. Desain penelitian kuantitatif menggunakan metode quasi eksperimental.. Metode sampling yang digunakan adalah non probability sampling melalui pendekatan purposive sampling yang berjumlah 3 pasien. Pasien yang di gunakan sebagai partisipan yaitu pasien ibu bersalin di RSUD Hj. Ana Lasmanah Banjarnegara. Pengambilan data dilakukan pada tanggal 4 November sampai 24 Desember 2019. Setelah data diambil dengan lembar partograf, kemudian data dianalisis dengan uji Wilcoxon Matched Pairs dengan program SPSS dengan memasukkan data rata-rata waktu yang ditempuh untuk pembukaan serviks setiap 1 cm. Tindakan Abdomen Exercise, Pelvic Rocking dan Stimulation Nipple dapat mempercepat pembukaan servik Kala I persalinan dengan rata-rata 31 menit 40 detik dan meningkatkan jumlah dan lamanya kontraksi uterus. Namun untuk hasil olah SPSS menunjukkan nilai p value sebesar 0.109 > 0.05 yang berarti bahwa tidak ada hubungan yang signifikan antara kedua variabel Abdomen Exercise, Pelvic Rocking dan Stimulation Nipple tidak efektif terhadap percepatan persalinan.

Peran Muscle Pumping Exercise pada Ibu Nifas dalam rangka Pemulihan Uterus dan Kestabilan Tekanan Darah Lina Puspitasari
Jurnal Kebidanan Harapan Ibu Pekalongan Vol 6 (2019): Jurnal Kebidanan Harapan Ibu Pekalongan
Publisher : LPPM Akademi Kebidanan Harapan Ibu Pekalongan

Latar Belakang Penelitian. Masa nifas merupakan masa dari kelahiran plasenta sampai dengan alat kandungan kembali seperti semula sebelum hamil. Sebagian masyarakat beranggapan masa kritis ibu terjadi saat proses persalinan, namun saat masa nifas hal-hal yang tidak diharapkan pun bisa terjadi. Masalah yang dapat membahayakan kesehatan ibu antara lain perdarahan pasca persalinan, atonia uteri, infeksi dalam masa nifas. Oleh sebab itu, perlu adanya tindakan yang efektif dan efisien dalam pencegahan tanda bahaya masa nifas. Tindakan tersebut adalah muscle pumping exercise yang merupakan tindakan untuk mengalirkan darah dari ekstremitas inferior ke arak atrium dextra pada jantung dan pemulihan uterus dalam proses involusi uteri. Tujuan penelitian adalah untuk mengetahui peran muscle pumping exercise pada ibu nifas dalam rangka pemulihan uterus dan kestabilan tekanan darah. Metode penelitian ini merupakan penelitian studi kasus sehingga dalam proses memperoleh data terdiri dari anamnesa, pemeriksaan fisik, pemeriksaan penunjang, latihan penguatan otot abdomen dan dasar panggul, dokumentasi, studi kasus, dan telaah dokumen. Hasil penelitian adalah setelah dilakukan muscle pumping exersice selama 3 kali/ 24 jam didapatkan hasil tekanan darah yang semul 100/60 MmHg berubah menjadi 110/70 MmHg. Kemudian untuk TFU (tinggi Fundus Uteri) yang awalnya teraba setinggi pusat berubah menjadi 2 jari di bawah pusat. Selain itu jumlah darah yang keluar semakin berkurang, ibu selama 24 jam ganti pembalut sebanyak 5 kali dan jarak waktu pergantian pembalut semakin lama. Kesimpulan terdapat pengaruh yang bermakna pada ibu nifas dengan muscle pumping exercise dalam rangka pemulihan uterus dan kestabilan tekanan darah.

Efektifitas Massage Perineum untuk Percepatan Persalinan Kala II pada Ibu Bersalin Isofi Laspiriyanti; Lina Puspitasari
Jurnal Kebidanan Harapan Ibu Pekalongan Vol 7 No 1 (2020): Jurnal Kebidanan Harapan Ibu Pekalongan
Publisher : LPPM Akademi Kebidanan Harapan Ibu Pekalongan

Background: Stiff perineum is caused by the nerves of the perineal muscle contain pyruvic acid which enters the mitochondria which are converted into lactic acid. Lactic acid causes metabolic problems and shrinks between the perineal muscle cells, so the perineum becomes stiff. The impact of a stiff perineum can inhibit the second stage of labor which increases the risk of death to the fetus and causes damage to the birth canal or laceration. Research Objectives: to accelerate the second stage of labor. Research Method: The design of this study uses the case study method. The sampling method used was non probability sampling through a purposive sampling approach of 3 patients. Patients used as participants were maternity patients in Cilacap District Hospital. Data was collected from January 2 to January 25, 2019. After tabulation with data that has been analyzed using analysis of explanation and time series. Results: The study showed there was a great impact of the Perineum Massage Midwifery Care for the Acceleration of Second Stage of Labor in Maternity Women. With the results of the first participant the process of accelerating labor took place within 15 minutes. In the second participant, the process of labor acceleration took place within 10 minutes. And in the third participant the process of accelerating labor took place within 20 minutes. Conclusion: Thus, that Perineum Massage Care for the Acceleration of Second Stage of Labor is really effective.

Manfaat Body Mekanik dan Hamstring Exercise terhadap Pengurangan Nyeri Pinggang Ibu Hamil Trimester III Lina Puspitasari; Ernawati Ernawati
Jurnal Kebidanan Harapan Ibu Pekalongan Vol 7 No 1 (2020): Jurnal Kebidanan Harapan Ibu Pekalongan
Publisher : LPPM Akademi Kebidanan Harapan Ibu Pekalongan

Background. Low back pain is the pain in the lower back region that occurs in 50% of pregnant women and it can be overcome with training. Mechanical Body is an effort to facilitate muscle movement without causing muscle tension so as to reduce musculoskeletal injury. Hamstring exercise action can also support the reduction of low back pain, this is caused by the exercise process in the form of a reduction that results in muscle flexion resulting in reduced muscular injury and an increase in body metabolism. The purpose of this study was to determine the benefits of body mechanics and hamstring exercise on the reduction of low back pain in third trimester pregnant women. Research methods. This study uses a comparative test analysis type approach. Subjects in this study were 36 third trimester pregnant women who experienced complaints of low back pain. This research was conducted at PMB Midwife Utami, Amd.Keb. The study was conducted in November 2018-March 2019. This study used the Wilcoxon Signed Rank test in the SPSS 20 software program. The results of this study used the Wilcoxon Signed Rank formula. Based on the calculation results using a computerized analysis of the results obtained Z value of - 5.255 and p value (Asymp Sign 2 tailed) of 0,000 where the value is below the critical limit of research or a point of significance of 0.05 (5%) and Z table value of 1.68830. The conclusion of this study is that there are benefits of mechanical body and hamstring exercise on the reduction of low back pain in third trimester pregnant women.

Indonesia Nur Wachid Adi Prasetya; Linda Perdana Wanti; Lina Puspitasari
Infotekmesin Vol 14 No 1 (2023): Infotekmesin: Januari, 2023
Publisher : P3M Politeknik Negeri Cilacap

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35970/infotekmesin.v14i1.1635

Preeclampsia is a disease of pregnant women, causing many complaints, including dizziness. Massage is the right solution to reduce dizziness since the use of analgesic drugs is not recommended. Submission of massage information can be more effective through digital technology. The purpose of this research is to build an application based on Augmented Reality (AR) as a guide for facial massage movements for midwives and pregnant women to deal with complaints of dizziness for pregnant women. The method used is the Multimedia Development Life Cycle (MDLC), which consists of the stages of making a concept, making a design, collecting materials, combining materials, testing, and distribution. Black box testing on 10 scenarios produces a value of 100%, which means the application can run properly. In addition, usability testing using the System Usabilities Scale (SUS) method shows a value of 69.5, which means that the application has the "good" criteria and is acceptable to users.

Effectiveness of Combination of Massage with Ginger Oil and Exercise on Joint Pain in the Elderly Lina Puspitasari
Indonesian Journal of Global Health Research Vol 5 No 2 (2023): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Joint pain in the elderly is still not resolved independently in the community. When the elderly do heavy workloads, the joint capsule ruptures, and the collagen present in the connective tissue increases progressively. The result can be inflammation and pain in the joint area. So it needs independent treatment using non-pharmacological management in the form of massage and ginger compresses. Objective to elderly with complaints of joint pain and without complications. This study used an experimental method to compare before and after skeletal muscle massage and ginger compress for joint pain in the elderly. The subjects in the study consisted of a population of 20 respondents and a sample of 20 respondents. This research was conducted in the Tritih Kulon Region, Cilacap Regency from March to May 2021. Samples were taken using purposive sampling. The analysis of this study used the t-test. The result is that t count > t table, namely t count 9.886 and t table 2.045, then Ho is rejected and Ha is accepted. This means that there are benefits of skeletal muscle massage and ginger compresses for joint pain in the elderly. The conclusion from this study is that there are benefits of skeletal muscle massage and ginger compresses for joint pain in the elderly.

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