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Pengaruh Pendidikan Kesehatan Galactogogue Daun Torbangun (Coleus Amboinicus L) Terhadap Self Efficacy Ibu Menyusui Di Klinik Pratama Amanda Gamping Sleman Ratna Prahesti; Nur Rahmawati Sholihah
Journal of Health (JoH) Vol 7 No 1 (2020): Journal of Health - January 2020
Publisher : LPPM STIKES Guna Bangsa

Breast milk is the first and major food for infants. Breast milk contains the most complete nutritional composition and is ideal for the growth and development of infants during the first 6 months. UNICEF (2011) stated that children who are not breastfed have a 25% higher risk of death due to diarrhea and four times greater risk of pneumonia. The purpose of this study was to determine the effect of health education of galactogogue torbangun leaves (Coleus amboinicus l) on the self-efficacy of third-trimester pregnant women at the Amanda Clinic, Gamping, Sleman, Yogyakarta. This study used a quasi-experimental design with experimental post-test group design, namely the treatment group and the control group. The study was conducted at the Amanda Clinic, Gamping, Sleman in July 2018 with total samples of 42 respondents by using a quota sampling technique. The results showed the differences in self-efficacy between before and after treatment of health education which shown from the paired t-test value (p = 0,000 <0.05% (95% CI).

DAUN TORBANGUN (COLEUS AMBOINICUS L) MENINGKATKAN KADAR PROLAKTIN DAN PRODUKSI ASI PADA IBU MENYUSUI Ratna Prahesti; Nur Rahmawati Sholihah
MEDIA ILMU KESEHATAN Vol 9 No 1 (2020): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v9i1.335

Background: Breastfeeding at the beginning of a infant's life is essential because the enhancement of human quality starts from the baby. Breast milk contains substances that can protect babies from bacteria and viruses that cause infections. The failure of exclusive breastfeeding is caused by various factors, one of them include nutrition of breastfeeding mothers. Breastfeeding mothers need to pay attention to their nutrition by consuming foods that have a lactagogue effect or increase and accelerate milk production. Consumption of breastfeeding mothers towards Indonesian traditional plants which have lactagogue effect is still lacking. One of the plants that contains lactagogue is Torbangun (Coleus Amboinicus L) leaf which has effect to increase the volume of milk production. Objective: To find out he effect of giving torbangun (Coleus Amboinicus L) leaves on prolactin levels and milk production of breastfeeding mothers. Methods: This experimental study was conducted on 32 breastfeeding mothers which divided equally into 16 mothers as a control group and 16 mothers as a treatment group. This stude aimed to determine the effect of consumption of Torbangun leaf tea for 14 days on prolactin levels and milk production. Results: The results showed that supplementation of Torbangun leaf tea increased prolactin levels (significance 0.014 (p <0.05)) and milk production (significance 0.046 (p <0.05). Conclusion: The results of the analysis showed that torbangun significantly increased prolactin levels and breast milk production. Lactating mothers can consume torbangun as supplementation which can increase prolactin levels and milk production.

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.

STUDI PREFORMULASI TABLET EFFERVESCENT DAUN TORBANGUN (Coleus Amboinucus L) SEBAGAI ALTERNATIF PENINGKATAN PRODUKSI ASI Nur Rahmawati Sholihah; Kurnia Rahayu Purnomo Sari
Jurnal Medikes (Media Informasi Kesehatan) Vol 9 No 1 (2022): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v9i1.344

The prevalence of exclusive breastfeeding coverage is still far from the national target. The lack of utilization torbangun leaves an excellent opportunity for the development of science and technology. This study aims to determine the optimum formulation of torbangun leaf effervescent tablets (Coleus Amboinicus L) as an alternative to increasing breast milk production. The research method used was an experimental post-experimental design, with the stages of processing simplicia, extracting torbangun leaves, making effervescent tablet formulas, evaluating granules, and evaluating tablet preparations. The difference in the dose variation of each ingredient used in the manufacture of the torbangun leaf effervescent tablet formula greatly affects the quality which is reviewed based on the moisture test of the formulation and the physical properties of the torbangun leaf granules. The results shown in table 2, obtained the formulation of torbangun leaf effervescent tablets made with a variety of ingredients with 4 formulas with a weight of 100 grams each, from the 4 formulas arranged, the results obtained that the best effervescent tablet formula was found in formula 4. A good formula was then tested for granule moisture, flow properties test for an angle of repose and compressibility index as an effervescent tablet in increasing breast milk production, the Na Bicarbonate content in formula 4 which was 26.56 grams gave an excellent solubility effect in water, with this the galactagogue content in Torbangun extract is more free and effective for breast milk production. Meanwhile, based on the physical properties of the granules, the best granule physical properties is formula 2 with a good flow rate, which is more than 10g/second. The flow rate of a granule is influenced by the shape of the granule and the size of the granule.

IDENTIFIKASI PROFIL FITOKIMIA DAUN TORBANGUN (Coleus amboinicus) UNTUK MENINGKATKAN PRODUKSI ASI Dwi Yulinda; Nur Rahmawati Sholihah
Jurnal Kesehatan Kusuma Husada Vol. 13 No. 2, Juli 2022
Publisher : Universitas Kusuma Husada Surakarta

Coleus amboinicus merupakan tumbuhan yang memiliki metabolit sekunder yaitu saponin, alkaloid, flavonoid, polifenol dan minyak atsiri. Senyawa yang sangat berpengaruh terhadap peningkatan produksi ASI termasuk dalam polifenol. Beberapa bentuk pemanfaatan daun torbangun banyak digunakan untuk meningkatkan produksi ASI dalam bentuk tablet dan teh. Perlunya inovasi baru untuk lebih meningkatkan daya konsumsi adalah dengan membuat simplisia daun torbangun dalam bentuk effervescent. Perlu dilakukan penelitian untuk mengetahui kandungan metabolit sekunder daun torbangun. Penelitian ini bertujuan untuk mengetahui kandungan metabolit sekunder daun torbangun melalui uji fitokimia. Penelitian eksperimental dengan metode kualitatif untuk mengetahui kandungan fitokimia pada daun torbangun dilakukan di laboratorium farmasi. Dimulai dengan ekstraksi dan dilanjutkan dengan pengujian. Identifikasi profil fitokimia dapat dilihat dari perubahan warna dan karakteristik ekstraksi daun torbangun dengan menambahkan beberapa bahan kimia yang berfungsi untuk mengikat fitokimia. Karakteristik organoleptic bentuk serbuk kering, warna hijau kehitaman, bau langu, rasa pahit. Fitokimia yg teridentifikasi antara lain alkaloid, flavonoid, saponin, terpenoid dan steroid, serta tannin. Hasil pengembangan KLT akan dideteksi di bawah sinar tampak, UV 254, dan UV 366 untuk melihat pola kandungan senyawanya. Coleus amboinicus is a plant that has secondary metabolites, namely saponins, alkaloids, flavonoids, polyphenols and essential oils. Compounds that are very influential on increasing breast milk production include polyphenols. Several forms of utilization of torbangun leaves are widely used to increase breast milk production in the form of tablets and tea. The need for new innovations to further increase consumption power is to make torbangun leaf simplicia in the form of effervescent. Research needs to be done to determine the content of secondary metabolites of torbangun leaves. This study aims to determine the content of secondary metabolites of torbangun leaves through phytochemical tests. Experimental research using qualitative methods to determine the phytochemical content of torbangun leaves was carried out in a pharmaceutical laboratory. Starting with extraction and continued with testing. Identification of the phytochemical profile can be seen from the color changes and the extraction characteristics of torbangun leaves by adding several chemicals that function to bind phytochemicals. Organoleptic characteristics of dry powder form, blackish green color, unpleasant odor, bitter taste. The identified phytochemicals include alkaloids, flavonoids, saponins, terpenoids and steroids, and tannins. The results of the TLC development will be detected under visible light, UV 254, and UV 366 to see the pattern of the compound content.

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%.

Yoga Untuk Meningkatkan Kesehatan Reproduksi Remaja Dwi Yulinda; Nur Rahmawati Sholihah; Alfie Ardiana Sari; Budi Rahayu
The Journal of Innovation in Community Empowerment Vol 5 No 1 (2023): 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.v5i1.854

Kesehatan reproduksi remaja merupakan hal yang sangat penting karena disanalah letak kualitas generasi yang akan datang. Keadaan sehat bukan hanya secara fisik, mental dan sosial, tetapi juga tidak adanya penyakit, gangguan yang berkaitan dengan sistem reproduksinya baik fungsi maupun proses dari reproduksi itu sendiri. Pembatasan aktivitas selama masa pandemi Covid-19 menyebabkan perubahan pada diri remaja. Selama masa pandemi aktivitas yang terbatas membuat remaja tidak banyak melakukan kegiatan diluar ruangan, selain itu proses pembelajaran selama pandemic yang masih daring membuat remaja malas untuk bergerak. Kurangnya pengetahuan tentang gerak tubuh dan gizi seimbang pada remaja dapat memengaruhi status gizi yang akan berdampak pada kemampuan kognitif dan kesehatan fisik termasuk kesehatan reproduksi. Latihan fisik dapat memengaruhi kesehatan fisik dan mental dengan meningkatkan kekuatan dan stamina, membantu membangun tulang dan otot yang sehat, membantu berat badan, mengurangi tingkat kecemasan dan stress, serta meningktkan kepercayaan diri. Latihan fisik yang dilakukan secara reguler minimal selama 30 menit sampai dengan usia lanjut dapat meminimalisir risiko obesitas, diabetes melitus, penyakit jantung dan kanker. Kegiatan ini dilaksanakan pada remaja masjid Al Muharom Brajan Bantul sebagai salah satu mitra kerjasama Universitas Jenderal Achmad Yani Yogyakarta. Hasil pengabdian ini yaitu seluruhnya merupakan remaja awal, setelah mengikuti yoga tekanan darah dan nadi dalam keadaan normal, terjadi peningkatan pengetahuan kesehatan reproduksi.

The Effect of Sanyinjiao Point Accupressure Therapy (SP6) on Reducing Primary Dysmenorrhea Pain Intensity Sin Wajo; Nur Rahmawati Sholihah
MEDIA ILMU KESEHATAN Vol 12 No 3 (2023): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v12i3.1213

Background: Dysmenorrhea is a gynecological problem that often occurs in women during menstruation. In Indonesia, the incidence of dysmenorrhea is 64.25%, while 52% of students in Yogyakarta experience a decrease in the productivity of daily activities during menstruationObjective: To determine the effect of sanyinjiao point acupressure therapy (SP6) on reducing the intensity of primary dysmenorrhea pain Methods: Pre-Experimental research method, one group pretest-posttest design. Purposive sampling technique. The intervention group was given Sanyinjiao point acupressure (SP6). Dysmenorrhea pain variables were measured using NRS. Univariate analysis uses frequency distribution and bivariate analysis uses Wilxocon.Results: The results of statistical tests showed that there was a significant difference between before and after the intervention with a p-value of 0.000. Before the intervention was given an average of 5.29 dysmenorrhea pain, after the intervention experienced a decrease in dysmenorrhea pain intensity by an average of 1.75. Conclusion: There is an effect of sanyinjiao point acupressure therapy (SP6) on reducing the intensity of primary dysmenorrhea pain with a p-value of 0.000 and a decrease in dysmenorrhea pain of 3.54.

Comparison of booklet educational media effectiveness toward exclusive breastfeeding adherence Nur Rahmawati Sholihah
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).157-166

Background: Exclusive breastfeeding provides infants with breast milk and no additional food, water, or other liquids (except medicines and vitamins, if necessary) for the first 6 months of life. Current practice of exclusive breastfeeding in Indonesia among infants aged 4-5 months is 27%, while between age 5-6 months is 3.4%. The main contributing factors of the poor adherence to exclusive breastfeeding is the lack of knowledge, which affects behavior and motivation. Producing inclusive, appropriate, and acceptable media is essential to manage this issue.Objectives: The current study aimed to compare the effectiveness between application and booklet as educational media toward mother's adherence in exclusive breastfeeding.Methods: A quasi experimental study with pre-post test with control group design carried out. The research subjects were mothers with infants aged 4-6 months in the adminstrative area of the Gamping II Public Health Center, Sleman Regency and consist of 3 villages; Banyuraden (8 hamlet), Nogotirto (8 hamlet), Trihanggo (12 hamlet) Sample determined with purposive sampling, while recruitment performed by simple random sampling. The number of samples in the control and intervention grups were 32 respondents, and total sample is 64. Exclusive breastfeeding adherence was evaluated by knowledge, and attitudes questionnaire, validated with breastfeeding record within 24 hours. Comparative analysis was performed with Mann Whitney and Mc Nemar test.Results: p value yielded from pretest and posttest in the intervention group p=0.109. It was inferred that there was no significant difference of breastfeeding adherence in association with the intervention. The control group p value was p=0.039 indicating significant difference of adherence in breastfeeding practice.Conclusions: Booklet improves adherence to exclusive breastfeeding due to the depth of materials, familiar for the intended audience, practical, easy for content distribution, visually captive, attractive and easy to use. In-app educational media could increase knowledge and attitudes in particular to exclusive breastfeeding

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