Ida Ariyanti
Magister Applied Midwifery, Poltekkes Kemenkes Semarang, Indonesia

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COMPARISON OF EFFECTS OF MASSAGE THERAPY ALONE AND IN COMBINATION WITH GREEN COCONUT WATER THERAPY ON B-ENDORPHIN LEVEL IN TEENAGE GIRLS WITH DYSMENORRHEA Fitria Hikmatul Ulya; Agus Suwandono; Ida Ariyanti; Ari Suwondo; Suryati Kumorowulan; Sri Endang Pujiastuti
Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.404 KB) | DOI: 10.33546/bnj.158

Abstract

Background: Dysmenorrhea is pain during menstruation in lower abdomen, and is not due to other diseases. Effleurage massage and consuming green coconut water are considered able to reduce menstrual pain. However, little is known about the effect of the combination between the two interventions. Objective: To compare the effectiveness of effleurage massage and in combination with green coconut water on pain, anxiety, and ß-endorphin level in teenage girls with menstrual pain (dysmenorrhea). Design: A quasi-experiment with pretest-posttest approach design with control group. There were 36 samples recruited in this study by purposive sampling, which were divided into a massage therapy group, the combination therapy group, and a control group. Menstrual pain was measured using Numeric Rating Scale, while anxiety was measured using Zung Self rating Anxiety Scale (ZSAS), and endorphin level using ELISA (Enzyme-Linked Immunosorbent Assay). One-way ANOVA test and repeated ANOVA were performed as a bivariate analysis. MANCOVA and post hoc ANOVA were used for multivariate analysis. Result: The combination of massage and green coconut water was more effective in reducing pain (p 0.013) and anxiety levels (p 0.000), and in increasing β-endorphin (p 0.029) with significant value of <0.05 compared to the massage therapy alone. Conclusion: The combination of effleurage massage and green coconut water had significant effect in decreasing anxiety and pain levels, and increasing β-endorphin levels in teenage girls with painful periods (dysmenorrhea); and more effective than performing effleurage massage only. It is suggested that this combination therapy could be used as an alternative therapy for women with dysmenorrhea.
THE IMPACT OF CONSUMING AMARANTHUS SPINOSUS L EXTRACT ON PROLACTIN LEVEL AND BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS Okta Kuswaningrum; Agus Suwandono; Ida Ariyanti; Soeharyo Hadisaputro; Suhartono Suhartono
Belitung Nursing Journal Vol. 3 No. 5 (2017): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.243 KB) | DOI: 10.33546/bnj.194

Abstract

Background: Breast milk is the best natural nutrient for the baby. However, some mothers have problems with breastfeeding due to lack of breast milk production. Spinach leaf (Amaranthus Spinosus L) is considered as one of the plants that have the effect of non-synthesis lactagogues to increase milk production. Objective: To analysis the effect of spinach leaf (Amaranthus Spinosus L) extract on prolactin and breast milk production in postpartum mothers. Methods: This was a quasi-experimental study with pretest posttest with control group design conducted in the Community Health Center of Wonogiri II Indonesia from December 2016 to January 2017. There were 30 participants were selected using purposive sampling, with 15 participants assigned in an experiment group and a control group. Data were analyzed using independent and paired t-test. Results: The results showed significant differences in prolactin levels (p = 0.000), breast milk production (p = 0.000), and infant weight (p = 0.000) (<0.05) after given spinach leaf (Amaranthus Spinosus L) extract. Conclusion: Spinach leaf (Amaranthus Spinosus L) extract had a significant effect in increasing the prolactin levels and breast milk production in postpartum mothers.