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TERAPI MUSIK DAN GUIDED IMAGERY DALAM MENURUNKAN KECEMASAN PADA IBU HAMIL DENGAN PREEKLAMSIA DI RSUP PROF. KANDOU MANADO Pasambo, Yourisna; Kaunang, Marchelina Benediktin; Tamunu, Esther; Sarimin, Dorce Sisfiani; Tuegeh, Johana
Media Kesehatan Politeknik Kesehatan Makassar Vol 18, No 1 (2023): Media Kesehatan
Publisher : Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v18i1.3076

Abstract

Pendahuluan: Preeklamsia merupakan hipertensi pada kehamilan yang ditandai dengan peningkatan tekanan darah lebih dari atau sama dengan 140/90 mmHg setelah umur kehamilan 20 minggu, disertai dengan proteinuria lebih dari 300 miligram per 24 jam. Preeklamsia dapat menimbulkan kecemasan pada ibu akan dampak yang dapat ditimbulkan dari preeklamsia, sebaliknya kecemasan juga dapat meningkatkan tekanan darah pada ibu. Tujuan penelitian ini adalah memberikan gambaran efektifitas terapi musik dan guided imagery dalam menurunkan tingkat kecemasan ibu hamil dengan preeklamsia. Metode penelitian adalah deskriptif kualitatif dengan pendekatan studi kasus. Peneliti melaksanakan asuhan keperawatan kepada ibu hamil dengan preeklamsia dan meingimplementasikan terapi musik dan guided imagery untuk mengurangi kecemasan ibu. Penetapan sampel menggunakan teknik purposive sampling dengan kriteria inklusi ibu hamil dengan preeklamsia berat disertai proteinuria serta menjalani program hingga selesai, sehingga didapatkan sampel sebanyak empat ibu hamil. Hasil: setelah diberikan intervensi terapi musik dan guided imagery selama tiga kali, terjadi penurunan tingkat kecemasan pada keempat ibu hamil yang mengalami preeklamsia. Tingkat kecemasan responden pertama menurun dari skor 27 (kecemasan sedang) menjadi 14 (kecemasan ringan). Responden kedua menurun dari skor 25 (kecemasan sedang) menjadi 14 (kecemasan ringan). Responden ketiga menurun dari skor 26 (kecemasan sedang) menjadi 13 (kecemasan ringan). Responden keempat menurun dari skor 26 (kecemasan sedang) menjadi 14 (kecemasan ringan). Hasil penelitian studi kasus memberikan gambaran bahwa penerapan terapi musik dan guided imagery dapat menurunkan tingkat kecemasan ibu hamil dengan preeklamsia setelah diberikan intervensi sebanyak tiga kali.Kata Kunci : Guided Imagery, Ibu hamil, Kecemasan, Preeklamsia, Terapi Musik
Literature Review : Pengaruh Pendidikan Kesehatan Tentang Respon Fisik Pada Menstruasi Terhadap Pengetahuan Remaja Putri Tumurang, Marjes Netro; Killing, Maykel; Bobaya, Janbonsel; Karundeng, Yani; Kawatu, Yosua; Tuegeh, Johana; Keintjem, Femmy; Runtu, Lorrien G.
JIDAN Jurnal Ilmiah Bidan Vol 10 No 2 (2023): Vol 10 No 2 ( Edisi Januari - Juni 2023 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v10i2.1919

Abstract

Background : The physical response during menstruation is a natural process that occurs in young women who have experienced menstruation, therefore it is very important for young women to receive health education about menstruation so as to increase their knowledge and understanding of changes in physical changes during menstruation. Objective: This study was to determine the effect of health education on physical responses to menstruation on the knowledge of young women. Method : This study uses the type of research literature review, namely a study that uses the results of research that has been carried out by previous researchers, in the form of research journals, or books, to obtain accurate data according to the topic of discussion, the author conducts a search literature based nationally and internationally using four databases via Pubmed, Science direct, Google Scholar, andFeel by using the keywords health education, physical response, menstruation, knowledge of adolescents, young women, level of education. Conclusion : namely there is an influence of health education about the physical response to menstruation on the knowledge of young women.
Penerapan Relaksasi Autogenik Terhadap Penurunan Kecemasan Pada Ibu Pre Kuretase Dengan Abortus Inkomplit Pasambo, Yourisna; Ali, Dwi Rabiatul Adwiyah; Tamunu, Esther; Sarimin, Dorce Sisfiani; Pesak, Ellen; Tuegeh, Johana
JIDAN Jurnal Ilmiah Bidan Vol 10 No 2 (2023): Vol 10 No 2 ( Edisi Januari - Juni 2023 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v10i2.1923

Abstract

Background: Incomplete abortion is the partial loss of conception and the remaining tissue in the uterus. In this condition the mother is recommended to do curettage to remove and clean the existing tissue, prevent infection to overcome heavy bleeding. This can have a psychological impact on mothers who will undergo several series of actions, one of which is anxiety. Nurses play a role in reducing maternal anxiety so that mothers can go through each process well. The application of autogenic relaxation techniques can be a solution in increasing the relaxation response, providing a sensation of calmness towards a situation faced, to reduce maternal anxiety. The purpose of this study was to determine the application of autogenic relaxation in reducing the anxiety of mothers who will undergo curettage due to incomplete abortion. The research method is descriptive-qualitative with a case-study approach. For sample determination, we used a targeted sampling technique to determine the number of samples from up to four pregnant women who had undergone an incomplete abortion. Results: anxiety levels decreased after a 3-day self-relaxation intervention in four pregnant women with incomplete abortion before curettage . Conclusion: autogenic relaxation is effective in reducing anxiety levels in pre curettage pregnant women due to incomplete abortion.
Kombinasi Teknik Contrast Bath Dan Foot Massage Dalam Menurunkan Edema Kaki Pada Ibu Hamil Dengan Preeklamsia Berat Pasambo, Yourisna; Radjak, Desy Fransiska; Tamunu, Esther; Tuegeh, Johana; Karundeng, Yanni
JIDAN Jurnal Ilmiah Bidan Vol 11 No 2 (2024): Vol 11 No 2 ( Edisi Januari - Juni 2024 )
Publisher : POLTEKKES KEMENKES MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jib.v11i2.2115

Abstract

Background: Preeclampsia is a set of symptoms experienced by pregnant women, laboring women and women in the postpartum period that usually appear at 20 weeks of gestation until the end of the first week of labor. Leg edema is a common problem in pregnant women with preeclampsia. Leg edema makes pregnant women feel cramps at night, feel uncomfortable and heavy in the swelling area. The management of foot massage and warm water soak is effective in reducing leg edema in third trimester pregnant women. Contrast bath is one of the foot soaking techniques that works to reduce edema by lowering intra-venous hydrostatic pressure which has an impact on the seeping of plasma fluid in the interstitium back into the veins. Objective : of this case study is to apply evidenced based nursing action contrast bath with foot massage to reduce leg edema in pregnant women with severe preeclampsia. The writing. Methods : is descriptive qualitative using a case study approach. Samples were selected using purposive sampling technique and obtained a sample of four pregnant women with severe preeclampsia. Results: the four pregnant women experienced a decrease in edema degree of 1 degree each after being given contrast bath and foot massage interventions for three days. Conclusion: the combination of contrast bath and foot massage techniques is effective in reducing leg edema
EMPOWERMENT OF THE SILIAN VILLAGE COMMUNITY IN FACING THE PSYCHOSOCIAL IMPACTS OF THE POST-MOUNT SOPUTAN ERUPTION DISASTER Tuegeh, Johana; Terok, Maria; Kanine, Esrom; Tololiu, Tinekke A
JURNAL PENGABDIAN MASYARAKAT KOMUNITAS KESEHATAN Vol 1 No 1 (2023): DESEMBER
Publisher : Poltekkes Kemenkes Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jb.v1i1.853

Abstract

ABSTRAK Pendahuluan: Riwayat letusan gunung Soputan menurut catatan Pusat Vulkonologi dan Mitigasi Bencana Geologi (PVMBG) terjadi pada tahun 1908, 1913, 1915, 1923, 1982, 1984, 2000 dan 2008. Sedangkan erupsi gunung Soputan terakhir pada tahun 2018. Desa Silian dan desa sekitarnya merupakan salah satu desa yang terkena dampak erupsi yang terjadi hampir setiap tahun terjadi, terus menerus mengancam masyarakat yang tinggal dizona berbahaya seperti bahaya awan panas dan bahaya dampak psikososial lainnya.Solusi permasalahan: Melatih masyarakat melakukan kegiatan pada saat ditempat atau barak pengungsian pengganti rumah tempat tinggal, mengembalikan dan menjaga kesehatan fisik dalam mengelola pikiran dan lingkungan. Metode pelaksanaan: Melakukan koordinasi dengan pihak pemerintah Kecamatan Silian Raya, Perangkat Desa Silian dan pihak Puskesmas Silian raya mengidentifikasi tokoh masyarakat, agama, remaja dan pemuda. Hasil kegiatan: Kegiatan PkM dilaksanakan selama 8 (delapan) hari pada tanggal 14 – 21 November 2019, dengan melakukan pelatihan manajemen stres bagi masyarakat saat terjadi bencana dan selama dalam barak pengungsian. Kesimpulan: pelaksanaan pelatihan memberi dampak positif bagi masyarakat bagaimana menghadapi situasi kondisi jika bencana itu terjadi dimasa yang akan datang. Saran : Pelatihan ini perlu dilakukan secara berkala dengan melibatkan semua komponen masyarakat di Desa Silian.
Mentoring for Breastfeeding Mothers in Stunting Prevention Efforts in Kalasey Dua Village Pasambo, Yourisna; Karundeng, Yanni; Desyani, Ni Luh Jayanthi; Tuegeh, Johana; Kusmiyati, Kusmiyati
JURNAL PENGABDIAN MASYARAKAT KOMUNITAS KESEHATAN Vol 2 No 01 (2024): JUNI
Publisher : Poltekkes Kemenkes Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jb.v2i01.2317

Abstract

Introduction Stunting occurs in children with chronic malnutrition due to the provision of food that does not meet nutritional needs. Stunting prevention is carried out through specific and sensitive interventions on the target of the first 1,000 days of life, one of which is by providing optimal Exclusive Breastfeeding. The cause of the low coverage of breastfeeding is the lack of understanding and awareness of a mother about the importance of breast milk for child growth. Several previous studies have found that mentoring mothers can increase knowledge and understanding of mothers about the nutrition of pregnant and breastfeeding mothers and the importance of effective Exclusive Breastfeeding. The purpose of the activity is to increase the knowledge and abilities of mothers in providing Exclusive Breastfeeding in Kalasey Dua Village. The community service method is implemented through education on providing Exclusive Breastfeeding using videos and E-Modules as well as face-to-face mentoring and counseling and through WhatsApp groups. The results of the activity showed an increase in the knowledge of pregnant and breastfeeding mothers about providing Exclusive Breastfeeding after being given education and mentoring by implementing videos and e-modules. Conclusion, providing education and mentoring effectively increases the knowledge of pregnant and breastfeeding mothers about the importance of providing Exclusive Breastfeeding.