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THE EFFECT OF ACUPRESSURE TO DECREASE PAIN LEVELS IN POSTPARTUM WOMEN Dwining Handayani; Bagus Dwi Cahyono
UNEJ e-Proceeding 2020: Proceeding of The 4th International AgroNursing Conference
Publisher : UPT Penerbitan Universitas Jember

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Background: Postpartum pain experienced by every mother was a subjective and physiological experience. This is due to increased hormones oxytocin and prolactin, causing uterine contractions after the placenta and the baby was born. The acupressure technique was a non-pharmacological technique aimed at reducing the level of pain in postpartum mothers. This technique has never been applied in dr. R. Soedarsono Pasuruan general hospital. Purpose: This study aimed was to determine the effect of acupressure to decrease pain levels in postpartum women. Method: The population in this study were postpartum women, with a sample of 16 people. The study used One group, pre-post test design with systematic random sampling. VAS (Visual Analog Scale) was used to collect the data. The data analyzed with Wilcoxon test (α =0,05). Result: The results showed that before acupressure 62,5% postpartum women experienced moderate pain (10 people). After acupressure 62.5% postpartum women experienced mild pain (10 people). The statistic test result showed p= 0,00 (p < α) so Ha was accepted. Conclusion: It can be concluded that acupressure has an effect on reducing the pain level of postpartum women because the emphasis on acupressure points stimulates local endorphin production, thereby activating the pain inhibition mechanism. It was recommended that health workers use acupressure non-pharmacological techniques for postpartum women so that pain can be minimized without adverse effects. Keywords: Acupressure; Pain; Postpartum

THE RELATIONSHIP BETWEEN NURSE CARING BEHAVIOR AND ANXIETY LEVELS AMONG COVID-19 PATIENTS Erik Kusuma; Ayu Dewi Nastiti; Dwining Handayani; R.A. Helda Puspitasari
Nurse and Holistic Care Vol. 1 No. 2 (2021): Nurse and Holistic Care
Publisher : UNUSA Press

Background: Covid-19 patients who undergoing treatment in isolation rooms experience anxiety problems due to loss of contact with their surrounding. Caring behavior in providing nursing services provides comfort and tranquillity for patients. Objective: This study aimed to determine the relationship between nurses' caring behavior with the anxiety level of Covid-19 patients undergoing treatment in the isolation rooms. Methods: This study used a cross-sectional design. The sample in this study was COVID-19 patients undergoing treatment in the Isolation Room as many as 30 people. The respondents were selected using a consecutive sampling technique. The anxiety levels were measured using the State-Anxiety Inventory (S-AI) questionnaire. The data were analyzed using the Gamma and Somers'd correlation test. Results: The results showed that the better caring behaviour by nurses the lesser the anxiety level of patients. Gamma statistical test results obtained a p-value of 0.000 <0.05, which means that there was a significant relationship between nurses’ caring behaviour and the anxiety level of Covid-19 patients in the Isolation Room. Conclusions: The caring behaviour of nurses in Covid-19 patients was shown by the presence of caring, empathy, compassion, and good communication so that a therapeutic relationship is established between patients and nurses. Therefore, the patient feels safe, comfortable, and has less anxiety.

THE PREGNANT WOMEN BEHAVIOR IN USING PERSONAL PROTECTIVE EQUIPMENT DURING COVID-19 R.A. Helda Puspitasari; Ayu Dewi Nastiti; Erik Kusuma; Dwining Handayani
Nurse and Holistic Care Vol. 2 No. 1 (2022): Nurse and Holistic Care
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v2i1.2730

Background: The COVID-19 outbreak has occurred worldwide and has resulted in fatalities. The death toll increases every day and continues to experience a significant increase. Until April 26, 2020, the cases increased rapidly to 8,882 in Indonesia and spread to 34 provinces with a mortality percentage of 8.365%. Symptoms that arise in every pregnant woman are very different depending on many things, one of which is the condition of obesity and the presence of comorbidities[1]. Obesity in pregnant women with COVID-19 can cause pulmonary embolism (pulmonary embolism). Obesity is closely related to a prothrombotic activity that triggers clotting in blood vessels, increasing the risk of pulmonary embolism. Objective: The purpose of the study was to determine the behavior of using personal protective equipment in pregnant women. Methods: The design used in this research is descriptive research. Descriptive research aims to describe important events that occur in the present. Descriptive research designs are divided into two types, namely survey research designs. A survey research design was used to collect information from a person's actions, knowledge, will, opinions, behavior, and values in this study. Results: The result showed that the description of anxiety based on age with the highest frequency is respondents aged 20-35 years, as many as 25 respondents (33.3%). The description of anxiety based on education with the highest frequency was among respondents with high school education, as many as 25 respondents (33.3%). Conclusion: This detailed data will be presented in the form of a table regarding the anxiety of pregnant women.

SEFT and Academic Stress on Nursing Students in Online Learning During the Covid-19 Pandemic Ayu Dewi Nastiti; Erik Kusuma; R.A. Helda Puspitasari; Dwining Handayani
Jurnal Ilmu Keperawatan Jiwa Vol. 5 No. 1 (2022): Februari 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

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The occurrence of the COVID-19 pandemic has made many changes in the education sector which has turned to online learning. Changes in the system trigger the emergence of academic stress on students which will have an impact on their learning achievement . This study aims to determine the effect of the SEFT method on reducing the level of academic stress experienced by students. The research design used in this study was pre-experimental with a one group pre-post test design approach , with 250 research subjects who were active students of the D3 Nursing Study Program, Unej Campus, Pasuruan City. Statistical test results using the Wilcoxon Signed Rank Test with = 0.05 resulting in a significance value of 0.001 which means that there is a difference in scale before and after SEFT therapy. It was concluded that SEFT therapy was considered effective in reducing academic stress on students of the D3 Nursing Study Program, Unej Campus, Pasuruan City.

HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG ISPA DENGAN SIKAP IBU TENTANG PENCEGAHAN PENULARAN ISPA PADA BAYI USIA 0-12BULAN DI PUSKESMAS PANDAAN Nur Ainiyah; Dwining Handayani
Jurnal Ilmiah Kesehatan Vol 10 No 1 (2017): Jurnal Ilmiah Kesehatan (Journal of Health Science)
Publisher : Universitas Nahdlatul Ulama Surabaya

ISPA is a disease that often occurs in children, especially toddlers. One of the factors increasing cases of ISPA in Puskesmas Pandaan known from interviews, 8 out of 10 people do not understand about ISPA and the prevention it The purpose of this research was to determine the correlation between mother's knowledge on ISPA with attitude of the mother on the prevention of transmission of ISPA in babies ages 0-12 Months in Helath Public Pandaan. The research method is analytic correlation with a sample population of 84 and 30 at the health center Pandaan in mothers who have babies aged 0-12 months who suffer from respiratory diseases by purposive sampling technique. Collecting data using closed questionnaire. For analysis of Spearman Rank correlation calculation used by the 95% significance level (α ≤ 0.05), if α ≤ 0.05, Hi accepted. The result showed the level of knowledge of mothers about ISPA either by 46.67% of respondents, the remaining 26.67% of respondents sufficient and less. The attitude of mothers on prevention of transmission ISPA is good by 46.67% of respondents, and the rest is not a good 40% of respondents and 13.33% of respondents to the attitude is not very good, and r count> r table (0.365> 0.364) with α of 0.05. Then there is a significant relationship between the level of knowledge of mothers about ISPA with transmission prevention in infants aged 0-12 months, because with knowledge and a good attitude will have an impact on healthy behaviors. With good knowledge and attitudes expected of a mother ISPA transmission in infants aged 0-12 months in particular can be prevented by following a health education and consultation with health workers in order to avoid further complications

Hubungan Antara Pemenuhan Tugas Perkembangan Emosional dengan Tingkat Stres Pada Remaja Bagus Dwi Cahyono; Dwining Handayani; Ida Zuhroidah
JURNAL CITRA KEPERAWATAN Vol 7 No 2 (2019): JURNAL CITRA KEPERAWATAN
Publisher : Poltekkes Kemenkes Banjarmasin

Stres yang dialami oleh remaja salah satunya adalah perkembangan. Tugas perkembangan remaja difokuskan upaya meninggalkan sikap dan perilaku masa anak-anak dan menuju masa dewasa. Sehingga, tugas perkembangan emosional remaja menjadi salah satu sumber stresor pada remaja. Penelitian ini bertujuan untuk mengetahui hubungan antara pemenuhan tugas perkembangan emosional dengan tingkat stres pada remaja siswa kelas X SMK Sakinah Pasuruan. Studi observasional menggunakan desain cross-sectional dilakukan pada remaja SMK Kesehatan Sakinah Pasuruan. Teknik sampling yang digunakan adalah stratified random sampling dengan total sebanyak 222 orang responden dan dibagi dalam setiap kelas dan program. Hasil penelitian menunjukkan nilai korelasi (r) sebesar -0,519. Kesimpulan dari penelitian ini adalah terdapat hubungan antara pemenuhan tugas perkembangan emosional dengan tingkat stres pada remaja siswa kelas X akuntansi SMK Sakinah Pasuruan dengan tingkat korelasi sedang dan hubungan yang terbalik. Berdasarkan hasil penelitian ini, disarankan agar menggunakan desain dengan pengukuran yang lebih objektif, instrumen yang lebih spesifik dan objektif, dan diterapkan pada fase perkembangan yang lain.

Pengaruh Metode Bimbingan Coaching dan Motivasi Terhadap Kompetensi Rawat Luka Dwining Handayani; Nurul Huda; Bagus Dwi Cahyono
JURNAL CITRA KEPERAWATAN Vol 7 No 2 (2019): JURNAL CITRA KEPERAWATAN
Publisher : Poltekkes Kemenkes Banjarmasin

Komponen utama dalam pembelajaran terutama di laboratorium adalah penggunaan bimbingan oleh para fasilitator klinis mengenai suatu keterampilan. Selama ini ketrampilan yang dilakukan mahasiswa Akademi keperawatan Pemerintah Kota Pasuruan yang hasilnya kurang memuaskan adalah kompetensi rawat luka, sedangkan metode yang digunakan adalah demonstrasi.Secara teori metode coching dapat digunakan sebagai salah satu teknik dalam proses pembelajaran di laboratorium dalam meningkatkan kompetensi. Motivasi juga merupakan factor yang kuat dalam meningkatkan minat, kemauan, dan antusiasme dalam belajar. Penelitian ini bertujuan untuk mengetahui pengaruh metode bimbingan pelatihan dan motivasi kompetensi perawatan luka di Akademi Keperawatan Pemerintah Kota Pasuruan. Desain penelitian yaitu studi eksperimental dengan menggunakan Randomized Controlled Trial (RCT). Sampel sebanyak 86 mahasiswa dipilih dengan teknik sampling lengkap. Metode demonstrasi digunakan untuk perbandingan. Data dikumpulkan dengan observasi dan kuesioner standard. Data dianalisis dengan model regresi linier berganda. Hasil penelitian menunjukkan metode bimbingan yang signifikan (b = 5,09, p = 0,009) dan motivasi (b =0,33, p = 0,06) dari kompetensi rawat luka untuk mahasiswa Akademi Keperawatan Pemerintah Kota Pasuruan dan secara tatistik hyasilnya signifikan. Penelitian ini menyimpulkan bahwa menggunakan metode bimbingan coching untuk meningkatkan kompetensi mahasiawa lebih efektif dibandingkan dengan metode demonstrasi. Disarankan untuk semua dosen menggunakan metode pembelajaran, bimbingan coching untuk pembelajaran praktikum di laboratorium.

EFFORTS TO PREVENT THE RESPREAD OF COVID-19 THROUGH COMPLIANCE WITH THE USE OF PROTECTIVE EQUIPMENT (PPE) ON PREGNANT WOMEN IN MOJOPARON R.A. Helda Puspitasari; Dwining Handayani; Ayu Dewi Nastiti; Erik Kusuma
UNEJ e-Proceeding 2022: E-Prosiding Kolokium Hasil Penelitian dan Pengabdian kepada Masyarakat
Publisher : UPT Penerbitan Universitas Jember

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The covid-19 outbreak has occurred all over the world and has claimed lives since early 2020 until it was declared sloping in May 2022, but in early June 2022 there was an increase in daily confirmed cases of Covid-19. By blocking the gust of virus particles into the surrounding air, masks keep the virus from spreading. Proper hand hygiene can prevent respiratory and digestive diseases. Pregnant women are made a vulnerable group at risk of being infected with Covid-19 due to physiological changes during pregnancy. Cases of pregnant women reported in 2021 with the criteria for suspect, probable and even confirmed Covid-19 have increased (Dinkes, 2022). pregnant women are one of the groups who are not given the Covid-19 vaccination, do not include pregnant women in the target 4 recipients of the Covid-19 vaccination. Therefore, the thing that can be done is to optimize efforts to prevent Covid-19 in pregnant women, to prevent mortality in mothers and babies. Based on the results of a survey conducted after this outreach activity, the compliance of respondents in the obedient category was 55% and the non-compliance category was 45%. The description of anxiety based on education with the highest frequency is respondents with high school education as many as 25 respondents (33.3%). The description of anxiety based on work with the highest frequency is respondents who work as IRT as many as 27 respondents (36.0%). This is possible because of the mother's educational background. Keywords: prevention, prevention of coid-19, compliance, PPE, pregnant women

Sosialisasi Sadari Sebagai Langkah Awal Pencegahan Kanker Payudara R.A. Helda Puspitasari; Ayu Dewi Nastiti; Erik Kusuma; Dwining Handayani; Evy Aristawati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 5 (2022): Volume 5 No 5 Mei 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i5.5724

ABSTRAK Penyakit kanker merupakan salah satu penyebab kematian utama di seluruh dunia. Salah satu penyakit kanker yang lebih banyak terjadi pada wanita adalah kanker payudara yaitu tumor ganas yang tumbuh didalam jaringan payudara yang meliputi kelenjar susu, saluran susu, jaringan lemak maupun jaringan ikat pada payudara. Menurut World Health Organization, di Indonesia angka kematian yang disebabkan oleh kanker payudara menempati urutan ke-10 setelah kanker paru, sedangkan berdasarkan Riset Kesehatan Dasar, prevalensi tumor/kanker di Indonesia adalah 1,4 per 1000 penduduk atau sekitar 330.000 orang. Tujuan dilakukannya pemberdayaan masyarakat pada petani perkebunan teh dalam rangka untuk pencegahan awal kanker payudara pada wanita. Pemberdayaan dilakukan dengan cara menyebarkan pengetahuan melalui praktek SADARI dalam rangka pencegahan awal penyakit kanker payudara. Berdasarkan hasil pra survey yang dilakukan sebelum kegiatan pelatihan ini, pengetahuan ibu tentang buku SADARI: rendah (75%), cukup (15%), tinggi (10%). Setelah edukasi didapatkan adanya peningkatan yang cukup signifikan dari pengetahuan ibu: rendah(10%), cukup 15%), baik ( 75%). Kata Kunci: Sadari, Pencegahan, Kanker Payudara ABSTRACT Cancer is one of the leading causes of death worldwide. One of the most common cancers in women is breast cancer, which is a malignant tumor that grows in the breast tissue, which includes the mammary glands, milk ducts, fatty tissue and connective tissue in the breast. According to the World Health Organization, in Indonesia the death rate caused by breast cancer ranks 10th after lung cancer, while based on Basic Health Research, the prevalence of tumor/cancer in Indonesia is 1.4 per 1000 population or about 330,000 people. The purpose of doing community empowerment on tea plantation farmers in order to prevent early breast cancer in women. Empowerment is done by spreading knowledge through the practice of BSE in the context of early prevention of breast cancer. Based on the results of the pre-survey conducted before this training activity, mothers' knowledge of BSE books: low (75%), sufficient (15%), high (10%). After education, it was found that there was a significant increase in maternal knowledge: low (10%), sufficient 15%), good (75%). Keywords: Awareness, Prevention, Breast Cancer

Pemanfaatan Kawasan Rumah Pangan Lestari (KRPL) dalam Mengurangi Kejadian Stunting yang Berwawasan Agronursing di Kawasan Pesisir Desa Watuprapat Kecamatan Nguling Kabupaten Pasuruan Dwining Handayani; Erik Kusuma; R.A Helda Puspitasari; Ayu Dewi Nastiti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 4 (2022): Volume 5 No 4 April 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i4.5392

ABSTRAK Stunting merupakan masalah gizi kronis yang disebabkan oleh multi factorial dan bersifat antar generasi. Di Indonesia masyarakat sering menganggap tumbuh pendek sebagai factor keturunan. Persepsi yang salah dimasyarakat membuat masalah ini tidak mudah diturunkan dan membutuhkan upaya besar dari pemerintah dan berbagai sektor terkait. Pendidikan dan pengetahuan ibu yang rendah juga berpengaruh besar terhadap kejadian stunting pada balita. Prevalensi stunting di Kabupaten Pasuruan dipengaruhi oleh jumlah balita stunting yang ada di setiap desa, salah satu desa yang angka prevalensi stunting masih tinggi adalah desa Watuprapat, dimana jumlah balita yang mengalami stunting sebanyak 21 balita dan merupakan salah satu desa yang termasuk fokus penanganan stunting di Kabupaten Pasuruan. Tujuan dari edukasi kepada kader kesehatan dan guru PAUD diharapkan dapat menambah wawasan dan kemampuan dalam mencegah dan mengurangi stunting dengan memanfaatkan hasil pekarangan di sekitar rumah dalam menambah nilai gizi pada balita. Adapun kegiatan yang dilakukan berupa penyuluhan tentang pemahaman umum stunting, penyebab terjadinya stunting, ciri-ciri penderita stunting dan cara pencegahannya menggunakan leaflet dan demonstrasi membuat lauk berupa nugget dari daun kelor dan udang. Terdapat peningkatan pengetahuan kader tentang stunting dan kemampuan mengolah bahan makanan dari hasil pekarangan di rumah dengan hasil rendah 10%, cukup 10% dan baik 80%. Hasil penyuluhan ini diharapkan dapat disosialisasikan kepada masyarakat dalam upaya mencegah dan mengurangi kejadian stunting di desa Watuprapat kecamatan Nguling Kabupaten pasuruan. Kata Kunci : Stunting, KRPL, Balita ABSTRACT Stunting is a chronic nutritional problem caused by multi-factorial and intergenerational. In Indonesia, people often consider growing short as a hereditary factor. The wrong perception in the community makes this problem not easy to solve and requires great efforts from the government and various related sectors. Mother's low education and knowledge also has a big influence on the incidence of stunting in toddlers. The prevalence of stunting in Pasuruan Regency is influenced by the number of stunting toddlers in each village, one of the villages where the stunting prevalence rate is still high is Watuprapat village, where the number of toddlers experiencing stunting is 21 toddlers and is one of the villages that includes the focus of stunting handling in the District Pasuruan. The purpose of education for health cadres and PAUD teachers is expected to be able to add insight and abilities in preventing and reducing stunting by utilizing the results of the yard around the house in increasing nutritional value for toddlers. The activities carried out were in the form of counseling on general understanding of stunting, the causes of stunting, the characteristics of stunting sufferers and how to prevent it using leaflets and demonstrations of making side dishes in the form of nuggets from Moringa leaves and shrimp. There is an increase in the knowledge of cadres about stunting and the ability to process food ingredients from the results of the yard at home with low yields of 10%, 10% sufficient and 80% good. The results of this counseling are expected to be socialized to the community in an effort to prevent and reduce stunting rates in Watuprapat village, Nguling sub-district, Pasuruan Regency. Keywords: Stunting, KRPL, Toddler

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