ABSTRAKNyeri punggung merupakan kejadian yang sering terjadi pada ibu hamil dan akan meningkat keluhannya saat ibu memasuki Trimester III. Penyebab nyeri punggung antara lain peningkatan berat badan selama hamil. Salah satu upaya untuk mengurangi nyeri punggung pada ibu hamil dengan prenatal yoga. Prenatal yoga dapat membantu ibu hamil dalam melenturkan persendian karena bertambahnya berat badan selama kehamilan dan dapat digunakan untuk relaksasi pikiran ibu selama kehamilan. Penelitian ini bertujuan untuk megetahui efektivitas prenatal yoga untuk mengurangi nyeri punggung pada ibu hamil Trimester III. Jenis penelitian kuantitatif dengan menggunakan satu kelompok intervensi dengan sampel ibu hamil trimester III sebanyak 18 responden yang diambil secara purposive sampling. Instrument yang digunakan untuk mengukur nyeri punggung adalah Numeric Rating Scale (NRS) dengan analisis bivariat dengan uji Wilcoxon. Hasil penelitian menunjukkan p value 0,000 yang artinya ada pengaruh prenatal yoga terhadap nyeri punggung pada ibu hamil trimester III. Kesimpulan dalam penelitian ini prenatal yoga dapat mengurangi nyeri punggung ibu hamil trimester III.Kata kunci : prenatal yoga; nyeri punggung; ibu hamil trimester III PRENATAL YOGA TO REDUCE BACK PAIN IN TRIMESTER III PREGNANT MOTHER ABSTRACTBack pain is a common occurrence in pregnant women and will increase when mothers in third trimester. The causes of back pain include weight gain during pregnancy. One of the efforts to reduce back pain in pregnant women is prenatal yoga. Prenatal yoga can help pregnant women in flexing the joints due to weight gain during pregnancy and can be used to relax the mind of the mother during pregnancy. This study was aimed to determine the effectiveness of prenatal yoga to reduce back pain in third trimester pregnant women. The research quantitative method used one intervention group with a sample of 18 third trimester pregnant women who will be taken by purposive sampling. The instrument used to measure back pain was the Numeric Rating Scale (NRS). Data analysis used Wicoxon test obtained p value 0,000 which means prenatal yoga can reduce back pain in third trimester pregnant women. The conclusion in this study prenatal yoga can be used as an alternative treatment for third trimester pregnant women who experience back pain.Keywords: prenatal yoga; back pain; third trimester pregnant women
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 quasy 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 dysmenrrohea.
The growth and development of infants is a golden period which is also a critical period in a person's development in early life at the age of 0-12 months. Motor development disorder is a disorder that causes developmental delays due to many things, including abnormalities in muscle tone and lack of stimulation for the baby. In Indonesia alone, there are 5-10% of children are estimated to experience developmental delays. At the simultaneous weighing of toddlers in Demak in 2020 it was found that out of 97,129 toddlers, there were 7.71% experienced developmental delays. Data from the Guntur 1 Demak Health Center from 2021 to June states that the number of babies aged 0-12 months is 523 babies. The lack of knowledge of the baby's parents about growth and development and the little stimulation given to the baby both from caregivers and from the baby's parents makes most babies experience developmental delays. One of the efforts to reduce the number of developmental disorders is by providing Baby Gym stimulation. In infants, Baby Gym is a form of exercise to help stimulate the growth and development of the baby's nervous and motoric systems optimally. This study aimed to determine the effect of the baby gym on gross motor development in infants aged 3-4 months at the Guntur I Health Center in Demak. This study used a quasi-experimental approach with a one-group pre-test and post-test research design. The sampling technique here is based on the purposive sampling method, with a population of 28 babies and a total sample of 16 babies. Based on bivariate analysis using the Wilxocon correlation test, it was obtained a p-value of 0.000 <0.05, it can be concluded 'that there is an effect of differences in gross motor development of infants aged 3-4 months before and after being given a baby gym at the Guntur I Health Center in Demak". The Effect of Baby Gym on Gross Motor Development in Infants Aged 3-4 Months at the Guntur I Health Center in Demak.
Merendam kaki dengan air hangat dapat mengakibatkan vasodilatasi pembuluh darah yang mengakibatkan aliran darah menjadi lancar sehingga otot dapat berelaksasi. Di Kabupaten Kudus tingkat kecemasan ibu hamil menjelang persalinan sebanyak 44,2%. Tujuan Penelitian: Mengetahui pengaruh rendam kaki dengan air hangat terhadap tingkat kecemasan pada ibu hamil trimester III di wilayah Puskesmas Jati. Jenis penelitian pra experiment dengan desain penelitian one group pretest posttest. Populasi penelitian adalah semua ibu hamil trimester III di wilayah Puskesmas Jati bulan Pebruari 2019 dengan sampel 16 orang. Teknik pengambilan sampelnya purposive sampling. Merendam kaki setinggi 10-15 cm dengan air hangat selama 20-30 menit. Rata-rata tingkat kecemasan sebelum sebesar 61,75 (kecemasan berat) sedangkan sesudah sebesar 54,13 (kecemasan ringan sedang). Ada pengaruh rendam kaki dengan air hangat terhadap tingkat kecemasan pada ibu hamil trimester III, p value 0,033 dengan selisih tingkat kecemasan sebesar 7,62. Ibu hamil diharapkan dapat menurunkan tingkat kecemasan yang dialaminya dengan menggunakan rendam kaki air hangat.
ABSTRAK Edema kaki terjadi hampir 80% dari semua kehamilan dan dapat menimbulkan ketidaknyamanan selama kehamilan seperti nyeri, merasa berat, kram pada malam hari, penebalan kulit, dan pigmentasi. Salah satu intervensi non farmakologis untuk mengurangi edema adalah rendaman air hangat dan garam yang merupakan intervensi untuk menghilangkan edema pada ekstremitas bawah selama kehamilan. Menganalisis pengaruh rendaman air hangat dan garam terhadap edema kaki ibu hamil trimester III. Penelitian kuantitatif dengan metode quasy eksperimental one group pre test post test desaign. Sampel penelitian sebanyak 16 ibu hamil Trimester III dengan teknik accidental sampling. Analisis data menggunakan uji Wilcoxon. Terjadi penurunan tingkat edema kaki pada ibu hamil dengan selisih nilai tengah edema kaki sebelum 4,00 dan setelah perlakuan sebesar 0,00 .Uji Wilcoxon menunjukkan ρ value 0,000. Ada pengaruh rendaman air hangat dan garam terhadap edema kaki ibu hamil trimester III. Kata Kunci : rendaman air hangat dan garam; edema; tungkai bawah ; ibu hamil. THE EFFECT OF WARM WATER AND SALT IMMERSION IN DECLINING LEG EDEMA OF THIRD TRIMESTER PREGNANT WOMEN ABSTRACT Edema of the legs occurs in almost 80% of all pregnancies and can cause discomfort during pregnancy such as pain, feeling heavy, cramps at night, skin thickening, and pigmentation. One of the non-pharmacological interventions to reduce edema is soaking in warm water and salt which is an intervention to relieve edema in the lower extremities during pregnancy. This study was to determine the effect of warm water and salt immersion in declining leg edema of third trimester pregnant women. This quantitative research used quasy experimental method one group pre test post test desaign. The total samples were 16 respondents with purposive sampling and random sampling techniques. Data analysis used the Wilcoxon test. The difference in the mean value of leg edema before 4.00 and after treatment was 0.00. The Wilcoxon test showed ρ value of 0.000. There is an effect of warm water and salt immersion on leg edema of third trimester pregnant women. Keywords: warm water and salt soaking; edema; lower limbs; pregnant mother
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