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Regurgitation or often called spitting up is the passage of refluxed gastric contents into the pharynx or mouth, sometimes with expulsion from the mouth. Complications that occur when excessive spitting up causes Gastroesophageal Reflux, which is backflow from the stomach to the esophagus which causes damage to the esophageal wall. In Indonesia, the incidence of spitting up in infants aged 2 months is higher than other countries. 25% of babies spit up >4 times during the first month, 50% spit up 1-4 times a day until 3 months of age. 30% of mothers also experience anxiety about spitting up, where anxiety is related to spitting up frequency of 66% and spitting up volume of 9%. As well as symptoms that accompany spitting up such as crying and fussing. (IDAI, 2016). This type of research is experimental (experimental research) with a one shot case study/post test only design approach. The population in this study were all infants aged 0-6 months. The sampling technique in this study was carried out using a non-probability sampling technique, namely the type of purposive sampling technique, with a total sample of 16 people. The instrument used is the observation sheet. The univariate analysis aims to explain or describe the distribution of spitting up frequencies in infants before and after massage. For numerical data, the mean or average value is used, and for categorical data, the chi-square is used. This study uses the Shapiro Wilk normality test to determine whether the data is normally distributed or not. Then a paired sample T-test was performed. The average value of spitting up before baby massage is 0.500 with a standard deviation of 0.516. The average value of spitting up after baby massage is done with an average value of 0.686 with a standard deviation of 0.479. The results of the statistical test using the Paired T-Test obtained a p value of 0.003, which means that Ho was rejected, so it can be concluded that there is a difference in the frequency of spitting up before and after baby massage. There are differences in spitting up disorders in babies who are massaged and not massaged. Where the average baby who was massaged did not spit up while the baby who was not massaged had spit up.

Nyeri pada ibu bersalin dapat menyebabkan meningkatnya kadar katekolamin atau hormon sterss. Peningkatan kadar ketekolamin atau hormon sterss dapat mengurangi kemampuan tubuh menahan rasa nyeri.Tujuan dari penelitian ini untuk mengetahui pengaruh terapi massage effluerage terhadap nyeri kala I pada ibu inpartu. Desain penelitian pre eksperimental  dengan penelitian one group pre-post test. Populasi dalam penelitian ini ibu bersalin secara normal di ruangan ponek bulan agustus-oktober berjumlah 56 ibu. Sampel berjumlah 36 ibu dengan menggunakan rumus slovin. Instrument yang digunakan yaitu lembar observasi dan menggunakan uji statistik sampel paired T-test. Hasil yang diperoleh nyeri sebelum perlakuan sebanyak 23 responden merasakan nyeri sedang dan 13 responden merasakan nyeri berat, setelah perlakuan 19 responden merasakan nyeri ringan, 15 responden merasakan nyeri sedang dan 2 responden merasakan nyeri berat. Kesimpulan terdapat pengaruh p=0.000 (<0.05) terapi massage effleurage terhadap nyeri kala I pada ibu inpartu diruangan ponek.    

Pain in labor is an unpleasant emotional and sensory experience arising from actual or potential tissue damage or demonstrated. Pain is a natural process in labor. If it is not handled properly, it will cause other problems, namely increased anxiety or worry due to lack of knowledge in the mother about the processes that occur when facing labor. This study aims to determine the effect of back massage on reducing the pain scale of labor in the first active phase at UPTD Puskesmas Maga, Mandailing Natal district in 2022. This type of research is a quasi-experimental study with a research approach using a prepost test design with one group test. The population is all pregnant women who are at the UPTD Puskesmas Maga, Mandailing Natal Regency in 2022, totaling 54 mothers in partu. The number of samples used was 54 people obtained by using total sampling technique. The data analysis technique uses the Paired-Samples T Test. The results obtained in this study were from 54 respondents, there was an effect of back massage on a decrease in the active phase of labor pain scale in the first active phase with a value of p = 0.011. There is an Effect of Back Massage on Reducing the Pain Scale of Labor in the Active Phase I. It is recommended for health workers to improve counseling related to reducing the pain of the active phase of labor in the first stage of labor for mothers in labor with back massage

Background : The period of breastfeeding in children aged 0-6 months is one part of the first 1,000 days of life (golden period). Exclusive breastfeeding aims to guarantee the right to exclusive breastfeeding up to the age of 6 months by taking into account the growth and development of the baby. Some mothers find it difficult to express breast milk because more and more mothers are influenced by myths. When a mother is concerned about her baby's ability to breastfeed, the hormone oxytocin decreases, causing her to stop producing and eventually breastfeed soon after birth. One way to stimulate the mother's prolactin and oxytocin hormones after giving birth is breastfeeding massage. Writing purpose : To determine the effectiveness of the combination of consumption of smoothy spinach and oketani massage to increase the amount of milk production in postpartum mothers in the UPT area dcomparison of giving snakehead fish extract and smoothy spinach to increasing hemoglobin levels in pregnant women in the UPT Puskesmas Kalri Karawang area in 2023. Research methods : This type of research used is quantitative research. This research method is experimental with the type of Quasy Experimental (pseudo-experimental) with a post test only design approach.This research was conducted in the UPT Kalri Health Center, Karawarang December 2022 to January 2023. The population in this study were all postpartum mothers at the Mukoyurli Buol Hospital with a total of 63 people. Samples were taken using non-probability sampling method with purposive sampling technique. The number of samples in this study were 32 research samples. Research result : The results of the independent statistical test sample T test obtained a value of p = 0.000 (p <0.05), which means that the combination of smoothy spinach and massage oketani has a significant effect on milk production. Conclusion : There is a significant relationship between the combination of smoothy spinach and oketani massage on milk production.It is hoped that health workers (doctors, midwives, nurses) can assist postpartum mothers in communicating providing information and education about the benefits of a combination of smoothy spinach and oketani massage in helping patient families to provide oxytocin reflex massage to postpartum mothers.

Background : The age of infants and toddlers is the golden age of the period of growth and development of a human being. To stimulate the growth and development of the baby, it is necessary to stimulate the baby. Baby massage and spa are activities to optimize the growth and development of babies. Research objective : to determine the effect of baby massage and baby spa on the growth and motoric development of babies aged 3 to 6 months. Research Methods : This study used a quasi-experimental and pretest and post-test design with a control group. The number of samples of infants aged 3-6 months was 60 babies, 20 babies for the baby massage group, 20 babies for the baby spa group (solus per aqua) and 20 babies who were not treated because their parents refused. The instruments used in this study were baby scales, tape measure and DDST II. Data analysis in this study was the Wilcoxon and Mann Whitney tests. The results of the study: There is an influence of baby massage and baby spa interventions on the growth and motor development of infants aged 3-6 months with p-Value = 0.000 (<0.05). The Mann Whitney test results obtained a p-value of 0.000 (p-value <0.05 at α = 5%), so that it can be concluded that there are differences in the growth and motor development of infants aged 3 to 6 months between the control group and the intervention group (who get baby massage and baby spa). Conclusions and suggestions : It is hoped that baby massage and baby spa can optimize baby growth and development. There is a difference in the effect of giving baby massage and baby spa on the growth and motoric development of infants aged 3-6 months. So that giving actions like this can be routinely carried out to maximize the growth and development of the baby.

Backgrounds : The puerperium is the period after childbirth, which is counted from after the placenta has come out, the puerperium is also called the recovery period, where the uterine devices will recover as before. Providing information about breast massage techniques to the public, especially to postpartum mothers is very important. Therefore efforts to provide information about breast massage techniques can be done through health promotion efforts. The results of a preliminary study conducted by researchers at the Gempol Health Center on 5 postpartum mothers using a questionnaire, of the 5 questions asked, 5 postpartum mothers answered that they did not know how to increase milk with breast massage techniques. Research Objectives : To find out the effectiveness of video media and leaflets on knowledge about breast massage techniques for postpartum women at the Gempol Health Center in 2022 Research Methods:This type of research is quantitative with a quasi-experimental research design and a pretest-posttest group design. The pop ulation in this study was 117 postpartum mothers who were at the Gempol Health Center. The sample in this study were 54 respondents. Bivariate analysis using the Wilcoxon test. Research results : The description of postpartum mothers' knowledge about breast massage techniques after being given leaflet media was mostly lacking as many as 32 people (59.3%). Postpartum mothers' knowledge about breast massage techniques after being given video media was mostly as good as many as 44 people (81.5%). Conclusions and Suggestions : It can be concluded that video media is more effective for increasing knowledge about breast massage techniques in postpartum mothers than media leaflets. It is recommended that managing midwives facilitate mothers in receiving health counseling/education especially for postpartum mothers regarding breast massage techniques during the postpartum period.

This study aims to determine the effect of foot massage and soaking in warm water mixed with salt on reducing leg edema in third-trimester pregnant women. This type of research is Experimental design with the group Pre-Test and Post-test design approach model. The population in this study were all third-trimester pregnant women who experienced physiological leg edema at the Bangetayu Health Center, Genuk sub-district, Semarang City, totaling 32 people from June to July 2022. The sampling technique used a total sampling of 32 people. The data collection tools in this study were Standard Operating Procedures (SOP) for Foot Massage and Warm Water Soak mixed with salt, Observation Sheets, Questionnaires, and Metlin in Millimeter units. The results of the study obtained a Z value of 5.045 which means that every one time intervention of foot massage and soaking in warm water mixed with salt, which is given one time a day for five days, third-trimester pregnant women have the potential to be 5.045 times to be able to reduce the degree of edema. The Wilcoxon test results obtained a significance of ≤ 0.05, and it was found that there was an effect of foot massage and soaking in warm water mixed with salt on the reduction of leg edema in third-trimester pregnant women at the Bangetayu Health Center, Genuk District, Semarang City.   Keywords: Foot edema, Foot massage, Soak using warm water mixed with salt

Based on data from the Jepara District Health Office in 2021, the Tahunan area has the highest number of pregnancies, reaching 1204 pregnancies compared to other sub-districts in Jepara Regency, with 43.1% of them experiencing sleep disturbances. This study aims to determine the effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency. This type of research is a quasi-experimental one-group pretest-posttest design. The population taken in this study were 50 pregnant women in their third trimester in July – August 2022 in the working area of the Annual Health Center in Jepara Regency. The sampling technique was purposive, and a sample of 44 people was obtained. The data collection tool in this study used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis was performed using the Wilcoxon test. The results showed an effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency (p-value <0.05). The average PSQI score before a back massage with lavender essential oil was 8.95 and then decreased to 3.70 after giving a back massage with lavender essential oil. A decrease in PSQI scores indicates an improvement in sleep quality. Based on the Z value obtained, it was 5.811, which means that every one time back massage intervention with lavender essential oil given two times a week in the third trimester of pregnant women has the potential to improve sleep quality 5.811 times.   Keywords: Back massage, Lavender essential oil, Sleep quality

Pain in labor is a physiological process.contractions are used to divert women from pain during contractions, Yoga is a movement that is relatively safe and is performed on pregnant women, very useful for dealing with shortness of breath, back pain. Hypnobirthingdeep relaxation, through slow and deep breathing patterns so that the body automatically releases endorphins which are natural morphines in the body which are useful for reducing and even eliminating pain during contractionscan also increase the formation of endorphins DestinationIncrease the knowledge of midwives about effluerage massage and Hypnobirthing in pregnant women. The process of giving birth becomes very pleasant, smooth and fast with trainingeffluerage massageand hypnobirthing on imom is pregnant so that mothers enjoy a safe, gentle, smooth and comfortable delivery process through pregnant women classes in Silian Satu village, K1 and K4 in pregnant women will be achieved. After being evaluated from 10 pregnant women, there were 7 pregnant women who felt comfortable after doing effluerage massage followed by Hypnobirthing.

Sekitar 40 % dari jumlah total penduduk Indonesia yang berusia di atas 40 tahun mempunyai keluhan nyeri sendi dan otot. Peserta lansia di Posyandu Lansia Talang Aur Wilayah Kerja Puskesmas Talang Aur Kabupaten Ogan Ilir Palembang adalah Lansia penderita rematik yang mengalami nyeri sendi, dalam mengatasinya masih menggunakan terapi farmakologi. Lansia Belum pernah di ajarkan tindakan kombinasi kompres hangat dan masase. Tujuan dari  pengabdian masyarakat ini untuk menerapkan tindakan kombinasi kompres hangat dan masase dalam menurunkan nyeri sendi pada lansia  yang menderita Rematik. Hasil Kegiatan Pemberdayaan Kepada Masyarakat ini, meningkatnya pengetahuan lansia tentang rematik dan penatalaksanaannya., serta mampu melakukan (mendemonstrasikan) tindakan kombinasi kompres hangat dan masase dalam mengurangi nyeri sendi.   Metode pendekatan yang digunakan adalah Edukasi (Penyuluhan), Demonstrasi pemberian kombinasi kompres hangat dan masase dalam mengurangi nyeri sendi. Pelaksanaan PKM ini melibatkan dosen-dosen yang sesuai dengan keilmuan dalam bidangnya yang berpengalaman dalam Keperawatan Medikal bedah.Serta dibantu oleh mahasiswa Keperawatan.          Kata Kunci: Rematik, Nyeri Sendi, Kompres hangat, Masase  

Latar Belakang: lansia yang mengalami nyeri rheumatoid arthritis dengan mengalami gejala pergerakan lutut dan persendian membesar dan kaku, terjadi atropi serabut otot sehingga pergerakan menjadi lamban, nyeri sendi (Priyoto, 2015). RISKESDAS tahun 2018 menunjukkan fakta yang memprihatinkan dimana jumlah penyakit rheumatoid arthritis di Indonesia termasuk dalam golongan penyakit sendi dari total populasi meningkat dari 2,47% menjadi 7,30% berdasarkan tanda dan gejala. Tujuan: untuk mengetahui pengaruh kombinasi back massage dan kompres air hangat terhadap tingkat nyeri rheumatoid arthritis pada lansia di Kelurahan Karangayu. Rancangan penelitian: merupakan penelitian quasi eksperimen dengan menggunakan One-Group Pretest-Posttest Design, yaitu menggunakan satu kelompok eksperimen. Jumlah sampel pada penelitian ini sebanyak 40 lansia rheumatoid arthritis teknik pengambilan sampel menggunakan total sampling dengan menggunakan uji Wilcoxon. Kesimpulan: penelitian ini menunjukkan bahwa pemberian intervensi kombinasi back massage dan kompres air hangat berpengaruh terhadap tingkat nyeri rheumatoid arthritis pada lansia di Kelurahan Karangayu dengan p value 0,000. Rekomendasi: hasil penelitian ini adalah agar lansia diharapkan untuk menerapkan kombinasi back massage dan kompres air hangat untuk menurunkan tingkat nyeri rheumatoid arthritis. Bagi peneliti selanjutnya dapat memodifikasi intervensi sebelumnya seperti pemberian back massage dikombinasikan dengan intervensi lain, yaitu relaksasi nafas dalam maupun aromaterapi.

The MDG`s national target is to reduce the maternal mortality rate by three quarters from the maternal mortality rate in 1990 of 405 per 100,000 live births to 102 per 100,000 live births in 2015. World Health Organization (WHO) Maternal Mortality Rate (MMR) in the world that is, 289,000 people, and estimates that 800 women die each day due to complications of pregnancy and childbirth. Approximately 99% of all maternal deaths occur in developing countries, about 80% of maternal deaths are the result of increased complications during pregnancy, childbirth and after delivery. The Health Profile of North Sumatra Province in 2016 states that the coverage of deliveries assisted by health workers shows an increasing trend, namely from 86.73% in 2010 to 90.05% in 2016, even the achievement in 2016 was the highest achievement in terms of delivery assistance by health worker in 7 years Effleurage technique is a massage technique using the palms of the hands in a circular motion pattern on the lower part of the waist. Massase effleurage technique can reduce labor pain during the first stage of the active phase if it is done correctly, which is done every time there is a contraction and done for about 20 minutes. The general objective of this study was to provide midwifery care for the first stage of labor to Mrs. A with the Effleurage Massage Relaxation Technique at the Pratama Marko clinic using Helen Varney's 7 steps midwifery management. In making this report the authors use descriptive methods with a case study model. The results showed that the respondent Ny. A 28 years old during the first stage of labor with massage relaxation technique at effleurage at the Pratama Clinic, Jl. Floodgate IV kec. Medan Johor.    

Background: Patients with Chronic Renal Failure undergoing Hemodialysis (HD) have various health problems, one of which is skin manifestations. Dry skin is described in the majority of patients with Renal Failure and is suspected to be a significant pathogenic factor in pruritus and may increase itching intensity in CRF patients. It was found that 52% of patients who underwent HD had dry skin (xerosis). Dry skin that appears in CRF patients with hemodialysis is usually caused by atrophy of the sebaceous glands, impaired external secretory function, and impaired hydration of the stratum corneum. Purpose: to increase skin moisture in patients with chronic renal failure undergoing hemodialysis Methods: This community service is carried out by providing VCO and teaching massage stroking techniques. VCO is applied to the skin twice a day for 4 weeks followed by massage. Results: Of the 53 patients, 60.37% of patients experienced an increase in skin moisture, 16.98% of patients had a decrease in skin moisture levels and 22.64% could not be evaluated Conclusion: Routinely apply VCO twice a day for 4 weeks, experience an increase in the value of skin moisture. Meanwhile, in patients who did not apply regularly, there was a slight increase compared to patients who did not apply VCO at all. Oily skin and the smell of coconut oil are the reasons for patients not to routinely give VCO.

The puerperal period is also called the post partum or puerperium period, which is the time between the birth of the baby and the placenta leaving the uterus until the return of the reproductive organs to a normal state as before childbirth. The puerperium lasts six weeks. The purpose of this study was to determine the effect of oxytocin massage on breastfeeding in post partum mothers in the post maternal partum (PMP) room at Bumiayu Health Center, Brebes Regency 2021. The research method used is pre-experiment (experimental activity that aims to determine an effect that arises as a result of certain treatments) using one-group pretest-post test design, namely an experimental design that uses one group of subjects and takes measurements before and after treatment. on the subject. This design is to determine the effects before and after treatment. The analysis in this study used the t-test. From the results of statistical testing using the T-test, the significance value was 0.000 (p <0.05). So it can be concluded statistically Ha is accepted and Ho is rejected, meaning that it can be concluded that there is an effect of oxytocin massage therapy on breastfeeding in post partum mothers at Bumiayu Health Center. In connection with the results of this study, it is hoped that post partum mothers with the help of their husbands or families at home can inform the surrounding community so that they can increase their knowledge and insight to apply oxytocin massage as a solution to overcome the problem of unsanitary breastfeeding.  

Hypertension is a chronic condition that results in an increase in blood pressure. Hypertension can cause headaches, headache is pain in the head that causes discomfort. One way to overcome them is by massage. The purpose of this case study is to describe the application of massage from shoulder to head to the level of headache in hypertensive patients. The method used is descriptive research. This research was conducted on 2 subjects. The subjects of this study were hypertension patients with criteria of being willing to be respondents, stage 1 hypertension with mild headaches, age 40 years and above. Analysis of the level of headache was done descriptively and measured based on the Numeric Rating Scale. The results of the analysis showed a decrease in the level of headache after the intervention. In subject I mild headache with a scale of 3 to scale 1 and subject II of mild headache with a scale of 3 became a scale 1. Conclusion that massage from the shoulder to the head is effective for reducing headaches, especially in hypertensive patients who experience headaches. Recommendations for nurses can apply massage therapy to reduce the level of headache in hypertensive patients

Perkembangan merupakan perubahan yang terjadi pada diri individu dengan bertambahnya kemampuan dan fungsi tubuh dari yang sederhana ke yang lebih kompleks, sebagai hasil dari proses pematangan. Tujuan penelitian ini yaitu untuk mengetahui Pengaruh Pijat Bayi Terhadap Peningkatan Motorik Kasar Pada Bayi Usia 3-6 Bulan di BPM Suriyanti, S.ST Makassar. Desain Penelitian ini adalah eksperimen metode Pre Test-Post Test Control Group Design, populasi penelitian ini berjumlah 100 bayi di BPM Suriyanti, S.ST Makassar dan sampel berjumlah 30 orang. Hasil penelitian menunjukkan bahwa dari 15 orang (50%) yang mendapatkan pijat bayi, terdapat 14 bayi (93,3%) yang motorik kasanya meningkat dan 1 bayi (6,7 %) yang tidak meningkat. Sedangkan yang tidak di lakukan pijat bayi sebanyak 15 bayi (50%), terdapat 2 orang motorik kasarnya meningkat (13,3%) dan 13 bayi (86,7%) yang tidak meningkat. Dengan menggunakan uji Mann-Whitney dan wilcokxon, menunjukkan bahwa setelah diuji wilcoxon nilai ? Value pretest-posttest dari kelompok perlakuan adalah 0,000 (<0,05), sedangkan nilai ? Value pretes-posttest pada kelompok kontrol 0.039 (<0,05). Sedangkan setelah diuji Mann whitney didapatkan hasil ? = 0,000 (<0,05). Maka dapat disimpulkan bahwa ?<?, sehingga Ho ditolak dan Ha diterima. yang artinya ada pengaruh pijat bayi terhadap peningkatan motoric kasar pada bayi usia 3-6 bulan

Heart failure has an impact not only on one's physical condition but also on the psychological impact of anxiety. Patients with heart disease who experience psychosocial problems, especially anxiety, will have a slower recovery process and more severe physical symptoms they experience. Thus, an intervention is needed to provide back massage to overcome anxiety. The purpose of this study was to describe the application of back massage towards anxiety scores in heart failure patients.This study belongs to descriptive research using the case study approach method. The sample in this study were 2 subjects who suffered classification II and III heart failure according to NYHA who experienced low to moderate anxiety. Both subjects were given back massage therapy. Hamilton Anxiety Rating Scale (HARS) was used as the instrument to measure the level of anxiety. The results showed that there was a significant decrease in the two subjects who initially fell into the anxiety category into the category of low anxiety after being given back massage therapy for 15 minutes at 24-hour intervals for 3 days. In conclusion, back massage is recommended to be applied in the hospital as a nursing intervention to overcome anxiety in heart failure patients.

Hypertension is not infectious disease which occupy the third place in the region’s small-scale Clinics Rowosari Semarang. Less healthy lifestyles as well as stress lead to uncontrolled hypertension and cause various complicatio. Foot reflexiology message is one of complementary therapies with muscle compression techniques giving rise to a relaxing effect and the lower blood pressure. The purpose of this study  is illustrate the aplication of reflexiology message theraphy to lower blood preassurein hypertensive clients.The methods used in this research is a descriptive case study method with case study approach. The subject are 2 people with criteria of age 35-65 years old and suffering from hypertension grade I and II. Intervensions carried out in the form of foot reflexiology massage therapy 30-60  minutes for three days a row. The results of the case study shows that there is a decrease of blood preassure 160/90 mmHg  143/83 mmHg be on subject I and subject II 180/100 mmHg to 155/87 mmHg. Foot reflexiology message therapy is recomended as a nursing intervention in the client management of clients  with hypertension.

Depression Breast milk is the best food for babies, because it contains all the nutrients the ideal amount  and  composition  required  by  infants.  One  of  the  obstacles  in  the  early breastfeeding is the production of breast milk in small quantities on the first day after birth. Ways that can be done toincrease milk production is the oxytocin message. The purpose of case study to improve sepending colostrum at maternal post partum after doing oxytocin message. This type of research is descriptive using a case study approach. Subjects in this study were two patients maternal post partum. The result of the analysis to subject 1 spending colostrum time this is 5.00 hours with fast   categori, while to subject  2  spending  colostrum  time  this  is  06.20  hours  with  low  categori.  Can  be concluded there oxytocin message effect on the time spending colostrum.nurse have to apply message oxytocin to the mother post partum to give colostrum on her baby soon after birth.