Publication Search

Labor pain refers to sensory and emotional experiences since the early phase of laboring. One of the indications is continuous and progressive contraction. This matter causes enormous pain in the first active phase. Pain without management may influence the delivery process. Thus, pain management is important to relieve the pain. The administration of peppermint aromatherapy and acupressure therapy on the L14 point, the hegu point, could relieve the labor pain. This research determined the influence of peppermint aromatherapy and the L14 acupressure point, the high point, toward the labor pain of mothers with the first active phase at SMC Telogorejo. This quasi-experimental research applied a pretest-posttest deign without a control group. The applied sampling technique was consecutive. The obtained samples were 31 respondents. 28 respondents were aged between 20 and 35 years old, 90.3%. Respondents with multipara status were 20 respondents, 64.5%. Most respondents graduated from high educational levels, with 26 respondents (83.9%). the respondents also mostly worked, 17 respondents (54.8%). The Wilcoxon test obtained a p-value of 0.000 ≤ 0.05. The results showed peppermint aromatherapy and L14 acupressure, the hegu, could relieve the pain level of mothers with the first active phase. The researcher expects future researchers to calculate the duration of the managed pain after the intervention.

This research is motivated by the learning process which is still monotonous or only uses the lecture method and the lack of variations in learning so that students become less active in the learning process. The learning method used is quantitative with a one group pretest-posttest design which in its implementation only involves one class as an experimental class without any comparison class (control class). The purpose of this study was to determine the effect of using card sort types in learning Pancasila Education on student learning outcomes in class IV SD. Hypothesis testing was carried out with the Wilcoxon non-parametric test. Based on the results of the paired sample difference test using the Wilcoxon test with the help of SPSS, a p value of 0.000 (p <0.05) was obtained, which means that Ho is rejected and Ha is accepted, which means that there is a significant difference in the average pretest and posttest scores for students. or interpreted that the treatment of students is proven to be able to increase student scores.

Sectio caesarea (SC) is a surgical procedure performed to give birth to a baby. Caesarean sectio action can cause anxiety in preoperative mothers. Anxiety can cause discomfort, so therapy is needed to reduce anxiety levels. Giving lavender aromatherapy and lullaby classical music can reduce anxiety. This study aims to determine the effect of lavender aromatherapy and lullaby classical music on the anxiety level of preoperative sectio caesarea mothers at SMC Telogorejo Hospital. This type of research is a quasi experiment with a pretest-posttest design without a control group design, the consencutive sampling used is accidental, with a total sample of 40 respondents. The characteristics of the respondents were obtained by all respondents aged 20-30 years by 40 (100%), tertiary education by 30 respondents (75%), primigravida 21 respondents (52.5%). Wilcoxon test results, obtained a p-value of 0.000. So it can be concluded that giving lavender aromatherapy and lullaby classical music can reduce the level of anxiety in preoperative sectio caesarea mothers. For future research, it is expected to pay attention to the duration and the most effective time to reduce anxiety levels after being given an intervention.

Sectio caesarea is an act of removing the fetus and placenta through an incision in the abdominal wall and uterine wall in an intact state. Sectio caesarea is certainly inseparable from anesthesia, namely spinal anesthesia which will later use the bromage score as an indicator of anesthesia recovery. Range of Motion (ROM) can be interpreted as the maximum movement possible in a joint without causing pain. ROM is an important action that can affect the recovery of muscle movement after surgery. Purpose: To determine the difference in providing passive Range of Motion (ROM) of the lower extremities to the bromage score of patients after sectio caesarea surgery with spinal anesthesia. This study used a quasi-experimental research method (Quasi Experiment Method) with a Pre-post-test Design design with 15 respondents receiving intervention. Sampling with consecutive sampling. The test used was the Wilcoxon test. Data analysis using Wilcoxon with p = 0.005 (p <0.05). There is a difference in providing passive ROM of the lower extremities to the bromage score of patients after sectio caesarea surgery with spinal anesthesia.  

This study aims to evaluate the impact of ergonomic exercises on blood pressure in hypertensive patients in the village of Setia Suka Maju Sirihit – Rihit. The research employed a One Group Pre-test – Post method using purposive sampling, with 10 respondents selected from a population of 50 who met the criteria. Data were collected using an ordinal scale and observational instruments. The results of the Wilcoxon Signed Ranks Test using SPSS indicated significance < 0.05 (p=0.00), signifying the influence of ergonomic exercises on lowering blood pressure. The conclusion of this study asserts the effectiveness of ergonomic exercises in reducing blood pressure in hypertensive patients in Setia Suka Maju Sirihit – Rihit Village, Pahae Jae Subdistrict, North Tapanuli Regency in 2023.

The problem of medication adherence in individuals with hypertension remains a challenge, even in developing countries. The purpose of this study was to determine the effect of Emo demo education on adherence to taking medication in hypertensive patients enrolled in the Prolanis program at Puskesmas Sumbersari Lumajang. This study was conducted at Sumbersari Health Center in March 2023. This study used a quasi-experimental research design with a one group pre-post test design. The purposive sampling technique was chosen to select a sample of 50 respondents. This study used the MMAS-8-4 (Morisky Medication Adherence Scale) questionnaire as a measuring tool for medication adherence. Statistical tests using the Wilcoxon Signed Rank test. Before the emo-demo, most of the 22 (44%) respondents were at a low level of compliance. After emo-demo education, most of the respondents were in moderate compliance 33 (66%) and high compliance 14 (28%).  The results of bivariate analysis show that Emo demo education has a significant effect on drug compliance in hypertensive patients participating in Prolanis, with a p-value of 0.000 which is smaller than the predetermined level of significance of 0.05. The provision of Emo Demo in health education with a focus on the target group is expected to be facilitated by the puskesmas. Effective medication adherence among hypertensive patients can improve control of blood pressure and prevent complications of the disease.

This research is motivated by the low ability of students to identify complications in short stories. The lack of variety of learning models used by educators is one of the causes. The selection of various learning models will greatly influence the process of learning activities so that they become active, creative and innovative in order to improve the quality of students. One learning model that is effectively used is Discovery Learning. In addition, the low ability to collaborate is also due to the lack of assignments given in groups by educators to students. The purpose of this study was to examine the effectiveness of the Discovery Learning model used in increasing the ability to identify complications in short stories and to improve students' collaboration skills. In addition, this study aims to examine differences in the ability to identify complications in short stories and the ability to collaborate between the experimental class using the Discovery Learning model and the control class using the discussion method. The method used is a quasi-experimental method with nonequivalent control group design. The results obtained based on the Wilcoxon test are the Asymp values. Sig. (2-tailed) <.001 or 0.001 <0.05, it can be concluded that there is a difference between students' learning outcomes in identifying complications in short stories between the experimental class using the Discovery Learning model and the control class using the discussion method. The results obtained based on the Mann Whitney-U test are the Asymp values. Sig. (2-tailed) of 0.010 <0.05, meaning that the Discovery Learning model is effectively used in learning. The value of collaborating in the experimental class has an average (mean) of 3.61 and the control class has an average (mean) of 3.47, meaning Discovery Learning model that it is very effective in improving collaboration skills.

The low ability of students in identifying life values ​​in short story texts is the background of this research. One of the causes of this is the lack of use of appropriate learning models by educators. In addition, as a result of the lack of utilization of appropriate learning models, namely the low level of students' critical thinking skills. The purpose of this study was to examine the effectiveness of the Discovery Learning model in learning to identify life values ​​in short story texts. This study also aims to examine the effectiveness of the Discovery Learning model in improving students' critical thinking skills. As well as examining differences in students' abilities in identifying life values ​​in short story texts and differences in students' critical thinking abilities in the experimental class using the Discovery Learning model and the control class using the discussion method. The method used in this research is a quasi-experimental method with nonequivalent control group design. The results of the research are based on the Wilcoxon test of the Asymp value. Sig. (2-tailed) of 0.000 < 0.05. That is, it can be concluded that there are differences in the learning outcomes of students identifying life values ​​in short story texts between the experimental class using the Discovery Learning model and the control class using the discussion method. As for the results of the Mann-Whitney test, the Asymp value. Sig. (2-tailed) of 0.000 < 0.05. That is, the Discovery Learning model is effectively used in learning to identify life values ​​in short story texts. Then the results of calculating the average value of students' critical thinking skills in the experimental class using the Discovery Learning model are 3.7 and in the control class using the discussion method namely 3.4. That is, it can be concluded that there are differences in students' critical thinking abilities. This shows that the Discovery Learning model is effective in improving students' critical thinking skills.

Cervical cancer is the most common health problem in women, where special attention is needed to prevent this health problem. One effort that can be done to recognize pre-cancerous lesions early is by conducting an Acetic Acid Visual Inspection (IVA) examination which can reduce the incidence of morbidity and maternal mortality caused by cervical cancer. This IVA examination is very easy and practical to be carried out either by midwives or professional health workers (doctors) who can be obtained at health facilities such as clinics, health centers and hospitals. This study aims to determine the effect of health education on maternal adherence to visual inspection of acetic acid at the Suli Health Center. This research method is analytic with design Quasi Experiment (experiments pseudo), with design one group pretest posttest . The population in this study were all women of childbearing age (WUS) who were in the work area of the Suli Health Center as many as 78 people and the sample in this study were all WUS who were in the work area of the Suli Health Center who had certain characteristics, namely women of childbearing age who had active sexual relations. with the number of samples in this study amounted to 30 people. Sampling was carried out using purposive sampling method. This research was processed using a computerized system with the help of the SPSS program. The data analysis method used was statistical test analysis with the Wilcoxon signed ranks test to determine the effect of health education on WUS compliance by conducting an IVA examination where if obtained The p value of this test or p 0.000 <0.05, can be interpreted as significant. Therefore, it is recognized that health education has an impact on WUS adherence to carrying out IVA examinations.  

Background: One of the non-pharmacological intervention techniques that can be used is the guided imagery relaxation technique. When doing Guided Imagery Relaxation it produces endorphins. Endohrpin is a neurohormone associated with pleasant sensations so it is expected to lower blood pressure. This study aims to determine the effect of Guided Imagery Relaxation on reducing blood pressure in hypertensive patients. Method: This type of research is Quasy Experiment with a one group pretest posttest design. The sampling technique used purposive sampling with the population that will be taken in this study is the community of the Cikalongkulon Cianjur Health Center in people with hypertension aged 45-70 years who do not experience complications and do not regularly take hypertension medication. The number of samples is 16 respondents. Statistical analysis using the Wilcoxon Signed Rank T-Test. Results: From the results of the Wilcoxon Signed Rank T-Test analysis, it shows that there is a significant effect between Guided Imagery Relaxation and a decrease in blood pressure in the Working Area of ​​the Cikalongkulon Health Center, Cianjur p-value 0.002 (<0.05). Conclusion: From this study it shows that there is an effect of guided imagery relaxation on reducing blood pressure in the Working Area of ​​the Cikalongkulon Health Center.

Penelitian ini bertujuan untuk mengetahui untuk mengetahui perbedaan harga kakao asalan dan kakao sertifikasi. Jenis penelitian yang akan digunakan dalam penelitian ini adalah metode kuantitatif dengan pendekatan komperatif Populasi dalam penelitian ini adalah daftar harga kakao dan kakao sertifikasi PT. Celebes Makmur Abadi tahun 2019. Dalam penelitian ini sampel yang di ambil adalah daftar harga kakao asalan dan kakao sertifikasi PT. Celebes Makmur Abadi bulan Juni sampai November 2019, dengan pertimbangan bahwa panen kakao terjadi pada bulan Juni sampai November. Pengujian hipotesis dilakukan untuk melihat apakah ada perbedaan harga kakao asalan dan kakao sertifikasi dengan menggunakan uji t. Berdasarkan uji Peringkat Bertanda Wilcoxon (Wilcoxon Signed Rank Test) diperoleh nilai Zhitung -11,742 yang lebih kecil dari nilai Ztabel-1,96  maka Ho ditolak dan Ha diterima artinya terdapat perbedaan yang signifikan antara kakao asalan dan kakao sertifikasi.

Nausea and vomiting are symptoms that a reasonable and often happen in the first trimester of pregnancy. It usually occurs in the morning, but can occurs at any time including at night. This condition can cause dehydration or lack of fluid and electrolyte inbalance, hence the condition of pregnant mother's get worse. Lemon aromatherapy is one of alternative method to decrease nausea and vomiting in the first trimester of pregnancy. It provides relaxation and sedative by stimulating the limbic system. This study was conducted to find the effect of lemon aromatherapy to decrease nausea and vomiting in the first trimester of pregnancy. Design used in this study was pre-experiment (one-group pretest-posttest designed). The population were all pregnant women that have nausea and vomiting in the first trimester of pregnancy. The samples were 12 respondent taken by purposive sampling according to the inclusion criteria. The independent variable was lemon aromatherapy. While the dependent variables were nausea and vomiting in the first trimester of pregnancy. Data were collected using structured questionnaire and observation. Data were then analyzed using statistic test (wilcoxon signed rank test) with level of significance ??0.05. The result showed that giving lemon aromatherapy had an effect to decrease nausea and vomiting in the first trimester of pregnancy (p=0.002). There were differences of nausea and vomiting between pre-treatment lemon aromatherapy (x=8.50) and post-treatment lemon aromatherapy (x=4.25). It can be concluded that giving lemon aromatherapy could decreased nausea and vomiting in the first trimester of pregnancy. Lemon aromatherapy is useful to breathe when experiencing morning sickness, for relief, encouraging, refreshing, and improving mood, giving a relaxed feeling, comfortable and quiet. Recommendation for the nurse and other health profession to use lemon aromatherapy as alternative medication of nausea and vomiting in pregnant women.

To enhance breastfeeding practices within Parit Baru village, this research aims to assess the effectiveness of flip sheet-based health counseling on breast milk. The study employed a pre-experimental design consisting of a one-group pre-test and post-test design. Utilizing purposive sampling, a sample size of 34 respondents was selected for the study conducted in Parit Baru village, located in the Kampar district. The measurement tool used was an observation sheet adapted from the Breastfeeding Counseling Training manual. Univariate and bivariate analyses, including dependent t-tests and Wilcoxon tests, were employed for data analysis. The results of the dependent sample t-test yielded a p-value of 0.000, indicating significance at the 0.05 level. As a result, it can be inferred that health counseling on breastfeeding is successful in enhancing breastfeeding abilities in lactating mothers in the hamlet of Parit Baru. The findings of this study advise health professionals to provide breastfeeding women with flip-chart media and practical techniques of health counseling about breast milk so that their breastfeeding abilities can be improved.

Competency tests organized by universities in collaboration with professional organizations, health care training institutions become a requirement for vocational and professional education graduation. Based on the results of the 2019 competency test, 19.66% of competency test participants were declared competent which means it is still far from the expected target. This research aims to find out the effectiveness of web-based competency test models against increasing the confidence of midwifery students in the face of competency tests. The method used in this study is the Pre-Experimental One Group Pretest-Posttest. The study was conducted at Politeknik Kesehatan Kementerian Kesehatan Makassar and Universitas Megarezky.Sampling is done with the Purposive Sampling Technique which is as many as 45 samples. Data is analyzed using statistical analysis, namely byconducting a data normality test and then followed by the Wilcoxon Sign Rank Test. The effectiveness of using a web-based competency test model found that the average level of confidence of students before the intervention was 78% in the high confidence category and the average confidence of students after the intervention was 84% in the category of very high trust. Based on the analysis of pretest and posttest results there is an increase in student confidence before and after the intervention. Furthermore, the Wilcoxon Test has obtained a p-value of 0.00 < 0.05 which means there is asignificant difference between the pretest and posttest grades of students so that the web-based competency test model is effective in increasing theconfidence of students facing competency tests

This research departs from the phenomenon of interpersonal relationships that are owned by the children of the Al-Ghasyiyah Orphanage which are still low and medium, this is marked by the orphans who do not know each other closely, do not understand each other's personal characteristics, are not familiar, lack of cooperation, orphans they still lack the courage to express their ideas or opinions, there are still social conflicts between them, they close themselves off because they lack confidence in getting along with other orphans, they lack a sense of initiative in making friends and working together. Researchers try to provide group guidance services with sociodrama techniques to orphanages to improve interpersonal relationships, the goal to be achieved in this study is to find out whether or not there are significant differences in the interpersonal relationships of orphanage children before and after being given sociodrama technique group guidance services, as well as effective whether or not the sociodrama technique group guidance services to improve the interpersonal relations skills of orphans at the Al-Ghasyiyah Bathin Solapan Duri Orphanage, Riau. This research is classified as a pre-experimental study using a one group pretest posttest design. The population in this study was the adolescent children of the Al-Ghasyiyah Bathin Solapan Duri Orphanage, Riau. The population is young women at the Al-Ghasyiyah Bathin Solapan Duri Riau Orphanage, totaling 20 people. The sample is adolescents who are indicated to have a poor level of interpersonal relations, namely 8 people, sampling based on purposive sampling technique. The instrument used was a Likert scale questionnaire. Data analysis used non-parametric statistical tests using the Wilcoxon signed rank test method with the help of Statistical Product and Service Solutions (SPSS) version 20.00. pretest and posttest. From the results of the Wilcoxon test calculation, a significant p-value of 0.011 < α (α = 0.05) is obtained, which means that Ha is accepted and Ho is rejected. From the results of the calculation of the Wilcoxon test, it can be interpreted that the interpersonal relationship skills of the orphans increased after being given treatment, namely the sociodrama technique Group Guidance Service.

Background: Life in prison can trigger stress that affects blood pressure. One way to control blood pressure in hypertensive patients is to use non-pharmacological therapy interventions. One of them is to use autogenic relaxation and music therapy methods. Purpose: This study aimed to determine the effect of autogenic and music therapy on reducing blood pressure for inmates. Method: The research method is quasi-experimental, with one group pretest and posttest design. This research was conducted in a prison in the Surabaya area. The total sample of this study is 20 respondents. Result: After autogenic and music relaxation therapy, participants with normal blood pressure levels increased to 60%. Based on the Wilcoxon Sign Rank Test result, it's known that p-value = 0,001 with (?<0.05), which means this program may affect participants' blood pressure. Conclusion: The use of autogenic and music therapy may reduce blood pressure. This program significantly lowered participants' perception of stress, and it enhanced their perception of health

. A work accident is an unpredictable event. When it happens, it is important to provide first aid in work accidents and to do it one must have knowledge. To increase knowledge about this first aid, it can be done by providing telenursing-based education. The purpose of this research was to find out the effect of telenursing-based education on the cognitive ability of garbage collector in performing first aid in a work accident. This research was conducted by using a quasi-experimental one group pre-test and posttest design. The population as many as 40 people and sample amounted to 15 respondents which was taken using non-probality sampling technique. This research used Whatsapp application and data collection was done by giving questionnaires in the form of link to pre test and posttest. Then, the collected data was analyzed by a Wilcoxon statistic test. From the wilcoxon test, it was obtained that ρ value = 0,002 in which this ρ value < α = 0,05 meaning Ha was accepted and Ho was rejected. The conclusion of this research is that there is an effect of telenursing-based education on the cognitive ability of garbage collector in performing first aid in a work accident.    

People with gout arthritis complain of pain in the joints, toes, hands, knees and have never used lemongrass water to reduce joint pain and choose analgesic drugs as pain relief. Lemongrass plant contains essential oil that has chemical properties and pharmacological effects, namely a spicy and warm taste as an anti- inflammatory and relieving analgesic pain.. The purpose of this research was to find out the effect of lemongrass (cymbopogon citratus) on the reduction of gout arthritis pain in The Community In The 1st Winenet Village, Bitung. This research used a pre experimental method with one group pretest-posttest design. The population were residents who suffered from gout arthritis and who experienced joint pain. Sampling using a purposive sampling technique with the number of samples were 12 respondents using the Lamesho formula. The instruments used in this research were observation sheets and pain intensity scale measurement sheets using the Numeric Rating Scale (NRS). The collected data was processed by running the computer program be analyzed by a Wilcoxon Signed Rank test with the significance level α = 0,05.The results of this research indicated that there are differences in pain intensity before and after giving lemongrass, with a ρ value (0,001) < (0,05), meaning that there is an effect of giving lemongrass on reducing gout arthritis pain.The conclusion of this research is that lemongrass can be used as a non- pharmacological therapy to reduce pain in gout arthritis. It is expected that the result of this research will be useful in reducing pain in patients with gout arthritis and can be used as an additional reference for further research.    

Background: Surgery or surgery that has been planned can bring about a stress reaction in patients, both physiological and psychological stress. The occurrence of this stress can lead to a condition of preoperative patient anxiety. Planned surgical actions can cause physiological and psychological responses in patients. The psychological response that usually occurs in preoperative patients is anxiety. Research Objectives: Knowing the effect of giving spiritual therapy guided by prayer on the level of anxiety in preoperative patients with spinal anesthesia in Jombang Hospital. Research Methods: This type of research uses a quasi experimental method with a pre post test research design with a control group design. Respondents were given pretest and posttest treatment using the APAIS scale measurement. The sample in this study was 22 respondents in the intervention group and 22 respondents in the control group. The sampling technique used consecutive sampling technique. Data collection was carried out in November - June 2021. Research Results: The results of data collection were processed using the Wilcoxon test in the intervention group of 0.000 and in the control group of 0.014 and using the Mann Whitney test. Results The Mann Whitney test yielded p=0.006 (p<0.05), so Ha was accepted. Conclusion: There is a significant effect of prayer guidance therapy on the anxiety level of preoperative patients with spinal anesthesia.  

Ibu post partum kesulitan memberikan ASI kepada bayinya, hal ini dikarenakan posisi menyusui dan perlekatan yang kurang tepat, menyusui dengan teknik yang salah sehingga menimbulkan puting susu menjadi lecet dan ASI tidak keluar secara optimal dan dapat mempengaruhi produksi ASI akibatnya bayi tidak mau menyusu. Sebuah metode pembelajaran teknik menyusui dapat diaplikasikan dengan pengetahuan, psikomotor, afektif secara sistematis, hal ini sering kali disebut dengan metode Bedside teaching. Penelitian ini bertujuan untuk mengetahui efektivitas bedside teaching Teknik menyusui yang benar terhadap keberhasilan ibu menyusui di Ruang Nifas RSUD Kota Palangka Raya. Metode: Desain penelitian pre-eksperimental jenis one group pre test-post test design menggunakan teknik Sampling Incidental, one group berjumlah 15 responden. Hasil: Sebelum dilakukan bedside teaching teknik menyusui dilakukan pretest pada 15 responden dengan hasil nilai pre test mean 5,20 kemudian dilakukan 2x pertemuan bedside teaching  dan di dapatkan nilai post test mean 8,40 sehingga terjadi peningkatan uji statistik dengan rentang mean 3,20. Hasil uji statistik wilcoxon p value = 0,001 atau tingkat signifikasi p < 0,05. Kesimpulan: Ada pengaruh antara hasil efektivitas bedside teaching teknik menyusui yang benar terhadap keberhasilan ibu menyusui antara pre-test  dan post-test yang dilakukan pada ibu post partum di Ruang Nifas RSUD Kota Palangka Raya. Sebagai tenaga kesehatan sebaiknya memberikan metode pembelajaran bedside teaching teknik menyusui kepada ibu post partum minimal 2x pertemuan selama 45 menit sesuai SOP yang telah dibuat.