Publication Search

Congenital abnormalities are abnormalities in the growth of fetal organ structures from birth that can be caused by genetic or non-genetic factors. This abnormality is often an indication for a cesarean section, which is an operation to deliver a baby. This Final Nursing Scientific Paper aims to analyze nursing care for post-cesarean section patients with indications of congenital abnormalities and the application of evidence-based practice of effleurage massage therapy to overcome acute post-operative pain. The method used is a descriptive method with the application of effleurage massage therapy to the nursing problem of acute pain in patient Mrs. I, a 37-year-old woman who experienced pain in the wound after a cesarean section. The results of the assessment showed that the patient was in a compos mentis state and complained of pain that felt like being cut in the lower abdominal area with a pain scale of 6 on a scale of 0-10. The pain was intermittent. The diagnosis that emerged was acute pain related to the cesarean section surgical procedure. To overcome this problem, nursing actions were carried out in the form of effleurage massage therapy for 3x24 hours. After the procedure, results showed a significant reduction in the patient's pain level. The patient reported reduced pain after the therapy. These results suggest that effleurage massage therapy can be effective in reducing acute pain in post-cesarean section patients with congenital abnormalities. This therapy offers benefits as a non-pharmacological approach to managing post-operative pain. Implementing this therapy can be an important part of nursing care, helping to improve patient comfort and accelerate post-operative recovery. Furthermore, effleurage massage therapy also has a positive impact on increasing relaxation and reducing patient anxiety.

Background: Primary dysmenorrhea is abdominal pain, cramps and back pain experienced by women at the beginning of menstruation for 48-72 hours. This condition is most often experienced by women in their late teens to young adults (15-25 years) due to optimization of uterine function so that prostaglandin secretion increases. In Indonesia, the prevalence of primary dysmenorrhea reaches 54.89%, with a significant impact on adolescent activities. One of the effective non-pharmacological methods to overcome primary dysmenorrhea is abdominal effleurage massage, which is performed directly on the site of pain so that endogenous analgesics (endorphins) are released and pain transmission to the cerebral cortex is inhibited. Purposes: To analyze the effect of abdominal effleurage massage on reducing primary dysmenorrhea in adolescents. Research method: This study used a quantitative method with a pre-experimental one group pretest posttest design method. The population of this study was 45 adolescents. The sample was taken using a simple random sampling technique of 21 female students who experienced primary dysmenorrhea. Data collection was carried out using the NRS (Numeric Rating Scale) pain scale observation sheet. Data were analyzed using the Wilcoxon Signed Rank Test. Results: Based on the analysis test using the Wilcoxon Signed Rank Test, a significance value of 0.00 (p <0.05) was obtained, which means Ha was accepted. In other words, abdominal effleurage massage has an effect on reducing primary dysmenorrhea in adolescents. Conclusion: There is an effect of abdominal effleurage massage on reducing primary dysmenorrhea in adolescents.

Childbirth is a natural physiological process, but it is often accompanied by intense pain, especially during the first stage, the cervical dilation phase. This pain arises from uterine contractions, cervical dilation, and fetal pressure on the pelvic structures. For primiparous mothers, this experience of childbirth is a first-time experience that can cause anxiety, tension, and even trauma if not managed properly. The research design used in this study was a quasi-experimental study with a two-group pretest-posttest. The sample size in this study was 38 participants: 19 in the intervention group and 19 in the control group, using a simple random sampling technique. The data analysis used was the t-dependent and t-independent tests. The results of the study obtained the characteristics of the intervention group respondents, most of the respondents were aged 30-35 years as many as 8 people (40.1%), parity of 2 children as many as 8 people (38.5%), and education level was high school as many as 14 people (73.7%). While in the control group most of the respondents were aged 30-35 years as many as 7 people (32.8%), parity of 2 children) as many as 9 people (40.5%), and education level was high school as many as 18 people (94.7%). The intensity of pain in the intervention group before effleurage massage was an average of 6.26 and after an average of 5.74 while in the control group before massage was an average of 6.97 and after an average of 5.83. The results of the dependent t-test of pain intensity before and after effleurage massage in the intervention group obtained a P value of 0.000 and in the control group before and after massage obtained a P value of 0.006. The results of the independent t-test can be concluded that there is a significant difference after the effleurage massage method was carried out in the intervention group, namely a P value of 0.001. From the results of this study, it is known that there is an effect of the effleurage massage method on reducing the intensity of labor pain in the active phase of the first stage of labor in mothers inpartu. Therefore, it is recommended that midwives apply the effleurage massage method as an intervention to reduce pain in the care of mothers in normal labor.   Keywords: ,   

Tui na massage is one of the non-pharmacological therapies that can be done to overcome picky eaters in toddlers. Tui na massage therapy aims to improve digestion and blood circulation in the spleen. This counseling method is carried out directly with interactive lectures and discussions as well as tui na massage simulations. Discussions are carried out using the Q&A method related to the material. Tui na massage is carried out using techniques such as massaging (Petrissage or Nie), tapping (Tapotement or Da), gliding (Effleurage or Tui), friction, rotating, and vibrating certain points so that they will affect the body's energy. This therapy is carried out once a day for 6 consecutive days. The results of the activity showed that after this activity most mothers had good knowledge about picky eaters and tui na massage. This counseling activity has been achieved by increasing insight in mothers of toddlers.

Background: Many pregnant women experience sleep disorders in the second and third trimesters, which can lead to poor sleep quality. This study aimed to determine the effect of effleurage massage with aromatherapy oil on improving the quality of nighttime sleep for pregnant women in the second and third trimesters at Anugrah Clinic. This type of research is a quasi-experiment with a control group pretest-post-test design. The population was all second- and third-trimester pregnant women at Anugrah Clinic, with as many as 46 pregnant women. The sampling technique was total sampling, with 23 pregnant women in the experimental group and 23 in the control group. The data collection tool used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis used the McNemar test. The experimental group study showed an effect of effleurage massage with aromatherapy oil on the quality of night sleep for pregnant women in the second and third trimesters, with a value of p = 0.001. The control group study showed an effect of massage effleurage on the quality of night sleep for pregnant women in the second and third trimesters, with a value of p = 0.016. Analysis of the chi-square test data to see the difference between the experimental and control groups yielded a p-value of 0.049, meaning that there was a significant difference in the post-test sleep quality of the experimental and control groups. In conclusion, the increase in sleep quality for pregnant women was more common in the experimental group; the quality of sleep for pregnant women increased to 87%, while in the control group, the quality of sleep for pregnant women increased only 56.5%. The suggestion is that it is hoped that pregnant women and health workers, in overcoming sleep disturbances in the second and third trimesters of pregnant women, can apply effleurage massage interventions with aromatherapy oils.

Bed rest is one of the factors that can cause skin integrity disorders. Bed rest for a long time can cause physiological changes in the patient's body system, one of which can cause the appearance of decubitus in the integument system. The treatment technique that can be given is by giving Effleurage Massage with Virgin Coconut Oil. To find out the results of the implementation of Effleurage Massage with Virgin Coconut Oil on the Risk of Decubitus in Bed Rest Patients in the Kartasura Health Center Working Area. This research used a descriptive design on 2 (two) male respondents aged 63 and 78 years which was conducted from 4 June - 6 June 2024 in Singopuran Village, Kartasura, Sukoharjo with each respondent being given massage intervention for 3 consecutive days. join in. The instrument used is the Braden Scale to measure the level of skin integrity score. There was an increase in the Braden scale score between before and after application to Mr. S and Mr. N. The application of Effleurage Massage with Virgin Coconut Oil is effective in increasing the skin integrity score in bed rest sufferers who are at risk of pressure ulcers in Singopuran Village, Kartasura, Sukoharjo.

Lower back pain is a common complaint among pregnant women in the third trimester. It is estimated that approximately 70% of pregnant women experience some form of back pain during pregnancy, childbirth, or postpartum. Non-pharmacological therapies such as deep breathing relaxation techniques and effleurage massage therapy can effectively reduce pain levels in these women. This study employs a quantitative approach using a quasi-experimental research method and employs purposive sampling with a sample size of 37 participants. Data analysis includes both univariate and bivariate analyses. Most respondents (64.9%) were aged between 20 and 35 years old. Additionally, the majority (64.9%) were experiencing their first pregnancy. All respondents (100%) were confirmed to have no comorbidities. Furthermore, 73% of the participants had tertiary education (Diploma, Bachelor's, Master's, or Doctorate degrees), and 62.2% continued working during pregnancy. The results of the Wilcoxon test indicated a significant effect (p = 0.000 < 0.05), confirming that effleurage massage and deep breathing relaxation techniques effectively reduce lower back pain in pregnant women. This reduction is attributed to the stimulation of tactile fibers in the skin by effleurage massage, which inhibits pain signals. In conclusion, the findings suggest that implementing effleurage massage and deep breathing relaxation techniques is beneficial for alleviating lower back pain in pregnant women. Public health advice advocates for the application of these techniques to manage such pain effectively.

Futsal is a sport that is carried out with high intensity and involves movements that give rise to eccentric contractions, causing stiffness and increased pain in the muscles or called DOMS. This causes SMKN 1 Driyorejo futsal players to experience complaints of muscle pain and limited joint mobility due to DOMS. Efforts are needed to overcome these complaints, one of which is with Sport Massage. This study aims to determine the effect of Sport Massage treatment on the recovery of Delayed Onset Muscle Soreness after physical activity in futsal players of SMKN 1 Driyorejo team. The types of exercises performed in this study as DOMS inducers include squat jump, high knee, jump lunges, and single leg lateral jump. The pretest data collection time was carried out 2 days after the sample performed the exercise. Sport Massage was performed on day 3 on the lower extremities by observing the research SOP that has been given including the frequency of treatment 1 time and manipulation in the form of effleurage, petrissage, walken, and shaking with a massage duration of 20 minutes per sample. Posttest data will be taken the next day after the sample is given a Sport Massage.This research is quantitative with pre-experimental method and one group pretest-posttest design with a sample of 23 futsal players of SMKN 1 Driyorejo team. Based on the analysis of the statistical description of the initial data (pretest) obtained an average of 7.17 with a minimum value of 5 and a maximum value of 9 and a standard deviation of 0.984. While the final data (posttest) obtained an average of 2.26 with a minimum value of 0 and a maximum value of 4 and a standard deviation of 1.010. To determine whether there is a significant effect of Sport Massage treatment on DOMS recovery, a hypothesis test is conducted using Independent Sample T-Test. The test criteria are if the significance value (2-tailed) < 0.05 then H0 is rejected and Ha is accepted, while if the significance value (2-tailed) > 0.05 then H0 is accepted and Ha is rejected. The results of testing the hypothesis of this study obtained a mean value of 4.913 with a standard error of 0.294 and a significance value (2-tailed) of 0.000 <0.05, thus H0 is rejected and Ha is accepted so it is concluded that there is a significant effect of pretest and posttest data on the treatment of Sport Massage on the recovery of Delayed Onset Muscle Soreness after physical activity in futsal players of the SMKN 1 Driyorejo team.    

Background: Health is something that is very important for human life. Health and lifestyle are influenced by developments over time. One example is the lack of consumption of foods with fiber to meet daily needs, which causes health problems, namely appendicitis. Appendicitis is a common cause of acute inflammation of the right lower quadrant of the abdominal cavity, which is treated by emergency abdominal surgery. The inflammatory process that occurs in the appendix increases intraluminal pressure which causes the pain to become more severe, generalized or periumbilical and move to the right lower quadrant. One way to deal with pain is by applying the effleurage technique (massage/touch therapy). The aim of this case study is to determine the reduction in pain scale in post-appendectomy patients after effleurage technique therapy (massage/touch therapy). The method used in this case study is case study design with a nursing care process approach. The subjects in this case study were 2 patients, who were obtained from inclusion and exclusion criteria, data collection using the numeric rating scale (NRS). The results of the case study show that the average pain level of the two patients after being given effleurage technique therapy intervention (massage/touch therapy) for 3 days experienced a change from moderate pain to mild pain. The conclusion of this case study shows that there were changes that occurred after the effleurage technique (massage/touch therapy) was given to the 2 patients and they experienced a decrease in the pain scale.

Background: Unpreparedness physically, psychologically, mentally and spiritually in facing this period will make mothers experience problems related to involution and postpartum pain. Many things are risk factors for failure of involution and lactation. These factors include mobilization, nutrition, lactation, environmental, cultural and family factors. Objective: To determine the effect of effleurage massage on reducing the pain scale due to uterine involution in postpartum mothers on day 1. Research Location: UPT Buay Pemaca Health Center. Research Method: Quantitative research type with a pre-experimental design type one group pretest and posttest. Results: Almost all postpartum mothers before being given effleurage massage experienced uterine involution pain on a moderate pain scale of 19 people (95%), more than half of postpartum mothers after being given effleurage massage experienced uterine involution pain on a moderate pain scale of 12 people (60 %), there is an influence of the Effluurge Massage Technique on Reducing the Pain Scale of Uterine Involution in Post Partum Mothers on Day 1. Conclusion: Effleurage massage can reduce the level of uterine involution pain in postpartum mothers.

Afterpains are a common physiological complaint experienced by mothers during the postpartum period due to uterine contractions that occur after childbirth. This pain can disrupt comfort, inhibit the involution process, and affect the mother's physical and psychological well-being. Non-pharmacological treatment efforts such as the Effleurage Massage technique are an effective alternative because they can increase relaxation and stimulate the release of endorphins that play a role in reducing pain perception. This study aims to determine the effect of the Effleurage Massage technique on the level of afterpains in postpartum mothers at Midwife Sulastri, Percut Sei Tuan District, Deli Serdang Regency in 2022. The research design used was a quasi-experimental design with a one-group pretest-posttest without a control group. The study sample consisted of 45 postpartum mothers selected using the total sampling technique. Data were collected through observations with a numeric pain scale and analyzed using the Wilcoxon Signed Rank Test. The results showed that there was a significant decrease in pain levels after Effleurage Massage with a p value = 0.000 (<0.05). These findings demonstrate that the Effleurage Massage technique is effective in reducing the intensity of postpartum afterpains. Consequently, this massage can be used as a complementary therapy in postpartum midwifery care to increase comfort and accelerate the mother's recovery process.

Background; Effleurage massage is a form of massage using the palms of the hands that apply gentle pressure to the surface of the body in a circular direction repeatedly. The number of mothers giving birth in the Ponek room (Maternity Room) with January 01, 2021 - July 31, 2023 amounted to 1047 patients and 15 patients gave birth normally. Objective; To determine the results of implementation in the application of Effleurage Massage techniques to reduce the pain scale in postpartum mothers in the Ponek Room of Dr. Moewardi Surakarta Hospital. Method; This type of research is descriptive in the form of a case study. The approach taken uses a nursing care approach, planning, implementation and evaluation. The application instrument uses the Numeric Rating Scale (NRS) and checklist sheet as a measuring tool to determine the level of pain scale. Results; The results of the application using Effleurage Massage techniques found that respondents had a pain scale of 4 (moderate pain) down to 0 (none pain). Conclusion; There is a difference in pain scale before and after Effleurage Massage at Dr. Moewardi Surakarta Hospital.

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.    

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.