Eka Afdi Septiyono’s research while affiliated with Universitas Jember and other places

Sectio caesarea menyebabkan stres, cemas, tertekan, dan nyerin yang berdampak pada peningkatan hormon kortisol dalam darah. Hormon kortisol yang tinggi menyebabkan produksi hormon oksitosin terhambat sehingga produksi dan pengeluran ASI berkurang. Salah satu intervensi keperawatan non farmakologi untuk mengatasi masalah tersebut adalah dengan memberikan stimulasi pijat endorfin, oksitosin, dan sugestif (SPEOS). SPEOS dilakukan dengan mengkombinasikan antara pijat endorfin, pijat oksitosin, dan sugestif atau afirmasi positif yang bertujuan untuk membantu ibu post partum dalam memperlancar pengeluaran ASI. Tujuan dari penelitian ini adalah untuk menganalisis pengaruh SPEOS terhadap kelancaran ASI pada ibu post sectio caesarea di Ruang Rengganis RSD dr. Abdoer Rahem Situbondo. Subjek penelitian ini adalah Ny. A yang mengalami masalah kelancaran ASI. Intervensi SPEOS diberikan selama 3 hari dalam waktu 10-15 menit. Hasil penelitian menunjukkan bahwa terdapat pengaruh SPEOS terhadap kelancaran ASI pada Ny. A. Intervensi SPEOS terbukti dapat meningkatkan jumlah produksi ASI dari 0 ml pada hari pertama menjadi 25 ml pada hari ketiga. Penelitian ini diharapkan dapat menjadi referensi bagi penelitian selanjutnya mengenai pemberian SPEOS pada ibu post partum yang mengalami masalah pengeluaran ASI.

Objective: To determine the presence of antenatal care in pregnant women with preeclampsia in agroindustrial Jember, Indonesia. Study Design: Cross-sectional study. Place and Duration of Study: Banjarsengon, Panti, and Tempurejo Health Centers, Jember, Eats Java, Indonesia from Sep 2022 to Jan 2023. Methodology: A total of 240 women, diagnosed with preeclampsia, comprised the sample for this study which was enrolled employing a purposive sampling technique. All participants were pregnant women at risk of preeclampsia, those currently experiencing preeclampsia, and postpartum women who had encountered preeclampsia. Data was collected through the usage of the Quality of Prenatal Care Questionnaire (QPCQ), which includes 6 subscales and 46 statement items. Result: ANC service quality in the Banjarsengon, Panti, and Tempurejo Health Centers in Jember Regency, with regard to support and respect subscale, was found to be the highest average value (Mean±SD, CI; 4.18±0.31, 3.58 - 5.00) however, the approachability subscale exhibited the lowest average value (Mean±SD, CI; 2.36±0.48, 1.25 - 4.00). Conclusion: Pregnant women with preeclampsia need assistance, monitoring, and referral by health workers. Health workers providing antenatal care services must prioritize support and respect so that pregnant women

Myoma uteri are benign tumors that grow both inside and outside the uterus that are not malignant but can cause pain to those who have them. Management of uterine myoma is by surgery. Surgery is closely related to an incision in the skin, which can cause a feeling of pain in the patient. One of the non-pharmacology techniques that can be used to reduce the pain scale is guided imagery. Guided imagery is useful for increasing the relaxing effect, increasing comfort, and relieving the pain that is felt. This work aims to determine the analysis of guided imagery therapy to reduce postoperative pain of SVH (Supravaginal Hysterectomy) laparotomy. Implementation is carried out on patients. The method used in this study was a case study on a client with postoperative SVH laparotomy for indications of myoma uteri. Guided imagery therapy is carried out for 15-20 minutes, with pain assessment carried out before and after guided imagery is carried out. Pain scale measurement using a numeric rating scale (NRS). After being given guided imagery therapy the patient's pain scale which was initially 8 was reduced to 3. Image memory resulting from guided imagery can lead to the perception that the image is happening, which then affects pain receptors and can reduce the intensity of pain felt. Guided imagery relaxation therapy can reduce pain and anxiety and divert attention so that patients feel relaxed and happy.

Adolescents' knowledge of reproductive health is a crucial aspect of overall health, encompassing physical, mental, and social well-being. Adolescents aged 15-18 are in a stage of physical, emotional, and cognitive development that is not yet fully mature but characterized by high curiosity. This study aimed to describe the level of knowledge about reproductive health among adolescents at SMA X Jember. This study used a descriptive qualitative approach, with data collected through a Google Form questionnaire distributed to 103 students from grades X and XI at SMA X Jember in June 2024. Data analysis was conducted using descriptive statistical methods to depict the level of adolescents' knowledge about reproductive health. The results showed that 91.3% of the 103 respondents had a good level of knowledge about reproductive health, consisting of 47 females and 56 males aged between 15-18 years. All respondents (100%) had been exposed to reproductive health information from various sources. The study concluded that the level of knowledge about reproductive health among adolescents at SMA X Jember was good for both females and males. Easy access to information from various sources strengthened this level of knowledge.

Handling of chocolate cysts can be done by laparotomy surgery. The surgical procedure has an effect or problem that often arises, namely acute pain in the area of the former operation. One of the therapies that can be given to patient with post-laparotomy surgery is finger grip relaxation techniques. This technique is considered capable of reducing the intensity of pain in postoperative patient, in addition to that finger-held relaxation therapy is an effective, comfortable, easy to use, and inexpensive therapy so that all patient can obtain and perform this therapy.This work aims to determine the effectiveness of applying finger-hold relaxation techniques to patient with post-laparotomy surgery for indications of chocolate cysts.The method used in this research is a case study on patient in the Dahlia room, dr. Soebandi General Hospital with a diagnosis of acute pain.The results after being given the intervention of finger-held relaxation techniques for 3 consecutive days with 2 sessions per day for 15 minutes with 3-minute intervals changing the fingers held were a decrease in pain intensity from sharp pain that was felt continuously with a scale of 6 NRS to a recurring, intermittent pain with a pain scale of 3 NRS.

The impact of the COVID-19 pandemic on health during the work from home policy has affected various age groups from babies to the elderly, one of which is school age children. The learning from home (BDR) process makes school-aged children interact more with gadgets because learning is done online. It is feared that increasing the intensity of ganget use will also increase the prevalence of the risk of attention deficit disorder and hyperactivity. The aim of this service is to form a child care group focused on dealing with the problem of gadget use in children as a prevention of the dangers of using gadgets for school-aged children during the COVID-19 pandemic. The method of implementing this service involves several stages of activities, namely identifying partner problems, designing service programs, implementing service programs, and monitoring, evaluating, and planning follow-up from the formation of child care groups. The targets for implementing the Assisted Village Service program are family welfare empowerment (PKK) administrators, dasawasma administrators, local neighborhood association (RT) administrators, and cadres.

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) is an emergence virus in the end of 2019 and causing respiratory system disorders such as severe lung infections, leading to death in all age groups including children. The purpose of this study was to determine the description of parents' motivation towards physical distancing in elementary school children during Covid-19 pandemic in Karangrejo District, Banyuwangi. This research involved 90 parents from elementary schools in Karangrejo which was chosen using purposive sampling technique. Data on parent motivation were collected using a questionnaire consisting of 3 indicators with 11 questions measured by a Likert scale. The study indicate that the motivation of parents towards physical distancing in elementary school during the Covid-19 pandemic is in the very good category, with the value interval of 30.26-35.75, and average 33.21. In conclusion, the motivation of parents towards physical distancing in elementary school children in Karangrejo village is very good. This research is expected to be the basis for child caregivers in the community to identify parents' motivation attitudes.

Stimulasi tumbuh kembang balita merupakan aspek penting dalam pembentukan potensi anak sejak dini. Namun, kurangnya pengetahuan dan kesadaran masyarakat mengenai pentingnya stimulasi tumbuh kembang balita di wilayah Baratan Jember menjadi hambatan dalam mencapai perkembangan optimal anak-anak. Oleh karena itu, dilakukan kegiatan pengabdian pada masyarakat melalui pelatihan kader kesehatan untuk meningkatkan stimulasi tumbuh kembang balita. Kegiatan ini melibatkan tahap pra pengabdian untuk mengidentifikasi kebutuhan dan hambatan yang ada. Selanjutnya, dilakukan pelatihan kader kesehatan yang mencakup peningkatan pengetahuan dan keterampilan peserta dalam memberikan stimulasi tumbuh kembang yang tepat. Evaluasi pelaksanaan dan dampak dilakukan untuk mengukur efektivitas program. Hasil dari kegiatan ini menunjukkan peningkatan pengetahuan peserta, perubahan perilaku orang tua, serta perkembangan balita yang lebih optimal. Dalam kesimpulannya, pelatihan kader kesehatan dalam upaya meningkatkan stimulasi tumbuh kembang balita di Baratan Jember memberikan dampak positif terhadap perkembangan balita dan kualitas sumber daya manusia di wilayah tersebut.

Introduction. Adaptive self-efficacy develops in each family member influenced by certain factors. Improving family self-efficacy by recognizing the influence factors is health-related behavior that can build stronger families to deal with the COVID-19 pandemic. This study examined factors that influenced family self-efficacy during the new normal era of pandemic COVID-19 in the Eastern region of Java Island, Indonesia. Material and methods. A cross-sectional study was performed among 347 families. A self-administered questionnaire was used to measure sociodemographic data, the risk for COVID-19, personal risk for COVID-19, a family of APGAR, Spirituality, and self-efficacy. The logistic regression analysis determined the factors that influenced the family self-efficacy during the new normal era of pandemic COVID-19. Results. There was a significant correlation between risk for COVID-19, a personal risk factor for COVID-19, a family of APGAR, Spirituality, and family self-efficacy (p<0.05). Spirituality (OR = 1.602; 95% CI= 0.450 – 3.019) and family of APGAR (OR=2.534; 95% CI= 18.84 – 23.69) were influenced by family self-efficacy. Conclusions. Spirituality and family of APGAR are influenced by family self-efficacy during the new normal era of pandemic COVID-19. Therefore, home health care during the pandemic COVID-19 should be an intervention to support the self-efficacy of the family.

Preeclampsia is a complication problem that occurs in pregnant women with gestational age above 20 weeks with hypertension and proteinuria. The relatively high maternal mortality rate (MMR) is one of the problems that must be faced at this time, considering that the problem of preeclampsia is one of the main causes of morbidity, maternal and perinatal mortality in the world. The purpose of this study is as a preventive measure to prevent further eclampsia from occurring in preeclamptic women in the Jember Agricultural Area. The research design used descriptive analytic with a cross sectional approach. This research was conducted on 150 pregnant women who had preeclampsia using the Quota Sampling technique. Data collection used a questionnaire about the signs and symptoms of preeclampsia and the book for pregnant women with preeclampsia in December 2022-January 2023. The results showed that the majority of respondents had signs of high blood pressure (80.7%) and some were not accompanied by the presence of proteinuria (55.3%). Most pregnant women with preeclampsia had mild symptoms, namely sometimes feeling dizzy (53.3%) and all body aches (48.0%) in the working area of the Banjarsengon Health Center, Panti Health Center and Tempurejo Health Center. The discussion of this study illustrates that the signs and symptoms of pregnant women with preeclampsia have high blood pressure accompanied by symptoms of feeling dizzy.