Runjati Runjati’s research while affiliated with Poltekkes Kemenkes Malang and other places

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Publications (23)


Pengaruh Formulasi Sosis Ikan Kembung dan Kacang Tanah terhadap Berat Badan pada Batita Gizi Kurang
  • Article

November 2024

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11 Reads

MAHESA Malahayati Health Student Journal

Alifa Risda Fadilasari

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Runjati Runjati

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Djamaluddin Ramlan

Malnutrition poses a global challenge. Potentially threatening the quality of future generations. Direct and indirect factors influence children’s nutrition. Prevalence of malnutrition in Indonesia has increased to 7,7%, despite government efforts. Providing supplementary foods such as mackerel and peanut sausage is one potential solution to increase nutrient intake and impact children's weight. This study aims to analyze the effects of the formulation of mackerel (Rastrelliger Kanagurta) and peanut (Arachis Hypogaea L.) sausage on weight gain in malnutrition toddlers. The research method used true experiment with a pretest-posttest with control group design. The sample size consisted of 38 respondents divided into two groups: the intervention group received mackerel and peanut sausage formulation for 14 days, while the control group received MT biscuits as standard care for 14 days. The sampling technique used simple random sampling. Data analysis using Wilcoxon test and Mann Whitney test. The results showed that giving the formulation of mackerel and peanut sausage had a significant effect on weight gain in malnutrition toddlers. The mean difference in weight gain was 0.453 kg for the intervention group and 0.142 kg for the control group (p=0.002). It can be concluded that giving the formulation of mackerel and peanut sausage formulation significantly increases weight gain in malnutrition toddlers. Keywords: Malnutrition, Sausage, Mackerel, Peanut, Weight ABSTRAK Malnutrisi menjadi tantangan global yang berpotensi mengancam kualitas generasi mendatang. Faktor langsung dan tidak langsung memengaruhi gizi anak. Prevalensi gizi kurang di Indonesia mengalami peningkatan mencapai 7,7%, meskipun telah dilakukan upaya pemerintah. Pemberian makanan tambahan seperti sosis ikan kembung dan kacang tanah menjadi salah satu solusi potensial untuk meningkatkan asupan gizi yang berdampak pada berat badan anak. Penelitian ini bertujuan untuk menganalisis pengaruh formulasi sosis ikan kembung (Rastrelliger Kanagurta) dan kacang tanah (Arachis Hypogaea L.) terhadap berat badan pada batita gizi kurang. Metode penelitian yang digunakan adalah true experiment dengan rancangan pretest-posttest with control group design. Jumlah sampel penelitian 38 responden dibagi menjadi 2 kelompok yaitu kelompok intervensi diberikan formulasi sosis ikan kembung dan kacang tanah selama 14 hari, sedangkan kelompok kontrol diberikan biskuit MT balita sebagai asuhan standar selama 14 hari. Teknik sampling menggunakan simple random sampling. Analisis data menggunakan Wilcoxon test dan Mann Whitney test. Hasil penelitian menunjukkan pemberian formulasi sosis ikan kembung dan kacang tanah berpengaruh secara signifikan terhadap berat badan pada batita gizi kurang. Selisih rata-rata berat badan kelompok intervensi 0,453 kg dan kelompok kontrol 0,142 kg (p=0,002). Dapat disimpulkan bahwa pemberian formulasi sosis ikan kembung dan kacang tanah memberikan hasil yang signifikan dalam peningkatan berat badan pada batita gizi kurang. Kata Kunci: Gizi Kurang, Sosis, Ikan Kembung, Kacang Tanah, BB


Pregnant women's stress scores
Stress diagnosis results based on pregnant women's characteristics
Information System TAM Score
EARLY STRESS DETECTION DURING PREGNANCY USING E-HEALTH IN THE PANDEMIC
  • Article
  • Full-text available

December 2023

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29 Reads

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1 Citation

Jurnal Administrasi Kesehatan Indonesia

Background: Women are more prone to stress during pregnancy than during the postpartum period. Stress during pregnancy is correlated with pregnancy and birth outcomes. Early detection using the e-health system is an alternative to health services during the pandemic. Aims: The research objective was to produce innovation in early stress detection using an information system based on the e-Health system. Methods: This study was conducted in the Ngaliyan Primary Healthcare Centre with 34 pregnant women. This study utilized both qualitative and quantitative research. Qualitative research used the System Development Life Cycle (SDLC), while quantitative research used an experimental design with a one-shot case study approach. Results: The e-Health system could automatically identify stress during pregnancy, with the TAM questionnaire yielding a very effective result of 85.4%. The average time needed to detect pregnant women’s stress was 230.94 seconds. This system can analyze 374 pregnant women within one day (24 hours), provide services, and report pregnant women’s stress detection results. Conclusions: The e-Health system effectively conserves time and can be used to record and report early stress in pregnant women. Keywords: early detection, information system, pregnancy, smartphone, stress

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Mindfulness Based Cognitive Therapy on the Anxiety Reduction in 3rd Trimester of Pregnant Women

November 2023

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6 Reads

Journal of Maternal and Child Health

Background: Untreated pregnancy anxiety can have a significant impact on the pregnancy and postpartum outcomes. Causing mental disorders during pregnancy has an increased risk and adverse effects on the mother and fetus. Mindfulness Based Cognitive Therapy (MBCT) can increase awareness about the function of thought patterns in daily activities and is able to control awareness of thoughts, feelings and body gestures that can affect anxiety levels and cortisol hormones in the body. This study aimed to examine the effect MBCT to reduce anxiety in 3rd trimester of pregnant women. Subjects and Method: This was a randomized controlled trial. A sample of 20 pregnant women divided into two groups. Intervention group was MBCT with 8 sessions for 30 minutes each session within a period of 2 weeks. The control group was health education and usual care. The dependent variable was anxiety. The independent variable was MBCT. Anxiet was measured using HARS questionnaires. Difference of anxiety between groups were tested using independent t-test. Results: Mean of anxiety score in the MBCT group (Mean= 16.40; SD= 4.01) was lower than in the control group (Mean= 23.60; SD= 7.37), and it was statistically significant (p = 0.015). Conclusion: MBCT is effective to reduce anxiety in 3rd trimester of pregnant women. Keywords: Mindfulness Based Cognitive Therapy, pregnancy, anxiety. Correspondence: Sundari. Master’s Program of Applied Midwifery, Health Polytechnics, Ministry of Health Semarang. Jl. Tirto Agung, Pedalangan, Banyumanik, Semarang, Central Java 50268. Email: sundarisst3@­gmail.com. Mobile: 0821-7591-9584.


Knowledge, Attitude, and Behavior Differences in the Intervention and Control Group (n=60)
Pregnancy class center application as an alternative effort for antenatal class during the COVID-19 pandemic

April 2023

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16 Reads

MEDISAINS

Ayuning Tias Budi Lestari

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Runjati Runjati

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Supriyana Supriyana

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[...]

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Background: The outbreak of Coronavirus Disease 2019 (COVID-19) has been designated by WHO as a pandemic, causing health services to be significantly disrupted and delayed globally, especially the implementation of the antenatal class. The participation of pregnant women in antenatal classes in Semarang City is only around 25% of the total number of the public health center in the Semarang city area during the COVID-19 pandemic in 2021. There is need a for media innovation in the antenatal class during the pandemic so that antenatal class can still be carried out safely during the COVID-19 pandemic.Purpose: To produce an antenatal class application that can facilitate pregnant women to attend antenatal classes virtually during the COVID-19 pandemic and test the implementation effect of the application on the knowledge, attitudes, and behavior of pregnant women. Methods: This study uses the Research and Development (R&D) method, divided into five stages (Data Collection, Product Design, Design Validation, Design Revision, and Product Trial).Results: An application has been created named PiCCa (Pregnancy Class Center); the test result is feasible to use with a result of 82% and can be used as antenatal class media with a result of 4.32 (p=0.000). The implementation of the PiCCa application can increase knowledge from 12.8 to 18.13 (p=0.000), attitude from 65.36 to 92.3 (p=0.000), and behavior of pregnant women from 19.53 to 32.2 (p=0.000).Conclusion: The PiCCa application is feasible and can be used as an online media for antenatal classes during the COVID-19 pandemic, and its application has a significant effect on increasing the knowledge, attitudes, and behavior of pregnant women.


The Effectivity of MBAT Application on Stress
The Effectivity of MBAT Application on Anxiety
The effectivity of mindfulness-based art therapy application-based artificial intelligence on the mental health of pregnant women

April 2023

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72 Reads

MEDISAINS

Background: The COVID-19 pandemic has become a new stressor with significant pregnancy consequences, limiting access to health services. Mindfulness-Based Art Therapy (MBAT) has been proven to intervene in the body-mind-soul and improve mental health problems. However, no research has developed it into a form of artificial intelligence for use by pregnant women in supporting the current situation of access to health services.Purpose: This study aims to produce a system of MBAT based on artificial intelligence for early detection and to prove the effectiveness of improving mental health in pregnant women.Methods: This study employed Research & Development consisting of 4 stages, namely Literature Study, Development Stage, Validity Expert, and Trial.Results: The MBAT application has five features, from mental health information to history. The validity score of the application system is 87.33%. The trial results showed that the application effectively reduces stress levels by 91.26% and anxiety by 90.24%. Also, the application can predict the percentage reduction in stress and anxiety levels correctly and without errors using the decision tree.Conclusion: This application is helpful for pregnant women and health workers in detecting stress and anxiety levels early in pregnancy and improving mental health.


Result of normality test
Describes the basic characteristics of anxiety levels, stress levels, coping abilities, and readiness for labor (CBSE)
Differences in CBSE scores before and after the intervention by a group
Birth outcomes
The influence of smart mother classes toward stress, childbirth self-efficacy and birth outcomes

September 2022

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16 Reads

International Journal of Public Health Science (IJPHS)

Coping efforts during pregnancy are significant in influencing better pregnancy and birth outcomes. This study aimed to prove the influence of smart mother classes (SMC) on stress, childbirth self-efficacy (CBSE), and birth outcomes. This research used an experimental design, pre and post-test control group design. The population was all pregnant women at 28-35 weeks of pregnancy in Semarang City, Indonesia. The sample was chosen by cluster random sampling, where 35 health centers in 12 regions were randomized as six regions (n=60) as intervention group (antenatal class and coping skill as smart mother classes) while the other six regions (n=60) as the control group (antenatal class only). Each region runs one class with 10 pregnant women. The groups were treated four times in four weeks. The measurement was before the treatment, fourth week, and at birth. This study used repeated-measures ANOVA. The results showed that the SMC was influenced significantly in reducing stress (p=0.012), and increasing CBSE but not statistically significant (p>0.05). The SMC also had a significant impact on the outcomes of birth (p<0.05), except the time of the first stage of labor (p>0.05). The study suggested a need for the provision of continuity and holistic midwifery care.


Figure 1. Yintang Figure 2. Neiguan
Effect of Hypnopressure on Anxiety in Pregnant Women with Preeclampsia

August 2022

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43 Reads

Jurnal Kebidanan

Background: Preeclampsia in pregnancy is one of the dominant causes of maternal death in the world and will be seven times higher in developing countries. Anxiety is more common in pregnant women with preeclampsia than normal pregnant women and will aggravate that condition. Hypnotherapy can reduce anxiety and blood pressure, but not all pregnant women are easily suggested and show resistance to hypnotherapy. Objective: This study aims to prove the effect of hypnopressure on anxiety in pregnant women with preeclampsia. Methods: This study used queasy-experimental with pretest-postest design on two groups of study. Hypnopressure was a stimulation technique at yintang, neiguan and baihui points during hypnotherapy. It was applied one hour weekly for three weeks in intervention group, while the control group received integrated ANC as standard care and anti-hypertension. A consecutive sampling was conducted for 40 pregnant women with preeclampsia and divided into two groups or 20 women for each group. Instruments used to measure anxiety applied Zung Self-Rating Anxiety Scale (ZSAS). Data analysis used paired and independent t-test. Results: After the intervention of hypnopressure, anxiety score decreased significantly from 44.90 to 33.75 with p-value <0.001. In the control group, anxiety score was reduced form 45.65 to 42.70 with p-value <0.001. Hypnopressure could reduce anxiety score greater than control group. Conclusion: Hypnopressure has the effect of reducing anxiety levels in pregnant women with preeclampsia.


Factors Related to HIV/AIDS Prevention Behavior in Housewives

April 2022

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19 Reads

JURNAL KEBIDANAN

In 2017 there were 48,300 HIV cases in Indonesia and 9,280 AIDS cases. The cumulative AIDS cases in 1987-2017 were 102,667 cases, with the number of AIDS infections in housewives reaching 14,721 cases. The development of the HIV/AIDS epidemic in Indonesia since 2000 has continued to increase. Responding to these problems, it is necessary to prevent HIV/AIDS. The purpose of this study was to find out what factors were related to HIV/AIDS prevention behavior in Jatijajar Village, the working area of the Bergas Health Center, Semarang Regency in 2019. This is a quantitative research with correlational design. Proportionate Stratified Random Sampling is applied. Chi-square test shows there are relationships between the variables of education level (p-value 0.006), knowledge (p-value 0.027), attitude (p-value 0.007), and husband's support (p-value 0.006) with HIV/AIDS prevention behavior. There is no relationship between age (p-value 0.616) and husband's occupation (p-value 0.161) with HIV/AIDS prevention behavior among housewives in Jatijajar Village in 2019. There are relationships between education level, knowledge, attitude, and husband's support with HIV/AIDS prevention behavior in housewives. The variables most related to the HIV/AIDS prevention behavior variable were the level of education and husband's support. Knowledge of housewives about HIV/AIDS prevention needs to be increased, one of which is through socialization by health centers and other institutions related to HIV/AIDS to create healthy housewives.


Effect of Relaxation Therapy on Anxiety Level and Breast Milk Production in Pregnant and Postpartum Mothers: Systematic Literature Review

April 2022

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12 Reads

Journal Research of Social Science Economics and Management

Anxiety in pregnant and postpartum women can affect the condition of the mother and baby. Psychological stress can influence the hypothalamus and pituitary gland to secrete Adrenocorticotropic Hormone to produce cortisol. The amount of cortisol is high, resulting in inhibited milk production. Relaxation therapy is able to stimulate the milk ejection reflex more efficiently than standard practice in health care facilities which only focus on optimizing body functions, without involving the mind and soul. This review conducted a systematic review to evaluate the effect of interventions using Relaxation Therapy in increasing breast milk production. A literature search was conducted using the PRISMA guidelines including studies of relaxation therapy interventions during the pregnancy and postpartum period. Using a literature keyword search strategy, 718 studies related to relaxation therapy in pregnant and postpartum women were found and 25 studies were eligible for inclusion in the analysis. A total of 10 studies on anxiety in pregnant women, 5 studies on anxiety in postpartum mothers, 3 studies on cortisol hormone levels, 5 studies on breast milk production and 2 studies on prolactin hormone levels. These studies were conducted in Malaysia, France, England, Greece, Korea, Turkey, America, Taiwan, Iran, Indonesia, Spain, Denmark and India. The samples analyzed were 1,608 pregnant women and 1227 postpartum women. Based on the results of a review, Relaxation Therapy in the form of Hypnobreastfeeding and Music Therapy is effective in stimulating the production of breast milk and prolactin hormones in postpartum mothers. Hypnosis, Music Therapy and Benson's relaxation technique were associated with a significant reduction in anxiety levels as indicated by an increase in PSS scores and a decrease in salivary cortisol.


Effect of Relaxation Therapy on Anxiety Level and Breast Milk Production in Pregnant and Postpartum Mothers: Systematic Literature Review

April 2022

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23 Reads

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2 Citations

Journal Research of Social Science Economics and Management

Anxiety in pregnant and postpartum women can affect the condition of the mother and baby. Psychological stress can influence the hypothalamus and pituitary gland to secrete Adrenocorticotropic Hormone to produce cortisol. The amount of cortisol is high, resulting in inhibited milk production. Relaxation therapy is able to stimulate the milk ejection reflex more efficiently than standard practice in health care facilities which only focus on optimizing body functions, without involving the mind and soul. This review conducted a systematic review to evaluate the effect of interventions using Relaxation Therapy in increasing breast milk production. A literature search was conducted using the PRISMA guidelines including studies of relaxation therapy interventions during the pregnancy and postpartum period. Using a literature keyword search strategy, 718 studies related to relaxation therapy in pregnant and postpartum women were found and 25 studies were eligible for inclusion in the analysis. A total of 10 studies on anxiety in pregnant women, 5 studies on anxiety in postpartum mothers, 3 studies on cortisol hormone levels, 5 studies on breast milk production and 2 studies on prolactin hormone levels. These studies were conducted in Malaysia, France, England, Greece, Korea, Turkey, America, Taiwan, Iran, Indonesia, Spain, Denmark and India. The samples analyzed were 1,608 pregnant women and 1227 postpartum women. Based on the results of a review, Relaxation Therapy in the form of Hypnobreastfeeding and Music Therapy is effective in stimulating the production of breast milk and prolactin hormones in postpartum mothers. Hypnosis, Music Therapy and Benson's relaxation technique were associated with a significant reduction in anxiety levels as indicated by an increase in PSS scores and a decrease in salivary cortisol.


Citations (11)


... If the advancement of technology and information system is used wisely and properly in providing health care service, the health service can be more effective and efficient. Runjati and Rahayu (2023) concluded that e-health system is effective in conserving time. The e-health system can be used for early stress recording and reporting among pregnant woman. ...

Reference:

SEVERAL PILLARS OF HEALTH TRANSFORMATION IN INDONESIA: FROM RESILIENCE PHARMACEUTICAL SUPPLY, HEALTH INSURANCE, PRIMARY HEATH CARE, TO DIGITAL HEALTH
EARLY STRESS DETECTION DURING PREGNANCY USING E-HEALTH IN THE PANDEMIC

Jurnal Administrasi Kesehatan Indonesia

... Psychological stress can influence the hypothalamus and pituitary gland to secrete Adrenocorticotropic Hormone to produce cortisol. High amounts of cortisol result in hampered breast milk production (Ayu Muthiatulsalimah et al., 2022;Fatmawati et al., 2022;Wahyuni et al., 2021). There are many ways to overcome anxiety using nonpharmacological methods, including Emotional Freedom Therapy (EFT) (Fadli et al., 2020). ...

Effect of Relaxation Therapy on Anxiety Level and Breast Milk Production in Pregnant and Postpartum Mothers: Systematic Literature Review

Journal Research of Social Science Economics and Management

... Salah satu intervensi yang dapat dilakukan yaitu dengan membentuk pendamping ASI berbasis one student one client. Kondisi ini sesuai konsep bahwa adanya pendampingan dapat meningkatkan pengetahuan dan praktik ibu dalam pemberian ASI Ekslusif (Rahayu, 2020). ...

PENDAMPINGAN KADER DALAM UPAYA PREVENTIF TERJADINYA ENGORGEMENT PADA IBU MENYUSUI DI WILAYAH KELURAHAN GEDAWANG KECAMATAN BANYUMANIK KOTA SEMARANG

Jurnal Pengabdian Masyarakat Kebidanan

... Previous research showed that there was a significant difference in the average increase in breast milk production before and after three days of treatment in the intervention group 32,250 ml and the control group 26,472 ml, meaning that warm herbal compresses as breast care can increase the hormone oxytocin and average breast milk production for postpartum mothers. 4 The warm compress mechanism can also be obtained from spice plants with a warming mechanism, one of which is red ginger (Zingiber officinale Rosc. Red). ...

Effectiveness of warm herbal compress on oxytocin hormone and breast milk production

MEDISAINS

... Dengan kata lain, konseling dengan menggunakan pendekatan CBT mendorong konselor mencari berbagai cara untuk menghasilkan/memodifikasi perubahan kognitif klien (pikiran dan keyakinan klien) agar menghasilkan perubahan emosi dan pada akhirnya memunculkan perilaku yang lebih adaptif (Stallard, 2002;Ahmad E.H, 2019;Alice R., 2016;Rahayu K. B, 2019). Jadi, dengan CBT intervensi tidak hanya berfokus pada perubahan tingkah laku akan tetapi mengintervensi pula proses kognitif yang mempengaruhi emosi dan tingkah laku dan murottal Al-Qur'an, Manfaat lain dari terapi Alquran yaitu dapat meningkatkan gelombang alphadan menurunkan gelombang betayang ditunjukan oleh sinyal electroencephalograms (Tumiranet, 2013; Saleh M.C.I, 2018; Saifudin M, 2019;Astuti, 2018;Ulfiana, 2020;Syafyusari, 2022;Billah Khoif, 2015;Della Faradilla, 2020;Kusmayanti, 2022;Azzahid, 2022). ...

Pengaruh Terapi Murotal Ar-Rahman Terhadap Lama Kala II dan Kesejahteraan Janin (APGAR Score)
  • Citing Article
  • September 2020

Indonesian Journal of Midwifery (IJM)

... The average pain scale of the control group in the pre-test and post-test assessments decreased but remained in the same range, with moderate pain. This research is in line with studies conducted by Saptyani et al. (2020), which stated that there was a decrease in the pain scale in the control group. This research is also in line with studies conducted by Ifalahma et al. (2024) regarding remodeling pregnancy exercises with pelvic rocking exercises as management of back pain in pregnant women, which states that respondents in the control group had a decrease in the pain scale but were still in the same category both in pre-test and post-test data collection. ...

Utilization of Back Movement Technique to Intensity of Low Back Pain in Third Trimester Pregnant Women
  • Citing Article
  • November 2020

STRADA JURNAL ILMIAH KESEHATAN

... Affirmations are effective in influencing the anxiety level of multiparous mothers. Nurcahyani et al. (2020) in their study also reported that Belly Breathing Technique exercises and positive affirmations in pregnant women had a significant effect on decreasing stress levels and cortisol hormone levels compared to the results of measurements before and after exercise. Jessop et al. (in Islamarida et al., 2022) describe that selfaffirmation can influence attitudes towards positive and better perception control. ...

Giving Belly Breathing Technique and Positive Affirmation of Stress and Cortisol Hormone Levels in Third Trimester Pregnant Women
  • Citing Conference Paper
  • January 2020

... Terapi musik juga memberikan berbagai manfaat yang diantaranya adalah mampu mengurangi ketegangan otot dan memperbaiki gerak dan koordinasi tubuh, mampu menutupi bunyi dan perasaan tidak menyenangkan, mampu memperlambat dan menyeimbangkan gelombang dalam otak, mempengaruhi pernapasan, mempengaruhi denyut jantung, nadi dan tekanan darah, bisa juga mempengaruhi suhu tubuh, bisa merangsang pencernaan, bisa meningkatkan daya tahan tubuh, dan bisa meningkatkan endorfin. Teori tersebut sejalan dengan hasil penelitian yang (Emaliyawati, Fatimah, & Lydia, 2017) Melanjutkan penelitian (Emaliyawati, Fatimah, & Lydia, 2017), didapatkan hasil yaitu penggunaan terapi musik lullaby terbukti dapat menenangkan bayi prematur dan dapat dilakukan ditempat perawatan bayi prematur dan penggunaan musik lullaby pada bayi prematur mempengaruhi peningkatan berat badan dan suhu tubuh menggunakan desain a quasi experiment with non-equivalent control group (Yusuf, 2017). ...

THE EFFECTIVENESS OF COMBINATION OF KANGAROO MOTHER CARE METHOD AND LULLABY MUSIC THERAPY ON VITAL SIGN CHANGE IN INFANTS WITH LOW BIRTH WEIGHT

Belitung Nursing Journal

... Dysmenorrhea manifests on the first day of menstruation and lasts for approximately 8−72 hours [5,6]. Primary dysmenorrhea is associated with the ovulatory cycle and involves pain mechanisms mediated by the activity of prostaglandin (PGF2α) [7][8][9][10][11]. The pain level is determined by the increased level of PGF2α in the endometrial fluid [12]. ...

EFFECT OF CARICA PAPAYA L LEAF ON MENSTRUAL PAIN AND PROSTAGLANDIN LEVEL IN ADOLESCENT WITH PRIMARY DYSMENORRHEA: A TRUE EXPERIMENT

Belitung Nursing Journal

... Yoga is one kind of non-pharmacological therapy that can function to reduce back pain in the III trimester of pregnancy (Dewi, Suharyo, and R Runjati 2017). Yoga can also be performed as a practical effort in harmonizing the body, mind, and spirit. ...

EFFECT OF YOGA AND ACUPRESSURE ON PAIN AND FUNCTIONAL CAPABILITY OF LOWER BACK IN PREGNANT MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY

Belitung Nursing Journal