Jurnal Kesehatan

PENERAPAN SENAM HAMIL SEBAGAI INTERVENSI NON FARMAKOLOGIS UNTUK MENGURANGI NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III

Enok Nurliawati — 2025-12-31

Third-trimester pregnancy is often accompanied by complaints of back pain due to physiological changes and altered body posture. Prenatal exercise is a non-pharmacological method that may help reduce the intensity of back pain in pregnant women. This study aimed to determine the response of a third-trimester pregnant woman before and after receiving a prenatal exercise intervention. The research design used a case study approach based on the nursing process. The subject was one third-trimester pregnant woman experiencing moderate back pain (pain scale 4–6) who met the inclusion and exclusion criteria. The nursing intervention, in the form of prenatal exercise, was administered for three consecutive days with a duration of 10–15 minutes per session according to the standard operating procedure. Data were collected through observation, interviews, and biophysiological assessments. The results showed a decrease in pain intensity, with the patient reporting a reduction in back pain to 2 out of 10 after the intervention. Non-verbal responses such as grimacing, protective posture, and restlessness also decreased. Prenatal exercise proved effective in reducing back pain in third-trimester pregnant women through mechanisms of muscle relaxation, increased flexibility, and improved body posture. Prenatal exercise may be recommended as a promotive and preventive intervention in antenatal care services.

Abstrak: Kehamilan trimester III sering disertai keluhan nyeri punggung akibat perubahan fisiologis dan postur tubuh. Senam hamil merupakan metode non farmakologis yang dapat membantu menurunkan intensitas nyeri punggung pada ibu hamil. Penelitian ini bertujuan untuk mengetahui respon ibu hamil trimester III sebelum dan sesudah diberikan intervensi senam hamil. Desain penelitian menggunakan studi kasus dengan pendekatan proses keperawatan. Subjek penelitian adalah satu orang ibu hamil trimester III yang mengalami nyeri punggung sedang (skala nyeri 4–6) dan memenuhi kriteria inklusi serta eksklusi. Intervensi keperawatan berupa senam hamil diberikan selama tiga hari berturut-turut dengan durasi 10–15 menit per sesinya sesuai standar operasional prosedur. Pengumpulan data dilakukan melalui observasi, wawancara, dan pemeriksaan biofisiologis. Hasil penelitian menunjukkan adanya penurunan tingkat nyeri dan pasien melaporkan intensitas nyeri punggung menurun menjadi 2 dari 10 setelah intervensi. Respon nonverbal berupa ekspresi meringis, sikap protektif, dan gelisah juga berkurang. Senam hamil terbukti efektif dalam menurunkan nyeri punggung pada ibu hamil trimester III melalui mekanisme relaksasi, peningkatan fleksibilitas otot, dan perbaikan postur tubuh. Senam hamil dapat direkomendasikan sebagai intervensi promotif dan preventif dalam pelayanan antenatal care.

HUBUNGAN SOSIAL EKONOMI DENGAN STATUS GIZI PADA REMAJA PUTRI DI SMPN I BARITO TUHUP RAYA

Rumi Amanda — 2025-12-29

Adolescent girls are considered a vulnerable group to nutritional problems, both undernutrition and overnutrition. The socioeconomic status of the family influences adolescents’ dietary patterns and nutrient intake. However, the relationship between socioeconomic conditions and nutritional status is not always linear, particularly in rural areas with limited food access. This study aimed to determine the extent of the relationship between socioeconomic status and the nutritional condition of adolescent girls at SMPN 1 Barito Tuhup Raya. An analytical observational design with a cross-sectional approach was employed. The sample consisted of 54 adolescent girls selected using a total sampling technique. Socioeconomic status was categorized based on family income (≤ or > IDR 3,500,000). Nutritional status was determined through the calculation of Body Mass Index (BMI). Data were analyzed using the Chi-Square test to examine the relationship between variables. The majority of respondents were from families with low socioeconomic status (59.3%) and had normal nutritional status (63%). Bivariate analysis revealed a significant relationship between socioeconomic level and nutritional condition (p = 0.027). Interestingly, adolescent girls from lower-income families had a higher proportion of normal nutritional status compared to those from higher-income families. The findings indicate that socioeconomic background has a meaningful association with the nutritional condition of adolescent girls. However, family income is not the only determining factor; dietary patterns, eating habits, nutrition literacy, and lifestyle also contribute to adolescents’ nutritional status.

Abstrak: Remaja putri termasuk kelompok yang rentan mengalami masalah gizi, baik gizi kurang maupun gizi lebih. Status sosial ekonomi keluarga turut memengaruhi pola konsumsi dan asupan gizi remaja. Namun, hubungan antara kondisi sosial ekonomi dan status gizi tidak selalu bersifat linier, terutama di wilayah pedesaan dengan keterbatasan akses pangan. Penelitian ini dilakukan untuk mengetahui sejauh mana status sosial ekonomi berhubungan dengan kondisi gizi remaja putri di SMPN 1 Barito Tuhup Raya. Desain penelitian yang digunakan adalah observasional analitik engan rancangan potong lintang (cross-sectional). Sampel berjumlah 54 remaja putri yang dipilih dengan teknik total sampling. Data status sosial ekonomi dikategorikan berdasarkan pendapatan keluarga (≤ atau > Rp3.500.000). Tingkat status gizi responden ditetapkan melalui perhitungan Indeks Massa Tubuh (IMT). Data dianalisis dengan menggunakan uji chi-square untuk mengetahui hubungan antarvariabel. Mayoritas responden tercatat berasal dari keluarga dengan kondisi sosial ekonomi rendah (59,3%) dan menunjukkan status gizi normal (63%). Hasil analisis bivariat menunjukkan terdapat hubungan signifikan antara tingkat sosial ekonomi dan kondisi gizi remaja (p = 0,027). Menariknya, remaja dari keluarga ekonomi bawah justru memiliki proporsi kondisi gizi normal yang lebih tinggi dibandingkan kelompok ekonomi atasHasil penelitian menunjukkan adanya hubungan yang bermakna antara latar belakang sosial ekonomi dan keadaan gizi remaja putri. Namun, pendapatan keluarga bukan satu-satunya faktor penentu. Pola konsumsi, kebiasaan makan, literasi gizi, dan gaya hidup turut memengaruhi status gizi remaja

INVESTIGASI FAKTOR USIA MODALITAS MRI 1.5 TESLA TERHADAP SIGNAL TO NOISE RATIO

Dea Indri Utami — 2025-12-29

Changes in signal-to-noise ratio (SNR) may be influenced by the installation age of MRI systems exceeding 10 years, as well as increased usage frequency, which can contribute to a decline in system performance. This study investigated the effect of MRI installation age on SNR in two different brands of 1.5 Tesla MRI systems. This research employed an experimental method by measuring SNR values using an MRI phantom filled with 1000 cc of water. Image acquisition was performed using FLAIR, DWI, and T2*GRE sequences. SNR measurements were conducted using ImageJ software with a consistent region of interest (ROI) diameter of 5 mm applied to all images. Statistical analysis was performed to assess differences in mean SNR values between the two 1.5 Tesla MRI systems using an independent samples t-test with a significance level of 0.05. The results showed that the SNR value for the FLAIR sequence was 102.8 for brand A and 65.8 for brand B, with a p-value of 0.00. For the DWI sequence, the SNR value was 63.4 for brand A and 54.3 for brand B, with a p-value of 0.04. For the T2*GRE sequence, the SNR value was 107.1 for brand A and 45.2 for brand B, with a p-value of 0.00. Differences in SNR values were associated with variations in acquisition parameters such as TR, TE, NEX, and bandwidth, differences in the number of head coil channels, as well as differences in production year and duration of MRI system utilization. Therefore, standardization of acquisition parameters, routine technical evaluation of MRI systems, and detailed analysis of DICOM metadata are recommended in future studies to achieve more objective and accurate comparisons of MRI image quality.

Abstrak: Perubahan nilai signal to noise ratio (SNR) disebabkan faktor usia instalasi modalitas MRI yang sudah mencapai lebih dari 10 tahun, serta frekuensi penggunaan yang semakin tinggi yang dapat menyebabkan penurunan kinerja modalitas. Penelitian ini melakukan investigasi faktor usia instalasi modalitas MRI terhadap SNR pada dua merek modalitas MRI dengan kekuatan medan magnet 1.5 Tesla. Metode penelitian ini adalah eksperimen dengan melakukan pengukuran nilai SNR pada dua modalitas MRI menggunakan pantom MRI yang berisi air dengan volume 1000 cc pada penggunaan sequence FLAIR, DWI dan T2*GRE. Pengukuran SNR menggunakan Image-J dengan mempertimbangkan ukuran regoin of interest (ROI) berdiameter 5 mm sama pada semua citra. Kemudian dilakukan uji statistik untuk mengetahui adakah perbedaan nilai rata-rata SNR pada kedua modalitas MRI 1.5 Tesla dengan uji Independent t-test dengan nilai p-value 0.05. Hasil penelitian untuk nilai SNR pada sequence FLAIR untuk merek A 102.8, sedang merek B 65.8 dengan hasil p-value 0.00. Nilai SNR Pada sequence DWI untuk merek A 63.4, sedangkan merek B 54.3 dengan hasil p-value 0.04. Nilai SNR Pada sequence T2*GRE untuk merek A 107.1, sedangkan merek B 45.2 dengan hasil p-value 0.00. Perbedaan nilai SNR tersebut berkaitan dengan variasi parameter akuisisi seperti TR, TE, NEX, dan bandwidth, perbedaan jumlah channel head coil, serta perbedaan tahun produksi dan usia pemanfaatan perangkat MRI. Oleh karena itu, perlunya standarisasi parameter akuisisi, evaluasi teknis perangkat MRI secara berkala, serta analisis metadata DICOM pada penelitian selanjutnya guna memperoleh perbandingan kualitas citra MRI yang lebih objektif dan akurat.

HUBUNGAN PARITAS DENGAN TINGKAT PENGTAHUAN TENTANG PERAWATAN MASA NIFAS DI TPMB WILAYAH MUNTILAN

Sholaikhah Sulistyoningtyas — 2025-12-10

One way to see success in efforts to improve maternal and child health is with high and low maternal mortality rates (AKI). In addition to assessing maternal health programs, this indicator is also able to assess the degree of public health, because of its sensitivity to improving health services, both in terms of accessibility and quality To reduce mortality and morbidity, it is necessary to pay attention to health during the postpartum period. Health during the postpartum period greatly affects the sustainability of health for mothers and babies. During the postpartum period, the mother experiences various changes both physiological and psychological as well as basic needs and care during the postpartum period to accelerate the recovery period. The purpose of this study is to find out if there is a relationship between parity and the level of care about postpartum care in PMB Muntilan Region. The research method with . This study is a quantitative research with a correlation analytical method and a Cross Sectional approach. with a sample of 33 respondents. Respondents in this study were postpartum mothers 1-7 days postpartum in PMB in the Muntilan area. Data analysis to determine the correlation results of this research data using spearman rank analysis. The results of this study obtained a p value, 0.05, so it can be concluded that there is a parity relationship with the level of knowledge about postpartum care. It is hoped that mothers both primi and multipara will further increase their knowledge related to postpartum care to prevent complications during the postpartum period. By paying close attention to the counseling provided by the Health Tenga when visiting during postpartum.

PENGARUH PIJAT OLAHRAGA TERHADAP PEMULIHAN ATLET: TINJAUAN SISTEMATIS

La Ode Abdhal Idrus — 2025-12-25

Sport massage is widely used as a recovery strategy among athletes, yet scientific evidence regarding its effectiveness in reducing delayed onset muscle soreness (DOMS) and fatigue remains inconsistent. This tinjauan sistematis aimed to synthesize current findings on the effects of sport massage on muscle recovery, particularly its immediate impact following exercise. A systematic search was conducted across ScienceDirect, Wiley Online Library, and PubMed using predefined Boolean terms. Studies were screened following PRISMA 2020 guidelines and selected based on the PICO framework. six randomized controlled trials with 286 respondents met the inclusion criteria and were analyzed narratively. Sport massage consistently demonstrated beneficial effects in reducing perceived muscle soreness and improving subjective recovery among athletes. However, its impact on objective fatigue markers, muscle performance, and physiological measures varied across studies and appeared less conclusive. The evidence suggests that sport massage mainly supports psychological and perceptual recovery rather than producing substantial improvements in physical performance. Sport massage can be considered an effective complementary recovery method for alleviating DOMS and enhancing athletes perceived recovery.

Abstrak

Pijat olahraga digunakan sebagai strategi pemulihan di kalangan atlet tetapi bukti ilmiah mengenai efektivitasnya dalam mengurangi nyeri otot yang muncul tertunda (DOMS) dan kelelahan masih belum konsisten. Tinjauan sistematis ini bertujuan untuk mensintesis temuan terkini mengenai efek pijat olahraga terhadap pemulihan otot khususnya dampak langsungnya setelah berolahraga. Pencarian sistematis dilakukan di ScienceDirect, Wiley Online Library, dan PubMed menggunakan kode Boolean yang telah ditentukan. Studi-studi disaring mengikuti pedoman PRISMA 2020 dan dipilih berdasarkan kerangka PICO. Enam artikel uji coba terkontrol dengan total responden 286 dipilih secara acak memenuhi kriteria inklusi dan dianalisis secara naratif. Pijat olahraga secara konsisten menunjukkan efek yang bermanfaat dalam mengurangi rasa nyeri otot yang dirasakan dan meningkatkan pemulihan subjektif di antara atlet tetapi dampaknya terhadap indikator kelelahan objektif, kinerja otot, dan ukuran fisiologis bervariasi di berbagai penelitian. Bukti ini menunjukkan bahwa pijat olahraga lebih utama mendukung pemulihan psikologis dan perseptual daripada menghasilkan peningkatan substansial pada kinerja fisik atlet. Pijat olahraga dapat dianggap sebagai metode pemulihan tambahan yang efektif untuk mengurangi DOMS dan meningkatkan pemulihan yang dirasakan oleh atlet.

PENGARUH EDUKASI ANEMIA TERHADAP KEJADIAN ANEMIAPADA REMAJA PUTRI DI MA DARUL FALAH LUMAJANG

Silviana Rismaya — 2025-12-25

Anemia is one of the prevalent health issues commonly experienced by adolescent girls, primarily due to insufficient iron intake and limited awareness regarding anemia prevention. The effects of anemia among adolescents can interfere with learning concentration, productivity, and even physical development. This study seeks to understand the extent to which the provision of knowledge about anemia can influence the health condition of adolescent girls at MA Darul Falah, Selokbesuki Village, Sukodono District, Lumajang Regency. The research employed a pre-experimental design using a one-group pre-test and post-test approach. All adolescent girls identified with anemia, totaling 11 participants, were fully involved through a total sampling technique, ensuring that each individual’s voice and experience were represented in the study. Data were collected by measuring hemoglobin (Hb) levels using an Hb meter. The findings revealed that before the educational intervention, most respondents were categorized as having mild anemia (54.4%). After the education was provided, a notable improvement was observed—marked by a decrease in the proportion of mild anemia and an increase in the number of participants with normal hemoglobin levels, each accounting for 45.5%. The Wilcoxon Signed Rank Test yielded a value of Z = -2.251 with p = 0.024 (p < 0.05), indicating a significant difference between hemoglobin levels before and after the educational intervention. This reduction in anemia scores suggests that anemia education was effective in improving hemoglobin levels and reducing the incidence of anemia. These findings align with the theory that enhancing knowledge through education can heighten adolescents’ awareness of the importance of anemia prevention.

Abstrak

Anemia merupakan salah satu masalah kesehatan yang sering dialami oleh remaja putri, terutama akibat kurangnya asupan zat besi dan minimnya wawasan tentang pencegahan anemia. Dampak anemia pada remaja dapat mengganggu konsentrasi belajar, produktivitas, hingga perkembangan fisik. Riset ini berupaya memahami sejauh mana pembekalan pengetahuan tentang anemia mampu memberi dampak terhadap kondisi kesehatan remaja putri di MA Darul Falah, Desa Selokbesuki, Kecamatan Sukodono, Kabupaten Lumajang. Riset ini memanfaatkan rancangan pra-eksperimen dengan metode uji awal dan uji akhir pada satu kelompok. Seluruh remaja putri yang mengalami anemia, sebanyak 11 partisipan, turut serta secara menyeluruh melalui pendekatan total sampling, agar setiap suara dan pengalaman mereka dapat terwakili secara utuh dalam penelitian ini. Data dikumpulkan melalui pengukuran kadar hemoglobin (Hb) menggunakan alat Hb meter. Dari temuan penelitian terlihat bahwa sebelum proses edukasi berlangsung, sebagian besar responden berada dalam kondisi anemia ringan (54,4%). Usai edukasi diberikan, muncul perubahan yang bermakna, ditandai dengan menurunnya proporsi anemia ringan dan meningkatnya jumlah remaja dengan status hemoglobin normal, masing-masing sebesar 45,5%. Hasil uji Wilcoxon Signed Rank Test menunjukkan nilai Z = -2,251 dengan p = 0,024 (p < 0,05), yang berarti terdapat perbedaan signifikan antara kadar Hb sebelum dan sesudah intervensi edukasi. Penurunan skor anemia ini menyiratkan bahwa edukasi anemia efektif dalam meningkatkan kadar hemoglobin dan menurunkan kejadian anemia. Hasil ini sejalan dengan teori bahwa peningkatan pengetahuan melalui edukasi dapat meningkatkan kesadaran remaja terhadap pentingnya pencegahan anemia.

ANALISIS FAKTOR SISODEMOGRAFIS IBU TERHADAP PENGETAHUAN STUNTING DAN PEMBERIAN ASI EKSKLUSIF DESA RANOMBUPULU

Siti Rabbani Karimuna — 2025-12-29

Chronic nutritional problems such as stunting remain a major public health concern in Indonesia, particularly in rural areas. This study aims to examine the relationship between maternal age, education, parity, and occupation with mothers’ knowledge of stunting and their exclusive breastfeeding practices in Ranombupulu Village, Motui Subdistrict, North Konawe Regency. A quantitative cross-sectional design was applied involving 81 mothers of children under five, selected using total sampling. Data were collected using structured questionnaires and analyzed descriptively and through the Chi-Square test (α = 0.05). The results showed that most respondents were aged 20–35 years (58%), had secondary education (63%), had two to four children (54.3%), and were mostly housewives (48.1%). Mothers’ knowledge of stunting was in the moderate category (58%), yet only 13.6% practiced exclusive breastfeeding. There were significant relationships between maternal age (p = 0.041), education (p = 0.009), and parity (p = 0.048) with knowledge, while occupation was not significant (p = 0.056). Knowledge was also significantly associated with exclusive breastfeeding practices (p = 0.018). These findings indicate that sociodemographic factors influence mothers’ knowledge and behavior in stunting prevention. Continuous nutrition education is necessary to strengthen stunting prevention efforts at the household level.

Abstrak

Masalah gizi kronis berupa stunting masih menjadi isu penting di Indonesia, khususnya di daerah pedesaan. Penelitian ini bertujuan menelaah hubungan antara umur, pendidikan, paritas, dan pekerjaan ibu dengan tingkat pengetahuan mengenai stunting serta kaitannya dengan praktik pemberian ASI eksklusif di Desa Ranombupulu, Kecamatan Motui, Kabupaten Konawe Utara. Penelitian menggunakan metode kuantitatif dengan desain potong lintang dan melibatkan 81 ibu balita yang dipilih melalui total sampling. Pengumpulan data dilakukan menggunakan kuesioner terstruktur dan dianalisis secara deskriptif serta melalui uji Chi-Square (α = 0,05). Hasil menunjukkan bahwa responden berusia 20–35 tahun (58%), berpendidikan menengah (63%), memiliki dua hingga empat anak (54,3%), dan sebagian besar adalah ibu rumah tangga (48,1%). Pengetahuan ibu tentang stunting termasuk kategori cukup (58%), namun hanya 13,6% yang memberikan ASI eksklusif. Ditemukan hubungan bermakna antara usia (p = 0,041), pendidikan (p = 0,009), serta paritas (p = 0,048) dengan pengetahuan, sedangkan pekerjaan tidak signifikan (p = 0,056). Pengetahuan juga berpengaruh terhadap praktik pemberian ASI eksklusif (p = 0,018). Temuan ini menegaskan bahwa faktor sosiodemografis berperan terhadap pengetahuan dan perilaku ibu dalam pencegahan stunting. Diperlukan edukasi gizi berkelanjutan untuk memperkuat upaya pencegahan di tingkat rumah tangga.

JEJAK WAKTU PENGGUNAAN GADGET ANAK PRASEKOLAH (DATA 2017) DAN DAMPAKNYA TERHADAP GANGGUAN PERILAKU-EMOSIONAL: INTERPRETASI DALAM KONTEKS BUKTI TERKINI

Nabila Aulia Tsaqifah — 2025-12-29

Gadget use among preschoolers has risen sharply since before the pandemic and may affect behavioural and emotional development. This study aimed to examine the association between gadget use among preschool children (2017 data) and behavioural–emotional disorders, interpreted using recent evidence. A cross-sectional analytic design was applied to 47 preschoolers in Depok, Yogyakarta. The Strengths and Difficulties Questionnaire (SDQ) assessed behavioural–emotional problems, and a validated gadget-use questionnaire measured exposure frequency. Data were analysed using bivariate tests and logistic regression. Results showed that 85% of children actively used gadgets and 87% displayed behavioural–emotional difficulties. Gadget use was significantly associated with emotional problems (p=0.042; OR=17.33; 95% CI: 1.39–216.60) and prosocial aspects (p=0.012), but not with hyperactivity, peer relationships, or conduct problems. Early digital exposure may disrupt emotional regulation through sensory overstimulation, reduced social interaction, and compulsive usage patterns. Although derived from pre-pandemic data, the findings remain relevant as a baseline for understanding long-term digital impacts on emotional well-being. Strengthening parental supervision and child digital literacy is crucial to mitigate negative outcomes.

Abstrak

Penggunaan gadget pada anak prasekolah meningkat pesat sejak sebelum pandemi dan berpotensi memengaruhi perkembangan perilaku serta emosi. Penelitian ini bertujuan menilai hubungan antara penggunaan gadget pada anak prasekolah (data 2017) dengan gangguan perilaku dan emosional, serta menginterpretasikannya menggunakan bukti terkini . Desain penelitian adalah cross-sectional analytic pada 42 anak prasekolah di Depok dengan total sampling, Yogyakarta. Instrumen yang digunakan yaitu Strengths and Difficulties Questionnaire (SDQ) untuk menilai gangguan perilaku-emosional dan kuesioner penggunaan gadget yang telah diuji reliabilitasnya. Analisis data dilakukan dengan uji bivariat dan regresi logistik. Hasil menunjukkan 85% anak menggunakan gadget secara aktif dan 87% mengalami gangguan perilaku-emosional. Terdapat hubungan bermakna antara penggunaan gadget dan gangguan emosional (p=0,042; OR=17,33; 95% CI: 1,39–216,60) serta aspek prososial (p=0,012), namun tidak signifikan pada aspek hiperaktif, hubungan teman sebaya, dan perilaku conduct. Paparan digital dini dapat mengganggu regulasi emosi melalui mekanisme overstimulasi sensorik, penurunan interaksi sosial, dan pola penggunaan kompulsif. Hasil ini menunjukkan bahwa meskipun data berasal dari pra-pandemi, dampak penggunaan gadget terhadap kesejahteraan emosional anak tetap relevan untuk konteks saat ini. Upaya pengawasan orang tua dan edukasi literasi digital anak perlu diperkuat untuk mencegah dampak negatif jangka panjang.