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Hutari Puji Astuti
Prodi DIII Kebidanan, STIKes Kusuma Husada Surakarta
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Peningkatan kesehatan ibu hamil melalu prenatal yoga dalam upaya mengurangi kecemasan dan keluhan fisik Pratiwi, Erinda Nur; Astuti, Hutari Puji; Umarianti, Tresia
Jurnal Pengabdian Harapan Ibu (JPHI) Vol 3 No 1 (2021): Jurnal Pengabdian Harapan Ibu (JPHI)
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/jphi.v3i1.486

Abstract

Selama masa kehamilan ibu hamil mengalami perubahan fisik dan psikologis yang dapat menimbulkan ketidak-nyamanan terutama trimester II dan III seperti dispnea, insomnia, gingiviris dan epulsi, sering buang air kecil, tekanan dan ketidaknyamanan pada perineum, nyeri punggung, konstipasi, varises, mudah lelah, kontraksi Braxton hicks, kram kaki, edema pergelangan kaki dan perubahan mood serta peningkatan kecemasan. Sudah banyak dilakukan berbagai upaya untuk mengatasi masalah kehamilan salah satunya yaitu dengan teknik Yoga Prenatal. Yoga adalah salah satu aktivitas fisik yang memfokuskan pada penguasaan postur dan. Prenatal yoga (yoga selama kehamilan) merupakan salah satu jenis modifikasi dari hatha yoga yang disesuaikan dengan kondisi ibu hamil. Tujuan Kegiatan pengabdian masyarakat ini adalah mempersiapkan ibu hamil secara fisik, mental dan spiritual untuk proses persalinannya nanti. Kegiatan tersebut dilakukan seminggu sekali selama satu bulan. Peserta prenatal yoga berjumlah 10 orang ibu hamil Trimester II.Kegiatan Prenatal yoga dilakukan tiap hari minggu mulai jam 08.00 sampai jam. 09.00. Kegiatan ini diawali dengan penyuluhan seputar pengetahuan tentang prenatal yoga, kemudian dilanjutkan pelaksanaan prenatal Yoga. Evaluasi dari kegiatan pengabdian kepada masyarakat tentang Prenatal Yoga ini adalah ibu hamil merasa tenang, nyaman dan keluhan fisik yang dirasakan mulai berkurang.
Narrative review: pengaruh terapi massage counterpressure terhadap pengurangan nyeri dalam persalinan Astuti, Hutari Puji; Astuti, Andari Wuri; Agustin, Dinar; Awaliyah, Hardiyanti Fitrah; Winarti, Gana Rendra; Jaya, Vanny Oktaviani
Jurnal Cakrawala Promkes Vol 3, No 2 (2021): August
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/promkes.v3i2.4573

Abstract

Labor often prompts unpleasant, fearful, or, further, traumaticexperiences due to the pain it entails. Scientific evidence suggests thatpain during labor can be managed using two methods; pharmacologicaland non-pharmacological. Pharmacology is a method of using drugs,whereas non-pharmacologic is without the administration of drugs. The nonpharmacologicalmethod is known as complementary and alternativetherapies, one practice is through massage. Massage frequentlyperformed to reduce labor pain is counterpressure. The purpose of thisstudy is to investigate the effect of counterpressure massage therapy asa measure to reduce labor pain. The method used is a narrative review.Article exploration was carried out in several databases, which arePubmed and Science Direct. In the case of Gray Literature, it wasaccessed via Google Scholar. Specific keywords were employed forliterature search and articles were selected by considering inclusion andexclusion criteria. The article selection process was elaboratedtransparently in the PRISMA Flowchart. From the article selectionprocedure, 14 articles were identified and fulfilled the criteria. Thus,articles were critically analyzed (Critical Appraisal) using the MixedMethod Appraisal Tool (MMAT). The review concludes thatcounterpressure is a massage performed by applying continuouspressure to the patient's sacral with the heel of the hand or fist of thehand. Counterpressure massage can be done in a straight stroke or smallcircular stroke. This technique is proven to be sufficient in relieving backpain during labor. The recommendation suggested is based on the 14articles reviews carried out that a common problem occurring in laboringwomen is physiological pain experience during childbirth so that it mayprovoke bad experiences for mothers, especially fear and anxiety thatmay lead to prolonged labor.Labor often prompts an unpleasant, fearful, or, further, traumatic experiences due to the pain it entails. Scientific evidence suggests that pain during labor can be managed using two methods; pharmacological and non-pharmacological. Pharmacology is a method of using drugs, whereas non-pharmacologic is without the administration of drugs. Non-pharmacological method is known as complementary and alternative therapies, one practice is through massage. Massage frequently performed to reduce labor pain is counterpressure. The purpose of this study is to investigate the effect of counterpressure massage therapy as a measure to reduce labor pain. The method used is a narrative review. Article exploration was carried out in several databases, which are Pubmed and Science Direct. In the case of Gray Literature, it was accessed via Google Scholar. Specific keywords were employed for literature search and articles were selected by considering inclusion and exclusion criteria. The article selection process was elaborated transparently in the PRISMA Flowchart. From the article selection procedure, 14 articles were identified and fulfilled the criteria. Thus, articles were critically analyzed (Critical Appraisal) using the Mixed Method Appraisal Tool (MMAT). The review concludes that counterpressure is a massage performed by applying continuous pressure to the patient's sacral with the heel of the hand or fist of the hand. Counterpressure massage can be done in a straight stroke or small circular stroke. This technique is proven to be sufficient in relieving back pain during labor. The recommendation suggested is based on the 14 articles reviews carried out that a common problem occurring in laboring women is physiological pain experience during childbirth so that it may provoke bad experiences for mothers, especially fear and anxiety that may lead to prolonged labor
UPAYA PENINGKATAN KESEHATAN BALITA DENGAN PEMBERIAN VITAMIN A DAN PENYULUHAN KESEHATAN TENTANG STUNTING PADA IBU BALITA DI PMB SRI REJEKI DH JABUNG PLUPUH SRAGEN Astuti, Hutari Puji; Pangesti, Christiani Bumi
Jurnal Pengabdian Masyarakat Kebidanan Vol 4, No 1 (2022): Jurnal Pengabdian Masyarakat Kebidanan
Publisher : Jurnal Pengabdian Masyarakat Kebidanan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jpmk.v4i1.8903

Abstract

Stunting adalah kondisi dimana balita memiliki panjang atau tinggi badan yang kurang jika dibandingkan dengan umur. Stunting merupakan salah satu target Sustainable Development Goals (SDGs) yang termasuk pada tujuan pembangunan berkelanjutan ke-2 yaitu menghilangkan kelaparan dan segala bentuk malnutrisi pada tahun 2030 serta mencapai ketahanan pangan. Target yang ditetapkan adalah menurunkan angka stunting hingga 40% pada tahun 2025. Untuk mewujudkan hal tersebut, pemerintah menetapkan stunting sebagai salah satu program prioritas. Di Desa Jabung RT 01 merupakan wilayah kelurahan Jabung Kecamatan Plupuh Sragen. Masalah yang terjadi adalah masyarakat atau keluarga balita kurang mengetahui tentang stunting dan pentingnya vitamin A pada Balita. Tujuan dari pengabdian kepada masyarakat ini adalah setelah mendapatkan penyuluhan diharapkan ibu-ibu warga Desa Jabung RT 01 Kelurahan Jabung Plupuh Sragen dapat memahami tentang stunting pada Anak Balita dan program Pemberian Vitamin A  Metode yang digunakan dalam kegiatan ini adalah dengan ceramah sebagai pengantar untuk memberikan penekanan pengertian stunting dan vitamin A pada balita dan metode tanya jawab. Kegiatan penyuluhan ini menggunakan leaflet sebagai media penyuluhan. Hasil yang diperoleh dari penyuluhan tentang stunting dan pemberian Vitamin A pada Balita adalah semua Ibu-ibu yang mempuyai balita ada peningkatan pengetahuan dengan nilai rata-rata pengetahuan tentang stunting dan vitamin A pada Balita  sebesar 90%. Kesimpulan dari kegiatan ini adalah Ibu balita menjadi lebih tahu tentang stunting dan manfaat vitamin A pada Balita. Hal ini dapat diketahui dari hasil pengisian lembar post test yang diberikan kepada ibu Balita setelah selesai kegiatan penyuluhan.
Measure Effectiveness of Reproductive Health Education Programs Teenagers in Schools Intermediate: Evaluation Results in the Cileunyi Region Bandung Regency Nadeak, Bernadetha; Prihantini; Atep Jejen; Astuti, Hutari Puji; Aden Sutiapermana; Handayani
IJCS: International Journal of Community Service Vol. 2 No. 2 (2023): IJCS: International Journal of Community Service
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v2i2.712

Abstract

This article discusses the results of evaluating the effectiveness of the Adolescent Reproductive Health Education Program in secondary schools in the Cileunyi area, Bandung Regency. The approach used in this research is a combination of participatory, field research and active monitoring. The main objective of this research is to measure the level of success and impact of the program in increasing knowledge, attitudes and reproductive health behavior of adolescents. This study combines a participatory approach, field research, and active monitoring to gain a comprehensive picture of the program's effectiveness. A participatory approach involves collaboration with program participants, teachers, and local stakeholders to design and implement activities. Field research was carried out by conducting surveys, interviews and direct observations at selected secondary schools in the Cileunyi area. Active monitoring involves continuous data collection throughout the study period. Findings The evaluation results showed a significant increase in students' knowledge regarding reproductive health, with a high level of participation in discussion activities, workshops and outreach sessions. Positive attitudes and behavioral changes were also observed after participating in the program. Collaboration with local stakeholders and active student participation are considered key factors for success. Therefore, a combination of participatory approaches, field research and active monitoring has proven effective in measuring and evaluating the Adolescent Reproductive Health Education Program in the Cileunyi area. These findings provide valuable insights for program administrators, schools, and other stakeholders to improve the design and implementation of similar programs in the future.
Cost-Consequence Analysis of Levofloxacin Compared to Ceftriaxone in Community-Acquired Pneumonia of Adult Inpatients at X Hospital Surakarta Rahardjoputro, Rolando; Amrullah, Adhi Wardhana; Santoso, Joko; Saraswati, Hanugrah Ardya Crisdian; Ernawati; Astuti, Hutari Puji; Irdianty, Mellia Silvy; Fitriana, Rufaida Nur
JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA Vol. 11 No. 1 (2024): JURNAL FARMASI DAN ILMU KEFARMASIAN INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jfiki.v11i12024.89-100

Abstract

Background: Community-acquired pneumonia is still a significant cost-burden disease in healthcare facilities. Pharmacoeconomic analysis using the cost-consequence analysis (CCA) method of ceftriaxone compared to levofloxacin as a first-line empirical antibiotic has never been carried out. Objective: to model the clinical and economic impact of administering ceftriaxone as a first-line empirical antibiotic compared to its comparator levofloxacin for community-acquired pneumonia therapy in hospitalized adult inpatients from the perspective of healthcare facilities. Methods: This research is a retrospective observational study that collects medical records and patient billing data in X Hospital Surakarta from January to December 2022 period. The study was conducted from June to July 2023. Subjects were adult inpatients aged ≥ 18 years with community-acquired pneumonia and were given levofloxacin or ceftriaxone as first-line empiric antibiotics. The data taken included patient profile, antibiotic effectiveness and direct medical costs. Cost-consequence analysis (CCA) was used to compare levofloxacin to ceftriaxone to assess their impact on length of stay, antibiotic effectiveness, and direct medical costs based on a healthcare perspective. Results: The antibiotic effectiveness for levofloxacin was 75.00%, and ceftriaxone was 93.33%. The average length of stay for levofloxacin was 3.39 days, and ceftriaxone was 3.00 days. The total direct medical costs for levofloxacin were IDR 2,056,799, and ceftriaxone was IDR 1,969,627. Conclusion: The administration of ceftriaxone to levofloxacin as a first-line empirical antibiotic for community-acquired pneumonia in hospitalized adult patients had the consequence of increasing antibiotic effectiveness, reducing the length of stay and saving total direct medical costs by IDR 87,172.
PENGARUH PENGGUNAAN KINESIOTAPING TERHADAP PENURUNAN NYERI PUNGGUNG BAWAH PADA IBU HAMIL TRIMESTER III DI PMB BIDAN EVI MULYOREJO MALANG Putri, Wiecha Fitthasari; Astuti, Hutari Puji; Renny, Yunia
Physiotherapy Health Science (PhysioHS) Vol. 7 No. 2 (2024): Physiotherapy & Health Science (PhysioHS) - December 2024
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/physiohs.v7i2.35704

Abstract

Kehamilan merupakan proses fisiologis normal yang menyebabkan perubahan emosional, hormonal, dan fisik. Pada trimester III gangguan ketidaknyamanan yang sering muncul adalah nyeri punggung bawah. Gangguan ini bisa menyebabkan gangguan tidur dan aktivitas sehari-hari. Kinesiotaping merupakan pita elastis yang dipercaya dapat mengurangi nyeri dan meningkatkan fungsi tubuh. Penelitian ini bertujuan untuk mengetahui pengaruh penggunaan kinesiotaping dalam menurunkan nyeri pinggang bawah pada ibu hamil trimester III. Metode penelitian ini adalah quasi eksperimental dengan desain one group pretest-posttest. Penelitian ini dilaksanakan di PBM Bidan Evi Malang. 30 ibu hamil trimester III berpartisipasi dalam penelitian ini. Hasil uji statistik menunjukkan bahwa kinesiotaping secara signifikan menurunkan nyeri pinggang bawah pada ibu hamil trimester III (p<0.001). Penurunan nyeri berasal dari mekanisme kinesiotaping menstimulasi mekanoreseptor pada kulit sehingga menghambat impuls nyeri dihantarkan ke otak. Kinesiotaping juga menstimulasi otot-otot punggung dan memberikan support di bagian perut sehingga otot dapat bekerja lebih optimal. Kesimpulan dari penelitian ini adalah kinesiotaping berpengaruh dalam menurunkan nyeri pinggang bawah pada ibu hamil trimester III dan dapat dijadikan alternatif dalam penanganan nyeri pinggang bawah pada ibu hamil.
Pelatihan Patient Centered Care pada Mahasiswa Kesehatan sebagai Upaya Menurunkan Tingkat Nyeri Perineum Ibu Post Partum Sulistianto, Henri; Maretta, Megayana Yessy; Andhikatias, Yunia Renny; Astuti, Hutari Puji
Jurnal Pemberdayaan Umat Vol. 3 No. 2 (2024): Agustus
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/jpu.v3i2.4132

Abstract

Purpose: This community service activity aims to improve the knowledge and skills of health students about Patient Centered Care (PCC) as an effort to reduce the level of postpartum maternal pain. Methodology: This community service activity was carried out on health students who were practicing at RSUD Ibu Fatmawati Soekarno in Surakarta City. This activity was carried out through several stages, namely pretest, education, demonstration, and posttest. Results: The results of the community service show that students experienced an average increase in knowledge of 85.33% and an average increase in PCC practice of 76.22%. Limitations: Community service activities are carried out targeting health students in 1 practice area. Health students who were practicing at the time the activity was carried out were the targets of this community service activity, namely midwifery and nursing students. While other health students were not involved because they were not practicing at the time the activity took place Contribution: This community service activity can be an alternative in improving the knowledge and skills of Patient Centered Care of students who are prospective health service providers in the future.
FAKTOR-FAKTOR YANG MEMPENGARUHI KECEMASAN PADA IBU HAMIL Amalia, Sinta; Astuti, Hutari Puji; Wijayanti, Wijayanti
Jurnal Kebidanan Khatulistiwa Vol 11, No 2 (2025): Jurnal Kebidanan Khatulistiwa
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jkk.v11i2.1518

Abstract

Latar belakang : Kehamilan merupakan proses yang menyebabkan berbagai perubahan fisiologis seperti perubahan fisik, psikis, hormonal, sistem respirasi, dan sistem pencernaan yang kadang menimbulkan ketidaknyamanan pada ibu hamil. Perubahan hormonal ini sering diikuti oleh perubahan emosional, yang dapat menyebabkan kecemasan hingga depresi. Tujuan : Memahami faktor-faktor yang mempengaruhi tingkat kecemasan pada ibu hamil di PMB Yuni Nur Astuti, Sukoharjo. Metode: Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan teknik pengumpulan data triangulasi, yaitu observasi, wawancara mendalam, dan dokumentasi. Subjek penelitian terdiri dari 4 pasang informan utama dan kunci serta 1 informan pendukung. Hasil : Hasil penelitian ini menunjukkan bahwa: 1) Usia ibu hamil berpengaruh terhadap kecemasan, 2) Tingkat pendidikan mempengaruhi kecemasan ibu hamil, 3) Status ekonomi memiliki pengaruh terhadap kecemasan ibu hamil, 4) Dukungan suami, keluarga, dan tenaga kesehatan berpengaruh signifikan dalam mengurangi kecemasan ibu hamil, sementara dukungan lingkungan sekitar tidak berpengaruh, dan 5) Paritas juga berpengaruh terhadap kecemasan ibu hamil. Kesimpulan : Penelitian ini menunjukkan bahwa program edukasi dan konseling serta dukungan emosional yang komprehensif dari keluarga dan tenaga kesehatan sangat diperlukan untuk mengurangi kecemasan ibu hamil.
Co-Authors Aden Sutiapermana Agustin, Dinar Amalia, Sinta Amrullah, Adhi Wardhana Astuti, Andari Wuri Atep Jejen Awaliyah, Hardiyanti Fitrah Bernadetha Nadeak Christiani Bumi Pangesti, Christiani Bumi Erinda Nur Pratiwi, Erinda Nur Ernawati Estri Kusumawati HANDAYANI Ika Budi Wijayanti, Ika Budi Jaya, Vanny Oktaviani Joko Santoso Kartika Dian Listyaningsih, Kartika Dian Maretta, Megayana Yessy Mellia Silvy Irdianty, Mellia Silvy Noor Fitriyani PRIHANTINI Putri, Wiecha Fitthasari Ratih Pramita Wardhani Renny, Yunia Rika Ramadhona Rini Rahayu Ningsih Rolando Rahardjoputro Rufaida Nur Fitriana Saraswati, Hanugrah Ardya Crisdian Sulistianto, Henri Tresia Umarianti Wahyuningsih Safitri, Wahyuningsih Wijayanti Wijayanti Wijayanti, W Winarti, Gana Rendra Yunia Renny Andhikatias, Yunia Renny