Jurnal Kesehatan Hesti Wira Sakti

a ANALISIS PENGARUH KOMITMEN MANAJEMEN, PROSES JAMINAN MUTU TERHADAP BUDAYA HEALTH, SAFETY, SECURITY, ENVIROMENT AND QUALITY KARYAWAN DALAM PROGRAM SALAM LIMA JARI

sulaksono wijanarko — 2023-11-18

Introduction: The number of work accidents in Indonesia is admittedly still relatively high in 2021 with an increase of 5.65% in cases. RI Health Mandate No. 9 of 1960 concerning prevention and reducing the probability of accidents. Salam Lima Finger is a program that is the commitment of PT PDSI's board of directors to pay attention to the safety aspect which has no small impact on the survival of the company through the implementation of the Salam Lima campaign. Methods: The purpose of this study was to analyze the influence of commitment management and quality assurance processes on the HSSE and Quality culture in implementing the five-finger greeting program at PT PDSI. The research population was all employees at PT PDSI in the Jakarta office totaling 221 employees with a sample of 154 using the google form questionnaire. The research analysis used structural equation modeling (SEM) with the SmartPLS 3.0 application. Results: The results of the SmartPLS analysis prove that management commitment (X1) has a significant positive effect on the quality assurance process (X2) obtained by a path coefficient of 0.919 and a p-value of 0.000 <0.05, management commitment (X1) has a significant positive effect on HSSE quality culture (Y1 ) obtained a path coefficient of 0.312 and a p-value of 0.000 < 0.05 and the quality assurance process (X2) has a significant positive effect on the HSSE quality culture (Y1) obtained a path coefficient of 0.607 and a p-value of 0.000 < 0.05. Conclusion: There is a significant positive influence on management commitment and the quality assurance process on the HSSE quality culture and the quality of employees at PT. PDSI in support of the five-finger greeting program. It is hoped that the role of the board of directors and employees will maintain and improve the quality and culture of occupational health safety prevention and ensure safety for employees who are leadership-oriented in the regional area in drilling, workovers, and wellness services with world-class standards.

RELATIONSHIP BETWEEN PARENTS' KNOWLEDGE ABOUT STIMULATION OF GROWTH AND DEVELOPMENT CHILDREN AGED 0-12 MONTHS USING KPSP AT PUSKESMAS PIDIE JAYA

miniharianti — 2023-11-18

Introduction: Stimulating the growth and development of toddlers is a very important thing given by parents. If the stimulation is inadequate, the growth and development of the toddler will be disrupted. One factor that is still suspected of influencing child development is parental knowledge. The purpose of this study was to determine the relationship between parents' knowledge about stimulating growth and development in children aged 0-12 months using KPSP in the working area of the Pidie Jaya Health Center. The total sample is 67 parents using purposive sampling. This research was conducted from 10 to 25 July 2022. Methods: This research is a correlative descriptive with a cross sectional approach. Data collection was carried out using a questionnaire. While data analysis using the Chi Square test. Results: The results of the univariate test found that the dominant age category was in the late adult category (44.8%), dominant education was in the middle category (52.2%), dominant knowledge was in the less category (42.8%), Dominant development in the doubt as much (43.3%). The results of the bivariate test showed that the knowledge variable was significantly related to the development of children aged 0-12 months (P = 0.034). Conclusion: This research is expected to increase parents' knowledge about stimulating child development so that children can grow and develop optimally.

PENGARUH AKUPUNKTUR JIN’S 3 NEEDLE TERHADAP PENURUNAN SKOR DIZZINESS HANDICAP INVENTORY PENDERITA VERTIGO DI PRAKTEK MANDIRI AKUPUNKTUR “HK” MALANG

Leny Candra Kurniawan — 2023-11-18

ABSTRAK

Pendahuluan: Vertigo adalah kumpulan gejala akibat gangguan keseimbangan pada sistem vestibular ataupun sistem saraf pusat. Gejala mual, sakit kepala, tinnitus dapat menghambat rutinitas seseorang karena menyebabkan hilang keseimbangan. Di Indonesia pada tahun 2019, vertigo termasuk penyakit yang memiliki prevalensi besar. Distribusi vertigo paling banyak pada usia 41–50 tahun (38,7%) dan 51–60 tahun (19,3%) serta perempuan (72,6%) lebih berisiko mengalami vertigo. Akupunktur Jin’s 3 Needle bertujuan untuk menyeimbangkan sirkulasi Qi, melancarkan aliran darah yang mengangkut nutrisi, darah dan oksigen. Tujuan umum dari penelitian ini adalah untuk menurunkan Skor Dizziness Handicap Inventory pada penderita Vertigo. Metode: Desain penelitian menggunakan pra-ekperimental dengan pre dan post test group design dilakukan terhadap 10 responden yang diambil dengan metode accidental sampling. Data diambil menggunakan Skor Dizziness Handicap Inventory, kemudian dianalisis menggunakan paired sample t test dengan bantuan aplikasi SPSS 21. Hasil: ada pengaruh akupunktur Jin’s Three Needle dalam menurunkan Skor Dizziness Handicap Inventory penderita Vertigo, didapat hasil nilai signifikan (0.00) < dari nilai α (0.05), maka Ha diterima. Kesimpulan akupunktur Jin’s Three Needle berpengaruh terhadap penurunan Skor Dizziness Handicap Inventory pada penderita Vertigo. Saran memberikan informasi bagi penderita Vertigo untuk meringankan gejala vertigo secara alami

Kata kunci: Akupunktur Jin’s 3 Needle, Dizziness Handicap Inventory, Vertigo

THE EFFECT OF JIN'S 3 NEEDLE ACUPUNCTURE ON DECREASING DIZZINESS HANDICAP INVENTORY SCORE PATIENTS WITH VERTIGO IN PRACTICE OF MANDIRI AKUPUNKTUR "HK" MALANG

ABSTRACT

Introduction: Vertigo is a collection of symptoms due to balance disorders in the vestibular system or the central nervous system. Symptoms of nausea, headaches, tinnitus can hinder a person's routine because it causes loss of balance. In Indonesia in 2019, vertigo is a disease that has a high prevalence. The highest distribution of vertigo was at the age of 41–50 years (38.7%) and 51–60 years (19.3%) and women (72.6%) were more at risk of experiencing vertigo. Jin's 3 Needle Acupuncture aims to balance the circulation of Qi, improve blood flow which transports nutrients, blood and oxygen. The general objective of this study was to reduce the Dizziness Handicap Inventory Score in Vertigo sufferers. Methods: The research design used pre-experimental with pre and post test group design conducted on 10 respondents who were taken by accidental sampling method. Data were collected using the Dizziness Handicap Inventory Score, then analyzed using the paired sample t test with the help of the SPSS 21 application. Results: there is an effect of Jin's Three Needle acupuncture in reducing the Dizziness Handicap Inventory Score of Vertigo sufferers, the results obtained are significant values (0.00) < the value of α (0.05), then Ha is accepted. Conclusion: Jin's Three Needle acupuncture has an effect on reducing the Dizziness Handicap Inventory Score in Vertigo

sufferers. Suggestions provide information for Vertigo sufferers to relieve vertigo symptoms naturally.

Keywords: Jin's 3 Needle Acupuncture, Dizziness Handicap Inventory, Vertigo

PERBANDINGAN PENGARUH JACK-KNIFE STRETCHING DAN NORDIC HAMSTRING EXERCISE TERHADAP FLEKSIBILITAS OTOT HAMSTRING

Anita Faradilla Rahim — 2023-11-18

Introduction: Futsal require components that can support basic techniques, namely speed, agility, accuracy, explosive power, coordination, reaction, balance, and flexibility. Flexibility, especially in the lower extremities, plays an important role in futsal for running and movements quickly, that a skill that must be possessed by futsal players. Jack-Knife Stretching and Nordic Hamstring Exercise are methods of stretching muscles to increase flexibility, this research aimed to compare the effect of Jack-Knife Stretching and Nordic Hamstring Exercise on the flexibility of the hamstring muscles of futsal players. Methods: This study used a Quasi Experimental with Two Group Pretest-Posttest Design. Using the Sit and Reach Test as a tool to measure the flexibility of the hamstring muscles. The research population is Wakanda futsal players, the samples were 22 respondents who included the inclusion criteria . Result : The results of statistical analysis for the comparison test of the effect between the two treatments using the Independent T Test showed a p value of 0.836 (p>0.05), which means H₀ is accepted. Conclusion: There is no difference in the effect of Jack-Knife Stretching and Nordic Hamstring Exercise on the flexibility of the hamstring muscles of futsal players.

THE EFFECT OF L.A.S.T (LIGAMENTOUS ARTICULAR STRAIN TECHNIQUE) ON CHRONIC ANKLE SPRAIN FUNCTIONAL CHANGES IN FUTSAL ATHLETES

DESY PERDANA — 2023-11-18

Introduction: 75 percent of ankle injuries are ankle sprains. Ankle sprains significantly impact athletes who cannot perform activities that use their feet as usual. Methods: Using a Pre-Experimental Design with a One Group Pretest-Posttest Design, using a paired sample t-test. The total sample was 22 men who were grouped into one group, all samples were given the same treatment, namely LAST (Ligamentous Articular Strain Technique) intervention for 4 weeks. Functional measurement of the ankle using the FADI parameter (Foot and Ankle Disability Index) Results: The results obtained were p <0.005 that there was an effect of LAST on functional ankle changes in futsal athletes with chronic ankle sprain conditions. Conclusion: LAST can improve ankle functional changes in chronic ankle sprain conditions.

DIFFERENCES IN THE QUALITY OF LIFE OF HYPERTENSIVE AND NON-HYPERTENSIVE ELDERLY IN BOKOHARJO VILLAGE, WORKING AREA PUSKESMAS PRAMBANAN, SLEMAN

Rumini Widyasningrum — 2023-11-18

ABSTRACT

Background : Hypertension is one of the focuses of health attention in the world, especially in developing countries and is a cause of high morbidity and mortality throughout the world. The increase in the number of hypertension sufferers, especially in the elderly with all the biopsychosocial problems caused, has resulted in a decrease in the quality of life of sufferers

Research objective: To find out the differences in the quality of life of hypertensive elderly and non-hypertensive elderly in Bokoharjo Village Prambanan Health Center, Sleman Yogyakarta

Methods: This type of research is quantitative using a descriptive comparative design with a cross sectional design. The research population for elderly hypertension and non-hypertension in Bokoharjo Village, Prambanan Health Center, totaling 1293 people, was taken using the Proportional Random Sampling technique, with 102 samples consisting of 2 groups of hypertensive elderly, 51 people and 51 elderly people who were not hypertensive. The data collection tool used the World Health Organization Quality Of Life (WHOQOL) –100 questionnaire. Data analysis used an independent sample t-test

Results: The results showed that the elderly with hypertension had a quality of life score of 75.02 ± 4.41 and the elderly without hypertension had a quality of life score of 80.43 ± 6.33 with a p value of 0.000 (p <0.05).

Conclusion: There is a difference between the quality of life of hypertensive elderly and non-hypertensive elderly in Bokoharjo Village Prambanan Health Center, Sleman Yogyakarta

keywords: Quality of Life, Elderly, Hypertension

METODE AKUPRESUR TITIK ST36 SEBAGAI UPAYA PENATALAKSANAAN KEJADIAN EMESIS GRAVIDARUM PADA IBU HAMIL TRIMESTER I

Happy Firliya Awal — 2023-11-18

The most typical main complaint experienced by pregnant women practically everywhere in the globe is emesis gravidarum. Variations in high hCG levels are a factor in emesis gravidarum. In Indonesia, 50–85% of pregnant women experience this condition. According to other research, 60–80% of primigravida and 40–60% of multigravida develop emesis gravidarum. The study was conducted at PMB Wartini Rejoyoso to examine the effects of acupressure point ST36 treatments on emesis gravidarum in first-trimester pregnant women. Pra experimental design. The population of all first-trimester pregnant women at Independent Practice Midwife (PMB) Wartini Rejoyoso who experienced emesis gravidarum was 26 people, and the samples were 16 each of acupressure SOP and PUQE-24. instrumentation, a 7-minute intervention every morning for 7 days, and Wilcoxon Match Pairs Test data analysis. According to the data, there was significant emesis in 62.5 percent of people prior to the intervention and mild emesis in 93.8 percent of people after it, with a p value of 0.03 to α 0.05. Conclusion: ST36 acupressure may have an impact on the frequency of emesis gravidarum in the first trimester. When feeling queasy or sick, pregnant women are expected to apply acupressure to ST36.

Keywords: Acupressure Point ST 36, Emesis Gravidarum, First Trimester

- ANALISIS PENGARUH KOMPETENSI PROFESIONAL DOSEN DAN FASILITAS BELAJAR TERHADAP KEPUASAN PEMBELAJARAN DARING MAHASISWA KESEHATAN

Juliati Koesrini — 2023-11-18

Introduction: Covid-19 cases that occurred in Indonesia since 2020 until now have an impact on the implementation of online learning. The impact of it on student satisfaction varies widely, and some feel less satisfied. The purpose was to analyze the effect of professional competence of lecturers and learning facilities on the satisfaction of online learning on health students. Method: Observational design with a cross sectional, the population is all students of even semester in ITSK RS dr. Soepraoen a number of 1,953 people on 11 study programs, a sample of 563, convenience sampling, data collection by providing informed consent and google forms, data analysis using multiple linear regression. Results: Coefficient score of the lecturer professional competence variable (X1) toward student learning satisfaction (Y) (1.327) with a constant of 5.699. The coefficient correlation of it (0.751), p value (0.000). Learning facility coefficient score (X2) toward learning satisfaction (Y) (1.020) with constant 2.131, coefficient correlation 0.671, p value (0.000). The multiple linear regression coefficient has a constant of 1.064. The regression coefficient score of the lecturer's professional competence (X1) is 0.974, p value (0.000). Conclusion: Have effect of professional competence of lecturers and good facilities toward satisfaction online learning.

PENGARUH PEMBERIAN BUPIVACAINE 0,5 % DOSIS 15 mg DAN 20 mg TERHADAP PENURUNAN TEKANAN DARAH SISTOL PADA TINDAKAN URETEROSCOPIC LITHOTRIPSY

Waelan waelan — 2023-11-18

Decreased blood pressure, is one of the problems that often occurs during URS procedures with spinal anesthesia, although not always significantly. Therefore, it is very important to choose the right dose of bupivacaine so that unwanted side effects can be minimized, (American Society of Anesthesiologists., 2021). Bupivacaine 0.5% doses of 15 mg and doses of 20 mg are often used to provide anesthesia, but it is still unclear whether higher doses provide significant clinical benefits or actually increase the risk of side effects, (Wang, L. Z., at. all., 2015 ). The purpose of this study was to analyze the effect of giving a dose of 0.5% bupivacaine 15 mg and 20 mg on reducing systolic pressure in ureteroscopic procedures with spinal anesthesia. This study can provide important information regarding therapeutic doses, so that postoperative follow-up care related to the risk of lowering blood pressure can be minimized. Methods: The study design was an analytic observational prospective cohort design, looking at the differences in the observed results between the two groups given injections of 0.5% bupivacaine doses: 15 mg and 20 mg. The population, namely patients who underwent URS procedures with spinal anesthesia, totaled 60 respondents who were divided into two groups: the first 30 respondents were given a dose of 15 mg and the second dose was 20 mg. The research was carried out in the operating room at the Army Hospital Level II Malang within one month of research. Independent variable: administration of 0.5% bupivacaine injection at a dose of 15 mg and 20 mg and dependent variable: decrease in systolic blood pressure in URS patients with spinal anesthesia. Using the Biocare Patient Monitor Model iM 15 instrument and recorded on the observation sheet, which was carried out before being given the local anesthetic drug bupivacaine 0.5% and after giving anesthesia in the first 5 minutes, 10 minutes and 15 minutes. Bivariate data analysis, namely by using the Independent T-Test Different Test was processed with the help of a computer using the SPSS series 22 application. Results: Injection of 5% bupivacaine doses with 15 mg and 20 mg had the same effect on reducing systolic blood pressure in URS with spinal procedures anesthesia, the decrease in blood pressure was within normal limits. There was no significant difference in the average systolic blood pressure reduction values, namely 13.13 mmHg and 15.3 mmHg so that the difference in the average value was only 1.87 mmHg and the significance values were p values 0.000 and 0.001. This is because the use of doses is still within the safe limits recommended by pharmaceutical manufacturers, the systolic blood pressure measurement time carried out by researchers is up to 15 minutes after injection of bupivacaine which should be up to 40 minutes after injection. Suggestion: Injection of a dose of 5% bupivacaine with 15 mg and 20 mg in the URS procedure with spinal anesthesia is still effective for use and for future researchers the minimum time to measure blood pressure is up to 40 minutes after the injection is carried out.

UJI AKTIVITAS ANTIBAKTERI PADA EKSTRAK ETANOL BIJI JINTEN HITAM (Nigella Sativa) TERHADAP PERTUMBUHAN BAKTERI Salmonella Thyphi murium DENGAN METODE DISC DIFFUSION

Ivan Charles Seran — 2023-11-18

Pendahuan: Salmonella typhi (S. typhi) merupakan kuman patogen penyebab demam tifoid, yaitu suatu penyakit infeksi sistemik dengan gambaran demam yang berlangsung lama. Kandungan metabolit sekunder yang terdapat pada biji jintan hitam (Nigella Sativa) dapat digunakan sebagai antibakteri antara lain flavonoid, saponin, terpenoid, steroid dan alkaloid. Penelitian ini dilakukan untuk menguji aktivitas antibakteri ekstrak etanol biji jintan hitam terhadap pertumbuhan antibakteri Salmonella thyphi. Metode: Uji antibakteri pada penelitian ini menggunakan metode disc diffusion atau kertas cakram dengan menggunakan berbagai kosentrasi, diantaranya 10%, 20%, 30%, 40% dan 50%. Ekstrak etanol menggunakan metode maserasi dengan pelarut etanol 96%. Selain kelompok uji, juga terdapat kelompok kontrol, kontrol positif yang menggunakan antibiotik kloramfenikol, dan kontrol negatif menggunakan DMSO (Dimetil Sulfoksida) 5% sebagai pelarut ekstrak. Hasil: Hasil penelitian menunjukkan bahwa hasil ekstrak etanol biji jintan hitam dapat digunakan sebagai antibakteri. Hal ini ditandai dengan terbentuknya zona hambat pada bakteri salmonella thyphi. Zona hambat yang dihasilkan Salmonella thyphi pada kosentrasi 10%, 20%, 30%, 40% dan 50% memiliki kategori zona hambat Susceptible. Pada kosentrasi 10% memiliki rata – rata zona hambat sebesar 8,25 mm, kosentrasi 20% memiliki rata – rata zona hambat sebesar 13,7 mm, kosentrasi 30% memiliki rata – rata zona hambat sebesar 18,5 mm, kosentrasi 40% memiliki rata – rata zona hambat sebesar 23,5, kosentrasi 50% memiliki rata – rata zona hambat sebesar 26,2 mm. Kesimpulan: uji analisis statistik ekstrak biji jintan hitam terhadap bakteri salmonella thyphi menunjukkan hasil uji normalitas Shapiro Wilk data tidak terdistribusi secara signifikan.

EFFECT OF PRENATAL GENTLE YOGA ON RUPTURE PERINEUM OF MATERNITY MOTHERS IN PMB KEJAYAN SUB-DISTRICT

Mislah Mislah — 2023-11-18

Process of childbirth occurs physiologically, often causing spontaneous or intentional rupture or tearing of the perineum by health workers to save the mother and baby during the birth process. Rupture perineum if not handled properly can endanger the mother and fetus, and can cause complications including hematoma, fistula, infection and bleeding. This study aims to analyze the effect of prenatal gentle yoga on rupture perineum of maternity mothers in PMB Kejayan Sub-District. The research method uses a quasy experimental approach with a two group posttest only design. The population in this study were mothers giving birth at PMB Kejayan Sub-District, Pasuruan Regency with a total sample of 32 people. Sampling using total sampling. The instrument used was an observation sheet for the degree of perineal rupture. The analysis technique uses the Wilcoxon test. The results showed that the rupture perineum of mothers who did not do prenatal gentle yoga was mostly grade 1 rupture perineum and the rupture perineum of mothers who did prenatal gentle yoga had almost no tears. The results of the Wilcoxon test obtained a p-value of 0.001 <0.05, meaning that there is a prenatal gentle yoga effect on rupture perineum of maternity mothers in PMB Kejayan District, Pasuruan Regency. Prenatal gentle yoga is effective in minimizing the incidence of rupture perineum in pregnant women.

It is expected that pregnant women should routinely do prenatal gentle yoga which aims to flex the muscles of the birth canal, so as to minimize the occurrence of rupture perineum during labor.

- PENGARUH AIR REBUSAN DAUN SIRIH MERAH (PIPER CROCATUM) TERHADAP KEJADIAN FLOUR ALBUS PATOLOGIS PADA REMAJA PUTRI MAN 2 PASURUAN DI PESANTREN AL-YASINI

Bachriatus sakina — 2023-11-18

Leucorrhoea is discharge other than blood from the vaginal canal out of habit, which can be accompanied by odor and itching. To overcome leucorrhoea, a pharmacological approach can be taken by administering drugs and a non-pharmacological approach by administering betel leaf decoction. Betel leaf contains antibacterial and antifungal compounds, especially essential oil with the main component of phenol, which has high antiseptic and antioxidant properties and is antibacterial. at the Alyasini Islamic boarding school. The research method used was pre-experimental with a one group pretest-posttest design. The research sample consisted of 17 female adolescents who experienced pathological vaginal discharge, and the study was conducted in the period June-July 2023. Data analysis was carried out using univariate and bivariate methods with statistical tests carried out using the Paired sample T-Test. This indicated that giving boiled water Red betel leaf has a significant effect on the incidence of pathological vaginal discharge with a p-value of <0.000. Based on these findings, it can be concluded that young women who experience pathological flour albus can apply red betel leaf boiled water as a non-pharmacological drug

Keywords: Red betel leaf boiled water, Pathological vaginal discharge, Young women

HUBUNGAN STATUS AMERICAN SOCIETY OF ANESTHESIOLOGIST TERHADAP WAKTU PENCAPAIAN BROMAGE SCORE 2 DI RUANG PEMULIHAN PASIEN SECTIO CAESAREA DENGAN SA

Muhammad Aliyafih — 2023-11-18

ABSTRACT

Background: Spinal anesthesia in sectio caesarea surgery was previously carried out pre-anesthesia evaluation with the ASA (American Society of Anesthesiologists) assessment to ensure the implementation of safe anesthetic care for patients. The aim of this study was to determine the relationship between ASA physical status and the time to achieve Bromage score 2 in the recovery room for sectio caesarea patients with spinal anesthesia at Intan Medika Hospital, Lamongan. Methods: Observational-analytic research using cross-sectional methods with a total sample of 73 respondents. Data collection was carried out by direct observation and statistical analysis using univariate analysis and Spearman's correlation test. Results: ASA physical status has a positive relationship with the length of time to achieve a Bromage score of 2 in Caesarean section patients with spinal anesthesia (p = 0.000 <0.05; r = 0.527). Conclusion: ASA physical status is related to the length of time it takes to achieve Bromage score 2 in sectio caesarean patients with spinal anesthesia at Intan Medika Lamongan.

Keywords: ASA Physical Status, Bromage Score 2, Sectio Caesaria, Spinal Anesthesia

POLA KECEMASAN PASIEN YANG AKAN DILAKUKAN ANESTESI PADA OPERASI ELEKTIF DI INSTALASI BEDAH SENTRAL RSUD BHAKTI DHARMA HUSADA SURABAYA

Muhammad Fauzi — 2023-11-18

ABSTRACT

Introduction: Preoperative anxiety is a normal response to life-threatening situations and conditions for patients. Preoperative anxiety is often associated with fear of surgical procedures, anesthetic procedures, and information needs fulfillment factors. Assessment of the right pattern of anxiety can determine the appropriate management in dealing with anxiety. The purpose of this study was to determine the anxiety patterns of preoperative patients at Bhakti Dharma Husada Hospital, Surabaya. Methods: This study used a quantitative descriptive method with a cross sectional approach. The research subjects included preoperative patients at Bhakti Dharma Husada Hospital, Surabaya. The sample is 68 people. Measurement of anxiety using the APAIS scale (Amsterdam preoperative anxiety and information scale). Data analysis using Descriptive Statistical Test. Results: The majority of respondents were female (58.8%), aged 26 -35 years (44.1%), had high school education (63.2%), had a general anesthesia plan (63.2%), and had no surgical experience ( 73.5 %). The majority of respondents experienced moderate anxiety (47.1%), then severe anxiety (32.4%), mild anxiety (14.7%), panic (5.9%), and not anxious (0%). The majority of respondents have an element of anxiety related to the need for information. Discussion: The pattern of respondents' anxiety based on the APAIS instrument shows that the majority of respondents in this study experienced moderate anxiety, with elements of anxiety related to the need for information. Researchers suggest that health workers always carry out an anxiety assessment before surgery, so that they can provide appropriate management in reducing patient anxiety.

Keywords: Anxiety, Pre operative, Pre Anesthesia

PENGARUH ENDORPHIN MASSAGE TERHADAP NYERI PUNGGUNG PADA IBU HAMIL TRIMESTER III DI TPMB SUMARIYAH S.Tr. Keb CEMOROKANDANG

Lisa Nur Sri Dewi — 2023-11-18

Penelitian ini memiliki tujuan untuk menginvestigasi efek dari Endorphin massage terhadap nyeri punggung pada ibu hamil yang berada pada trimester III di Desa Cemorokandang, Kec. Kedungkandang, Kota Malang, Jawa Timur. Metode penelitian yang diterapkan adalah pra-eksperimental dengan menggunakan desain one-group pretest post-test. Populasi riset melibatkan seluruh ibu hamil pada trimester III di Desa Cemorokandang, Kec. Kedungkandang, dengan jumlah total 33 ibu hamil. Sebanyak 18 ibu hamil menjadi subjek riset ini, yang dipilih dengan mengaplikasikan metode consecutive sampling yang sangat selektif. Fokus riset ini ialah pengaruh dari Endorphin massage terhadap tingkat nyeri punggung pada ibu hamil trimester III. Riset ini mengaplikasikan alat pengukuran yang inovatif, seperti kuesioner, lembar SOP, dan lembar penilaian dengan mengaplikasikan skala FPS-R (FacePainScale-Revised). Untuk menganalisis data, peneliti mengaplikasikan Uji Wilcoxon Match Paired Test, yang merupakan metode analisis yang sangat kuat. Hasil yang mengejutkan dari riset ini mengungkapkan bahwa sebelum menjalani Endorphin massage, sebagian besar responden mengalami tingkat nyeri yang melampaui angka 10 (55,6%), sedangkan tingkat nyeri paling rendah hanya dialami oleh 2 responden dengan tingkat sangat nyeri (11,1%). Setelah menjalani Endorphin massage, data menunjukkan bahwa tingkat nyeri terbanyak adalah tidak nyeri dengan jumlah 9 responden (50,0%), sedangkan tingkat nyeri paling rendah adalah sedikit nyeri dengan jumlah 4 responden (22,2%). Uji statistik Wilcoxon Match Paired Test menghasilkan p = 0,000 < α (0,05), yang berarti hipotesis alternatif dapat diterima. Maka, dapat disarikan bahwa terdapat pengaruh yang signifikan dari Endorphin massage terhadap nyeri punggung pada ibu hamil trimester III di Desa Cemorokandang, Kec. Kedungkandang. Sebagai rekomendasi, peneliti menyarankan agar riset ini menjadi referensi bagi peneliti masa depan, serta memberikan kontribusi positif dan menjadi pertimbangan bagi penelitian yang akan datang.

Kata Kunci : Endorphine Massage, Nyeri Punggung, Ibu Hamil Trimester III.