scholarly journals Emotional Freedom Techniques for Reducing Anxiety and Cortisol Level in Pregnant Adolescent Primiparous

2018 ◽  
Vol 7 (1) ◽  
pp. 1-6
Author(s):  
Mardjan Mardjan ◽  
Yayi Suryo Prabandari ◽  
Mohammad Hakimi ◽  
Carla R. Marchira

ABSTRACT Anxiety during pregnancy in  primiparous mother will be a hard burden because of the immature both psycologic and reproductive organs which can increase the risk of maternal mortality, infant mortality, prolonged childbirth, LBW, postpartum depression, etc. An effort to minimize the anxiety is the implementation of EFT (Emotional Freedom Techniques) during the third trimester.  This research purposed to assess the effectiveness of EFT to decrease anxiety in facing childbirth. This research used the quasi-experimental pre-test and post-test method of treatment and control. The treatment was done during the third trimester, started and followed for 3 months ie month 7th, 8th, 9th. The EFT was implemented every month then continued independently by the mother, until before childbirth process. The research instrument used TMAS (Taylor Manifest Anxiety Scale) and cortisol blood test. The subjects were 38 respondents consisted of 19 interventions and 19 controls. Result with paired t-test, TMAS1,2,3, each stage got significant difference, pre and post blood cortisol level p = 0.0001. Linear regression analysis on TMAS p = 0.001 and R² = 0.57, whereas blood cortisol level p = 0.004 and R² = 0.43. This analysis proved EFT contributed significantly 57% to lower anxiety levels and 43% to lower blood cortisol level, indirectly affected the readiness to face childbirth process.                                                            ABSTRAK         Kecemasan selama kehamilan pada ibu primipara akan memberatkan kondisi bayi dalam kandungan karena secara psikologis kejiwaannya belum siap dan organ reproduksi belum sempurna yang dapat meningkatkan risiko dalam persalinan dan merupakan salah satu faktor penyebab kematian ibu, bayi, partus lama, BBLR, depresi postpartum, dll. Upaya meminimalisasi kecemasan ini dilakukan dengan metode EFT (Emotional Freedom Techniques) selama trimester ketiga.         Tujuan penelitian untuk mengetahui efektivitas EFT terhadap penurunan kecemasan dalam menghadapi persalinan. Penelitian ini menggunakan metode quasi eksperimen pre test dan post terhadap perlakuan dan kontrol. Perlakuan  dilakukan selama trimester III, dimulai dan diikuti selama 3 bulan yaitu  bulan ke-7, 8, 9. EFT dilakukan setiap bulan dan dilanjutkan secara mandiri oleh ibu, sampai menjelang persalinan. Instrumen penelitian menggunakan TMAS (Taylor Manifest Anexity Scale) dan pemeriksaan darah kortisol. Subyek penelitian 38 responden, terdiri atas 19 intervensi dan 19 kontrol.         Hasil penelitian  dengan uji paired t-test, TMAS1,2,3, setiap tahapannya didapatkan perbedaan bermakna yaitu kortisol darah pre dan post p=0,0001, analisa regresi liniear TMAS   p = 0,001, dan R² = 0,57; serta kortisol darah p=0,004 dan R²=0,43. Analisa ini membuktikan EFT berkontribusi 57% menurunkan tingkat kecemasan dan 43%  dalam menurunkan kortisol darah secara signifikan yang secara tidak langsung  berpengaruh terhadap kesiapan menghadapi persalinan.   

2021 ◽  
Vol 4 (2) ◽  
pp. 37-44
Author(s):  
Dewi Susanti ◽  
Mohamad Hasinuddin

Anxiety is a natural disorder of feeling characterized by a feeling of deep and sustained fear or concern. The results of preliminary studies that had been done in Polindes Pademawu Timur, there were 10 pregnant women experience anxiety. The purpose of this study was to analyze the differences between Mozart and murottal Al-qur'an music on the anxiety of pregnant women in the third trimester in the face of labor. This research used quasy experiment design. This design used a pretest and posttest design approach. The independent variables were mozart music therapy and murottal therapy of the Qur'an. The dependent variable was anxiety. The population is the third trimester pregnant women who got experience anxiety. The sample was taken as many as 18 pregnant women who were divided into mozart music therapy group and murottal Al-Qur'an therapy group. The instrument used was the questionnaire of hamilton rating scale for anxiety (HRSA). The results were analyzed using paired t-test on mozart music therapy and murottal therapy Al-Qur'an with value α = 0,05. The result of statistical test by used paired t-test in mozart music therapy group (ρ = 0,006). The result of statistic test using paired t-test in murottal therapy group of Al-Qur'an is (ρ = 0,000) meaning there was difference of pre patient's anxiety surgery between before and after mozart music therapy and murottal therapy of the Qur'an. The independent t-test showed the significance value ρ = 0.228. So it can be concluded that there was no difference in decreased anxiety of third trimester pregnant women between given mozart music therapy and murottal therapy Al-Qur'an. The results of this study is expected to get the experience of respondents and the application of mozart music therapy and murottal therapy Al-Qur'an in reducing anxiety in third trimester pregnant women.


2020 ◽  
Vol 5 (2) ◽  
pp. 114-121
Author(s):  
Jeff Agung Perdana ◽  
Yudo Harvianto

Cardiorespiratory endurance in sports is very important. Because cardiorespiration is closely related to human activities doing work and moving. This research is motivated by cardiorespiratory fitness which is closely related to human activities doing work and moving and exercising. This study aims to determine the differences in cardiorespiration endurance among students who take extracurricular volleyball and basketball. This study uses a comparative research design with the test method. The subjects of this study were 19 basketball basketball extracurricular students and 20 volleyball extracurricular students. Data collection techniques in this study used a measurement test. The instrument used in this study was a multistage fitness test. The analysis technique used is the t-test (Paired t-Test). The results of statistical analysis showed that there was a significant difference between cardiorespiration endurance between students who took extracurricular volleyball and basketball with male students t count = 3.354 greater than t (0.05) (9) = 2.36 and female students that t arithmetic = 3.053 is greater than t (0.05) (8) = 2.31 at a significance level of 5%. The difference in cardiorespiration endurance between students who take extracurricular volleyball and basketball is male students by 13.31% and female students 18.64%.Keywords: Basketball, volleyball, cardiorespiration, Sport, Student AbstrakKetahanan kardiorespirasi dalam berolahraga sangatlah penting. Sebab kardiorespirasi erat kaitannya dengan kegiatan manusia melakukan pekerjaan dan bergerak. Penelitian ini dilatarbelakangi oleh kebugaran kardiorespirasi yang erat kaitannya dengan kegiatan manusia melakukan pekerjaan dan bergerak serta berolahraga. Penelitian ini bertujuan untuk mengetahui perbedaaan daya tahan kardiorespirasi antara  peserta didik yang mengikuti ekstrakutikuler bolavoli dan bolabasket. Penelitian ini menggunakan desain penelitian kompratif dengan metode tes. Subjek penelitian ini adalah 19 siswa ekstrakurikuler bolabasket dan 20 siswa ekstrakurikuler bola voli.  Teknik pengambilan data dalam penelitian ini menggunakan tes pengukuran. Instrumen yang digunakan dalam penelitian ini adalah multistage fitness test. Teknik analisis yang digunakan yaitu uji-t ( Paired t-Test ). Hasil analisis statistika diperoleh hasil bahwa ada perbedaan yang signifikan antara daya tahan kardiorespirasi antara  peserta didik yang mengikuti ekstrakutikuler bolavoli dan bolabasket dengan siswa putra t hitung = 3,354 lebih besar dari t(0,05)(9)  = 2,36 dan siswa putri bahwa t hitung = 3,053 lebih besar dari t(0,05)(8)  = 2,31 pada taraf signifikansi 5%. Perbedaan daya tahan kardiorespirasi antara peserta didik yang mengikuti ekstrakutikuler bolavoli dan bolabasket adalah siswa putra sebesar 13,31% dan siswa putri 18,64%.Kata kunci: Bola basket, bola voli, kardiorespirasi, olahraga, siswa


2020 ◽  
Vol 6 (1) ◽  
pp. 143-156
Author(s):  
Christine Aden ◽  
Marselinus Heriteluna

Postpartum recovery of the reproductive organs, especially the uterus, should occur immediately. The uterus should return to its pre-pregnancy size. Treatment to restore maternal health during the postpartum period was carried out by the Dayak community by using the herbal concoction of Tawas Ut (Ampelocissus Rubuginosa L). This study aims to determine the health status of post-partum mothers by administering the Tawas Ut herb as a food product. paired t-test). It was found that there was a significant difference in the mean fundal height between the intervention and control groups (p-value 0.012) with a difference of 2.91, or there was a difference of 61.1%. The results of the Paired t-test showed that there was a significant difference in the mean uterine fundal height between before and after the intervention period (p-value 0.0005) with a difference in uterine fundal height of 10.45 cm or a change of 84%. This shows that the local-based food of Tawas Ut has effects on the health status of postpartum mothers, which can reduce leukocytes by 32% and reduce uterine fundal height by 84% to normal sizes as before pregnancy. The use of this product is recommended to be used as a companion to standard service programs for postpartum mothers to support government programs to reduce maternal morbidity and mortality due to postpartum problems.


2020 ◽  
Vol 8 (B) ◽  
pp. 168-174
Author(s):  
Sonja Kuzmanovska ◽  
Daniela Miladinova

OBJECTIVE: Our goal was to evaluate the analytical performance of the novel immunoassay platform and to compare the agreement between thyroid-stimulating hormone (TSH) and FT4 results, obtained by novel and currently used platform. MATERIALS AND METHODS: Both immunoassay platforms, current Immulite 2000 and novel Maglumi 800, are based on chemiluminecsence immunoassay method. Analytical performance was evaluated by the use of serum pools and commercial quality control samples. The comparison study was carried out with 80 serum samples. Obtained results were analyzed by descriptive statistics, Mann–Whitney U-test, and Paired t-test. Method comparison was performed with Passing-Bablok regression analysis and Bland-Altman plots. RESULTS: TSH Maglumi 800 showed better within-run precision for both concentration ranges (1.7–2.8 CV%) in comparison to Immulite 2000 (4.4–5.7 CV%). FT4 Maglumi 800 imprecision was higher compared with Immulite 2000 FT4 in both within-run (3.5–3.9 CV% vs. 4.9–6.6 CV%) and between-run (3.6–4.2 CV% vs. 4.6–5.9 CV%) tests. Mann–Whitney U-test for TSH revealed non-significant difference between data (p = 0.9011). Regression analysis showed no systematic (intercept = 0.01), nor proportional (slope = 0.9781) differences. Non-significant bias was observed in Bland-Altman Plots. For FT4, we found significant differences between methods using paired t-test (t39 = 10.5, p < 0.0001) and significant difference (p = 0.00745) with Mann–Whitney U-test. Bland-Altman plot revealed 22.8% average bias. CONCLUSION: TSH evaluation showed good precision and close agreement between Maglumi 800 and Immulite 2000 methods, which assures transferability of results. However, FT4 performance evaluation revealed higher imprecision of Maglumi 800 platform and significant differences of test results.


2021 ◽  
Vol 5 (1) ◽  
pp. 272-279
Author(s):  
Dewi Kartika Sari ◽  
Halimatus Saidah

Anemia in pregnant women is a condition of hb levels below normal, which is below 11 gr / dl. Cangkupan giving Fe in kediri city has met the target of above 90% but still found pregnant women who have anemia. The goal of this study is to find out the effectiveness of Vitamin C and vitamin b12 against hemoglobin levels in pregnant women in the third trimester. This type of research is a pre-experimental study with two groups of pre post test designs with the population is a trimester III pregnant woman with anemia. The statistical test used is to use the paired T test and the unpaired T test. Based on the results of the study found that there is an effect of Vitamin C on hemoglobin levels in pregnant women with a p value: 0.000 and there is an effect of vitamin B12 on hemoglobin levels in pregnant women with a p value: 0.002. From the results of the Unpaired T Test there is a significant difference between vitamin C and Vitamin B12 there are hemoglobin levels in pregnant women in the third trimester with a value of p value: 0.038. From the results of the study, it is expected that health workers can provide additional vitamins, especially vitamin C and Vitamin B12 for the absorption of Fe tablets in pregnant women to avoid anemia.


Author(s):  
Adeleh Sadeghloo ◽  
Parna Shamsaee ◽  
Elham Hesari ◽  
Golbanhar Akhondzadeh ◽  
Hamid Hojjati

Abstract Introduction Thalassemia, as the most common chronic hereditary blood disorder in humans, can impose many adverse effects on parents and their affected children. On the other hand, positive thinking is the method or the result of a positive focus on a constructive issue, so by teaching positive thinking, we can improve physical and social function, and promote emotional health and overall quality of life. The aim of this study was to determine the effect of positive thinking training on the quality of life of parents of adolescents with thalassemia. Methods This quasi-experimental study was performed on 52 parents of adolescents with thalassemia who attended Taleghani Hospital in Golestan province, Iran in 2017. Samples were randomly assigned into two groups of intervention and control. The positive thinking training (based on the theory of Martin Seligman) was carried out in the intervention group in 10 (45–60 min) sessions over a 5-week period. Data collection tools in this study were the World Health Organization (WHO) quality of life questionnaire (WHOQOL-BREF) and a demographic information questionnaire. Data were analyzed by SPSS-16 software using independent t-test, the paired t-test and a covariance test. Results The results of paired t-test showed a significant difference in the score of quality of life in intervention group before and after the intervention (p < 0.001). However, this test did not show any significant difference in the control group (p = 0.11). The covariance test, after removing the pre-test score, showed a significant difference between the intervention and control groups in terms of the score of quality of life, so that 13% of the changes after the intervention were due to the intervention (p = 0.009, η = 0.13). Conclusion The positive thinking training increased the quality of life of parents of adolescents with thalassemia. Therefore, using this program can be an effective way of improving the quality of life of parents. Thus, positive thinking training is suggested to be used as an effective strategy for increasing the quality of life of parents with ill children.


Author(s):  
Pooja A Mulchandani ◽  
Trupti Warude ◽  
Amrutkuvar Pawar

Objectives: To compare the effect of gluteal muscle strengthening along with conventional exercises versus conventional exercises alone on flat foot.Method: An experimental study conducted at Physiotherapy Department of Krishna Institute of Medical Sciences, Karad. A total of 52 subjects were equally divided into two groups using convenient sampling with random allocation (Groups A and B). Baseline treatment was given to both groups (intrinsic muscle strengthening). Group A was given intrinsic muscle strengthening alone while Group B was given gluteal muscle strengthening along with intrinsic muscle strengthening.Result: Statistical analysis was performed using paired t-test and unpaired t-test. In pre-intervention there was no statistically significant difference seen with p values for the navicular drop was 0.3563 and for Ink test was 0.7342. While on comparing the post-interventional values, the results between the two groups using paired t-test revealed that there was extremely significant difference seen with p-value for the navicular drop was <0.0001 and for Ink test was <0.0001.Conclusion: From the study, it can be concluded that there was a significant effect of gluteal muscle strengthening on the flat foot.


2017 ◽  
Vol 24 (8) ◽  
pp. 1126-1130 ◽  
Author(s):  
Neda Sattarnezhad ◽  
Samantha Farrow ◽  
Dorlan Kimbrough ◽  
Bonnie Glanz ◽  
Brian Healy ◽  
...  

Background: Visual symptoms are common in multiple sclerosis (MS). Low-contrast visual acuity (LCVA) testing using Sloan charts has demonstrated increased sensitivity for visual deficits compared to high-contrast acuity testing. Computerized testing of visual acuity may facilitate use in the clinic setting. Objectives: To evaluate the agreement between an iPad-based and Sloan testing of LCVA in a cohort of MS patients. Methods: A total of 38 patients with relapsing-remitting MS were enrolled after providing informed written consent at Partners MS Center, Brigham and Women’s hospital. Monocular LCVA was measured using retroilluminated Sloan chart and iPad-based LogMAR chart. Number of correct letters and agreement between two measurements were assessed for each eye using Bland–Altman analysis and paired t-test. Results: For both eyes, there was no significant difference in number correct between the two measurements using a paired t-test, and there was high correlation between two measurements (oculus dextrus (OD) r = 0.89, p < 0.001; oculus sinister (OS) r = 0.78, p < 0.001). The limits of agreement were −7.9 to +8.5 letters for the right eye and −10.9 to +11.2 letters for the left eye. Conclusion: An iPad-based LCVA test shows good agreement with Sloan testing in MS patients.


2020 ◽  
Vol 9 (1) ◽  
pp. 275-279

The problem of breastfeeding is part of the problem of discomfort in postpartum mothers for 2 hours after giving birth. This problem often causes trauma to postpartum mothers during breastfeeding, psychological disturbances, and increases morbidity in the mother and baby due to inadequate breast milk. The practice of Oxytocin massage, Moringa leaves and Katuk leaves at the same time can improve the quantity and quality of breast milk in maternal patients with 36-40 weeks' gestation. This type of research is quantitative research. Respondents numbered 30 were selected by determining purposive sampling in each group consisting of 10 mothers. Data were analyzed using a Paired t-test and Independent sample t-test with an α level of 0.05. The results showed that there was an increase in the quantity of breastfeeding. On the 3rd day, the quantity of breast milk with volume of 45 cc. In the week I with a volume of 10.50 cc, week II 86.50 cc, week III 168.50 cc and week IV as much as 275 cc. It shows that there are differences in quality on days 3 to week IV. The results of data analysis also showed that the 3rd day the quality of breast milk is rather yellow and rather thick, then the first week to the third week rather yellow and thin. At week IV, the quality of breast milk is white and runny. There is an increase in the quality and quantity of breast milk in all three groups.


2018 ◽  
Vol 2 (02) ◽  
pp. 151
Author(s):  
Devi Yulita Metasari ◽  
Akhmad Hasanuddin ◽  
Dewi Junita Koesoemawati

Laston AC-WC is the outer layer of the pavement that is directly related to the outside, so a strong mixture is required. One of the major effects is the aggregate gradation.This experiment aims to find out the comparison of Laston AC-WC performance between mixtures used aggregat egradation above and below the restriction zone. Each mixture used 6 variations of asphalt content and there were 3 specimens on each variation of bitumen content. The asphalt contents used were 5,5%; 6%; 6,5%; 7%; 7,5% dan 8%. From the results of the experiments, the mixture with the aggregate above the restriction zone at 7% and 7.5% asphalt content had a density value of 2.13 gr / cc and 2.12 gr / cc respectively; VMA value of 15.49% and 15.91%; VFA values ​​of 80.48% and 79.98%; VIM value of 3.16% and 3.18%; stability value of 3013.58 kg and 2332.57 kg; flow value of 2.47 mm and 2.18 mm; as well as MQ values ​​of 1222.25 kg / mm and 1184.59 kg / mm. While on the mixture with the aggregate under the restriction zone in the asphalt content of 7% and 7.5% obtained density value of 2.11 gr / cc and 2.14 gr / cc; VMA value of 17.21% and 16.3%; VFA value of 71.21% and 78.65%; VIM value of 4.99% and 3.49%; stability value of 2518,75 kg and 3234,72 kg; flow values ​​of 2 mm and 2.07 mm; as well as the MQ value of 1259.37 kg / mm and 1623.54 kg / mm. From the results are analyzed Paired T test and found that the value of flow has a significant difference. The high flow rate was found in the mixture with the aggregate above the restriction zone at 7% asphalt content, so this mixture is more durable due to good flexibility. Laston AC-WC merupakan lapisan terluar perkerasan yang berhubungan langsung dengan keadaan luar, sehingga dibutuhkan campuran yang kuat. Salah satu yang berpengaruh besar adalah gradasi agregat yang digunakan. Penelitian ini bertujuan untuk mengetahui perbandingan kinerja laston AC-WC antara campuran yang menggunakan gradasi di atas dengan di bawah daerah larangan. Penelitian ini dilakukan terhadap campuran laston AC-WC. Masing-masing campuran menggunakan 6 variasi kadar aspal dan terdapat 3 benda uji pada setiap kadar aspal. Kadar aspal yang digunakan adalah 5,5%; 6%; 6,5%; 7%; 7,5% dan 8%. Dari hasil penelitian, campuran dengan agregat di atas daerah larangan pada kadar aspal 7% dan 7,5% memiliki nilai density berturut-turut sebesar 2,13 gr/cc dan 2,12 gr/cc; nilai VMA sebesar 15,49% dan 15,91%; nilai VFA sebesar 80,48% dan 79,98%; nilai VIM sebesar 3,16% dan 3,18%; nilai stabilitas sebesar 3013,58 kg dan 2332,57 kg; nilai flow sebesar 2,47 mm dan 2,18 mm; serta nilai MQ sebesar 1222,25 kg/mm dan 1184,59 kg/mm. Sedangkan pada campuran dengan agregat di bawah daerah larangan pada kadar aspal 7% dan 7,5% didapatkan nilai density sebesar 2,11 gr/cc dan 2,14 gr/cc; nilai VMA sebesar 17,21% dan 16,3%; nilai VFA sebesar 71,21% dan 78,65%; nilai VIM sebesar 4,99% dan 3,49%; nilai stabilitas sebesar 2518,75 kg dan 3234,72 kg; nilai flow sebesar 2 mm dan 2,07 mm; serta nilai MQ sebesar 1259,37 kg/mm dan 1623,54 kg/mm. Dari hasil tersebut dilakukan analisa Uji T Berpasangan dan didapatkan bahwa nilai flow memiliki perbedaan yang signifikan. Nilai flow yang tinggi terdapat pada campuran dengan agregat di atas daerah larangan pada kadar aspal 7%, sehingga campuran ini lebih tahan lama dikarenakan memiliki kelenturan yang baik.


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