PEMBERDAYAAN IBU BAYI MENINGKATKAN STATUS GIZI BAYI YANG BERUSIA 6-12 BULAN MELALUI PIJAT BAYI BERBASIS BUDAYA LOKAL (OBISA) DI KOTA MATARAM

ABSTRAKGizi buruk dapat terjadi pada semua kelompok umur, Prevalensi berat badan kurang sangat tinggi di NTB melebihi 30 % sehingga perlu lebih diperhatikan pada kelompok bayi dan balita usia 0 - 2 tahun yang merupakan masa tumbuh kembang yang optimal (golden period). Penanganan secara nonfarmakologis salah satunya pijat bayi berbasis budaya Sasak (OBISA) sangat diperlukan untuk membantu meningkatkan berat badan bayi dan mencegah terjadinya kurang gizi pada bayi. Berdasarkan hal tersebut maka kami bermitra dengan Puskesmas Cakranegara, Puskesmas Tanjung Karang dan Puskesmas Karang Pule, melaksanakan kegiatan pengabdian masyarakat dengan metode yang digunakan adalah ceramah, diskusi tanya jawab, konseling, demonstrasi, dan pemeriksaan antropometri. Pada akhir kegiatan setelah dilakukan pemantauan pelaksanaan Pijat bayi berbasis budaya Sasak ini dirangkaikan dengan pemberian makanan tambahan pendamping ASI selama 3 bulan menunjukkan peningkatan berat badan bayi dengan status gizi kurang sebelumnya berat badan bayi rata-rata 6,69±0,547 meningkat setelah intervensi pijat bayi OBISA menjadi 7,67±1,261 dan menunjukkan peningkatan status gizi bayi menjadi status gizi baik sekitar 63.3%. Diharapkan dengan adanya kegiatan pengabdian masyarakat ini dapat memberikan pendidikan kesehatan kepada masyarakat tentang pijat bayi berbasis budaya Sasak (OBISA) mengenai cara pelatihan pijat bayi dan pemberian makanan pada bayi sesuai usia sehingga dapat mencegah terjadinya stunting. Kata kunci : status gizi; pijat bayi; OBISA ABSTRACTMalnutrition can occur in all age groups, the prevalence of underweight is very high in NTB exceeding, 30% so that more attention needs to be paid to the group of infants and toddlers aged 0-2 years which is the optimal growth and development period (golden period). Non-pharmacological treatment, one of which is baby massage based on Sasak culture (OBISA) is needed to help increase baby's weight and prevent malnutrition in infants. Based on this, we partnered with the Cakranegara Health Center, Tanjung Karang Health Center and Karang Pule Health Center, carrying out community service activities with the methods used were lectures, question and answer discussions, counseling, demonstrations, and anthropometric examinations. At the end of the activity, after monitoring the implementation of Sasak culture-based baby massage, coupled with the provision of complementary food for breastfeeding for 3 months, it showed an increase in the weight of infants with poor nutritional status before the average baby weight of 6.69±0.547 increased after the OBISA infant massage intervention. became 7.67±1.261 and showed an increase in the nutritional status of infants to good nutritional status of about 63.3%. It is hoped that this community service activity can provide health education to the community about Sasak culture-based baby massage (OBISA) regarding how to train baby massage and provide age-appropriate feeding to infants so as to prevent stunting. Keywords: nutritional status; baby massage; OBISA

Yoga versus massage in the treatment of aromatase inhibitor-associated knee joint pain in breast cancer survivors: a randomized controlled trial

Aromatase inhibitors (AIs) are standard adjuvant therapy for postmenopausal women with oestrogen receptor-positive, early-stage, and metastatic breast cancer. Although effective, the risk of falls due to AI-associated knee joint pain significantly increased. The aim of this study was to evaluate the therapeutic effects of yoga and massage on AI-associated knee joint pain. Breast cancer survivors were randomly assigned to a 6-week yoga intervention-2-week rest-6-week massage exposure (Yoga first, n = 30) or a 6-week massage intervention-2-week rest-6-week yoga exposure (Massage first, n = 30). Evaluations of the treatment efficacy were made at baseline, post-intervention, and post-exposure using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scale, plasma cytokine levels, and changes in meridian energy. The results showed that yoga, superior to massage intervention, significantly reduced AI-associated knee joint pain, as demonstrated by the WOMAC pain score. The yoga intervention improvements were also associated with changes in plasma cytokine levels and meridian energy changes. In conclusion, this study provides scientific evidence that yoga was more effective than massage for reducing AI-associated knee joint pain. Meridian energy changes may provide another scientific, objective, non-invasive way to monitor the therapeutic effects of yoga and investigate another alternative, complementary medicine.

Implementasi Terapi Pijat Oksitosin dengan Pemberdayaan Kader pada Ibu Post Partum

Background: Efforts to help the success of government programs related to exclusive breastfeeding must be done as early as possible from 36 weeks of gestation. Massage done in the area around the spine in pregnant women will help the secretion of the hormones oxytocin and prolactin. The oxytocin released after the massage process will stimulate labor contractions and prepare for the breastfeeding process, so it is hoped that regular stimuli given in the form of oxytocin massage will affect the production of milk produced. So it is important to introduce oxytocin massage from an early age to cadres, pregnant women, and nursing mothers. Through cadres, pregnant and lactating mothers will always be reminded to prepare for milk production from pregnancy. The purpose of this activity are to optimize the production of breastmilk in post partum mothers through mentoring health cadres. Methods: Method this study is used oxytocin massage intervention and health education. Results: Of this activity are health education and oxytocin massage intervention can increase knowledge cadre skills to help post partum mothers succeed in exclusive breastfeeding. Conclusion: Oxytocin massage can be an intervention alternative to optimize the production of breastmilk in post partum mothers.

BACK MASSAGE PADA KUALITAS TIDUR IBU HAMIL TRIMESTER III

ABSTRACT Background: During pregnancy, pregnant women will experience a variety of changes in reproduction that are physiological and sometimes pathological. Sleep difficulties are generally more common in early pregnancy. Then this sleepless complaint will reappear at the end of pregnancy. Persistent sleep disorders will interfere with the physical and psychological pregnant women. Purpose of this study is to know the effect of back massage on sleep quality of trimester III pregnant women Methods: Research type experimental research, design pre experiment designs with one group pretest posttest design. Population in this research is trimester mother III at BPM Tiara Iswantika Wonosari District of Pekalongan Regency of East Lampung year 2018, sample taken counted 29 people with purposive sampling technique. Analysis in this research use paired sample t test.Results of statistical tests showed that the mean maternal sleep quality score on the measurement result using the Pittsburgh Sleep Quality Index (PSQI) questionnaire before (pretest) the back massage intervention was 6,28±1,461 and after (posttest) the back massage intervention was 5, 03±1,349 with an mean difference of 1,241±0,739. In result of paired sample t test showed back massage proved to have an effect on to sleep quality of pregnant woman trimester III (p-value 0,000 <a0,05). Conclusion: With the results of this study is expected pregnant women can do back massage therapy to reduce tension, relax the body and improve sleep quality.Suggestion Currently there is still no counseling related to back massage, so health workers should be able to provide back massage counseling to pregnant women because back massage has become part of supporting therapy in the health sector to improve health status, especially in improving the quality of sleep for pregnant women. Keywords : Sleep quality, back massage ABSTRAK Latar Belakang: Pada masa kehamilan, ibu hamil akan mengalami berbagai perubahan pada sistrem reproduksi yang bersifat fisiologis dan terkadang bersifat patologis. Kesulitan tidur umumnya lebih banyak dialami pada awal kehamilan. Kemudian keluhan sulit tidur ini akan kembali muncul pada akhir kehamilan. Gangguan tidur yang terus menerus akan mengganggu fisik dan kejiwaan ibu hamil.Tujuan: diketahuinya pengaruh back massage terhadap kualitas tidur ibu hamil trimester III Metodologi: Jenis penelitian experimental research, desain pre experiment designs dengan rancangan one group pretest posttest. Populasi dalam penelitian ini adalah ibu trimester III di BPM Tiara Iswantika Wonosari Kec. Pekalongan Kab. Lampung Timur tahun 2018, sampel yang diambil sebanyak 29 orang dengan teknik purposive sampling. Analisis dalam penelitian ini menggunakan uji paired sample t test.Hasil: uji statistik menunjukkan bahwa Rata-rata skor kualitas tidur ibu hamil pada hasil pengukuran menggunakan kuesioner the Pittsburgh Sleep Quality Index (PSQI) sebelum (pretest) intervensi back massage adalah 6,28±1,461 dan setelah (posttest) intervensi back massage adalah 5,03±1,349 dengan selisih rata-rata 1,241±0,739. Pada hasil uji paired sample t test menunjukkan back massage terbukti berpengaruh terhadap kualitas tidur ibu hamil trimester III (p-value 0,000<a0,05). Kesimpulan: Dengan hasil penelitian ini diharapkan ibu hamil dapat melakukan terapi back massage untuk menurunkan ketegangan, merileksasi tubuh dan meningkatkan kualitas tidur.Saran Saat ini masih belum ada penyuluhan terkait back massage maka hendaknya bagi tenaga kesehatan dapat memberikan penyuluhan back massage kepada ibu hamil karena back massage telah menjadi bagian dari terapi penunjang dalam bidang kesehatan untuk meningkatkan derajat kesehatan terutama dalam meningkatkan kualitas tidur ibu hamil. Kata Kunci : Kualitas tidur, back massage

Antepartum Perineal Massages is Effective to Prevent Intrapartum Perineal Rupture

Objective: To provide a summary of evidence about the benefi ts and effectiveness of perineal massage in preventing perineal rupture during labour.Methods: Evidence-based review of research articles with an evidence-based level 1a.Results: Intervention of perineal massage not only reduced the incidence of perineal rupture but also reduced the incidence of episiotomy requiring stitches, as well as reducing perineal pain after 3 months of postpartum.Conclusions: Perineal massage intervention is an intervention that is easy to do, effective, inexpensive, and has the potential to benefi t more than the potential harm in preventing perineal rupture.Keywords: intrapartum, perineal massage, perineal rupture.AbstrakTujuan: memberikan ringkasan bukti penelitian tentang manfaat dan efektifi tas dari pijat perineum dalam mencegah ruptur perineum selama persalinan.Metode: evidence-based review dengan level evidence based 1a.Hasil: Intervensi pijat perineum tidak hanya menurunkan insiden ruptur perineum tetapi juga menurunkan insiden episiotomi yang membutuhkanj jahitan, serta mengurangi nyeri perineum setelah 3 bulan postpartum.Kesimpulan: Intervensi pijat perineum merupakan intervensi yang mudah untuk dilakukan, efektif, murah, serta mempunyai potensi menguntungkan lebih banyak daripada potensi merugikan dalam mencegah ruptur perineum.Kata kunci: intrapartum, pijat perineum, ruptur perineum.

The Effect of Massage on the Cardiac Autonomic Nervous System and Markers of Inflammation in Night Shift Workers: a Pilot Randomized Crossover Trial

Background: Shift work is a necessary part of many industries; however, it can have detrimental effects on health over time. Purpose: This study investigated the effect of a massage intervention on the cardiac autonomic activity and blood inflammatory markers of healthy medical residents working night shifts. Setting: This trial was conducted at British Columbia Children’s and Women’s Hospital between February 2014 and June 2016. Participants: Included participants were generally healthy medical residents and were working rotating night shifts on a regular basis. Research Design: This was a randomized, controlled, crossover, open-label trial (NCT02247089). Interventions: Participants received either a 30-min massage intervention or reading control after consecutive periods of night shift. Main Outcome Measures: The primary outcome was high frequency, a proxy for the cardiac parasympathetic activity, measured via heart rate variability. Secondary outcomes included other heart rate variability measures, blood markers of inflammation, and blood pressure. Results: Twelve participants were recruited (nine female) with median age of 28 years. There was no significant difference between the massage intervention and the reading control for the primary outcome, (median relative change between pre- and postmassage [interquartile range]: 62% [-1 to 150], pre- and postreading: 14% [-10 to 51], p = .16). Similarly, there was no difference with respect to blood inflammatory markers and blood pressure. Median high frequency significantly increased between pre- and postmassage (185 vs. 358 ms2, p = .04). Conclusion: This pilot study found no statistically significant difference between the massage intervention and the reading control; however, we did observe a significant increase in median high frequency from before massage to after massage, indicative of increased parasympathetic activity. This study may help inform planning of larger trials evaluating massage interventions on the activity of the autonomic nervous system and managing shift work stress.

Effect of Foot Massage on Decreasing Blood Pressure in Hypertension Patients in Bontomarannu Health Center

Hypertension is called the silent killer because the symptoms are often without complaints. The number of people with hypertension in the world continue to increase every year, estimated that by 2025 there will be 1.5 billion people affected by hypertension. It is also estimated that every year 9.4 million people die from hypertension and complications. when anti-hypertension is needed, non-pharmacological treatment can be used as a complement to get a better treatment effect. One of the non-pharmacological therapies offered to reduce hypertension with massage therapy (massage). The aim of the study was to determine the effect of foot massage on reducing blood pressure in hypertensive patients in the work area of ​​Bontomarannu Health Center, Gowa Regency. This research was conducted on January 2015 using the static group comparison method. The population in this study were residents in the working area of ​​Bontomarannu Health Center and samples were taken with purposive sampling technique with a total sample of 20 people. Based on the results of the study it was found that the administration of foot massage interventions can reduce blood pressure. The statistical test results showed between the systole control group (p-value 0.798), the diastolic control group (p-value 0.726) and the systolic treatment group (p-value 0.004), the diastolic treatment group (p-value 0.005). The administration of foot massage intervention has an influence on the decrease in blood pressure compared to the group that is not given a foot massage intervention.

Pengaruh Pijat (Massage) terhadap Perubahan Intensitas Nyeri Rematik pada Lansia di Desa Kertapati Puskesmas Dusun Curup Bengkulu Utara

The purpose of this study was to determine the effect of massage on the intensity of rheumatic pain in the elderly in the village of Kertapati, Puskesmas, Dusun Curup, North Bengkulu. This research is a quantitative study using a quasi experimental research design with pre and post test design research designs. The sample in this study amounted to 10 people taken by purposive sampling technique. The analysis used is univariate analysis and bivariate analysis, the statistical test used is the t-dependent test. The results of the study, the average value of rheumatic pain before a massage intervention (massage) in the elderly in the village of Kertapati, Curup Hamlet North Bengkulu is 5.2 and after the intervention is 3.4. T-dependent test results found that there were significant differences in the value of pain before and after massage intervention (massage) with a value of 0,000. In conclusion, there is an effect of massage on the intensity of rheumatic pain in the elderly in the village of Kertapati, Puskesmas, Dusun Curup, North Bengkulu. It is expected to provide optimal nursing care, especially massage interventions to the elderly and can socialize massage skills to the elderly, so that they can independently massage when there is a pain attack.Keywords: Elderly, Rheumatic Pain, Massage