Peningkatan Kemampuan Kader Kesehatan dalam Penerapan Akupresur untuk Mengatasi Emesis Gravidarum

Novita Rudiyanti, Nurchairina Nurchairina, Amrina Octaviana

Abstract


Efforts to prevent Chronic Energy Deficiency in pregnant women and low birth weight are quality ANC services and balanced nutritional intake. In early pregnancy, the formation of fetal organs and preparation of the mother's body requires good nutrition. However, at the beginning of pregnancy, there is emesis gravidarum which causes the mother to not be able to consume food to its full potential. As a result, lack of nutritional intake to support fetal and physical growth of the mother. If left unchecked, Chronic Energy Deficiency and low birth weight can occur. The goal is to help mothers reduce nausea and vomiting so they can consume nutritious food to the maximum. The target of the activity is 70 Health Cadres from 12 Posyandu at Karang Anyar Health Center. The method of implementing the activities includes screening, counseling, simulation, practice and discussion about emesis gravidarum and acupressure, followed by the practice of doing acupressure for all cadres until they are able to independently. At the beginning, a pre-test was carried out and at the end a post-test was carried out. The test results showed an increase with the average pre-test score of 52.3% participants and post-test results the average value of participants was 92.7% and the results of the skill checklist assessment showed all good scores. A follow-up evaluation was carried out on the implementation of the posyandu in the following month, it was found that the cadres had applied acupressure to treat nausea and vomiting in several pregnant women and those around them. The ability of cadres to increase in the application of acupressure to overcome emesis gravidarum and most pregnant women experience a decrease in nausea and vomiting. It is hoped that in the future the cadres will apply their knowledge and skills in a sustainable manner when providing services at the posyandu

 

Abstrak

Upaya pencegahan KEK pada ibu hamil dan BBLR yaitu pelayanan ANC yang berkualitas dan asupan gizi seimbang. Diawal kehamilan , pembentukan organ janin dan persiapan tubuh ibu membutuhkan asupan gizi yang baik. Namun  diawal kehamilan terjadi emesis gravidarum yang menyebabkan ibu tidak dapat mengkonsumsi makanan secara maksimal. Dampaknya, asupan gizi kurang untuk mensuport pertumbuhaan janin dan fisik ibu. Jika dibiarkan dapat terjadi KEK dan BBLR. Tujuannya membantu ibu mengurangi mual muntah sehingga dapat mengkonsumsi makanan bergizi dengan maksimal. Sasaran kegiatan yaitu Kader Kesehatan berjumlah 70 orang dari 12 Posyandu di Puskesmas Karang Anyar. Metode pelaksanaan kegiatan meliputi screening, penyuluhan, simulasi , prakteik dan diskusi tentang emesis gravidarum dan akupresure dilanjutkan praktek melakukan akupresur bagi seluruh kader sampai mampu secara mandiri. Diawal dilakukan pre test dan diakhir dilakukan post tes. Hasil tes terlihat kenaikan dengan nilai rata-rata pre tes peserta 52,3% dan hasil post test nilai rata-rata peserta 92,7% serta hasil penilaian daftar tilik ketrampilan menunjukan nilai baik semua. Evaluasi lanjutan dilakukan pada pelaksanaan posyandu di bulan berikutnya didapatkan kader telah menerapkan akupresure untuk mengatasi mual muntah pada beberapa ibu hamil dan orang disekitarnya. Kemampuan kader meningkat dalam penerapan akupresur untuk mengatasi emesis gravidarum dan sebagian besar ibu hamil mengalami penurunan mual muntah. Diharapkan kedepan kader menerapakan ilmu dan ketrampilannya secara berkelanjutan pada saat memberikan pelayanan di posyandu.


Keywords


Emesis Gravidarum, Akupresur, Kader Kesehatan

Full Text:

PDF

References


Alimoradi, Z., Kazemi, F., Valiani, M., & Gorji, M. (2019). Comparing the effect of auricular acupressure and body acupressure on pain and duration of the first stage of labor: study protocol for a randomised controlled trial. Trials, Vol. 20. https://doi.org/10.1186/s13063-019-3896-0

Arai, Y. C. (2009). 922 The Effect Of Acupressure At The Extra 1 Point On Subjective And Autonomic Responses To Needle Insertion. European Journal of Pain, Vol. 13. https://doi.org/10.1016/s1090-3801(09)60925-3

Artika, P. (2006). Pengaruh Akupresur pada titik Perikardium 6 terhadap penurunan frekuensi muntah pada primigravida trimester pertama dengan emesis gravidarum. Malang: ilmu Keperawatan Fak. Kedokteran Universitas Brawijaya.

Burks, L. A. (2018). The effects of English language proficiency on self-perceived academic needs of foreign students from developing nations attending Iowa State University. https://doi.org/10.31274/rtd-180813-6959 Dinas Kesehatan Provinsi Lampung. (2014). Profil Kesehatan propinsi Lampung Tahun 2014. Lampung

Farhad, K., et al. (2016). The effectiveness of dry-cupping in preventing post-operative nausea and vomiting by P6 acupoint stimulation A randomised controlled trial. Clinical Trial/Experimental Study; Medicine , 1-6. https://doi.org/10.1097/MD.0000000000004770

Fengge, A. (2012). Terapi Akupresure manfaat dan teknik pengobatan. Yogyakarta: Crop Circle Corp.

Hariadi, (2017). Pengenalan Ilmu pengobatan Timur. LKP Kunci Jemari-Perpari-P3AI.

Honda, Y., Tsuda, A., & Horiuchi, S. (2012). Effect of a Four-Week Self-Administered Acupressure Intervention on Perceived Stress over the Past Month. Open Journal of Medical Psychology, Vol. 1, pp. 20–24. https://doi.org/10.4236/ojmp.2012.13004

Hosseinabadi, R., Biranvand, S., Pournia, Y., & Anbari, K. (2015). The Effect of Acupressure on Pain and Anxiety Caused by Venipuncture. Journal of Infusion Nursing, Vol. 38, pp. 397–405. https://doi.org/10.1097/nan.0000000000000065

Indonesia. (2014). Panduan Akupresur Mandiri Bagi Pekerja di Tempat Kerja.

Kementerian Kesehatan Republik Indonesia. Retrieved from http://tradkom.depkes.go.id/wpcontent/uploads/2015/PANDUAN AKUPRESUR MANDIRI BAGI PEKERJA DI TEMPAT KERJA.pdf.

Ioannis, S. (2016). The effect of auricular acupuncture and acupressure in smoking cessation. Annals of Translational Medicine, Vol. 4. https://doi.org/10.21037/atm.2016.ab007

Kang, M.-A. (2018). Effect of Auricular Acupressure on Fatigue and Depression in Patients Undergoing Chemotherapy for Breast Cancer. The Korean Journal of Health Service Management, Vol. 12, pp. 229–239. https://doi.org/10.12811/kshsm.2018.12.4.229

Lemeshow S, Hosmer, D.W., Klar, J, Lwanga, S. (1997). Besar sampel dalam penelitian kesehatan. Alih bahasa: Pramono D.Yogjakarta: Gadjah Mada University Press

Mucha, D., Ambroży, T., & Mucha, D. (2017). The effect of acupressure stimulation of ST-36 – Zusanli, point on lower limbs explosive strength. European Journal of Integrative Medicine, Vol. 11, pp. 59–62. https://doi.org/10.1016/j.eujim.2017.01.013

Niebyl, J.R. (2010). nausea And Vomiting in pregnancy. New England Jornal Of Medicine, 363(16), 1544-50.http://doi.org/10.1016/B978-0-12-408078-2.00005-6.

Novita, R., Nurchairina (2020). The Effect of Acupressure on Emesis Gravidarum . International Journal Of Innovation, creativity and Changes. Special Edition: Safe Communities . https://www.ijicc.net/images/vol_13/Iss_2/SC07_Rudiyanti_2020_E_R.pdf

Nugroho, T dan Nurrezki. (2014). Buku ajar ASKEB 1 kehamilan. Yogyakarta: Nuha Medika.

Nur, D., Suharyo, H & Triana, S.H. (2014). Pengaruh Akupresure Perikardium 6 Terhadap Mual Muntah Kehamilan Kurang 16 Minggu. Jurnal Kesehatan Ibu dan Anak 5.

Nurfalah, S, Mae, S.H.W, dan Detty, S.N. (2017). Pemberian ajhe instan terhadap kejadian mual muntah dan asupan energi pada ibu hamil trimester pertama. Jurnal Gizi klinik Indonesia Vol 10

Prawirohardjo. (2009). Ilmu Kebidanan. Jakarta. YBP-SP

Parwati, D. M. W. (2017). The Effect of Breast Acupressure and Oxylosins Massage to Improve the Breast Milk Production in Postpartum Mother. Journal of Medical Science And Clinical Research, Vol. 5. https://doi.org/10.18535/jmscr/v5i10.47

Restu, I dan Evi, V. (2017). Pengaruh Hipnoterapi dan akupresur Terhadap mual Muntah Akut Akibat kemoterapi pada Anak dengan Acute Lympoblastic Keukemia (ALL) di RSU Kab. Tangerang Tahun 2017. Tangerang.

Runiari, N. (2010). Asuhan Keperawatan Pada Klien Dengan Hiperemesis Gravidarum : Penerapan konsep dan teori Keperawatan. Jakarta : Salemba Medik.

Rustam. (2002). Sinopsis Obstetri Jilid I. Jakarta : EGC.

Shin, H. S., & Song, Y. A. (2005). The Effect of P6 Acupressure for Symptom Control in Pregnant Women Having Hyperemesis Gravidarum. Journal of Korean Academy of Nursing, Vol. 35, p. 593. https://doi.org/10.4040/jkan.2005.35.3.593

Shin, W. (2013). The effect of convalescent meridian acupressure after exercise on stress hormones and lactic acid concentration changes. Journal of Exercise Rehabilitation, Vol. 9, pp. 331–335. https://doi.org/10.12965/jer.130019

Vybornov, V. (2012). Changes in the functional state of the athlete under influence of temperature effect on the acupressure points. Uchenye Zapiski Universiteta Imeni P.F. Lesgafta, pp. 10–14. https://doi.org/10.5930/issn.1994-4683.2012.08.90.p10-14

Umar, W. (2013). Sembuh dengan Satu Titik. Solo: Al-Qawam

Uning S, Melyana, N.W, dan Dyah L.R. (2018). Studi Literatur : Accupresure Pericardium dan Aromatherapy Citrus Untuk Mengurangi Mual Muntah Ibu Hamil.

Winknjosastro. (2009). Ilmu Kebidanan. Jakarta: bina Pustaka Sarwono Prawiroharjo




DOI: https://doi.org/10.25134/empowerment.v4i03.4674

Refbacks

  • There are currently no refbacks.


Empowerment : Jurnal Pengabdian Masyarakat

ISSN 2598-2052 (online)

Organized by Faculty of Law, Universitas Kuningan, Indonesia.

Website  : https://journal.uniku.ac.id/index.php/empowerment/index

Email     : empowerment@uniku.ac.id

Address : Jalan Cut Nyak Dhien No.36A Kuningan, Jawa Barat, Indonesia.

 

 EMPOWERMENT is licensed under a Creative Commons Attribution 4.0