bluuebunny/crossref_metadata_2025 huggingface dataset:
Peningkatan Penguasaan Kosa Kata Siswa SD Melalui Penggunaan Media Boneka Tangan
Authors: Widiyarto Sigit , Rusdianto Muhammad , Paryono Paryono
Published: February 2019

Penguasaan kosa kata sangat penting bagi siswa   Sekolah Dasar. Pada usia  7 – 13 tahun, anak mampu menguasai kosa kata dengan baik. Namun tingkat penguasaan kosa kata anak masih rendah dan guru masih menggunakan media yang kurang tepat, bahkan tidak mempergunakan media di kelas,sehingga siswa kurang tertarik. Penelitian ini bertujuan untuk mengujiefektifitas pemakaian media boneka tangan dan pengaruh media boneka tangan pada penguasan kosa kata . Penelitian ini memakai rancangan eksperimen yang dilakukan pada satu kelompok saja tanpa kelompok pembanding (The One Group Pratest Posttest).Subyek penelitian Siswa SD ,dengan sampel data sebanyak 25 siswa. Data diolah dengan  SPSS 22. Hasil penelitian menunjukkan pada,Uji  Normalitas ,Homogenitas dan T Sampel Berpasangan dengan tingkat signifikan ?=5%, Hasil uji normalitas didapat nilai Kolmogorof-Smirnov iSig.0.200,dan Shapiro-Wilk 0.822 sehingga pada ?= 5%= 0.05 < Sig.= 0,sampel data berasal dari distribusi normal. Pada Uji Homogenitas Varians Levene Nilai Sig. 0.896, pada tingkat signifikansi ? = 5 % =0.05 < Sig.0.896 sehingga dapat dikatakan sampel data berasal dari varians yang Homogen, ,dapat disimpulkan pada tingkat kepercayaan 95%,rata-rata kemampuan kosa kata setelah perlakuan dengan memakai media boneka tangan (mean sebesar 66.98640 ) dibanding sebelum memakai media ( mean sebesar 63.7240 ), naik sebesar 3.26240. Dengan kata lain, pemakaian media boneka tangan berpengaruh signifikan pada tingkat kepercayaan 95%. Penelitian ini memberikan saran untuk mengatasi masalah yang ditemukan dalam penelitian.
Hubungan Kebiasaan Membaca dengan Hasil Belajar Bahasa Indonesia Siswa Kelas IV SDN 17 Kota Bengkulu
Authors: Aptensi Fenny , Yuliantini Nani , Lukman Lukman
Published: February 2019

This study aims to determine the relationship of the reading habits of learning outcomes Indonesian with fourth grade students of SDN 17 Bengkulu City. This type of research is quantitative with correlational research method. The sample in this study is the fourth grade students of SDN 17  Bengkulu City taken using technique total sampling. The research instrument used was a questionnaire sheet (questionnaire) and interview guidelines and documentation. The technique of collecting data using questionnaires, interviews and documentation. Data analysis techniques in this study using the correlation calculation. product moment. These results indicate that rcount is greater than rtable (0.320 > 0.281). From the statistical calculation result obtained significant valuet is greater than ttable (2,311 ? 1.684) with significance level ? = 0.05 (significance level of 5%), and the contribution of the variable x to y of r = 0.1024, which means that reading habits contributed 10.24% to the Indonesian student learning outcomes. So it can be concluded that there is a significant relationship between the reading habits of learning outcomes Indonesian with fourth grade students of SDN 17 Bengkulu City correlation levels are included in the low category. Thus Ha received and H0 is rejected.
Studi Identifikasi Jenis-Jenis Pantun dalam Masyarakat Kaur Provinsi Bengkulu
Authors: Apriansah Dedi , Muktadir Abdul , Lusa Herman
Published: February 2019

This study aims to identify the Kaur language rhymes in accordance with the types of rhymes in the Kaur community of Bengkulu Province. The approach and type of research used are qualitative survey. The research location is Pengubaian Village, Gedung Sako II Village and Air Dingin Village, Bintuhan city, Kaur Selatan District, Kaur District. Subjects used as informants in the research are the chief of Kaur customary institutions in the village of Air Dingin, Community leaders Pengubaian villagers, and community leaders Gedung Sako II Village. Data collection techniques used in this study are interviews to informants and documentation. The document obtained were analyzed by data reduction, data display, and conclusion. Validity of document using extension of observation, improvement of persistence, triangulation of source and member check. Research results collected fifty-two rhyme Kaur language rhymes contained in the three villages. Fourteen rhymes from the village of Pengubaian, eighteen rhymes from the village of Gedung Sako II and twenty rhymes from the village of Air Dingin. Based on the results of identification can be concluded that, from fifty-two Kaur language rhymes, which is adapted to the types of rhymes obtained, namely: a puzzle rhymes, nine advice rhymes, eight affection rhymes, three spirit rhymes, two custom rhymes, Three religious rhymes, eight witty rhymes, eleven figurative rhymes, six romance rhymes and one proverb rhymes.
Studi Deskriptif Peran Guru Sebagai Fasilitator Pada Pembelajaran IPS Di Kelas V SDN 12 Kota Bengkulu
Authors: Yani Novi , Dadi Sri , Yusuf Syahril
Published: February 2019

The  purpose  of  this  study  is  to describe  the  role  of  the  teacher  as  a  facilitator  in learning IPS class V SDN 12 Kota Bengkulu. The type of study used in this was descriptive      qualitative. The subjects of the research were the teacher and students of grade V SDN 12 Kota Bengkulu. The instrument of this study was the researcher by using the observation guidelines and interview guidelines. Technique of collecting data using observation and interview. The data obtained were analyzed by data reduction, data display and conclusion. Credibility test data through increasing persistence and triangulation. The results showed that as a facilitator in the learning IPS, the teacher already (1) Involving the students as the subject of learning, (2) Mastering of science to be studied, (3) Interesting and maintaining students interest. Based on the results of the study concluded that the role of teachers as facilitators of learning IPS has been implemented, but in the use of learning method and the use of instructional media must be improved again so that learning activities can be implemented more optimally.
Kemampuan Siswa dalam Memahami Bahan Ajar Sejarah Perjuangan Rakyat Bengkulu pada Aspek Kognitif dan Aspek Afektif pada Mata Pelajaran Muatan Lokal di Kelas V Sekolah Dasar Negeri 49 Kota Bengkulu
Authors: Afrianti Titin , Wurdjinem Wurdjinem , Kustianti Sri Ken
Published: February 2019

This study aimed to describe the ability of students to understand the teaching materials on the history of the struggle of the people of Bengkulu local content subjects at three aspects of the history of the learning outcomes of academic skills (cognitive), awareness of history (affective), nationalism (affective). This type of research is descriptive quantitative research with descriptive methods and techniques percentage. The subjects were students of class VA amounting to 23 students. The research instrument used is a matter of objective test sheet form and the sheet observation / observasi.teknik data analysis by scoring on a multiple choice test and scoring on a sheet of observation / observation later described. From the research that VA grade students of State Elementary School 49 Bengkulu City was able to understand the history of the struggle of people teaching materials Bengkulu with an average of 68.11% in understanding the teaching materials on the history of the struggle of the people of Bengkulu local content subjects. However, if viewed from the completeness graders said VA has not been completed, because based on the assessment of students declared complete benchmark reference when getting values over 65 as much as 75-80%. It can be concluded that based on the calculation that has been obtained in the aspect of academic skills (cognitive) as many as 12 students (52.17%) were able to understand the history of the struggle of the people teaching materials Bengkulu, A total of 16 students (69.56%) had a history conscious attitude. And to nationalism as many as 19 students (82.60%) were able to have an attitude of nationalism.
Penggunaan Alat Peraga pada Mata Pelajaran IPA sebagai Upaya Meningkatkan Hasil Belajar Siswa Kelas IV SD Negeri 06 Karang Tinggi
Authors: Seprianty Seprianty
Published: February 2019

Rendahnya hasil belajar siswa kelas IV SDN 06 Karang Tinggi disebabkan karena kurangnya keterlibatan siswa secara langsung dalam proses pembelajaran. Hal ini dapat dilihat dari 28 siswa hanya 9 orang siswa yang mencapai tingkat penguasaan materi 70% keatas terutama pada mata pelajaran IPA. Ditinjau dari pembelajaran IPA dibutuhkan suatu sikap dan teeori yang relevan terutama dalam mempersiapkan dan menggunakan media alat peraga. Tujua penelitian ini adalah untuk meningkatkan prestasi belajar siswa dengan menggunakan alat peraga IPA pada kelas IV SDN 06 Karang tinggi.  Subjek penelitian adalah siswa berjumlah 28 orang, sumber data penelitian diperoleh dari data kualitatif berupa data hasil observasi aktivitas guru dan siswa serta data kuantitatif berupa data tes hasil belajar siswa.  Hasil penelitian siklus I diperoleh siswa yang tuntas secara individu sebanyak 9 siswa dari 28 siswa dengan  ketuntasan klasikal sebesar 32,2 %. Sedangkan hasil penelitian siklus II mengalami peningkatan dengan jumlah siswa yang tuntas secara individu sebanyak 15 siswa dari 28 orang siswa yang mengikuti pembelajaran dengan persentase ketuntasan klasikal sebesar 53,6 %. Hasil penelitian siklus III menunjukkan peningkatan ketuntasan siswa sebanyak 24 siswa dengan persentase ketuntasan klasikal sebesar 85,8%.Berdasarkan hasil penelitian tersebut, pembelajaran menggunakan alat peraga IPA dapat meningkatkan hasil belajar siswa kelas IV di SDN 06 Karang Tinggi.
MENINGKATKAN HASIL BELAJAR SISWA KELAS VI SD NEGERI 22 KEPAHIANG DALAM MENENTUKAN VOLUME BANGUN RUANG MELALUI PENGGUNAAN ALAT PRAGA KUBUS SATUAN
Authors: Suwarno Suwarno
Published: February 2019

Penelitian ini dilatarbelakangi oleh adanya permasalahan rendahnya hasil belajar siswa pada pokok bahasan menentukan volume bangun ruang di SDN 22 Kepahiang. Rendahnya hasil belajar ini terlihat dari rata-rata hasil belajar siswa yang hanya 5,6 dan 5,9. Sehubungan dengan permasalahan tersebut, penelitian ini bertujuan untuk meningkatkan hasil belajar siswa kelas VI SD Negeri 22 Kepahiang dalam menentukan volume bangun ruang (balok dan kubus) melalui alat peraga kubus satuan. Metode yang digunakan dalam penelitian ini adalah penelitian tindakan kelas (PTK), yang dilaksanakan dalam 3 siklus yang masing-masing siklus meliputi tahap perencanaan, tindakan, pengamatan, dan refleksi. Hasil penelitian menunjukkan bahwa pembelajaran dengan menggunakan alat peraga kubus satuan dapat meningkatkan hasil belajar siswa pada pokok bahasan menentukan volume bangun ruang (kubus dan balok) pada siswa kelas VI SD Negeri 22 Kepahiang. Hal ini terbukti dari hasil belajar yang diperoleh siswa meningkat. Pada  siklus I rata-rata hasil belajar hanya 5,77, pada siklus II baru mencapai 6,94 dan pada akhir siklus III rata-rata hasil belajar meningkat menjadi 8,55.
DENGAN MENGGUNAKAN MEDIA POTONGAN-POTONGAN KATA DAPAT MENINGKATKAN KETERAMPILAN MEMBACA NYARING DI KELAS I SD NEGERI 05 KABAWETAN
Authors: Susanti Budi
Published: February 2019

Penelitian tindakan kelas ini dilakukan pada siswa kelas I SD Negeri 05 Kabawetan tahun pelajaran 2016/2017. Penelitian ini dilakukan  dikarenakan adanya permasalahan yaitu hasil belajar mata pelajaran Bahasa Indonesia khususnya membaca nyaring masih rendah. Melalui media potongan-potongan kata permasalahan ini dicoba untuk diperbaiki dan ditingkatkan. Tujuan Penelitian ini adalah untuk meningkatkan keterampilan membaca nyaring melalui penggunaan media potongan-potongan kata pada siswa kelas 1 SD Negeri 05 Kabawetan tahun pelajaran 2016/2017. Prosedur penelitian ini dilakukan sebanyak dua siklus langkah-langkah dalam setiap siklus terdiri dari empat tahap yaitu tahap perencanaan (planning), pelaksanaan tindakan (acting), pengamatan (observing) dan refleksi (reflecting). Subyek penelitian ini siswa kelas 1 SD Negeri 05 Kabawetan tahun ajaran 2016/2017 dengan jumlah siswa 23 siswa yang terdiri dari 14 siswa laki-laki dan 9 siswa perempuan. Adapun instrumen penilaian yang digunakan adalah tes proses dan tes akhir. Tes proses menggunakan lembar observasi aktifitas belajar siswa, lembar performance, lembar kuisioner siswa dan nilai akhir siswa menggunakan nilai rata-rata dan presentase ketuntasan belajar. Hasil yang diperoleh pada penelitian ini  terlihat dari ketertarikan siswa pada kondisi awal nilai hasil belajar 57,39,00 % menjadi 76,08,00% pada siklus I meningkat 18,69% dan menjadi 86,95,00% pada siklus II meningkat 10,86%. Pada indikator partisipasi aktif siswa dalam proses pembelajaran dari siklus I 63,13% menjadi 76,73% pada siklus II meningkat 13,6%, dari pengamatan performance siswa dalam membaca nyaring pada siklus I 53,75% menjadi 82,00% pada siklus II meningkat 28,25% dan dari hasil kuisioner siswa 57,25% pada siklus I menjadi 81,5% pada siklus II meningkat 24,25%.  Dapat disimpulkan bahwa dengan menggunakan media potongan-potongan kata dapat meningkatkan keterampilan membaca nyaring di SD Negeri 05 Kabawetan.
Profile of Neuron-Specific Enolase, Lactate Dehydrogenase, Fine Needle Aspiration Biopsy, and Bone Marrow Aspiration Examination to Diagnose Neuroblastoma Patients in Hematology Oncology Division of Pediatric Department at Dr. Soetomo General Hospital
Authors: Mutiani Faradillah , Ugrasena I Dewa Gede , Soedewo Fery Hudowo
Published: February 2019

Background: Neuroblastoma is a malignant solid tumour in children which attacks sympathetic nervous system. Despite of increment in its number of incidence, it is still rarely investigated. This research aims to improve the understanding of neuroblastoma based on the profile of patients, and further, to improve services for patients.Methods: This was a retrospective study conducted by assessing and descriptively analyzed patients medical record.Results: From 52 patients, 56% were male and 71% were between age of 1-5 years. Neuron Specific Enolase (NSE) examination showed that most patients had high levels in 29 patients (56%) while Lactate Dehydrogenase (LDH) examination showed that 23 patients (44%) had low levels. Based on Fine Needle Aspiration Biopsy (FNAB) examination, 22 patients (42%) showed formation of malignant round cell tumor. Meanwhile, through Bone Marrow Aspiration (BMA) examination, it was found that the tumors had already spread to bone marrow in 17 patients (33%).Conclusions: Based on tumor markers and pathological finding, this study revealed that the majority of neuroblastoma patients had poor prognosis.
The Influence of Liquidity, Leverage and Profitability Ratio on Finansial Distress
Authors: Fatimah Fatimah , Toha Akhmad , Prakoso Aryo
Published: February 2019

This study investigates the role of the financial ratio in predicting financial distress which has an important role in preventing bankruptcy. This study aims to know the influence of liquidity, leverage, and profitability ratios on financial distress (on real estate and property companies listed in Indonesia Stock Exchange in 2015-2017). 45 companies listed in Indonesia Stock Exchange from 2015 to 2017 were examined by using 135 units of analysis. Prediction model used was logistic regression technique with purposive sampling method. The findings indicated that there was no influence of liquidity (current ratio) on financial distress. There was a positive influence of leverage (total dept. on total assets) on financial distress. However, there was a negative influence of profitability (net profit margin) on financial distress.
Pengaruh Akuntabilitas dan Transparansi terhadap Kinerja Anggaran Berkonsep Value of Money pada Pemerintah Kabupaten Nias
Authors: Laoli Victorinus
Published: February 2019

Jenis penelitian ini assosiatif kausal, pengambilan data dengan kuesioner, dan teknik pengambilan sampel Purposive Sampling serta penelitian ini menggunakan jenis data primer dan sekunder dan diolah menggunakan alat bantu program statistik dengan pengujian analisis data, uji asumsi klasik dan pengujian hipotesis. Hasil penelitian maka kesimpulannya bahwa secara parsial akuntabilitas berpengaruh terhadap kinerja anggaran berkonsep value for money sedangkan variabel transparansi secara parsial tidak berpengaruh. Dan secara simultan variabel akuntabilitas dan transparansi bersama-sama berpengaruh terhadap kinerja anggaran berkonsep value for money. Berdasarkan hasil penelitian, saran yang diberikan agar pemerintah Kabupaten Nias dapat meningkatkan dan mempertahankan akuntabilitas, sedangkan transparansi harus dapat diperbaiki dan perlu lebih terbuka. Secara simultan akuntabilitas dan transparansi sangat berpengaruh terhadap kinerja anggaran sehingga perlu dipertahankan untuk memperoleh hasil kinerja atau pelayanan yang ekonomis, efesien dan efektif.
Pengaruh Perputaran Kas, Perputaran Piutang, Perputaran Persediaan, Current Ratio, dan Debt to Equity Ratio, Total Assets Turn Over terhadap Profitabilitas
Authors: Hantono Hantono , Guci Siti Tiffany , Manalu Eva Mariana Boang , Hondro Novi Agusniawati , Manihuruk Cindy Claudia , Perangin- Angin Meilianta Br , Sinaga Desy Christiana
Published: February 2019

The purpose of this research is to examine the effect of the cash turnover, receivable turnover, inventory turnover, current ratio, debt to equity ratio, and total assets turn over to profitability. This Research was conducted on basic and chemical industry manufacturing companies listed in Indonesia Stock Exchange period 2013-2017. The methods of analysis using multiple regression analysis. The analysis method used is multiple linear regression, F test, and T-test. The result of this analysis showed that profitability was influenced simultaneously by cash turnover, receivable turnover, inventory turnover, current ratio, debt to equity ratio and total assets turn over. Meanwhile on partial analysis showed only receivable turnover and inventory turnover, current ratio, debt to equity ratio and total assets turn over hasn’t influence to profitability.
UNDERSTANDING ETHICAL PRINCIPLES IN NURSING RESEARCH
Authors: Agianto Agianto
Published: February 2019

N/A
THE EFFECT OF MORINGA OLEIFERA LEAVES ON CHANGE IN BLOOD PROFILE IN POSTPARTUM MOTHERS
Authors: Estiyani Arum , Suwondo Ari , Rahayu Sri , Hadisaputro Suharyo , Widyawati Melyana Nurul , Susiloretni Kun Aristiati
Published: February 2019

Background: Postpartum anemia among mothers is a health problem in Indonesia. Consuming moringa oleifera is assumed as one of the efforts to deal with anemia. However, lack of the study conducted in the working in the working area of Health Center of Tlogosari Wetan, Indonesia.

Objective: This study was conducted to examine the effect of moringa oleifera on blood profile in postpartum mothers.

Methods: The study was quasi-experimental study with pretest posttest control group design. The sample in this study were all postpartum mothers in the working area of the Health Center of Tlogosari Wetan. It was 30 respondents selected by purposive sampling, divided into intervention group (15 respondents) who received moringa leaf capsule and iron tablet, and control group (15 respondents) were given iron tablet. Data were analyzed using Independent t-test.

Results: Findings showed a significant difference in the mean of hemoglobin level (intervention group 11.9467; control group 11.0600), hematocrit (intervention group 38.3867; control group 33.8133), thrombocyte (intervention group 3.02536; control group 2.35805), and erythrocyte (intervention group 4.30137; control group 3.78206) with p-value < 0.05.

Conclusion: there was a significant effect of moringa oleifera on changes in blood profile (hemoglobin, hematocrit, erythrocyte, thrombocyte) in postpartum mothers in the working area of the Health Center of Tlogosari Wetan. Thus, it is suggested that moringa leaves could be used to prevent anemia in postpartum mothers.
PATIENT SATISFACTION AND ITS RELATIONSHIP WITH THE QUALITY OF COMPREHENSIVE EMERGENCY OBSTETRIC AND NEONATAL CARE (CEmONC) IN THE GENERAL HOSPITAL OF PANEMBAHAN SENOPATI BANTUL
Authors: Kurniati Fitri Dian , Lusmilasari Lely , Mulatsih Sri
Published: February 2019

Background: Patient satisfaction has emerged as an increasingly important health outcome and is currently used to evaluate the quality of care.

Objective: To describe the level of satisfaction of mothers after caesarean section and examine its relationship with the quality of Comprehensive Emergency Obstetric and Neonatal Care (CEmONC).

Methods: This was an analytic descriptive study using cross-sectional design. The study was conducted in Alamanda ward in the General Hospital (RSUD) of Panembahan Senopati Bantul Indonesia during September until November 2016. There were 55 respondents selected using purposive sampling. The instruments included The Scale for Measuring Maternal Satisfaction (SMMS) – caesarean birth  and the Quality of CEmONC questionnaires. Spearman’s rho and logistic regression were performed for data analysis.

Result: Results showed that 47.3% respondents rated the quality of CEmONC in high category and 56.4% were satisfied. The correlation value between quality of CEmONC and patient satisfaction was 0.285 (p = 0.035; OR = 1.96).

Conclusion: Level of satisfaction of mothers after caesarean section was  associated with the quality of CEmONC in the General Hospital of Panembahan Senopati Bantul Indonesia.
CORRELATION BETWEEN FAMILY COMMUNICATION PATTERNS AND JUVENILE DELINQUENCY IN JUNIOR HIGH SCHOOL
Authors: Thoyibah Zurriyatun , Nurjannah Intansari , D, W Sumarni
Published: February 2019

Background: Adolescents who are in transition period have high risk behavior of juvenile delinquency. Communication between parents and adolescents effectively and openly could help adolescents to avoid delinquency behavior.

Objective: This study aims to examine the relationship between family communication patterns and juvenile delinquency in junior high school.

Methods: This  research employed a cross-sectional design with correlation description approach. There were 243 students selected using simple random sampling from the 7th  and 8th grade students of junior high school. A questionnaire of juvenile delinquency and family communication pattern were used in this study. Data were analyzed using Chi Square test.

Result: The research  showed that the majority juvenile delinquency category was low (65%) and  the majority of communication pattern was in functional category  (73.3%). There was a significant relationship between family communication pattern and juvenile delinquency (p<0.05).

Conclusion: Communication pattern within family have significant association with juvenile delinquency.
EFFECT OF MINDFULNESS INTERVENTION ON THE INTENSITY OF PAIN IN NASOPHARYNGEAL CANCER PATIENTS UNDERGOING RADIATION TREATMENT
Authors: Laely Anna Jumatul , Prasetyo Awal , Ropyanto Chandra Bagus
Published: February 2019

Background: Physical responses that occur in patients with nasopharyngeal cancer are the emergence of pain due to the effects of treatment. The problem of pain in these patients at the stage of treatment remains critical to solve because it can cause comorbidity, psychological trauma and mortality. Mindfulness intervention is considered useful in transforming consciousness into the stage of acceptance.

Objective: This study aims to determine the effect of mindfulness intervention on the intensity of pain in nasopharyngeal cancer patients undergoing radiation treatment.

Methods: This was a quasi-experimental study with pretest posttest control group design. Thirty patients were selected using consecutive sampling, which divided into experiment and control group. Visual Analogue Scale (VAS) was used to measure pain. Each respondent received mindfulness intervention for six sessions, divided into three meetings. Paired t-test was used for data analysis.

Results: The results showed a significant reduction of pain from 4.12 (moderate pain) to 3.06 (mild pain) in the experiment group. There was a significant difference in pain level before and after mindfulness intervention (p= 0.001).

Conclusion: Mindfulness is effective in reducing pain intensity level in nasopharyngeal cancer patients undergoing radiation therapy.
ADDRESSING VIEWS OF KEY INFORMANTS WHO ARE WORKING FOR WOMEN RIGHTS REGARDING INTIMATE PARTNER VIOLENCE
Authors: Si Nan Kyipyar
Published: February 2019

Some married women are experiencing different types of intimate partner violence by their current or former husband. However, the awareness and services for those women are still needed. This study explored the key informants’ perspectives to provide more comprehensive services to those women. Qualitative feminist method was used and five participants were purposefully selected to interview in depth. Key informants reflected upon intimate partner violence as causes of intimate partner violence, why intimate partner violence cases were underreported, why didn’t women leave their violent partner, what they actually felt for intimate partner violence, gaps with intervention for survivors and planning for better outcome. It was found that awareness among women who experiencing violence and the people around them needed to be raised. And services provided for them also needed to be more concise and updated. Therefore, it is essentially important to extend education session to all people regarding violence against women. Collaboration and cooperation of government and non-governmental organizations is also helpful to decrease various kinds of violence committed to women.
THE IMPACT OF COMBINATION OF ROLLING AND OKETANI MASSAGE ON PROLACTIN LEVEL AND BREAST MILK PRODUCTION IN POST-CESAREAN SECTION MOTHERS
Authors: Yuliati Nia Dwi , Hadi Hadi , Rahayu Sri , Pramono Noor , Mulyantoro Donny Kristanto
Published: February 2019

Background: Normal childbirth or cesarean section has an effect on the initiation of early breastfeeding. Thus, rolling massage and oketani massage are considered helpful for milk production. However, little is known about the combination of rolling and oketani massage.

Objective: To examine the effect of combination of rolling and oketani massage on the levels of prolactin and milk production in post-caesarian section mothers.

Methods: A quasi-experimental study with pretest-posttest control group design. Thirty-six samples were selected using consecutive sampling, with 18 each assigned to an experiment and control group. Breast milk production was measured based on the baby's weight, while prolactin levels were measured using ELISA method. Data were analyzed using univariate and bivariate analysis.

Results: Results showed that there was a statistically significant difference of prolactin levels after intervention in the experiment and control group with p-value 0.035 (<0.005), and significant difference in breast milk production in both groups in posttest 1 and posttest 2 with p-value 0.000 (<0.05).

Conclusion: There was statistically significant effect of the combination of rolling and oketani massage on the increase of prolactin levels and breast milk production. It is suggested that this intervention can be applied in midwifery care in post-cesarean section mothers.
EFFECT OF CONSUMING TAMARIND AND TURMERIC DRINK ON THE LENGTH OF PERINEAL WOUND HEALING IN POSTPARTUM MOTHERS
Authors: Susanti Dewi , Setiani Onny , Umaroh Umaroh , Aristiati Kun , Mashoedi Imam Djamaluddin , Mardiyono Mardiyono
Published: February 2019

Background: The incidence of perineal tear is still high in Indonesia. It is therefore the intervention to accelerate wound healing is needed. The use of turmeric and tamarind is considered as the alternative treatment for wound healing. However, little is known about the effect of the combination of turmeric and tamarind.

Objective: To determine the effect of consuming turmeric and tamarind on the duration of perineal wound healing.

Methods: The study was a quasi-experimental study with one group post-test only design conducted in the working area of the Community Health Center of Ngesrep and Srondol, Semarang City, Central Java, Indonesia in December 2016 until January 2017. There were 28 respondents recruited using consecutive sampling, with 14 randomly assigned in each group. The REEDA scoring system was used to measure the wound healing. Data were analyzed using Independent t-test.

Results: The results revealed that the average duration of wound healing in the intervention group was 6.25 days, while in the control group was 8.57 days with p-value 0.000 (<0.05), which indicated that there was statistically significant effect of tamarind turmeric drink of the duration of perineal wound healing in postpartum mothers.

Conclusion: There was a significant effect of turmeric tamarinds drink on the duration of perineal wound healing in postpartum mothers. It is therefore suggested to the health providers, especially midwives, to apply this intervention the accelerate healing of perineal wound in postpartum mothers.
LAVENDER (LAVANDULA ANGUSTIFOLIA) AROMATHERAPY AS AN ALTERNATIVE TREATMENT IN REDUCING PAIN IN PRIMIPAROUS MOTHERS IN THE ACTIVE FIRST STAGE OF LABOR
Authors: Karo Karo Hilda Yani , Pramono Noor , Wahyuni Sri , Mashoedi Imam Djamaluddin , Latifah Leny
Published: February 2019

Background: Labor and childbirth is an extremely painful process. Aromatherapy is considered as one of the nonpharmacological methods to reduce labor pain.

Objective: To determine the effect of lavender (Lavandula Angustifolia) aromatherapy on the level of pain in primipara in the first stage of labor.

Methods: A quasi-experimental research with pretest and posttest design with control group conducted between October until November 2016. Forty respondents selected using consecutive sampling, which 20 assigned in each group. a Numerical Rating Scale (NRS) pain scale was used. Paired and independent t-test were used for data analyses.

Results: The results showed that the p-value of labor pain after intervention was 0.000 (<0.05), which indicated that there was statistically mean difference of labor pain between intervention group (6.10) and control group (4.05) in primipara in the first active stage of labor.

Conclusion: The women in the lavender aromatherapy group reported lower intensity of labor pain. The intervention study could be practiced in the community health centers for pregnant women in order for them to apply this healing method.
DEVELOPING A WEB-BASED INFORMATION SYSTEM IN DETECTION OF HIGH-RISK PREGNANCIES IN SEMARANG, INDONESIA: ADDIE MODEL
Authors: Fajriya Ihsanti Indri , Supriyana Supriyana , Bahiyatun Bahiyatun , Widyawati Melyana Nurul
Published: February 2019

A web-based information system in this study was developed using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instruction model to facilitate the monitoring and reporting the existence of high-risk pregnancies in Semarang. The evaluation of the system revealed that web-based information system was very effective in terms of completeness, ease, timeliness, accuracy, and conformity with p-value <0.05. This innovation is expected to contribute positively to reduce maternal mortality rates in Indonesia, especially in Semarang.
EFFECT OF COMBINATION OF HYPNOBREASTFEEDING AND ACUPRESSURE ON ANXIETY AND WOUND PAIN IN POST-CAESAREAN MOTHERS
Authors: Anuhgera Diah Evawanna , Kuncoro Tjahjono , Sumarni Sri , Mardiyono Mardiyono , Suwondo Ari
Published: February 2019

Background: Post-cesarean mothers often experience anxiety and discomfort due to long-term pain. The combination of hypnobreastfeeding and acupressure is considered to be effective in reducing anxiety and pain levels. 

Objective: This study aims to examine the effect of combination of hypnobreastfeeding and acupressure on anxiety and pain levels in post-caesarean mothers.

Methods: This study was a true experiment with pretest-posttest control group design, conducted in the Ambarawa Public Hospital Indonesia on 5 November to 9 December 2016. There were 36 participants selected using stratified random sampling, with 18 assigned in the experiment and control group. Data were analyzed using Paired t-test and Wilcoxon test.

Results: There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p-value 0.001 (<0.05).

Conclusion: The combination of hypnobreastfeeding and acupressure has a significant effect in reducing anxiety and pain levels in post-cesarean mothers. This intervention could be applied as an alternative therapy in treating post-caesarean mothers.
DEVELOPING TEACHING LEARNING FOR INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI): A QUALITATIVE STUDY IN ACEH INDONESIA
Authors: Hayati Wirda , Soenarto Sri Supar Yati , Haryanti Fitri , Prabandari Yayi Suryo
Published: February 2019

Background: Integrated Management of Childhood Illness (IMCI) is an integrated guideline in dealing with infants and sick children at the community health center. However, many students cannot apply this guideline because they are not being exposed.

Objective: This study aims to explore the perspectives of nurse educators and clinical instructors regarding the effectiveness of teaching learning process of IMCI in diploma nursing students.

Methods: This was a qualitative study with interpretive approach. There were nine informants selected using purposive sampling, which consisted of nurse educators and clinical instructors. Data collection was conducted in December 2016 - February 2017 using focus group discussions and in-depth interviews. Data were analyzed using Colaizzi process.

Result: There were four themes emerged from data, namely 1) Competency of IMCI for Diploma Nursing Students, 2) Deepening of IMCI Material, 3) Learning methods of IMCI in the class and clinic should be active and structured, 4) Student confidence in the application of IMCI in clinical setting.

Conclusion: The learning process of IMCI will have an impact on the improvement of knowledge, skills and attitude in the application of IMCI in the clinical setting.
THE IMPACT OF LAVENDER AROMATHERAPY ON PAIN INTENSITY AND BETA-ENDORPHIN LEVELS IN POST-CAESAREAN MOTHERS
Authors: Apryanti Yohana Putri , Suhartono Suhartono , Ngadiyono Ngadiyono
Published: February 2019

Background: Caesarean section is one of the most common interventions to overcome labor complications. However, pain cannot be avoided after the surgery.  Lavender aromatherapy is considered as one of non-pharmacological therapy to reduce pain and increase beta-endorphin levels.

Objective: To examine the effect of lavender aromatherapy on the intensity of pain and beta-endorphin levels in post-caesarean mothers.

Methods: This was a quasi-experimental study with pretest and posttest with control group at Sembiring Delitua General Hospital in Indonesia on December 2016 to February 2017. There were 40 samples selected using purposive sampling, with 20 samples assigned in the experiment and control group. Numerical Rating Scale (NRS) was used to measure pain and ELIZA methods to measure beta-endorphin levels. Independent t-test and paired t-test were used for data analysis

Results: Results of this study showed that there was a significant difference in the mean value of pain intensity levels (p = 0.000) and beta-endorphin levels (p = 0.023) between experiment and control group.

Conclusion: There was a significant effect of lavender aromatherapy on the decrease of pain intensity and the increase of beta-endorphin hormone in post-caesarean mothers. It is expected that lavender aromatherapy can be used as an alternative treatment to reduce pain and increase beta-endorphin levels in post-caesarean mothers.
EFFECT OF CONSUMING GUAVA LEAVES (PSIDII FOLIUM) EXTRACT ON THE LEVEL OF BLOOD PROFILE IN TEENAGE GIRLS AT VOCATIONAL HIGH SCHOOL OF PALEBON SEMARANG, INDONESIA
Authors: Yulaeka Yulaeka , Suwondo Ari , Suherni Titi , Hadisaputro Suharyo , Anwar M.Choirul
Published: February 2019

Background: Women are at risk of iron-deficiency anemia, especially in teenage girls. One alternative treatment to prevent the occurrence of anemia is to consume guava leaf extract.

Objective: To examine the effect of guava leaves extract on changes in blood profile level in teenage girls.

Methods: This study was a quasi-experiment with pretest posttest control group design. This research was conducted at SMK Palebon Semarang Indonesia conducted on December 2016 - January 2017. There were 36 samples selected using a purposive sampling, with 18 samples were assigned in the experiment and control group. Blood profiles was measured in the Laboratory of Cito Klinik Setiabudi to see the hemoglobin level, hematocrit level, erythrocyte count, and platelet count. Data were analyzed using Independent t-test.

Results: There were significant differences in hemoglobin and thrombocytes levels after given intervention between the experiment and control group with p-value <0.05. However, the intervention has no effect on hematocrit and erythrocytes levels (p>0.05).

Conclusion: Guava leaves (Psidii folium) extracts have a significant effect on changes in hemoglobin and thrombocyte levels in teenage girls, but not in the hematocrit and thrombocytes levels. Therefore, it is suggested that guava leaves (Psidii folium) extracts can be an alternative treatment for midwives to prevent the occurrence of anemia in teenage girls.
GENERATION Y NURSE: WHAT DO I NEED IN THE WORKPLACE?
Authors: Gunawan Joko
Published: February 2019

N/A
EXPLORING HEALTHCARE-ASSOCIATED INFECTIONS: KNOWLEDGE, ATTITUDE, AND BEHAVIOR OF EMERGENCY NURSES WORKING IN BANDUNG, INDONESIA
Authors: Al fatih Hudzaifah , Jing-Jy Wang
Published: February 2019

Background: Healthcare associated Infections (HAIs) is considered being the most serious patient safety issue in health care settings and nurses in Emergency Department (ED) face greater risk of exposure to infectious pathogens.

Objective: The objectives of this study were to examine knowledge, attitude and behavior towards HAIs of Indonesian nurses working in ED and to examine the relationship among the above three variables.

Method: A cross-sectional study with self-reported survey was conducted at four hospitals in Bandung, Indonesia. The Healthcare Associated Infections Survey consisting of four domains: demographic characteristics, knowledge, attitude and behavior related to HAIs was used. The participants of this study covered 115 nurses.

Results: The mean of overall performance on the knowledge was good 21.23 ±5.173 (range 9-30) and 92.2% of them believed that guideline for HAIs control practice can reduced the risk of infections. The mean score for behavior when practicing infection control was 37.7±5.570 (26-50). Marital status and working hours per week, influenced nurses’ knowledge of HAIs (rs = 0.185, p = 0.048). Work experienced have negative correlation with attitude towards HAIs (rs = -0.196, p = 0.035). Furthermore, type of hospital and working hours per week have been associated with nurses’ behavior towards HAIs (r = 0.191, p = 0.04). There was no significant relationship between knowledge, attitude and behavior towards HAIs.

Conclusion: Even though the majority of ED nurses in Indonesia believe that precautionary guidelines can reduce the risk of HAIs, this study has indicated that nurses’ behavior toward HAIs is still insufficient.
WHAT IS THE CENTRAL UNIFYING FOCUS IN NURSING?
Authors: Gunawan Joko
Published: February 2019

N/A
FEMALE SEX WORKERS’ ATTITUDES TOWARD HIV TESTING: A STUDY AMONG INDIRECT SEX WORKERS IN BANTUL, YOGYAKARTA, INDONESIA
Authors: Astuti Dhesi Ari , Hakimi Moh. , Astuti Andari Wuri , Widyastari Dyah Anantalia , Sinaga Doni Marisi
Published: February 2019

Background: HIV prevalence among female sex workers in Indonesia is among the highest in Asia after Papua New Guinea and Malaysia. Indirect sex workers posed a heightened risk of HIV infection compared to direct sex workers because they usually earn less than their direct counterpart and have lower bargaining power in condom use.

Objective: This study aims to examine the factors influencing indirect sex workers’ attitudes toward HIV testing.

Methods: This study employed a quantitative method with a cross-sectional approach involved 67 indirect sex workers from massage parlors and beauty salons in Bantul district. Descriptive analysis of respondents’ attitude, perceive threat and expectation was drawn from Health Belief Model Theory.

Results: The majority of indirect sex workers had positive attitude towards HIV testing. They are aware to the importance of condom in every commercial sex works, but the majority believe themselves were not susceptible to HIV-AIDS due to their preference to healthy-looking clients to serve sex. Personal expenses to visit the health center for HIV testing are less considered compared to public opinion and discrimination. Peers encouraged the workers to get tested. Disseminating HIV/AIDS information to sex workers through media and mobile phone are not successful.

Conclusion: The findings of the study carrying an expectation that when individuals’ attitudes toward HIV testing are positive, the likelihood of getting themselves tested would also be higher. Since the perception is driven by information as stimulus, it is important to provide continuous information to create stimulus which eventually will influence their perception.
BINAHONG LEAVES (ANREDERA CORDIFOLIA TENORE STEEN) EXTRACT AS AN ALTERNATIVE TREATMENT FOR PERINEAL WOUND HEALING OF POSTPARTUM MOTHERS
Authors: Aditia Dita Selvia , Hidayat Syarief Thaufik , Khafidhoh Nur , Suhartono Suhartono , Suwondo Ari
Published: February 2019

Background: Perineal wounds are at risk for infection, without a good treatment, perineal wound can harbor sepsis and become a chronic, long-term problem. Binahong leaves is considered as an alternative to accelerate perineal wound healing process.

Objective: To determine the effect of Binahong leaf extract (anredera cordifolia (tenore) steen) on perineal wound healing process in postpartum mothers.

Methods: This study employed a quasi-experimental study with control group posttest-only design. The study was conducted in the working area of Telogosari Wetan Health Center and Health Center of Kulon Kota Semarang Indonesia in January-February 2017. There were 36 respondents selected using purposive sampling assigned in the intervention group (Binahong leaves extract) and the control group (Povidone Iodine 10%). REEDA scale was used for assessing perineal healing. Data were analyzed using Mann Whitney, Chi Square and Kruskal Wallis test.

Results: Findings showed that the average day of perineal wound healing process in the Binahong leaves group was 6.11 days and in the povidone iodine group was 7.66 days. There was a statistically significant difference in the duration of wound healing between the experiment and control group with p-value 0,001 (p value <0.05).

Conclusion: Binahong leaves extract is effective in healing perineal wound in postpartum mothers. Therefore, Binahong leaves are recommended to use as an alternative treatment for the mothers.
EFFECT OF MULTI MICRONUTRIENT SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA
Authors: Sari Rati Purnama , Pramono Noor , Wahyuni Sri , Udji Sofro Muchlis Achsan , Widyawati Melyana Nurul
Published: February 2019

Background: The coverage of 90 Fe tablets in Semarang in 2015 was 26.619 of 29.490 pregnant women (97%) but the incidence of anemia in pregnant women was still quite high. One important factor which influences the levels of hemoglobin is multi micronutrient.

Objective: This study aims to analyze the changes in hemoglobin levels with multi micronutrient supplementation in pregnant women with anemia.

Methods: A quasi-experimental study with randomized control group pre-posttest design. The study samples were 40 pregnant women with gestational age of 20 ± 1 weeks divided into two groups, the intervention group (multi micronutrient supplementation) and the control group (Fe supplementation) for six weeks. The study was conducted from November 2016 to January 2017. The levels of hemoglobin were measured using cyanmethemoglobin. Paired t test and independent t test were used for data analyses.

Results: The average of the increase in hemoglobin levels after multi micronutrient supplementation was 1.545 (1.292) g/dl, whereas the average of the increase in hemoglobin levels after Fe supplementation was 0.757 (0.742) g/dl. The difference in hemoglobin levels before and after multi micronutrient supplementation was significantly different (p=0.049). Cohen’s d effect size test showed value of 0.748.

Conclusion: Multi micronutrient supplementation could improve hemoglobin levels. The increase in the levels of hemoglobin with multi micronutrient supplementation was higher than Fe supplementation.
EFFECT OF COMBINATION OF BREAST CARE AND OXYTOCIN MASSAGE ON BREAST MILK SECRETION IN POSTPARTUM MOTHERS
Authors: Hesti Kadek Yuli , Pramono Noor , Wahyuni Sri , Widyawati Melyana Nurul , Santoso Bedjo
Published: February 2019

Background: Optimal nutrition from an early age can be achieved through exclusive breastfeeding. Lack of milk production is one reason why mothers decide to give formula milk to their babies. In fact, 60% of mothers were unable to breastfeed optimally, thus, breast care and oxytocin massage are proposed to increase milk secretion in postpartum mothers.

Objective: To examine the effect of combination of breast care and oxytocin massage on breast milk secretion in postpartum mothers.

Methods: This was a quasi-experimental study with non-randomized control trial with pretest-posttest control group, conducted in the working area of the Community Health Center of Batealit of Jepara Indonesia from December 5, 2016 to January 15, 2017. There were 44 postpartum mothers recruited in this study using purposive sampling, which 22 assigned in the experiment and control group. Data were analyzed using dependent t-test and Mann Whitney test.

Results: There was a significant increase of breast milk secretion in the experiment and control group with p-value 0.000 (<0.05). In the experiment group, there was an increase of breast milk secretion from 17.09 to 220.91 cc, and in the control group there was also an increase from 17.09 to 72.00 cc. The mean difference of breast milk secretion between pretest and posttest in the experiment group was 203.82 and in the control group was 54.90 with p-value 0.000 (<0.05)

Conclusion: There was a significant increase of breast milk secretion in postpartum mothers after given the combination of oxytocin massage and breast care in the experiment group compared with the education and counseling about breast care in the control group. Thus, this result can be used as an evidence to perform oxytocin massage and breast care to increase the secretion of breast milk in postpartum mothers.