bluuebunny/crossref_metadata_2025 huggingface dataset:
EFFECTIVENESS OF MUSIC THERAPY ON ANXIETY AND B-ENDORPHIN LEVELS IN PRIMIGRAVIDA DURING THE THIRD STAGE OF PREGNANCY
Authors: Dayyana Surya , Suryono Suryono , Widyawati Melyana Nurul , Hidayat Syarief Thaufik
Published: February 2019

Objective: To examine the effectiveness of music therapy on anxiety and β-endorphin levels in primigravida during the third stage of pregnancy.

Methods: This was a quasi-experimental study with pretest-posttest control group design. The research was conducted in December 2016 - January 2017. There were 39 respondents selected using purposive sampling technique, which 13 assigned in the experiment group 1 (music therapy with a sound pressure of 40 dB), experiment group 2 (music therapy with a sound pressure of 62 dB) and control group (health counseling). Anxiety levels were measured using the HARS (Hamilton Anxiety Rating Scale), and β-endorphin hormone levels were measured using ELISA (Enzyme-Linked Immunosorbent Assay) method. Data were analyzed using Paired t-test, One-Way ANOVA test with post-hoc Bonferroni, and Kruskal Wallis test with post-hoc Mann Whitney.

Results: Findings revealed that there was a decrease of the mean of anxiety levels in the experiment group 1 from 31.92 (pretest) to 24.69 (posttest), and the experiment group 2 from 34.54 (pretest) to 25 (posttest) with p-value <0.05. There was an increase of the mean of β-Endorphin levels in the experiment group 1 from 53.63 (pretest) to 63.24 (posttest), and the experiment group 2 from 48.55 (pretest) to 64.9 (posttest) with p-value <0.05. However, there was no effect of counseling in the control group on anxiety levels (p=0.413) and β-Endorphin levels (p= 0.394).

Conclusion: Music therapy is effective in reducing anxiety levels and increasing β-endorphin levels. Thus, music therapy can be used as an alternative treatment for pregnant mothers at home who experienced anxiety.
COMPARISON OF THE EFFECTIVENESS OF TWO LEVELS OF SUCTION PRESSURE ON OXYGEN SATURATION IN PATIENTS WITH ENDOTRACHEAL TUBE
Authors: Muhaji Muhaji , Santoso Bedjo , Putrono Putrono
Published: February 2019

Background: Endotracheal suctioning is one of the common supportive measures in intensive care units (ICU), which may be related to complications such as hypoxia. However, a questionable efficacy is still identified to choose suctioning pressure between 130 mmHg and 140 mmHg that is effective for patients with endotracheal tube.Objective: To compare the effectiveness of 130 mmHg and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube.Methods: This research used a quasi-experimental design with pretest and posttest group. The study was conducted from 31 January to 1 March 2017 in the Hospital of Panti Wilasa Citarum and Hospital of Roemani Muhammadiyah Semarang Indonesia. There were 30 samples recruited using consecutive sampling, with 15 assigned in the 130 mmHg and 140 mmHg suctioning pressure group. Pulse oximetry was used to measure oxygen saturation. Paired t-test and Independent t-test were used for data analysis.Results: Findings showed that there was a statistically significant effect of 130 and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube with p-value <0.05. There was a significant mean difference of oxygen saturation between 130 mmHg and 140 mmHg suctioning pressure group with p-value 0.004 (<0.05). The mean difference of oxygen saturation between both groups was 13.157.Conclusion: The 140-mmHg suctioning pressure is more effective compared with 130 mmHg suctioning pressure in increasing oxygen saturation in patients with endotracheal tube.
COMBINATION OF COLD PACK, WATER SPRAY, AND FAN COOLING ON BODY TEMPERATURE REDUCTION AND LEVEL OF SUCCESS TO REACH NORMAL TEMPERATURE IN CRITICALLY ILL PATIENTS WITH HYPERTHERMIA
Authors: Dzulfaijah Nur Eka , Mardiyono Mardiyono , Sarkum Sarkum , Saha Djenta
Published: February 2019

Objective:  To examine the effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia.

Methods: This was a randomized control trial (RCT) with pretest posttest control group design and repeated measurement, conducted on December 2016 – January 2017. There were 32 respondents selected using total sampling, with 16 respondents randomly assigned in the experiment and control group. A digital thermometer was used to measure hyperthermia. Paired t-test, Repeated ANOVA with post hoc, and Mann Whitney were used for data analysis.

Results: Findings showed that the mean of body temperature in the experiment group in pretest was 38.762 oC and decreased to 37.3 oC after given intervention for 60 minutes. The mean difference of body temperature was 1.4625, with p-value 0.000 (<0.05). In control group, the mean of body temperature in pretest was 38.669 oC and decreased to 38.188 oC given intervention for 60 minutes. The mean difference of body temperature was 0.4812, with p-value 0.000 (<0.05). 

Conclusion: There was a significant effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia. This combination is more effective than water compress alone.
UTILIZATION OF MULTIMEDIA TO IMPROVE PIT FISSURE SEALANT PRACTICAL SKILL AMONG STUDENTS IN DENTAL NURSING, YOGYAKARTA, INDONESIA
Authors: Haryani Wiworo , Christiyawati Maria Dewi , Kusmiyati Yuni , Waryana Waryana
Published: February 2019

Background: With an increasing demand of high quality of health services, challenges are addressed to all health providers to improve their skills in providing services to clients. Given that preventive dentistry clinical practice has not been satisfying, providing media as students’ guidelines is necessary.

Objective: The study aims to explain the influence of multimedia use in order to improve Pit Fissure Sealant (PFS) practical skills of dental nursing students.

Methods: It was a quasi-experimental study with pretest and post-test control group design. Population of the study was selected from dental nursing students in Yogyakarta. A hundred sample was drawn purposively from the population and distributed equally to two groups. The first group was exposed by PFS practice video whilst the second group as control was exposed only by the guidebook.

Results: Initially, students in the control group have better PFS practical score compared to their counterpart in the treatment group. Nevertheless, after the exposure of different media, students in the treatment group demonstrated a better post-test score on their PFS practical skills. The statistical analysis certifies that there was a significant difference in the mean score of PFS practical skills of the students before and after the treatment.

Conclusion: Video as a new media is able to improve the students’ motivation in learning than any traditional media such as books. It should be noted however, both printed media (guidebooks) and video only provides one-way communication. Therefore, designing an interactive media using video, which the user can be the sender, not only the receiver, can be considered for further research.
EFFECT OF NATURE SOUND THERAPY ON THE LEVEL OF CORTISOL IN POSTPARTUM PRIMIPARA
Authors: Laska Yulinda , Suryono Suryono , Widyawati Melyana Nurul , Suwondo Ari , Kusworowulan Suryati
Published: February 2019

Background: Majority of primiparous mothers experience a wide range of postpartum blues, which leads to stress and an increase in cortisol. Therefore, efforts to reduce cortisol level is needed. Nature sound music therapy is believed to make the mothers feel relaxed and comfortable.

Objective: To examine the effect of the nature music therapy on cortisol levels in postpartum primipara.

Methods: This was a true experimental study with pretest-posttest control group design. The study was conducted in the postpartum ward in the General Hospital of Semarang Indonesia from November 2016 to January 2017. There were 39 postpartum primipara selected in this study using simple random sampling divided into three groups: 1) the experiment group who received the nature music therapy for 15 minutes, 2) the experiment group who received the nature music therapy for 30 minutes, and 3) the control group. One-way ANOVA test was performed for data analysis.

Results: There was a statistically significant effect of the nature sound therapy on the cortisol level in the postpartum primipara, with p-value = 0.010 (<0.05).

Conclusion: There was a significant effect of the nature music therapy on the cortisol levels in postpartum primipara. Thus, the application of nature music therapy can be an alternative therapy especially for postpartum primipara who experience emotional stress, physical, anxiety, and fatigue.
PAIN INTENSITY AND PAIN INTERFERENCE AMONG TRAUMA PATIENTS: A LITERATURE REVIEW
Authors: Prastika Deya , Kitrungrote Luppana , Damkliang Jintana
Published: February 2019

Background: The incidence of trauma has been high and has gained attention worldwide. The energy involved in trauma results in specific tissue damage. Such tissue damage generally leads to pain. The high pain intensity possibly is consequence of trauma due to transfer energy to the body from external force and absorbed in wide area. This pain affected patients’ physical and psychological function, in which well known as pain interference.

Objective: The aim of this review is to describe the pain intensity and pain interference among trauma patients.

Method: A systematic search of electronic databases (CINAHL, ProQuest, Science Direct, and Google scholar) was conducted for quantitative and qualitative studies measuring pain intensity and pain interference. The search limited to hospitalized trauma patients in adult age.

Results: The search revealed 678 studies. A total of 10 descriptive studies examined pain intensity and pain interference and met inclusion criteria. The pain intensity and pain interference were assessed using Brief Pain Inventory (BPI). Pain intensity of hospitalized trauma patients were moderate to severe. These including 6 studies in orthopedic trauma, one study in musculoskeletal, two in studies in combinational between orthopedic and musculoskeletal, and two studies in burn injury. Moreover, the patients also reported pain was relentless & unbearable. In accordance, data showed that pain interference was moderate to severe from six studies. These studies result in vary of functional interference. However, those studies examined pain interference on sleep, enjoyment of life, mood, relationship with other, walking, general activity, and walking.

Conclusion: The evidence from 10 studies included in this review indicates that hospitalized trauma patients perceived moderate to severe pain intensity and pain interference. Further research is needed to better evaluate the pain of hospitalized trauma patients.
EFFECT OF HYPNO-PRESSURE ON ANXIETY IN PATIENTS WITH CARDIOVASCULAR DISORDER
Authors: Nugraha Dwi Antara , Pujiastuti Sri Endang , Widiyanto Budi , Anwar Choiroel
Published: February 2019

Objective: This study aimed to determine the effectiveness of the combination of hypnotherapy and acupressure (hypno-pressure) on anxiety levels in patients with cardiovascular disorders.

Methods: A quasi-experimental research with pretest-posttest with control group design was used. Fifty-six respondents were selected using purposive sampling in this study, which 28 respondents were randomly assigned in the experiment and control group. The Spielberger State-Trait Anxiety Inventory (STAI) Form Y was used to measure anxiety. Paired t-test and Independent t-test were used for data analysis.

Results: There was a significant effect of hypno-pressure on the decrease of anxiety levels in patients with cardiovascular disorder with p-value 0.000 (<0.05), t = 7.217, and effect size of 1.96.

Conclusion: Hypno-pressure could reduce anxiety levels in patients with cardiovascular disorder.
EFFECT OF 14 POINTS ACUPRESSURE ON UPPER AND LOWER EXTREMITY MUSCLE STRENGTH LEVELS IN PATIENTS WITH NON-HEMORRHAGIC STROKE
Authors: Asmawariza Lalu Hersika , Hadisaputro Suharyo , Mardiyono Mardiyono , Parwati Desak Made Wenten
Published: February 2019

Background: Acupressure is considered as one form of holistic therapies that can improve tissue perfusion to improve motor function in patients with stroke.Objective: To analyze the effect of 14 points acupressure on upper and lower extremity muscle strength in patients with non-hemorrhagic stroke patients.Methods:  This was a quasi-experimental study with pretest posttest control group design. Paired comparative analytic design was also used. Thirty-eight participants were selected, which 19 participants assigned in the experiment and control group. The Medical Research Council (MRC) scale was used to measure the lower and upper muscle strengths.Results: There was a significant difference between the improvement of the upper muscle strength in the experimental group and the control group at day 3, 4, 5, 6, 7 (p = 0.010, p = 0.000, p = 0.000, p = 0.000, p = 0.000); and there was a significant difference between the improvement of the lower extremity muscle strength in the experimental group and the control group at day 3, 4, 5, 6, 7 (p=0.023, p=0.000, p=0.000, p=0.000, p=0.000).Conclusion: The 14 points acupressure is effective in increasing upper and lower extremity muscle strength in patients with non-hemorrhagic stroke.
COMPARISON OF EFFECTIVENESS OF A PROGRESSIVE MOBILIZATION AND MOZART MUSIC THERAPY ON NON-INVASIVE HEMODYNAMIC STATUS CHANGES IN PATIENTS WITH HEAD INJURY IN THE INTENSIVE CARE UNIT
Authors: Indriani Novi , Santoso Bedjo , Arwani Arwani , Mardiyono Mardiyono
Published: February 2019

Background: The instability of hemodynamic status in patients with head injury with decreased consciousness has an effect on the increase of intracranial pressure. The recovery of hemodynamic status can be done through nursing intervention either by providing a sensory stimulus (music therapy) or motor stimulus (progressive mobilization).

Objective: To compare the effectiveness of progressive mobilization of level I with Mozart's music therapy on non-invasive hemodynamic status changes in patients with head injury with decreased awareness.

Methods: This was a quasi-experimental study with pretest-posttest design. There were 34 samples selected using consecutive sampling, which 17 samples assigned in a group of progressive mobilization and group of music therapy. Paired t-test and Wilcoxon test were used for paired group, and Independent t-test and Mann-Whitney test for unpaired group.

Results: Progressive mobilization of level I had significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.002) and MAP (p = 0.019), and no significant effect on heart rate (p = 0.155), respiration (p = 0.895) and oxygen saturation (p = 0.248). Mozart's music therapy had a significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.0001), respiration (p= 0.032) and oxygen saturation (p = 0.008), but no effect on MAP (p = 0.561). There was a significant difference between the two interventions in the systolic blood pressure and heart rate variables (p <0.05), while the diastolic blood pressure, MAP, respiration and oxygen saturation variables did not show a difference (p> 0.05).

Conclusion: The Mozart's music therapy is more effective on non-invasive hemodynamic status changes in patients with head injury with decreased consciousness compared with progressive mobilization of level I.
FACTORS INFLUENCING MATERNAL LABOR COMPLICATION IN KUTAI KARTANEGARA REGION
Authors: Astutik Widya , Dasuki Djaswadi , Kurniawati Herlin Fitriani
Published: February 2019

Background: To decrease maternal mortality rate until 70 per 100,000 living birth in 2030 (SDG’s) has become the health priority. In fact, the maternal mortality rate in Indonesia is still very high, and almost two-third maternal mortality is caused by maternal labor complications.

Objective: The objective of the study was to investigate the factors influencing maternal labor complications in Kutai Kartanegara Region Indonesia in 2017.

Methods: This was a correlational study with cross sectional design. The populations in the study were women who had labor process in the area of Kutai Kartanegara Region. There were 95 respondents selected using purposive sampling. Data were collected using questionnaires and medical records. Chi-square and logistic regression were used for data analysis.

Results: Most of the respondents had maternal labor complication (53.7%). The highest complication occurred was prolonged labor  (58.9%).  Factors influencing maternal labor complication were antenatal care, mother’s age, education level, parity, and distance of pregnancy. Age was identified as the most dominant variable influencing maternal complication, with the value of OR was 5.837, which indicated that high-risk-age mothers have 5.837 times of labor complication than mothers with no risk age.

Conclusion: Antenatal care, age, education, parity and distance of pregnancy had correlation with maternal labor complications, and its most dominant variable was age.
EXPOSURE TO MASS MEDIA AS A DOMINANT FACTOR INFLUENCING PUBLIC STIGMA TOWARD MENTAL ILLNESS BASED ON SUNRISE MODEL APPROACH
Authors: Pratiwi Ni Made Sintha , Zuhriyah Lilik , Supriati Lilik
Published: February 2019

Background: The person suffering mental disorders is not only burdened by his condition but also by the stigma. The impact of stigma extremely influences society which is considered to be an obstacle in the mental disorder therapy. Stigma as the society adverse view towards severe mental disorders is related with the cultural aspect. The interaction appeared from each component of nursing model, called sunrise model, is a model developed by Madeleine Leininger that connects with the wide society views about severe mental disorders condition.
Objective: The aim of this study was to analyze the factors related to public stigma and to find out the dominant factors related to public stigma about severe mental illness through sunrise model approach in Indonesia.
Methods: This study used observational analytical design with cross sectional approach. There were 150 respondents contributed in this study selected using purposive sampling technique. Spearman Rank and multiple logistic regression were used for data analysis.
Results: The results showed a significant relationship between mass media exposure, spiritual well-being, interpersonal contact, attitude, and knowledge with public stigma about mental illness. The result of multiple logistic regression revealed that the low exposure of mass media had the highest OR value at 26.744.
Conclusion: There were significant correlations between mass media exposure, spiritual well-being, interpersonal contact, attitude, and knowledge with public stigma toward mental illness. Mass media exposure was a dominant factor influencing public stigma toward mental illness.
THE PROS AND CONS OF THE RELATIONSHIP BETWEEN PERSONALITY AND LEADERSHIP OR MANAGERIAL BEHAVIOR OF NURSING MANAGER
Authors: Gunawan Joko
Published: February 2019

N/A
THE ROLE OF MATERNAL SUPPORT MOTIVATORS AND EXCLUSIVE BREASTFEEDING BEHAVIOR AT THE PUBLIC HEALTH CENTER IN YOGYAKARTA: A CORRELATIONAL STUDY
Authors: Fauzi Aulia Ridla , Suryantoro Purnomo , Rokhanawati Dewi
Published: February 2019

Background: The target of exclusive breastfeeding decreased to 17% at the Pakualaman Health Center in Yogyakarta due to the barriers caused by the wrong perception regarding breastfeeding and returning to work. The roles of motivators in the promotion activity and exclusive breastfeeding reinforcements are expected to exchange experience among peers who have experienced of exclusive breastfeeding at maternal group activities.

Objective: To identify the correlation between the role of motivators in supporting maternal groups in providing exclusive breastfeeding and exclusive breastfeeding behavior.

Methods: This was a correlational study with cross-sectional design on 55 samples selected using purposive sampling technique. This study was conducted in women who had a > 6-23-month infant at Pakualaman Health Center in Yogyakarta Indonesia in 2017. Chi-square and multiple logistic regressions were used for data analysis.

Results: There was no significant correlation between the role of motivators in supporting maternal groups and exclusive breastfeeding behavior in mothers with 0-6-month infants (p= 0.631). There was a significant correlation between the variable of access to information with the behavior of exclusive breastfeeding (p = 0.019).

Conclusion: The role of motivators in supporting maternal groups has no significant relationship with exclusive breastfeeding behavior. It is suggested for midwives to increase the access of information among mothers, as information access has significant association with behavior of mothers in exclusive breastfeeding.
THE CORRELATION BETWEEN KNOWLEDGE OF MARRIAGEABLE AGE, EDUCATION, MATCHMAKING AND CHILD MARRIAGE IN FEMALES IN BANJARNEGARA INDONESIA
Authors: Sumanti Reni , Handayani Sri , Astuti Dhesi Ari
Published: February 2019

Background: Teenage marriage is still found in developing countries including in Indonesia. The percentage of teenage marriage in females in Indonesia in 2016 was 11.5%. Various factors related to teenage marriage are education, knowledge, economy, and culture. Impacts caused by teenage marriages include pregnancy in adolescence which results in increased maternal and infant deaths, dropouts, and poor quality of the family. The prevalence of teenage marriage in Banjarnegara in 2016 was 23% higher than the national prevalence.

Objective: This study aims to determine the correlation between factors related to knowledge of marriageable age, education, matchmaking and child marriage in females in Banjarnegara Indonesia.

Methods: This was a correlational cross-sectional study. There were 96 respondents selected using proportionated stratified random sampling. Chi square and logistic regression were used for data analysis.

Results: Findings show that there were statistically significant correlations between knowledge of marriageable age, education and child marriage. There was no significant relationship between matchmaking and child marriage. The respondents with low knowledge were 0.5 times more likely to have child marriage compared with those with high knowledge (p = 0.001, 95% CI = 0.320-0.782).

Conclusion: Knowledge of marriageable age was considered as the dominant factor affecting child marriage in Banjarnegara Indonesia. It is suggested that health care providers should continuously promote about the impact of child marriage to increase the knowledge of marriageable age.
FACTORS RELATED TO RESILIENCE IN TYPE 2 DIABETES MELLITUS PATIENTS IN DENPASAR BASED ON SELF-CONCEPT MODE OF ROY ADAPTATION MODEL
Authors: Yundarini Ni Made Candra , Noorhamdani Noorhamdani , Kristianto Heri
Published: February 2019

Background: Patients with type 2 Diabetes mellitus are impaired both physically and psychologically. Based on preliminary studies carried out in public health centers in Denpasar, Bali, out of 10 patients interviewed, 70% of the patients with type 2 diabetes mellitus expressed their difficulties in adapting to the current state of the disease. One of the capabilities that must be owned by the patients to be able to adapt to the stressor is resilience. Roy adaptation model could be used in order to explain factors associated with resilience in patients with type 2 diabetes mellitus.

Objective: To analyze the factors associated with resilience in patients with type 2 diabetes mellitus in Denpasar based on self-concept mode of Roy adaptation model.

Methods: It used an observational analytic design with cross-sectional approach. Respondents used in this study were type 2 diabetes mellitus patients in four selected public health centers in Denpasar, Bali. 125 samples obtained by cluster sampling technique were used in this study. Conor-Davidson Resilience Scale-2 (CD-RISC-2), Illness Identity Questionnaire (IIQ) and Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-Sp) questionnaires were used in order to measure resilience, self-concept, and spirituality respectively. Pearson Product Moment test was used for bivariate analysis to determine the relationship between self-concept and spirituality and resilience in patients with type 2 diabetes mellitus. Multiple Linear Regression was used for multivariate analysis in order to find the most dominant factor related to resilience based on self-concept mode of Roy adaptation model.

Results: The results of this study showed a significant relationship between self-concept and spirituality with resilience in patients with type 2 diabetes mellitus (p = 0.000). These two variables have r values equal to 0.599 and 0.597 respectively. Multiple linear regression showed that self-concept was the dominant factor related to resilience based on self-concept mode of Roy adaptation model with beta value equals to 0.687.

Conclusion: There was a significant relationship between factors associated with resilience in patients with type 2 diabetes mellitus in Denpasar based on self-concept mode of Roy adaptation model.
VALIDITY AND RELIABILITY OF SHORTENED GENERAL COMFORT QUESTIONNAIRE IN INDONESIAN VERSION
Authors: Artanti Eria Riski , Nurjannah Intansari , Subroto Subroto
Published: February 2019

Background: Comfort is one of nurses’ concerns in each of nursing care activity. There are several different instruments to measure patient’s comfort. Tools regarding comfort however, have not been developed and tested in Indonesian.
Objectives:  This study aimed to assess the validity and reliability of the Shortened General Comfort Questionnaire (SGCQ) in Indonesian version.
Methods: SGCQ was translated and back translated to Indonesian before it was used for this study. Three experts (two lecturers and one clinician) were recruited to measure the content validity of SGCQ in Indonesian version. S-CVI and I-CVI analyses were used to measure the content validity of this instrument, and Pearson correlation was used for the construct validity. Content validity of instruments consists of relevance, accuracy, clarity, credibility and equivalency. Reliability analysis of this instrument was performed using Cronbach’s alpha in 71 patients undergoing hemodialysis.
Results: Result show that an I-CVI score was 1, which implies that each item of relevance, accuracy, clarity, credibility, and equivalency was acceptable. In addition, the S-CVI score was also 1, which implies that the validity of this instrument was acceptable. Cronbach’s alpha score was also showed 0.769 means that the SGCQ instrument in the Indonesian language is reliable because the score was in the range of 0.7–0.95.
Conclusion: SGCQ in Indonesian version has acceptable validity and reliability and it can be used to measure patient’s comfort level in Indonesian.
THE IMPLEMENTATION OF THERAPEUTIC COMMUNICATION OF NURSES TO THE PARENTS OF PEDIATRIC PATIENTS IN PRE-OPERATIVE STAGE
Authors: Adistie Fanny , Mediani Henny Suzana , Nurhidayah Ikeu , Hendrawati Sri
Published: February 2019

Background: The pre-operative care aims at preparing the patient and family to face the surgery. In providing nursing care to the pediatric patients, it is better and is recommended that the nurse demonstrate a therapeutic communication.

Objective: This study aims to identify the implementation of the therapeutic communication by nurses to the parents of the pediatric patients who will undergo surgery in the pediatric surgical ward based on the perspective and expectation of the parents.

Methods: The study used a mixed method, with the strategy of sequential explanatory. The quantitative study involved 101 respondents. The implementation of therapeutic communication is measured by using the questionnaire of therapeutic communication implementation. The qualitative study was conducted to six participants as samples, with analysis interactive model technique.

Results: The result of quantitative study found that 53.5% identified poor therapeutic communication being implemented by nurses to the parents of the patients. The result of the qualitative study foundthat parents expect comprehensive therapeutic communication from nurses, both in terms of language or behavior in any delivery of information or actions to be performed.

Conclusion: The result of this study is expected to be an input for the health care institutions, especially to make it as a reference for consideration in making the standard operating procedures on the implementation of therapeutic communication to improve the nurses’ quality of care.
COMPARISON STUDY OF ENERGY EXPENDITURE CALCULATION BETWEEN CONVENTIONAL METHOD AND IRETON-JONES METHOD FOR CRITICALLY ILL PATIENT
Authors: Ismail Suhartini , Nursasmita Rizqi
Published: February 2019

Background: The critically ill patients are having nutrition problems in dealing with the critical condition. The problem of nutrition is demanding on the severity of illness. Therefore, the ICU nurses should understand how nutrition can support the patients’ recovery.  

Objective: This study’s aim was to compare the result of energy expenditure calculation of conventional method with Ireton-Jones method for critically ill patients in the intensive care unit.

Methods: This was a comparative and cross-sectional study which recruited 40 samples. The samples were divided into two groups, conventional group method and Ireton-Jones group method, and they met the inclusion criteria. The sample of this study was determined by convenience sampling. To answer the hypothesis, the hypothesis test used Independent sample t-test.

Results: The results revealed that there is no significance difference between energy expenditure calculation conventional method and Ireton-Jones method statically. In the other word, either used the conventional method or the Ireton Jones method, the result of energy expenditure calculation has statically significant difference.

Conclusion: It can be concluded that the nurse can use both methods to calculate the energy expenditure for critically ill patients to meet their nutrition need. We suggest that for further investigation will recruit many samples and do control of other factors that might be influenced in the study.
THE DESCRIPTION OF RESILIENCE IN POST-ACUTE ATTACK PATIENT WITH CORONARY ARTERY DISEASE
Authors: Puspawatie Eva , Prawesti Ayu , Sutini Titin
Published: February 2019

Background: Coronary heart disease patients shall experience physical, psychological and social changes that will affect life. The psychological condition of outpatients that has been investigated include anxiety, depression and quality of life, all of these problems can be attributed to resilience.

Objective: The purpose of this study was to determine the image of resilience of coronary heart disease patient following up the acute attack in outpatient ward.

Methods:  The research method used quantitative descriptive using CD-RISC instrument 25. Instrument had validity value r = 0.83, P <.0001 and reliability value of Cronbach’s α 0.89. The selection of sample with consecutive sampling and got sample number 50 people for 2 weeks. Data were analyzed based on the value of each respondent categorized using tertile to see the overall resilience picture, while for the five sub-variables measured using the mean and standard deviation.

Result: The results showed that almost half of respondents had 70-75 resilience. The mean value of sub-variables if sorted from the lowest to the highest is trust and reinforcement (2.71±0.58); competence and resilience (2.88±0.53); relationships with others (2.92±0.48); self-control (3.04±0.62) and spiritual influence (3.33±0.45). These results are influenced by lack of self-efficacy, optimism and family support.

Conclusion: The conclusions of the research resilience of patients are in the medium category, for the lowest sub-variable value is trust and strengthening, while the highest is the spiritual influence. So, it is advisable to provide education to improve management skills post-acute attacks and increase social support in the care of patients at home.
NURSING AND MEN: A GENDER BIAS
Authors: Gunawan Joko
Published: February 2019

N/A
CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
Authors: Solikhah Umi , Kusnanto Hari , Haryanti Fitri , Prabandari Yayi Suryo
Published: February 2019

Background: One of the efforts in the health sector for programs to reduce infant and under-five mortality and morbidity rates is by the competence-based integrated management childhood illness (CB-IMCI) program. However, the program has been poorly implemented by health workers at the health center. Thus, the involvement of cadres is needed and their competency remains important to be improved.

Objective: To quantitatively analyze cadre knowledge and competencies in the CB-IMCI program, and its relationship with the implementation of CB-IMCI, as well as to qualitatively explore and analyze the responses of cadres, health workers, and the community to the addition of cadre roles to the management of sick children.

Methods: This was a mixed methods study with randomized controlled trials and qualitative method. For randomized controlled trials, 100 cadres were selected, which 50 randomly assigned in the intervention and control group. And for quantitative methods, informants included 10 cadres, 4 health workers, and 20 mothers. Paired t-test and independent t-test were employed for quantitative analysis, and triangulation was used for qualitative analysis.

Results: The improvement of knowledge in the intervention group was better (I=14.42/C=4.44/p-value 0.00). The intervention group was more competent in the management of child illness (p-value 0.00). In addition, the cadres have additional competencies assisted by health workers to confidently detect cases earlier, and health center services reach a wider coverage in the community.

Conclusion: The addition of cadres’ roles and competencies in the management of child illness in the community can be implemented in Banyumas District. It is suggested that the implementation of this program should be followed up in other health centers by the Health Department of Indonesia.
TEACHER-CENTERED LEARNING AND STUDENT-CENTERED LEARNING APPROACHES IN NURSING SCHOOL: WHICH ONE IS BETTER?
Authors: Nurjannah Intansari , Husniyah Fatihatul , Harjanto Totok
Published: February 2019

Background: Student academic achievement is influenced by learning instruments such as: teaching staff, facility and infrastructure as well as the curricular component. Teacher-Centered Learning (TCL) or Student-Centered Learning (SCL) will also contributes to student’s outcomes as an approach to apply a curricular component.
Objective: To compare students’ academic achievement levels between undergraduate students who follow TCL and SCL approaches in nursing school.
Methods: This was a quantitative research with a descriptive analytic method comparative study. The entire undergraduate student population in one of nursing school in Indonesia from 1999 to 2011 was included in this research. The relevant data in this study was GPA score and length of study. A total sampling method was performed to select 918 subjects involved in the study. The data were analyzed using Mann-Whitney test.
Results: Academic achievement was assessed from GPA score and length of study. The average GPA of students who followed a TCL approach was 3.28, while the score for those who followed a SCL approach was 3.54 with p-value of 0.00. The average length of study of students who followed a TCL approach was 4 years 3 months; while those with a SCL approach was 4 years 1 month with p-value of 0.279.
Conclusions: There was a significant difference on GPA score and no significant differences on the length of study between the undergraduate students who followed a TCL versus a SCL approaches.
PRACTICES FOR PREVENTION NEEDLESTICK AND SHARPS INJURIES AMONG NURSING STUDENTS
Authors: Tran Thi Quynh Anh , Einhellig Katrina
Published: February 2019

Background: Needlestick and sharp injuries are a serious hazard in any health care setting for health care workers and students during clinical practice. Thus, the efforts to prevent the needlestick and sharps injuries are needed and considered a part of the routine practice.Objective: This study aimed to investigate the frequency of nursing students in doing the correct practice in prevention needlestick and sharps injuries.Methods: This cross- sectional study was conducted between 2013 and 2014 in nursing students of Tien Giang Medical College who participated in clinical practice. There were 360 students participated in the study using simple random sampling. Data were collected using the practical assessment checklist and demographic characteristics questionnaire. Data were processed using STATA 12.0, and analyzed using Chi-square and Fisher test.Results: The students who did general practice correctly accounted for 52.50%, and those who did practice incorrectly was 47.5%. The students who used gauze or wool wrap in inhaler were 59.7%, wearing gloves in practice (39.2%), do not disassemble needles from syringes after injection 50%, and removing needles into barrel after injection (65.6%). There was statistically significant relationship between time of participation in clinical practice and correct practice with p-value 0.04 (<0.05)Conclusion: The correct practice of nursing students related to the prevention of needlestick and sharps injuries remains low. There was a significant relationship between time of participation in clinical practice and correct nursing practice. It is suggested that students must be taught about the risk of infection at the beginning of clinical practice, and constantly reminded throughout the learning process, especially for injection safety awareness, knowledge and techniques about the risk of transmission of HBV, HCV and HIV by sharp objects in the healthcare facility.
EFFECTIVENESS OF BREASTFEEDING AND NON-NUTRITIVE SUCKING ON PAIN RELIEF IN INFANT IMMUNIZATION
Authors: Probowati Etri , Soejoenoes Ariawan , Wahyuni M Sri , Mulyantoro Donny Kristanto , Widyawati Melyana Nurul , Fatmasari Diyah
Published: February 2019

Background: Immunization in infants is an action that can cause trauma due to injection of the immunization that can cause pain. Breastfeeding and non-nutritive sucking are considered non-pharmacologic strategies of pain management.

Objective: This study aims to investigate the effectiveness of breastfeeding and non-nutritive sucking on pain relief in infant immunization.

Methods: This was a quasi-experimental study with posttest only control group.  This study was conducted on 26 October till 30 November 2016 at three Community Health Centers (Puskesmas), namely Puskesmas Cilacap Utara I, Puskesmas Cilacap Tengah, and Puskesmas Cilacap Selatan I. The population was infants aged 2-4 months who got immunization of DPT-HB-Hib 1. Samples were recruited using a consecutive sampling technique. There were 69 samples in this study, which were divided into three groups: 1) The group given a breastfeeding intervention (23 respondents), 2) The second group given a non-nutritive sucking intervention (23 respondents), and 3) The control group (23 respondents). Data were analyzed using ANOVA.

Results: The average of pain response of the three groups was 2.74 in the breastfeeding group, 1.87 in the non-nutritive sucking group, and 3.26 in the control group. There was a significant difference between non-nutritive sucking and control group with p-value = 0.000, and also a significant difference between breastfeeding and non-nutritive sucking with p-value = 0.016. However, there was no difference between breastfeeding and control group with p-value = 0.142.

Conclusion: Breastfeeding and non-nutritive sucking were effective in reducing pain during infant immunization. It is suggested that midwives could administer these interventions to reduce pain in infant immunization, and it could be applied as non-pharmacological strategy in pain management in the community health center in Indonesia.
THE IMPACT OF HONEY ON CHANGE IN NUTRITIONAL STATUS IN CHILDREN WITH POOR NUTRITION
Authors: Harmiyati Harmiyati , Soejoenoes Ariawan , Wahyuni M Sri , Aristiati Kun , Hadisaputro Soeharyo
Published: February 2019

Background: Toddlers are vulnerable groups to malnutrition. Thus, to maintain their nutritional status is needed. Honey is considered having health benefits that may increase the nutritional status in children. However, little is known about the impact of honey on nutritional change in Sumbawa, Indonesia.

Objectives: The aim of this study is to analyze the effect of honey on changes in nutritional status in children with poor nutrition in the area of the Health Center of Lopok, Sumbawa, Indonesia

Methods: This study employed a quasi-experiment design with pretest-posttest with control group. The total sample in this study were 60 children recruited by simple random sampling, divided into 2 groups, namely 30 children in an intervention group and 30 children in a control group. The sampling technique used a simple random sampling. Data were analyzed using Mann Whitney and linear regression test.

Results: Findings showed that there were significant mean differences between the intervention and control group in term of weight (intervention 1.316; control 0.903), height (intervention 1.586; control 1.030), weight-for-height (W/H) z-score (intervention 0.713; control 0.595), weight-for-age (W/A) z-score (intervention 0.717; control 0.531), and height-for-age (H/A) z-score (intervention 0.847; control 0.423) with p-value < 0.05.

Conclusion: There was a significant effect of honey on changes in nutritional status in children with poor nutrition. It is suggested that health providers may use honey to take care of children under nutrition to increase their appetite and change their nutritional status.
SWEET POTATO (IPMOEA BATATAS L.) LEAF: ITS EFFECT ON PROLACTIN AND PRODUCTION OF BREAST MILK IN POSTPARTUM MOTHERS
Authors: Kusuma Ima Candra , Setiani Onny , Umaroh Umaroh , Pramono Noor , Widyawati Melyana Nurul , Kumorowulan Suryati
Published: February 2019

Background: Sweet potato leaf is assumed to be one of alternative herbs that can increase breast milk production. However, there were no studies found in the literature that examine the sweet potato leaves to increase the levels of prolactin and milk production.

Objective: To examine the effect of sweet potato (Ipomoea batatas L.) leaf on the level of prolactin and milk production in postpartum mothers.

Methods: This was a quasi-experimental study with pretest-posttest design with control group, conducted on November 2016 to December 2016 in the Health Center (Puskesmas) of Boyolali I. Thirty respondents were selected using consecutive sampling, which were divided to be 15 respondents in intervention group and 15 respondents in control group. Enzyme-linked immunosorbent assay (ELISA) was used to measure prolactin levels, while breast milk production was measured based on the volume of breast milk and baby’s weight. Data were analyzed using Independent t-test and paired t-test.

Results: Finding showed that there was a significant difference in prolactin levels between the intervention (270.43) and control group (156.28) after intervention  with p-value 0.000, and a significant difference in breast milk production in terms of breast milk volume (intervention group 136.33; and control group 119) with p-value 0.028; and baby’s weight (intervention group 3030.3; and control group 2787.33) with p-value 0.000.

Conclusion: There was a significant effect of sweet potato (Ipomoea batatas L.) leaf on the levels of prolactin and breast milk production. Thus, it could be suggested that sweet potato leaves should be considered to be one of alternative treatments for health care providers, especially for midwives to help breastfeeding mothers in increasing their breast milk production and prolactin levels. Further research is needed to examine all factors affecting breast milk production.
EFFECT OF MORINGA OLEIFERA ON LEVEL OF PROLACTIN AND BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS
Authors: Sulistiawati Yuni , Suwondo Ari , Hardjanti Triana Sri , Soejoenoes Ariawan , Anwar M. Choiroel , Susiloretni Kun Aristiati
Published: February 2019

Background: Breastfeeding among postpartum mothers has been a problem due to low milk supply. As a result, mothers often decide to give formula milk or other additional foods, which may affect infant’s growth and development.

Objective: This study aims to investigate the effect of moringa oliefera on the levels of prolactin and breast milk production (baby’s weight and sleep duration) in postpartum mothers. 

Methods: Quasi-Experimental study with non-equivalent control group design. There were 30 respondents recruited by purposive sampling, consisted of 15 respondents in intervention group and 15 respondents in the control group. This study was conducted from November until December 2016 in Four Midwives Independent Practice (BPM) in the working area of the Health Center of Tlogosari Wetan Semarang. Data were analyzed using Independent t-test.

Results: Findings showed that there was a mean difference of prolactin level in the intervention group (231.72 ng / ml) and the control group (152.75 ng / ml), and a significant effect on increasing the levels of prolactin (p = 0.002). The mean of baby’s weight in the intervention group was 3783.33 grams and in the control group was 3599.00 grams. However, there was no significant effect of moringa oleifera on baby’s weight (p = 0.313> 0.05), while the mean difference on sleep duration was 128.20 minutes in the intervention group and 108.80 minutes in the control group. There was a significant effect on baby’s sleep duration (p= 0.000).

Conclusion: There were significant effects of moringa oleifera on mother’s prolactin and sleep duration of the baby. However, there was no significant effect on baby’s weight. Thus, it can be suggested that moringa oleifera can be used as an alternative treatment to increase breast milk production and prolactin hormones. Midwives should promote the benefits of moringa leaves as one of alternative supplements.
UNEQUAL DISTRIBUTION OF NURSES IN INDONESIA: A PERSPECTIVE FROM A NURSE
Authors: Gunawan Joko
Published: February 2019

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