bluuebunny/crossref_metadata_2025 huggingface dataset:
Cuidados de enfermagem ao paciente portador da Síndrome de Guillain-Barré: uma revisão sistemática da literatura
Authors: Pereira Gabriel Henrique , Rocha Reynhan Cutrim , Monteiro Antônia Cristina Aguiar , Ferreira Valdiney Menezes , Martins Lusilene Nunes , Soares Luanna , Abreu Edielson de Jesus , Martins Cleudiane de Jesus Silva
Published: February 2023

Objetivo: Sintetizar através de uma revisão de pesquisas realizadas sobre os cuidados de enfermagem aos pacientes portadores da Síndrome de Guillain-Barré, juntamente com uma assistência sistematizada. Método: Realizou-se um estudo de revisão da literatura do tipo sistemática, que proporcionou a síntese do conhecimento e a abordagem dos cuidados de enfermagem com os portadores da síndrome de Guillain-Barré (SGB). Para a buscas das publicações utilizou as seguintes bases de dados: A biblioteca virtual de saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Scientific Electronic Library Online (SCIELO), Google Acadêmico, PUBMED e MEDLINE, filtradas por meio dos seguintes descritores em ciências da saúde (DeCS): “Síndrome de Guillain-Barré”, “Cuidados de enfermagem”, “Tratamento” e ‘Reabilitação”. Os critérios de inclusão utilizados foram: publicações que se corresponderam a temática proposta, associados aos idiomas português e inglês, delimitados entre os anos de 2007 a 2022. Já os critérios de exclusão usados: foram excluir estudos duplicados, que fugiram da temática proposta, resenhas, resumos, trabalhos de conclusão de curso, dissertações, teses e anais. Resultados: Encontrou-se 9 publicações que se adequaram aos critérios de elegibilidade, e foram utilizadas para o processo de discussão baseadas e desenvolvidas através dos principais cuidados de enfermagem ao portador da SGB, utilizando a sistematização da assistência de enfermagem (SAE). Conclusão: Esta pesquisa tratou-se de buscar responder à importância dos cuidados de enfermagem prestados ao paciente com SGB feitos de forma sistematizadas. A SAE propõe uma ótima comunicação entre a equipe multidisciplinar de saúde o que facilita a recuperação do paciente do SGB.
A etnobotânica do terreiro Tenda de Umbanda Luz Divina de São Jorge, Teixeira de Freitas, Bahia, Brasil
Authors: Santos Joyce Almeida dos , Fortuna Jorge Luiz
Published: February 2023

Abordar a relação entre plantas e religiões de matriz africana, remete o valor cultural na sociedade atual, a união de saberes na construção de histórias e conhecimentos, que são transmitidos através da ritualística e convívio dentro de um terreiro de Umbanda. Esta pesquisa teve como objetivo analisar a etnobotânica do Terreiro de Umbanda Luz Divina de São Jorge. Foram realizadas entrevistas semiestruturadas aos dirigentes do terreiro, onde indicaram, através de tabelas e também oralmente, a história do terreiro, quais plantas eram usadas na ritualística, uso medicinal, culinário, místico, energético e suas particularidades. Os entrevistados citaram 39 espécies, bem como as partes das plantas que são usadas e quais orixás ou guias que elas estavam relacionadas. Entre as 39, 20 (51,28%) foram registradas no quintal do terreiro, enquanto 19 (48,72%) têm que ser adquiridas quando necessário. Do total de registros, 24 (61,54%) foram identificadas em nível de espécie e 15 (38,46%) em nível de gênero. Constatou-se que as plantas podem ser utilizadas em: banhos; passes; firmezas; mandalas; pontos cantados; descarregos; defumações e varrimentos; sendo preparadas nas formas de chás, raiz, banho, defumação, seiva, compressa e óleo. Conclui-se que o Terreiro estudado possui uma variedade de plantas tanto em seu território como em sua ritualística, cuja prática religiosa perpassa o conhecimento tradicional e medicinal e são transmitidos de geração a geração.
Estoque de carbono em frações dessimétricas da matéria orgânica no solo em diferentes sistemas de uso na Amazônia Oriental
Authors: Souza Alcione Santos de , Freitas Luis de Souza , Galvão Jessivaldo Rodrigues
Published: February 2023

Estudos têm demonstrado que determinados compartimentos da MOS são capazes de detectar transformações nos conteúdos de C no solo com manejo, ou seja plantios com ou sem queima, entretanto são capazes de detectar, mais rapidamente, as reduções constatadas são, de modo geral, maiores que as observadas, considerando, assim, o conteúdo total de C do solo. O trabalho teve como objetivo avaliar estoque de carbono das frações densimétricas em diferentes sistemas, o estudo foi realizado na Amazônia Oriental, Nordeste do Pará, em Igarapé-Açu, solo Latossolo Amarelo, em áreas experimentais das comunidades de Cumaru, Nova Olinda (em propriedades de pequenos produtores rurais) e UFRA-FEIGA. Os sistemas de uso consistem em 06 (seis) tratamentos, que são: T1 CC (Cumaru Capoeira), T2 CSQT (Cumaru sem queima triturado), T3 CQ (Cumaru queima), T4 UFC (UFRA Capoeira), T5 UFSQT (UFRA sem queima triturado), T6UFQ (UFRA queima). Bem como, algumas SAFs. Retirou-se amostras dos solos nas profundidades 0-5 cm, 5-10 cm e 10-20 cm. Separou-se as frações densimétricas para a determinação de teores de carbono por combustão em analisador elementar LECO CHN-S TRUSTEC, as variáveis foram submetidas à análise de variância, comparadas pelo teste de SNK com programa estatístico SISVAR. A fração que estocou carbono foi a leve livre nos sistemas onde não ocorreram queima, com sua sensibilidade do sistema de manejo do solo, onde houve maior revolvimento desta fração se fez menos presente. A fração leve, livre concentrou estocando mais carbono que a fração oclusa em função dos seus diferentes mecanismos e composição química.
Neutropenia febril em pacientes oncológicos: uma revisão de literatura
Authors: Limberger Luana Medeiros , Bonfim Filho Jair Alves
Published: February 2023

Introdução: Neutropenia febril, atualmente, é uma condição frequentemente observada no ambiente de terapia oncológica. Tal complicação está associada ao uso de quimioterápicos. Objetivo: contribuir para a contínua redução da mortalidade associada a esta condição, através de uma abordagem centrada na estratificação de risco e antibioterapia precoce de amplo espectro. Método: Foi realizada uma revisão narrativa de literatura, utilizando as bases de dados Pubmed, Scielo e UptoDate. Para a busca, foram utilizados os descritores: "Neutropenia Febril"; “Neutropenia em pacientes oncológicos"; "Febre pós quimioterapia" e “Neutropenia febril pós quimioterapia". A pergunta norteadora foi: “Qual estratificação de risco e tratamento mais adequados para pacientes oncológicos com neutropenia febril?”. Foram selecionados artigos entre os anos de 2010 a 2023. Excluíram-se artigos que não se respondiam à pergunta norteadora. Foram encontrados 237 artigos, das quais 34 correspondiam aos critérios pré-estabelecidos. Resultados e Discussão: A febre é comumente relatada em pacientes oncológicos em uso de quimioterapia. Na maioria dos casos o foco infeccioso não é encontrado. Indivíduos com neutropenia febril são classificados conforme a gravidade do quadro clínico, intensidade da neutropenia e de acordo com o regime quimioterápico utilizado. O reconhecimento precoce e o início da antibioticoterapia empírica são fundamentais para um bom prognóstico. Conclui-se que a estratificação de risco adequada, diagnóstico e terapêutica em curto espaço de tempo procedem em redução da mortalidade.
Conflitos familiares e as dificuldades no processo de aprendizado das crianças em idade escolar
Authors: Guimarães Junior José Carlos , Santana Marttem Costa de , Santos Kaio Cezar Cavalcante de Lima , Silva Jadilson Marinho da , Magalhães Davi Antonio Pessoa , Freitas Daiana Vincuna Lira , Campos Rayssa Cristina Veiga , Corrêa Leylanne Amorim Soares , Santos Carlos Alberto Feitosa dos , Braga Francisco Carneiro , Oliveira Hellyegenes de , Silva Savio Lima Costa e , Barbosa Alexandre Magno Buhaten
Published: February 2023

Esse artigo tem como objetivo desse trabalho identificar e analisar as consequências de um ambiente familiar, com conflitos e tensões na aprendizagem das crianças e adolescentes, contribuindo para uma discussão teórica sobre como as emoções influenciam processos de aprendizagem dos estudantes, levando-se em consideração os contextos nos quais estão inseridos. Parte-se do pressuposto de que a compreensão de fatores e de ambientes ecológicos que influenciam os escolares, de forma emocional, pode colaborar para a reflexão sobre o processo de aprendizagem. Para o método, utilizou-se a pesquisa de cunho teórico. Foram compilados artigos das bases de dados do Portal de Periódicos Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes), além de literaturas referentes as teorias que tratam desse assunto. O conflito parental pode prejudicar os resultados das crianças, independentemente de os pais estão vivendo juntos ou separados, e se são biologicamente relacionados ou não relacionados à criança, ou ainda em famílias adotivas, esses conflitos são capazes de prejudicar o aprendizado. Dessa forma, o presente trabalho foi capaz de apresentar os impactos do conflito parental, assim como compreender a ideia de conflito e educação e como elas se relacionam e prejudicam o aluno.
KKN dengan Mode Hybrid di Wilayah Kavling Rawa Bunga, Tangerang Selatan
Authors: Dewadi Fathan Mubina , Kiswanto Lutfi Yudi , Ghifary Adhifa Mizan
Published: February 2023

Perguruan tinggi memiliki tiga hal penting yang dikenal sebagai tri darma yaitu pendidikan dan pengajaran, penelitian dan pengabdian kepada masyarakat. Dalam kegiatan ini fokus kepada pengabdian masyarakat dengan kolaborasi lintas jurusan Universitas Budi Lihur yang bekerja sama dengan beberapa relawan lingkungan setempat. Program kerja yang direncanakan oleh mahasiswa Universitas Budi Luhur terkait KKN ini ada 6 macam, yaitu sosialisasi hidup sehat, webinar online, lomba kuis berbasiskan online, melakukan penanaman hidroponik dan aquaponik secara online, pembuatan website untuk PECAGARA, dan program pendukung seperti (melakukan penerapan budidaya ikan lele dengan metode aquaponik, pembagian sembako bersama pihak pecagara, perkenalan dengan pihak terkait, perpisahan dengan pihak  terkait). Dengan percampuran KKN online dan offline maka para mahasiswa dan masyarakat yang terkait kegiatan ini tidak hanya monoton namun juga dapat merubah pola pikir kreatif dalam hal keperluan yang diinginkan/dicapai. Meski dalam kondisi offline namun tetap mematuhi standar protokol kesehatan yang ada sehingga  kegiatan berjalan dengan tertib.
Bimbingan Karir Bagi Lulusan Mahasiswa: Pelatihan Mencari Lowongan Pekerjaan, Menulis Surat Lamaran Pekerjaan dan Mendesain CV Menarik
Authors: Tira Nur Fitria
Published: February 2023

Tujuan kegiatan pengabdian kepada masyarakat kegiatan ini adalah untuk memberikan edukasi (bimbingan karir) dalam mencari lowongan pekerjaan, menulis surat lamaran pekerjaan serta membuat Curriculum Vitae (CV) yang menarik bagi lulusan mahasiswa D3 dan S1. Kegiatan ini dilaksanakan pada hari Sabtu 4 Juni 2022 dengan menggunakan Zoom dan YouTube live streaming. Partisipan/ peserta kegiatan ini berjumlah 62 peserta yang merupakan lulusan mahasiswa Diploma dan Sarjana dari berbagai perguruan tinggi di Indonesia. Metode pengabdian yang digunakan adalah metode ceramah dan simulasi/demosntrasi. Hasil kegiatan menunjukkan bahwa dalam metode ceramah, narasumber menjelaskan materi tentang tema/topik terkait bimbingan karir yang meliputi jenis tahapan lulus kuliah, iklan lowongan pekerjaan di berbagi sumber/referensi, surat lamaran pekerjaan serta daftar riwayat hidup atau Curriculum Vitae (CV). Sedangkan dalam metode simulasi/demosntrasi, narasumber mensimulasikan/mendemonstrasikan beberapa hal terkait dengan materi misal cara mencari lowongan pekerjan dari beberapa sumber, cara menulis surat lamaran pekerrjan, cara menulis Curriculum Vitae (CV) dan mendesain Curriculum Vitae (CV) yang menarik dengan aplikasi Canva. Selanjutnya, narasumber memberikan waktu kepada peserta untuk memberikan pertanyaan terkait dengan tema/topik. Peserta kegiatan terlihat aktif dan antusias dalam Mengikuti kegiatan, menuliskan beberapa pertanyaan di room chat Zoom dan narasumber menjawab pertanyaan peserta.
Pemanfaatan Aquaponic di Wilayah Kavling Rawa Bunga, Tangerang Selatan
Authors: Karyadi  , Rizki Aulia Nanda  , Amir  , Fathan Mubina Dewadi
Published: February 2023

Dengan pentingnya kegiatan ini maka KKN secara umum dilaksanakan tidak individu melainkan antar program studi dengan tujuan menggabungkan (mensinergikan) masing-masing disiplin ilmu yang dimiliki mahasiswa sehingga mahasiswa tidak monoton dalam belajar. Dalam pembuatan aquaponic dibutuhkan beberapa bahan dalam implementasinya agar sesuai dari tahap perancangan hingga selesai pembuatannya. Oleh karena itu bahan-bahan yang dipersiapkan perlu direncanakan dengan saksama. Dengan berakhirnya kegiatan KKN ini, maka kesimpulan yang didapat adalah bahwa aquaponic dapat bermanfaat ketika dilanjut dengan inovasi tambahan. Dalam artian ini bisa diperbesar ukuran instalasi aquaponic yang ada. Kegiatan ini telah bermanfaat bagi mahasiswa dan masyarakat, dan juga selain itu untuk penerus pemuda di Kavling Rawa Bunga dapat menjadi ide-ide untuk mengembangkan kreativitas ini. Jika kegiatan ini dilanjut lebih dalam, maka bisa menjadi saran bisnis.
Perancangan Panel Surya di Wilayah Kavling Rawa Bunga, Tangerang Selatan demi Penghematan Energi Masyarakat
Authors: Setiawan M. Dibyo , Dewadi Fathan Mubina
Published: February 2023

Peran pemuda dalam mencanangkan sebuah program pengabdian kepada masyarakat memang perlu ditindaklanjuti karena sesuai dengan etika kepemudaan bahwasanya pemuda bukan hanya status sosial yang mudah disuruh atau diperlakukan tidak hormat melainkan perlu dihargai dengan memberi kesempatan-kesempatan yang memadai. Tahap awal dalam inovasi ini adalah studi lapangan dan studi literatur. Alasan perlunya studi literatur tentunya dalam melakukan kegiatan atau inovasi simulasi adalah memerlukan referensi yang begitu banyak. Tahap akhir kegiatan ini barulah membuat kesimpulan hingga menjadi laporan serta melakukan publikasi agar karya yang dihasilkan tidakah berhenti. Desain panel surya untuk graha raya sangatlah fleksibel karena hanya menerapkan daerah pinggir sebagai atap panel surya. Atap panel surya ini nanti bisa untuk menutupi terik jika ada masyarakat yang ingin melakukan kegiatan memancing serta jika ingin melakukan inovasi lebih.
Efek dan Pencegahan Pernikahan Dini Pada Remaja: Studi Literatur
Authors: Hardiyati Hardiyati , Hasir Hasir , Supratti Supratti
Published: February 2023

Marriage is a very sacred thing and maintains the integrity of the family by looking at several aspects of a person's physical, spiritual and psychological aspects that support happiness. Early marriage is marriage that has not reached the age of 18 years. This is referred to as one of the social pathologies that cause or poverty. The Sustainable Development Goals (SDGs) on education, maternal health, poverty, women's empowerment and human rights cannot be achieved if the problem of early marriage is not addressed in many low and medium prayer countries. The results of the investigation of the literature study from these 15 articles can be described that the occurrence of early marriage can be caused by several factors, namely economic problems, customs, education, decision makers are parents, living in rural areas. Some of the effects that can occur in early marriage are domestic violence, psychosocial burden and stress, reduction, illness, women's independence, health of mothers and children, and the level of school activity of children. Intervention efforts that can be made are increasing education and knowledge, media exposure, peer education methods, involving religious shops, social in educational activities for adolescents. From the results of this literature study, it can provide an understanding of the development and prevention of early marriage and seek therapeutic and comprehensive preventive measures.
Analisis Sikap Ibu Hamil Terhadap Penggunaan Buku Kesehatan Ibu dan Anak di Puskesmas Minasa Upa Kota Makassar
Authors: Ningsi Agustina , Mukarramah Sitti , Sabur Fitriati , Nurfadilah Nurfadilah
Published: February 2023

Infant health status, nutritional status is one of the things that affect the health status of a country. The indicators for choosing a child's health degree include the Infant Mortality Rate (IMR), the purpose of this study is to find out the attitude of pregnant women to the use of the Maternal Child Health (MCH) handbook at the Minasa Upa Health Center. This type of research design uses cross sectional (cross sectional) and the dependent variable is the attitude of pregnant women while the independent variable is the use of the MCH handbook, measurements were taken at the same time with 35 respondents. Data collection using a questionnaire. then data analysis used the Chi Square Test with the result that the value of P = 0.000 > from α = 0.05 then the alternative hypothesis (Ha) is accepted meaning that there is a correlation between pregnant women's attitudes towards the use of maternal and child health books at the Minasa Upa Health Center in 2021.
Pengaruh Baby Gym Pada Perkembangan Motorik Kasar Bayi Usia 3-4 Bulan
Authors: Sari Novita , Ulya Fitria Hikmatul , Agustina Pipit
Published: February 2023

The growth and development of infants is a golden period which is also a critical period in a person's development in early life at the age of 0-12 months. Motor development disorder is a disorder that causes developmental delays due to many things, including abnormalities in muscle tone and lack of stimulation for the baby. In Indonesia alone, there are 5-10% of children are estimated to experience developmental delays. At the simultaneous weighing of toddlers in Demak in 2020 it was found that out of 97,129 toddlers, there were 7.71% experienced developmental delays. Data from the Guntur 1 Demak Health Center from 2021 to June states that the number of babies aged 0-12 months is 523 babies. The lack of knowledge of the baby's parents about growth and development and the little stimulation given to the baby both from caregivers and from the baby's parents makes most babies experience developmental delays. One of the efforts to reduce the number of developmental disorders is by providing Baby Gym stimulation. In infants, Baby Gym is a form of exercise to help stimulate the growth and development of the baby's nervous and motoric systems optimally. This study aimed to determine the effect of the baby gym on gross motor development in infants aged 3-4 months at the Guntur I Health Center in Demak. This study used a quasi-experimental approach with a one-group pre-test and post-test research design. The sampling technique here is based on the purposive sampling method, with a population of 28 babies and a total sample of 16 babies. Based on bivariate analysis using the Wilxocon correlation test, it was obtained a p-value of 0.000 <0.05, it can be concluded 'that there is an effect of differences in gross motor development of infants aged 3-4 months before and after being given a baby gym at the Guntur I Health Center in Demak". The Effect of Baby Gym on Gross Motor Development in Infants Aged 3-4 Months at the Guntur I Health Center in Demak.
Literature Review: Perbedaan Pemberian Oksitosin Profilaksis Secara Intravena dan Intramuskular Terhadap Kejadian Perdarahan Postpartum
Authors: Cahyaningtyas Dwi Kartika , Rospia Evi Diliana , Agustina Rika
Published: February 2023

Postpartum Haemorrhage is a condition of blood loss of more than 500 cc that occurs within 24 hours after delivery. Postpartum hemorrhage is a significant cause of morbidity and mortality in childbirth. Postpartum Haemorrhage occurs in about 1% to 6% of all deliveries. Uterine atony, the leading cause of primary postpartum hemorrhage, accounts for 70% to 80% of all bleeding. Early prevention in postpartum hemorrhage cases is the usage of uterotonics in the third stage of labor which has become the standard of intervention worldwide. The choice of uterotonic in managing postpartum hemorrhage should be adjusted to the administration and dosage. This Study aims to analyze the difference in prophylactic administration of oxytocin injected in intramuscular and intravenous during postpartum hemorrhage. Data were searched using PICO, articles were selected using PRISMA, and critical appraisal. There is decreased postpartum hemorrhage compared to IM oxytocin administration. Intra Vena oxytocin administration could reduce the incidence of severe postpartum hemorrhage and prevent blood transfusions compared to IM oxytocin administration in the third stage of labor in postpartum hemorrhage. However, there was no significant difference in hemoglobin changes. The side effects caused by intravenous administration are still manageable compared to intramuscular administration. Intravenous oxytocin prevented postpartum hemorrhage in stage III more effectively than intramuscular administration. The side effects that emerged in the two groups of intravenous and intramuscular administration were not significantly different and were still within mild limits. The administration of oxytocin in preventing postpartum hemorrhage in the third stage of labor has become a procedure and recommendation of health organizations.
Pengetahuan Kader Posyandu dan Ibu Balita Tentang Pemberian Asi Pada Masa Pandemi Covid-19 di Wilayah Kerja Puskesmas Campalagian
Authors: Nurbaya Nurbaya , Najdah Najdah , Sukardi Sukardi , Rahman Kaprawi
Published: February 2023

A Breastfeeding is one of the significant components in preventing stunting among under-five children. Breastmilk contains immune substances and nutrients that are suitable for the baby's needs. Therefore, the implementation of early breastfeeding initiation and exclusive breastfeeding is crucial. However, during the Covid-19 pandemic, breastfeeding became quite a worry for mothers because they were worried about the transmission of the coronavirus from mother to baby. With a qualitative approach, this study aimed to explore the knowledge of Posyandu cadres and under-five mothers regarding breastfeeding during the Covid-19 pandemic. A total of 10 cadres and 20 under-five mothers were involved as main informants. All interviews were recorded and transcribed verbatim. The data were analyzed through three stages, namely coding, categorization, and determining the theme. This study shows that all informants stated that mothers can transmit the coronavirus to their babies through breast milk. Most of the informants stated that mothers who were positive for Covid-19 were not allowed to breastfeed their babies, including early initiation of breastfeeding. In addition, the informants also argued that under six months infants can be fed with formula milk if the mother is confirmed positive for Covid-19. Therefore, it can be concluded that the level of knowledge of Posyandu cadres and mothers of toddlers regarding breastfeeding during the Covid-19 pandemic is still low. Health workers need to carry out health promotions and education to the public about breastfeeding during the Covid-19 pandemic so that the achievement of breastfeeding remains on target.
Hubungan Kualitas Layanan dengan Status Gizi Ibu Hamil di Wilayah Kerja Puskesmas Tanasitolo Wajo
Authors: Sandi Eka Oktavia , Hamdiyah Hamdiyah , Kenre Ishak , Syahriani Syahriani , Sukarta Asmah
Published: February 2023

The high mortality rate of pregnant women requires pregnant women to perform antenatal care (ANC) examinations. The nutritional quality of women during pregnancy is still a problem in developing countries. The incidence of anemia in pregnant women in Wajo district in 2019 increased to 7,096 people (27.42%). Therefore, it is necessary to conduct a survey to detect the interaction between the quality of ANC services and the nutritional condition of pregnant women. The purpose of this study was to determine the relationship between the quality of antenatal care and the nutritional status of pregnant women in the working area of ​​the Tanasitolo Public Health Center, Wajo Regency in 2022. This study was conducted with a cross-sectional research design, the survey was held at the Tanasitolo Health Center, Wajo Regency in July 2022. The population is 35 pregnant women in the III trimester. Sampling technique by applying the total sampling technique. The results showed that the P value had no significant relationship between the quality of antenatal care services and the P value of LILA (0.296 > 0.05), BMI (0.283 > 0.05), Hemoglobin Level (0.703 > 0.05). The conclusion of this study is that there is no relationship between the nutritional status of pregnant women and antenatal care services in the work area of the Tanasitolo Health Center, Wajo Regency in 2022. It is recommended to pay more attention to the quality of examinations for pregnant women and further improve services and facilities for mothers during pregnancy, especially in health service examinations so that risks and complications in the process of pregnancy, childbirth and post partum can be detected earlier so that prevention can be carried out as early as possible
Pemberian ASI Eksklusif dan Imunisasi Dasar dengan Kejadian Stunting Pada Balita
Authors: Taswin Taswin , Taufiq La Ode Muh. , Damayanti Wa Ode Astika , Subhan Muhammad
Published: February 2023

There were 344 cases of stunting under five at the Pasarwajo Health Center, Pasarwajo Village, Buton Regency, Southeast Sulawesi Province. Stunting in Pasarwajo Village is ranked 2nd out of 10 Villages in Pasarwajo District with a total of 46 cases in 2021. Stunting is a result of stunted growth processes. Stunting is still a nutritional problem that needs attention. The problem of stunting is directly influenced by exclusive breastfeeding which is related to the child's nutrition and nutritional intake, as well as basic weaknesses related to the child's immunity to a disease. The purpose of this study was to determine the relationship between exclusive breastfeeding and basic immunization with the incidence of stunting in toddlers aged 9-59 months in Pasarwajo Village, Buton Regency. This research method is a quantitative research with a cross sectional study approach. The total population is 325 toddlers with toddlers' mothers as respondents. Sampling using probability random sampling technique, obtained a sample of 78 toddlers. The results of this study indicate that there is a relationship between exclusive breastfeeding (ρ-0.004 <0.05) and the incidence of stunting in the Pasarwajo sub-district, Buton Regency, and there is a relationship between basic deprivation (ρ-0.009 <0.05) and the incidence of stunting in the Pasarwajo sub-district, Kabupaten Buton. The conclusion of the study is that there is a relationship between exclusive breastfeeding and basic activating with the incidence of stunting in toddlers aged 9-59 months in Pasarwajo Village, Buton Regency.
Social support and associated factors among family caregivers of older people in North-East Peninsular Malaysia
Authors: Makhtar Aniawanis , Ab Ghani Nor Nadiya , Syed Elias Sharifah Munirah , Mohamed Ludin Salizar
Published: February 2023

Background: The negative health results associated with the family caregivers of older people can be alleviated with social support, which is considered a valuable resource. Hence, the factors contributing to social support need to be understood. 
Objective: This study aimed to evaluate the social support associated with the family caregivers of older people.
Methods: A cross-sectional study was conducted among 231 family caregivers of older people conveniently selected from two districts in Kelantan, a state in the North-East Region of Peninsular Malaysia. Data were gathered between June to December 2021 using a Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire. Descriptive statistics were used to summarize the data in frequencies and percentages. Independent t-test and one-way analysis of variance were used to examine correlations among variables.
Results: The mean scores of social support for family caregivers were significantly higher among their family (Mean ± SD; 5.44 ± 0.969) and other important people (5.25 ± 1.123) compared to their friends (4.84 ± 1.094). Caregivers’ gender and duration of caregiving were significant factors associated with social support (p <0.05).
Conclusions: The family caregivers received maximum support from their family and other important people, but they were less supported by their friends. This study also observed that the perceived social support of the caregivers of older people was affected by several factors, such as gender and duration of caregiving. This finding gives nurses and other healthcare workers the basic information they need to enhance nursing interventions and promote social support among those who care for older people, which can positively impact caregiving.
Patient and family-centered care for children: A concept analysis
Authors: Seniwati Tuti , Rustina Yeni , Nurhaeni Nani , Wanda Dessie
Published: February 2023

Background: Family-centered care has evolved into patient and family-centered care. Although this is not a new concept; however, its application to nursing practice is very challenging among nurses due to its ambiguity.
Objective: This study aimed to clarify the concept of patient and family-centered care for children.
Methods: Walker and Avant’s concept analysis method was used. A literature search was also done using the following databases: Google Scholar, ProQuest, ScienceDirect, and Scopus, for articles published from 2011 to 2021. 
Results: The defining attributes of patient and family-centered care are partnership, communication, respect, and compassion. Antecedents include patient and family involvement, readiness to collaborate and participate, competency and desire of the care professional team, supportive environment, and policies. Consequences of the patient and family-centered care include improved child outcomes and quality of life, promotion of patient safety, increased patient and family satisfaction, enhancement of humanistic values, reduction of hospitalization cost and length of stay, and decreased stress, anxiety, and depression in family members.
Conclusion: Four attributes of patient and family-centered care, its antecedents, and consequences may aid researchers in better understanding the concept and its application in nursing practice. This concept can also be used to establish quality care delivery strategies and promote professional relationships between nurses, patients, and families in clinical settings.
Factors influencing illness uncertainty in parents of children with congenital adrenal hyperplasia in a developing country: A cross-sectional study
Authors: Larasati Irene Astrid , Saktini Fanti , Winarni Tri Indah , Ediati Annastasia , Utari Agustini
Published: February 2023

Background: Illness uncertainty in parents of children with congenital adrenal hyperplasia (CAH) refers to parents’ inability to create meaning in events related to their children having CAH. This may influence their role in caring for children with CAH.
Objective: The study aimed to determine factors associated with illness uncertainty experienced by parents of children with CAH in a developing country.
Methods: A cross-sectional study was conducted on 80 parents (43 mothers and 37 fathers) of children with CAH, selected using consecutive sampling methods. The Parent’s Perception of Uncertainty Scale (PPUS) was used to measure the illness uncertainty levels. Data were collected from March 2020 to October 2020. Independent t-test and chi-square test were used to determine factors (parent’s gender, age, educational level, monthly household income, number of children with CAH, history of child death due to CAH, child’s age when first diagnosed with CAH, duration of therapy, gender change, type of CAH (salt wasting/SW or simple virilizing/SV), current gender, and genitoplasty) influencing illness uncertainty in parents.
Results: The mean scores of PPUS were 42.3 ± 12.91, and the majority of parents had a low PPUS score (49; 61%). Parents of children with SW-CAH showed higher uncertainty (44.2 ± 12.77) than those with SV-CAH (32.6 ± 8.86; p = 0.003). Parents who lost their children due to CAH were more likely to report a moderate illness uncertainty than parents who never experienced child mortality due to CAH (χ2(1, 80) = 4.893; p = 0.027).
Conclusion: The factors significantly affecting uncertainty in parents of children with CAH determined in this study might help healthcare professionals, including nurses, to play a pivotal role in giving pertinent information regarding their children’s health, disease, and therapy to help manage parental uncertainty.
Factors associated with the completion of antenatal care in Indonesia: A cross-sectional data analysis based on the 2018 Indonesian Basic Health Survey
Authors: Idris Haerawati , Sari Indah
Published: February 2023

Background: The global incidence of maternal mortality remains high, including in Indonesia, and the utilization of antenatal care services can help reduce these rates. Despite numerous studies examining factors affecting antenatal care utilization, there has been limited focus on identifying factors related to the completion of these services.
Objective: This study aimed to analyze factors associated with the completion of antenatal care in Indonesia.
Methods: The study used a cross-sectional analysis of secondary data from the Basic Health Research conducted by the Indonesian Ministry of Health in March 2018. The sample consisted of 65,929 pregnant women aged 15 to 49. Descriptive statistics, chi-square tests, and multiple logistic regression were used for data analysis.
Results: The majority of respondents (75.2%) completed antenatal care. Factors significantly correlated with antenatal care completion were education level, occupation status, health insurance ownership, place of antenatal care services, travel time to health facilities, area of residence, history of pregnancy, parity, desired pregnancy, and pregnancy complications (p <0.05). The multiple logistic regression test showed that education level was the most dominant factor associated with antenatal care completion (p <0.001, OR = 2.023, 95% CI = 1.839-2.225).
Conclusion: Completion of antenatal care is influenced by various factors, including education, job status, health insurance ownership, antenatal care services’ location, travel time to health facilities, residence area, previous pregnancy history, number of children, desired pregnancy, and pregnancy complications. However, education is crucial in determining a mother’s understanding and approach toward using these services. The Indonesian government should enhance public education and awareness initiatives to increase utilization. Healthcare professionals, particularly nurses and midwives, play a vital role in educating pregnant women about the significance of utilizing prenatal care services consistently and facilitating their access to these services efficiently.
Psychometric properties of Clinical Learning Environment Inventory and its association with Moroccan nursing students’ satisfaction: A PLS-SEM approach
Authors: Saka Khadija , Amarouch Mohamed-Yassine , Ragala Mohamed El Amine , Btissame Zarrouq , Tahraoui Adel , El Achhab Youness , El-Hilaly Jaouad
Published: February 2023

Background: The Clinical Learning Environment (CLE) is integral to pre-registration nursing curricula. Assessing the student’s perceptions of their CLE is essential to adjust clinical placement to trainees’ needs. Clinical Learning Environment Inventory (CLEI) appears to be widely used in measuring CLE, but no previous study has reported a full structural validity and its association with students’ satisfaction in the Moroccan context.
Objectives: This study investigated the psychometric properties of the CLEI and its subscales association with Moroccan nursing students’ satisfaction.
Methods: The research design was descriptive, cross-sectional, and conducted from March and June 2022 using convenience sampling in three nursing institutes of the Fez-Meknes region of Morocco. The selected sample involved Moroccan nursing students undertaking clinical practice. First, exploratory factor analysis (EFA) was used to determine the factor structure of the pilot sample (N = 143). The second sample (N = 206) was then used to confirm this structure using partial least squares structural equation modeling (PLS-SEM) confirmatory composite analysis (CCA). Finally, using a bootstrapping method, the significance of the structural path was evaluated.
Results: The CLEI scale depicted convergent validity (AVE = 0.56 - 0.71), discriminant validity, estimated by the square roots of AVE and bootstrapped HTMT confidence interval, and significant reliability (rhoC = 0.83 - 0.92). Using a bootstrapping approach, structural path significance displayed a substantial association between task orientation and students’ satisfaction (β = 0.29, p <0.001). This ascertains that nurse students need well-planned guidelines from their facilitators in clinical wards.
Conclusions: The CLEI instrument revealed adequate psychometric properties and supported its original structure. As a result, the instrument might be used to measure students’ perceptions of their CLE. Task orientation appeared to be the most important factor influencing the students’ satisfaction in CLE.
Self-care educational guide for mothers with gestational diabetes mellitus: A systematic review on identifying self-care domains, approaches, and their effectiveness
Authors: Haron Zarina , Sutan Rosnah , Zakaria Roshaya , Abdullah Mahdy Zaleha
Published: February 2023

Background: Gestational Diabetes Mellitus (GDM) is a common form of poor carbohydrate intolerance, prevalent among pregnant women and associated with unhealthy lifestyle behaviors. Given the dearth of information on self-empowerment among mothers with GDM, a self-care health education package needs to be developed to prevent related complications.
Objective: This review aimed to identify self-care approaches, domains, and their effectiveness for a proper self-care educational guide package for women with GDM.
Design: A systematic review using electronic literature databases  published between January 2016 and December 2022 was conducted.
Data Sources: Web of Science, Scopus, and Ovid databases were used.
Review Methods: This review utilized the PICO (Population, Intervention, Comparison, and Outcomes) framework to screen the retrieved articles for eligibility in which mothers with GDM, educational materials, standard practice or intervention, and effectiveness were considered the PICO, respectively. The CIPP (Context, Input, Process, Product) model served as a framework for adopting the education development model. Mixed methods appraisal tool was used for quality assessment. Data extraction and synthesis without meta-analysis were presented as evidence tables.
Results: A total of 19 articles on GDM were included in the final analysis (16 Intervention studies, two qualitative studies, and one mixed-methods study). Four broad domains emerged from the analysis: 1) information or knowledge of GDM, 2) monitoring of blood glucose levels, 3) practice of healthy lifestyles, and 4) other non-specific activities. The majority of the articles employed a face-to-face approach in executing the educational group sessions, and most studies disclosed their positive effects on GDM management. Other methods of evaluating intervention effectiveness were described as improved self-care behavior, increased satisfaction score, enhanced self-efficacy, good glucose control, and better pregnancy outcome.
Conclusion: Knowledge or information about GDM, healthy diet, and exercise or physical activity was found to be the most applied domains of intervention. Framework domains based on the present review can be used in the future development of any interventional program for GDM women in enhancing health information reaching the targeted group in promoting self-efficacy.
PROSPERO registration number: CRD42021229610.
Health practice among Muslim homebound older adults living in the Southern Thai community: An ethnographic study
Authors: Songwathana Praneed , Chinnawong Tippamas , Ngamwongwiwat Benjawan
Published: February 2023

Background: Age-friendly environment helps promote older people’s health practices and healthy aging. However, little is known about health practices among those living at home in a Thai Muslim community.
Objective: This study aimed to explore the health practices of Thai Muslim Homebound Older Adults (HOAs) in relation to their beliefs and experiences to maintain their holistic health.
Methods: An ethnographic study design was used. Purposive and snowball sampling methods were used to select 15 HOAs as key informants, among whom nine were living in an urban area, and six were living in a rural area. Data were collected using in-depth interviews, participant observation, and field notes. Data were analyzed using thematic analysis.
Results: Muslim HOAs performed their health practices culturally under the central theme of “Life and health are designated by God (Allah) for living with nature and comfort at their age.” The health practices consisted of four patterns: 1) Maintaining day-to-day functioning to stay independent, 2) Having a simple and comfortable life with support, 3) Performing religious activities as a priority of life for well-being, and 4) Managing symptoms to gain a balance and restore health.
Conclusions: Understanding health practice patterns among HOAs would help nurses, especially primary care professionals, to promote healthy aging and independent living. In addition, culturally sensitive nursing care may be required to maintain the healthy living of Muslim older adults in the long term.
The roles and competencies of welfare commissioners supporting children with developmental disorders and their families expected by Japan’s public health nurses
Authors: Kawai Chihiro , Yokotani Tomoya , Betriana Feni , Ito Hirokazu , Yasuhara Yuko , Tanioka Tetsuya , Mori Kenji
Published: February 2023

Background: Public Health Nurses (PHNs) collaborate with community volunteer welfare commissioners to support children with developmental disorders and their families lead a life without isolation.
Objective: This study aims to clarify the roles and competencies that PHNs expect of welfare commissioners in supporting children with developmental disorders and their families.
Methods: An online survey was administered through Survey Monkey© to 220 PHNs working in Japanese municipalities using an independently developed questionnaire regarding the roles and competencies of welfare commissioners supporting children with developmental disorders and their families expected by PHNs. Exploratory Factor Analysis (EFA) was performed to simplify the data structure and enhance understanding. The reliability of the scale was confirmed using Cronbach’s α. Differences due to PHN attributes (e.g., experience collaborating with welfare commissioners) were analyzed using Welch’s t-test. This study was conducted between April and September 2021.
Results: The highest scoring items were, for the role, “a welfare commissioner’s role is to pass on accurate information to their successor,” and for competencies, “a necessary competency for a welfare commissioner is to protect the information about children with developmental disorders, and their families learned during one’s work.” The EFA results revealed a two-factor structure for role items: Factor 1, “Supporting children with developmental disorders and their families and preventing abuse,” and Factor 2, “Connecting to social resources.” Competency items were also found to have a two-factor structure: Factor 1, “Understanding the position of children with developmental disorders and their families and connecting with local residents,” and Factor 2, “Understanding developmental disorders and supporting them based on assessment.” A comparison of the attributes of PHNs showed no significant differences.
Conclusion: PHNs feel welfare commissioners should pass on the information and protect confidentiality when supporting children with developmental disorders and their families. Furthermore, PHNs expect welfare commissioners to connect children with developmental disorders and their families to the community, prevent abuse, and provide support based on assessment. PHNs had the same expectations regarding the roles and competencies of welfare commissioners regardless of their own attributes.
The effect of the multimodal intervention on blood pressure in patients with first ischemic stroke: A randomized controlled trial
Authors: Jullmusi Orapin , Yunibhand Jintana , Jitpanya Chanokporn
Published: February 2023

Background: Multimodal intervention is currently promoted to control blood pressure in patients with first ischemic stroke. However, a dearth of studies has examined the influence of the intervention among patients with ischemic stroke, particularly in Thailand. Objective: This study aimed to determine the effect of the multimodal intervention on blood pressure in patients with first ischemic stroke. Methods: A randomized controlled trial was conducted. Sixty participants were randomly selected from two tertiary hospitals in Thailand. Eligible participants were randomly assigned into an experimental group (n = 30) and a control group (n = 30). The experimental group was provided with the multimodal intervention, while the control group was given the usual care. Data were collected from May 2021 to October 2021 at baseline (pre-test), 4th week, 8th week, and 12th week using the demographic data form and sphygmomanometer. The data were analyzed using the Chi-square test, t-test, and repeated measure analysis of variance (ANOVA). Results: The participants’ blood pressures after receiving the multimodal intervention were lower than those before receiving the multimodal intervention. Both systolic and diastolic blood pressure were statistically significantly decreased over time, starting from baseline to the 8th week and 12th week (p <0.001). In addition, the participants’ mean scores of systolic blood pressure (F (1, 58) = 4.059, p = 0.049) and diastolic blood pressure (F (1, 58) = 4.515, p = 0.038) were lower than the control group.   Conclusion: The multimodal intervention is effective in controlling blood pressure. Therefore, nurses should educate patients with ischemic stroke to manage systolic and diastolic blood pressure, facilitate the patient’s participation in the exercise program, and monitor the patients via telephone to continue blood pressure control. Trial Registry: Thai Clinical Trials Registry (TCTR) identifier number 20210318001.