bluuebunny/crossref_metadata_2025 huggingface dataset:
The Pattern of Breastfeeding and Providing Supplement Increase Nutritional Status For 7–24 Month Children
Authors: Yunitasari Esti , Permanasari Hesti , Pradanie Retnayu
Published: July 2022

Introduction: Infants grow and develop rapidly therefore they tend to suffer from malnutrition when they couldn’t get adequate nutrition. The infant nutrient status is influenced by many factors such as the breastfeeding pattern and the providing supplement meal pattern. The purpose of this study was to analyze correlation between breastfeeding and providing supplement with 7–24 month child nutritional status.Methods: This study used cross sectional design. Population was mothers who were breastfeeding and providing supplemental meal to their infants age 7 to12 months at Nuri Posyandu, in Kademangan Puskesmas. Samples consisted of 16 mothers with their infants, enrolled based on inclusion criteria. The independent variables were breastfeeding pattern and providing supplement meal pattern. The dependent variable was the nutritional status of the infant age 7 to 12 month. Data were collected by questionnaire and the infant weight was interpreted using Road to Health Card (KMS) then analyzed by spearman’s rank test with significance level ofα ≤ 0.05.Results: Result showed a strong correlation between breastfeeding pattern and nutritional status of the infant age 7 to 12 months (p = 0.001) and adequate correlation was also found between the providing supplement meal pattern and the nutritional status of the infant of 7 to 12 months (p = 0.036).Conclusion: In conclusion, both of breastfeeding and providing supplement meal correctly have correlation to the good infant nutritional status. Further studies should use other designs that enable data to be collected more than once to obtain better reliability in accuracy.The Pattern of Breastfeeding and Providing Supplement Increase Nutritional Status For 7–24 Month Children
Brain Gym Improves Cognitive Function for Elderly
Authors: Yusuf Ah. , Indarwati Retno , Jayanto Arifudin Dwi
Published: July 2022

Introduction: The degradation of cognitive function present early dementia in elderly. Brain gym is one of the alternative implementation to improve the cognitive function of elderly. The objective of this study was to analyze the effect of brain gym to the improvement of cognitive function in elderly.Methods: This study used Quasy Experimental design. The populations were elderly in Social Service Unit Tresna Werdha Lamongan. The samples were recruited using purposive sampling, consist of 30 respondents, taken according to the inclusion criteria. Samples then divided into 2 groups, experimental groups and control groups. The independent variable of research this study was brain gym and the dependent variable was cognitive function at elderly. Data were collected by using MMSE score and then analyzed using Wilcoxon Signed Rank Test and Mann Whitney Test with level of significance α ≤ 0.05.Results: Result showed that there is an effect of brain gym to the improvement of cognitive function in elderly (p = 0.001). The difference of cognitive function also seen between experimental groups and control groups (p = 0.001).Conclusion: The conclusion of this research is brain gym improve cognitive function in elderly. The simple movement of brain gym able to coordinate the brain function so the brain activity become more optimal hence the improvement of memory function, recall and concentration.
Nursing Intervention Through Family Pathnership Increases Behavior in Practice of Feeding Pattern on Infant of Age 6–24 Months For Nuclear and Extended Family
Authors: Hidayat A. Aziz Alimul
Published: July 2022

Introduction: Nursing intervention is nursing action with a supportive and educative approach done by nurses cooperating with families in overcoming the problems of nursing family. The aim of the research was to explain the effect of nursing intervention through family pathnership toward behavior in practice of feeding pattern on infant of age 6–24 months for nuclear and extended family, including the breastfeeding (ASI), PASI, soft food, family food, snacks, and way of feeding.Method: The design of the research was experimental. The sample of the research was ninety six (96) samples, which was chosen with simple random sampling.The sample was then divided into two parts of family in Kenjeran District and Bulak Surabaya, namely nuclear family and extended family. The variables measured were breastfeeding, PASI, soft food, family food, and a way of feeding through interviewing and observation. The data analysis used was Mann Whitney U.Result: Result showed that effect of nursing interventions on the style of feeding containing of giving PASI (p = 0.003), soft food (p = 0.005), family food (p = 0.00), snacks (p = 0.034), and way of feeding (p = 0.00). Those effects can be shown with the increasing of frequency and way of feeding before and after intervention.Discussion: The conclusion is nursing intervention through the supportive and educative approach as the form of actions on families with problems on the pattern of feeding has the influence on the practice of feeding pattern. The increasing of feeding frequency shows the cognitive and behavioral change on the practice of feeding pattern which can possibly improve the status of infants nutrient.
The Changes of Behaviors and Cognitive Functions by Cognitive Behavioural Therapy in the Drug Abusers
Authors: Susanti Herni
Published: July 2022

Introduction: This study was aimed to find out the effect of CBT on the behaviors i.e. depressive, agressive and antisocial behaviors as well as cognitive functions of patients who were treated in rehabilitation unit at a drug addiction hospital (Rumah Sakit Ketergantungan Obat) in Jakarta.Method: The research design was Quasi experimental pre-post test without control group by providing intervention: CBT for 6 sessions (10–12 times intervention). The population was all patients in the rehabilitation unit with a nursing diagnosis: low self esteem and/or inffective coping strategies. There were 23 participants who involved in this investigation. The data was analized by using dependent and independent sample t, and anova tests.Result: The results showed that p value for depressive behaviours, agressive behaviurs, antisocial behaviors, and cognitive functions were 0.914; 0.001; 0.039; 0.003 respectively. The outcomes indicated that there was significant impact of CBT on agressive behaviors, antisocial behaviors, and cognitive functions (α = 0.05, p value < 0.05), but not on depressive behaviors (α = 0.05, p value > 0.05).Discussion: It is argued that depressive symptoms might not be apparent for the users in rehabilitative phase. The findings also showed that there was significant relation between antisocial behaviors and the length of drug usage. This affirms exsiting concepts in that long drug usage brings about serious damage in the users' behaviors and cognitive functions. It is recommended, therefore, to include CBT as an important intervention for clients with drug abuse problems who are cared in rehabilitation center.The Changes of Behaviors and Cognitive Functions by Cognitive Behavioural Therapy in the Drug Abusers
Formula Penghitungan Tenaga Keperawatan Modifikasi FTE dengan Model Asuhan Keperawatan Profesional Tim
Authors: Kurnia Erlin , Damayanti Nyoman Anita , Nursalam Nursalam
Published: July 2022

Introduction: A variety of formulas that can be done to count the needs of nursing staff in inpatient rooms include Ministry of Health Republic of Indonesia method, Gillies, Nina Formulation, Douglas, and Full Time Equivalent (FTE). The purpose of this study was to recommend the formula for calculating nurse staff needs in implementation of team nursing model of care delivery.Method: The design used in this study was a time and motion study. Data was collected by observations and questionnaires. The population was the nurses who work at Kediri Baptist Hospital inpatient wards. The observation and questionnaires to the resource persons utilized as a data collection method. Two inpatient wards were the taken as simulation places, there were Ward A and Ward B. Ward A was taken as simulation place based on FTE method and Ward B was taken as simulation place based on Ministry of Health Republic of Indonesia method. Based on the calculation according to the Ministry of Health Republic of Indonesia method obtained the required number of nursing staff as many as 17 people in Ward A and 23 in Ward B. Meanwhile, according to FTE count obtained the number of nursing staff as many as 20 people in Ward A and 33 in Ward B.Result: The simulation results obtained an increase in performance of duties and job satisfaction of nurses in inpatient wards that were simulated using the FTE method.Conclusio: The inpatient ward that is simulated using the Ministry of Health Republic of Indonesia method obtained an increase in performance of duties but a decrease in job satisfactions. It can be concluded that the FTE method is more appropriate to use than Ministry of Health Republic of Indonesia.
Analisis Faktor Pemanfaatan VCT pada Orang Risiko Tinggi HIV/AIDS
Authors: Purwaningsih Purwaningsih , Misutarno Misutarno , Imamah Siti Nur
Published: July 2022

Introduction: Voluntary Counseling and Testing (VCT) is an entry point for the provision of nursing, support and medication of people living with HIV/AIDS. VCT is also a model for the dissemination of comprehensive information and support to change risk behavior and prevent HIV/AIDS infection. The purpose of this research was describe determinants of VCT utilization for the high risk person of HIV/AIDS at Puskesmas Dupak based on health belief model.Method: Design used in this study was descriptive survey design. The population was high risk people of HIV/AIDS who utilize VCT at Puskesmas Dupak Surabaya in 2010. The variables were component of health belief model for the high risk people of HIV/AIDS who utilize VCT. It consist of perceived susceptibility factor, perceived seriousness factor, perceived benefit and barrier factor, self efficacy, and cues to action factor. The samples were recruited with probability sampling consist of 23 respondents. Data were collected by using structured questionnairs with multiple choice questions and were then analyzed using descriptive analysis.Result: Results showed that perceived suscebtibilty was in strong criteria (61%), perceived seriousness was in strong criteria (78%), perceived benefit was in strong criteria (66%), perceived barrier was in enough criteria (65%), self effi cacy was in strong criteria (82%), and cues to action factor was in strong criteria (52%).Conclusion: Component health belief model to VCT utilization on high risk people of HIV/AIDS was in strong criteria. It is recommended to health worker at Puskesmas Dupak to give adequate information frequently to the high risk people of HIV/AIDS.
Perubahan Keluhan Seksual (Fisik dan Psikologis) pada Perempuan Pascaterapi Kanker Serviks Setelah Intervensi Keperawatan
Authors: Yanti Afi , Andrijono Andrijono , Gayatri Gayatri
Published: July 2022

Introduction: Despite increasing awareness related to sexual health for cervical cancer survivors, health care providers are passive in addressing their sexual issues. The objectives were to develop and investigate the effect of a sexual nursing intervention packet to mitigate sexual dysfunction among cervical cancer survivors.Methods: A sample of 104 survivors were participated consecutively based on required inclusive criteria in this quasi-experimental study. The sexual nursing intervention packet focused on the physical, psychological, and care of relational aspects of sexual health elements. The packet consisted of 6 weekly 2-hour sessions.Results: The participants reported poor sexual satisfaction and sexual function. There were no statistically signi fi cant differences in sexual interest, sexual arousal, orgasm, and vaginal lubrication improvement following the intervention, although all the variables in the intervention group were improved clinically. The sexual nursing intervention packet was effective in increasing sexual satisfaction and decreasing dispareunia among cervical cancer survivors.Conclusion: This study suggests that the quality of life in cervical cancer survivors could be improved with the sexual nursing intervention packet provided as part of supportive group care. This program may be more effective if delivered earlier and for a longer period. Implications for Practice: The sexual nursing intervention packet offers an opportunity to facilitate small-group dynamics that lay the ground for further contacts leading to earlier recognition of sexual problems and active involvement for sexual health improvement for cervical cancer survivors and nurses. It could be utilized for survivor education or support groups to increase sexual satisfaction following cancer treatment.
Pengalaman Seksualitas Ibu Hamil di Puskesmas Pondok Aren Tangerang
Authors: Hapsari Vike Dwi , Sudarmiati Sari
Published: July 2022

Introduction: Pregnancy is an important event in women life. Various physical and psychological changes may affect pregnant women, particularly on sexuality. Along with the growing size of uterus in pregnant women, it can lead to discomfort and diffi culty for sexual intercourse. The aimed of this tudy was to understand sexuality experience among pregnant women. Methods: This was qualitative research with phenomenological approach. Five participants involved in this study using purposive sampling. Data was collected with an indepth interview and then was analyzed with Colaizzi’s. This research was emerged six themes. The meaning of sexuality, changes of sexuality, cause of sexuality changes in intimate relationship, the reason for doing intercourse, partner caring, and myth about sexuallity in pregnan women.Result: The results showed pregnant women have difefrence sexuality experience from the step trimester. Discussion: This research concludes that a nurse needs to give information to women and their family especially her husband regarding sexuality changes in pregnant women.
Kebutuhan Riil Tenaga Perawat dengan Metode Workload Indicator Staff Need (WISN)
Authors: Ernawati Ni Luh Ade Kusuma , Nursalam Nursalam , Djuari Lilik
Published: July 2022

Introduction: Nurses are health workers in hospitals that provide nursing care to patients for 24 hours. Workload of nurses was high due to insufficient numbers of nurses. It will have an impact on the decrease in work productivity that may affect nurses care for patients. To get the human resources necessary to suit the needs of nursing manpower planning to increase the competitiveness of hospitals in the era of globalization. The research objective was to analyze the real needs of nurses on staff workload indicators need (WISN).Method: The study design was observational analytic. Analysis of workload using the method of approach to time and motion study. Sample were 24 nurses who met the inclusion criteria. Analysis of the needs of staff nurses using the workload indicators need (WISN).Result: The results obtained based on the calculation of nurses with WISN method needs of nurses in the medical-surgical nurses as many as 54 people. Objective workload of nurses in the room medical surgery general state hospital of Bali is the average 82.61%, including height. The total time required to complete the productive activities of more than 80%.Conclusion: Conclusion of this study show the number of nurses in the medical-surgical general hospital bali is still lacking as many as 30 people. It is suggest to the hospital management to increase gradually the number of nurses in the medical room.
Terapi Kelompok Terapeutik Anak dengan Orang Tua dan Guru Meningkatkan Perkembangan Mental Anak Usia Sekolah
Authors: Istiana Dian , Keliat Budi Anna , Nuraini Tuti
Published: July 2022

Introduction: School aged called as intelectual time in industrial development stage. Industrial development stage is important in human development stages. The purpose of this tudy was to know the effect of school aged therapeutic group therapy to mental development.Methods: The design was quasi experimental pre-post test with control group. One hundred and sixteen children at 9–11 years old were used as sample of this study that divided to 38 children on first intervention group (childparents), 36 children on second intervention group (child-teacher) and 40 children on control group.Results: Result of the study showed that cognitive, psychomotor and industrial development ability had increased significantly after therapeutic group therapy was given (p-value < 0.005) in intervention group.Conclusion: The study was recomended in child-parents and child-teacher to increase mental development in school aged children.
Pencegahan Iritasi Mukosa Hidung pada Pasien yang Mendapatkan Oksigen Nasal
Authors: Kurniawati Ninuk Dian , Bakar Abu
Published: July 2022

Introduction: The provision of oxygen therapy is traditionally use a humidifier to moisten the oxygen and prevent irritation of the nasal mucosa. Recent research proves that the use of a maximum of 4 lpm nasal oxygen without using a humidifier (non humidifier) up to 8 hours does not cause irritation of the nasal mucosa and prevent colonization of bacteria in the humidifier. The purpose of this study was to determine the effectiveness of nasal oxygen administration using a non-humidifier more than 8 hours in the prevention of irritation of the nasal mucosa.Method: This study employed an analytic survey with cross-sectional study design. As many as 20 patients at inpatient wards of Port Health Center Hospital Surabaya were recruited as sample by means of consecutive sampling. Inclusion criteria was patients must not suffer from upper respiratory tract infection and do not suffer from impaired immunity. Independent variables were oxygen flow and long of oxygen therapy. Dependent variable was irritation of the nasal mucosa. Data were analyzed with descriptive statistics and tested with spearman rho correlation test.Result: The results showed that the use of oxygen up to 140 hours with 4 LPM had no effect on the nasal mucosa such as signs of irritation and complaints of discomfort in the nose area.Discussion: It can be concluded that the use of non-humidifier for a maximum of 140 hours with flow maximum of 4 lpm is effective in preventing irritation of the nasal mucosa. Further research on the effectiveness of non humidi fi ers in the elderly population and children under five years of age is needed.
Analisis Faktor Risiko Kehamilan Ektopik
Authors: Santoso Budi
Published: July 2022

Introduction: Ectopic pregnancy is a pregnancy with extrauterine implantation. This situation is gynecologic emergency that contributes to maternal mortality. Therefore, early recognition, based on identification of the causes of ectopic pregnancy risk factors, is needed.Methods: The design descriptive observational. The samples were pregnant women who had ectopic pregnancy at Maternity Room, Emergency Unit, Dr. Soetomo Hospital, Surabaya, from 1 July 2008 to 1 July 2010. Sampling technique was total sampling using medical records.Result: Patients with ectopic pregnancy were 99 individuals out of 2090 pregnant women who searched for treatment in Dr. Soetomo Hospital. However, only 29 patients were accompanied with traceable risk factors.Discussion:. Most ectopic pregnancies were in the age group of 26-30 years, comprising 32 patients (32.32%), then in age groups of 31–35 years as many as 25 patients (25.25%), 18 patients in age group 21–25 years (18.18%), 17 patients in age group 36–40 years (17.17%), 4 patients in age group 41 years and more (4.04%), and the least was in age group of 16–20 years with 3 patients (3.03%). A total of 12 patients with ectopic pregnancy (41.38%) had experience of abortion and 6 patients (20.69%) each in groups of patients with ectopic pregnancy who used family planning, in those who used family planning as well as ectopic pregnancy patients with history of surgery. There were 2 patients (6.90%) of the group of patients ectopic pregnancy who had history of surgery and history of abortion. The incidence rate of ectopic pregnancy was 4.73%, mostly in the second gravidity (34.34%), whereas the nulliparous have the highest prevalence of 39.39%. Acquired risk factors, i.e. history of operations was 10.34%, patients with family planning 20.69%, patients with history of abortion 41.38%, patients with history of abortion and operation 6.90% patients with family and history of abortion was 20.69%.
Stres Dapat Mengganggu Proses Spermatogenesis pada Mencit
Authors: Arief Yuni Sufyanti
Published: July 2022

Introduction: This study aimed to determine the effect of stress on the process of spermatogenesis and testosterone levels of mice (Mus musculus) male.Method: This was an experimental study using a completely randomized design. The variables examined were the number of spermatogenic cells (spermatogonia, spermatocytes, and spermatids oval) and testoseron levels. Data analysis using oneway analysis of variance (ANOVA), test a small real difference (LSD) 5%, and the kruskal wallis test. This study used 36 mice (Mus musculus) male age 2 months with 20–40 gram body weight divided into 4 groups. The control group (subcutaneous injection of 0.1 ml physiological saline), subcutaneous epinephrine injection group 0.001 mg/20 g BW, subcutaneous epinephrine injection group 0.005 mg/20 g BW, the subcutaneous injection of epinephrine 0.01 mg/20 BB gr.Result: The results show that the analysis of spermatogenic cells (spermatogonia, spermatocytes, and spermatids oval), that repeated exposure to epinephrine with different doses showed that there was a significant decrease. The average decline in a row in the treated group (P1, P2, P3) compared with the control group (K0) for spermatogonia was 28.8%, 42.4%, 45.5%, to spermatocytes was 13.7%, 37.4%, 38.9% and for oval spermatids was 33.3%, 44.2%, 50.4% Having followed by LSD 5% found that there were significant differences for almost all groups except the pair P2–P3 groups for the number of spermatogonia, spermatocytes, and partner groups P1–P2 and P2–P3. As for the blood serum levels of testosterone hormone mice showed no significant decrease.Discussion: Administration of high doses of epinephrine (as stressor) can lead to bottlenecks in the process of spermatogenesis as indicated by decreased number of spermatogenic cells but not cause a decrease in testosterone levels.
Manajemen Nyeri Non Invasive Pada Ibu Post Partum dengan Pendekatan Evidence Based Practice
Authors: Rohmah Nikmatur
Published: July 2022

Introduction: Pain is a sensation of discomfort that most post-partum mothers complain about, in the case of prolonged pain, the risk of post-partum blues is higher. The usage of evidence based practice method gives a bigger opportunity for nurse and medical attendants to think more critically in making decisions and in performing the appropriate treatment in accordance with the patient's problem and uniqueness. This research aimed to applicate management of non-invasive pain on post partum mother through the approach of evidence based practice.Method: This was a case-study, performed to client Mrs. A P1-1 A0 post sectio caesarea day 1 as there is an indication of suspect cepalo pelvis disproportion secondary arrest. Data were collected at maternity room, dr. Soebandi Regional General Hospital. Using interview, observation, and physical examination. Data analysis was conducted through a descriptive analysis.Result: Through a careful nursing, it is found out that pain location and spreading that generally spotted at the patient’s back during the contraction in the uterus, occurred around the shoulders when evidence-base practice is applied. The basic principle of applying an intervention to non invasive pain based on evidence–base practice are: cutaneous stimulation and distraction, while massaging area was set on the face, while the distraction media was interaction with the baby. Evaluation on evidence –based practice showed that pain is reduced to scale 2, while face and mobilitation become more relaxed.Discussion: Massage was intended to stimulated the production of endorphine and dinorphine that play an important roke to block the pain transmission through the descendent control system. Interaction with the baby was intended to function as a distraction media to dominate the incoming impuls into the ascendant control system,which further may close the gate of the pain transmitter. Both of the interventions were axpected to work synergically in reducing pain, since post-partum pain can be relieved more quickly when more than one technique are applied. Thus, to reduce post-partum pain, facial massage and interaction with the baby as non–invasive treatments are of important, respectively.
The Improvement of The Self-Care Agency for Patients with Ischemic Stroke After Applying Self–Care Regulation Model in Nursing Care
Authors: Suhardingsih AV. Sri , Mahfoed Moh. Hasan , Hargono Rahmat , Nursalam Nursalam
Published: July 2022

Introduction: The patiens with ischemic stroke caused a dependence in a need of self-care for the aspect of physically, psychologically, socially and spiritually. Nursing care approach will encourage patiens to became independence in self-care. The purpose of this research was to examine the improvement of the self care agency of the patients with ischemic stroke after aplying a nursing care of self care regulation model.Method: An experimental research with quasy experimental design was applied in the study. The study was conducted in the area of Surabaya by selecting 40 patients of ischemic stroke being hospitalized in stroke Unit IRNA MEDIK RSUD Dr. Soetomo Surabaya and selected by consecutive sampling. Sample of 40 patients were divided equally into two groups, namely treatment and control groups. The selection of sample was matching based on age and sex. Independent variable in the study were self-care regulation: interpretation coping and appraisal. While dependent variable was self-care agency of the patients with ishemic stroke. Data was analysed by wilcoxon signed rank, Mann-Whitey test and modeling by SEM - PLS.Result: The result showed that there were significant differences on the increase of self care agency between the groups. The group model that aplying a nursing care of self-care regulation gained the value of R2 = 0.857 and the standart nursing care gained the value of R2 = 0.614, so it could be inferred that the best model was self care regulation model, with the differentiation R2 = 0.243.Discussion: It was concluded that the nursing care of self care regulation model could self-care agency up to 24.3% than the standard of nursing care. It is recomended that Self-care regulation model can be used as a standard of nursing care in health care institutions both in hospitals and in clinics.
Quality of Nursing Care Based on Analysis of Nursing Performance and Nurse and Patient Satisfaction
Authors: Muhith Abdul , Nursalam Nursalam
Published: July 2022

Introduction: Nurses who frequently often contact to patients and most of their time serve patients in 24 hours, have an important role in caring for the patient. Patient satisfaction as quality indicator is the key success for competitiveness of service in hospital. The aim of this research was to develop nursing service quality model based on the nursing performance, nurse and patient satisfaction.Methods: The research method used cross sectional study, at 14 wards of Gresik Hospital. Research factors were namely: oganization characteristic (organization culture and leadership), work factors (feedback and variety of nurses work), nurse characteristics (motivation, attitude, commitment and mental model), nursing practice, interpersonal communication, nurse and patient satisfaction. Statistical analysis of study data was analyzed by Partial Least Square (PLS).Results: The results of nursing performance revealed that nurse characteristic were not affected by organization culture and leadership style, nurse characteristics were affected by work factors, nurse characteristics affected nursing quality service (nursing practice, nursing professional, nurse and patient satisfaction), nurse satisfaction did not affect nursing professionals.Conclusion: Based on the overall results of the development of nursing care model that was originally only emphasizes the process of nursing care only, should be consider the input factor of organizational characteristics, job characteristics, and characteristics of individual nurses and consider the process factors of nursing care standards and professional performance of nurses and to consider the outcome factors nurse and patient satisfaction. So in general the development model of quality of existing nursing care refers to a comprehensive system of quality.
The Increasing of Preschool Multiple Intelligences by Educative Playing Instrument Stimulation
Authors: Arief Yuni Sufyanti , Krisnana Ilya , Ferdiana Heny , Rachmawati Praba Diyan
Published: July 2022

Introduction: Multiple Intelligences can be incresed by playing stimulation with educative playing instrument. Educative playing is the activity that uses educate ways and instrument. Educative playing very important to increase speech development, cognitive, socialisation with the environment and also increse the streght and skill of child’s body.Methods: Design used in this study was quasy experiment design. The population was preschool children 4–5 years old in working area of Mojo Public Health Centre of Surabaya. The sample was preschool children 4–5 years old that spesiﬁc in inclution criteria of this study. Data were analyzed by wilcoxon signed rank test to compare the ordinal data pre and post intervention and mann withney u-test that compare between intervention group and control group with level of signiﬁ cance of α ≤ 0.05.Results: The result of speech development that analyzed by Wilcoxon signed rank test showed that controlled group had p = 0.157 and intervention group had p = 0.005 and the result of mann whitney test was p = 0.03. The result of kinesthetic development by wilcoxon signed rank test showed that controlled group has p = 0.317 and intervention group has p = 0.005, and analyzed by mann whitney test in kinesthetic development showed the result of p = 0.02.Conclusion: Educative playing instrument (picture cards, play dough, origami and meronce) increased speech and ﬁne motoric development of preschool children 4–5 years old in Mojo Indah Kindergarten of Surabaya. Educative playing instrument is the activity that makes the playing function optimally in child development and this activity can increase the child development such as physical, speech, cognitive and social adaptation.
The Development of Nursing Job Performance Model in The Implementation of Integrated Management of Childhood Illness (Imci) in Surabaya
Authors: Susilaningrum Rekawati , Suryawati Chriswardani , Arso Septo Pawelas
Published: July 2022

Introduction: MTBS is a comprehensive approaches for child illnes and one of the way to reduce an infant and under ﬁ ve years morbidity and mortality rateas well as appropriately to apply in public health center. In fact, MTBS has not been implemented as procedure guidance. The objective of the study was to examie the implementation of MTBS viewed from Van Meter and Van Horn model as basic measurement and the goal of policy, the sources of policy, a communication among organisation and the implementation of MTBS.Method: The study was qualitative design. Data were collected by in depth interview. Six Nurse and midwife were recruited as a sample by purposive sampling. Informant triangulation were head of PHC and head of deputy health services. Analysis was by means of content analysis.Result showed that the written and indicator of basic measurement and goal policy was not available yet. Sources of policy, namely health.Result: For the health workers was sufﬁcient and they have a good competency to carry out MTBS and have workload focus on three types. Fasilities was no room, form was difﬁcult to provide, instruments and medication was sufﬁcient available, but there was no speciﬁc funding. Communication was carried out only on the training program by MTBS fascilitator. Characteristic of beaurocracy structure (SOP) consists of preparation, implementation, eporting and recording.There was no speciﬁc preparation, it only an introduction dessimination was done. The implementation was not as modul and the form of MTBS was not used anymore. The implementation of MTBS lack support from Public Health center and Health Care District of Surabaya. Healh worker unmotivated to implement MTBS.Conclusio: the implementation of MTBS lack support from health worker, Public Health Center and Health Care District of Surabaya.It is recomended that Health Care District & Public Health Center cooperatively should have commitment to assess the implementation of MTBS in Surabaya.
Protein Expression Er (Estrogen Receptor) in Breast Cancer Degree of Malignancy Mild, Moderate, and Severe
Authors: Susilo Imam
Published: July 2022

Introduction: Mammary carcinoma is the most common malignancy and main mortality cause in women. Hormonal status (ER and PR expression) was long used as patient suitability for hormonal therapy. However, lately there have been many patients with ER and PR negative. This study wanted to prove the relevance of protein expression of ER (estrogen receptor) with the histopathological degree of malignancy of breast invasive ductal cancer and the prognosis of breast cancer with ER protein expression of positive and negative.Methods: In this retrospective and cross sectional analytical study retrieved data about hormonal status (ER expression) and histopathological grading of inﬁltrating ductal carcinoma patients. This study consisted of 201 patients with mammary carcinoma who referred to medical records Department Pathology Anatomic of Faculty Medicine Airlangga University/Dr. Soetomo General Hospital Surabaya on 1 January 2010–31 December 2010 and their medical record suitable with inclusion criterias. The data was categorized into several groups based on the ER expression result.Results: Most of the sample was in 41–50 year age group (37.31%), and 54,7% of them were in poor expression. The relationship of estrogen receptor (ER) with the degree of histopathology inﬁltrating ductal carcinoma patients, obtained p-value = 0.001 (p < 0.5) and the 2 × 2 table is only moderate and severe degrees compared with the results of ER expression results obtained p = 0.001 (p < 0.5) and odds ratio of 0.362 (CI: 0194-0675).Conclusion: This study found signiﬁcant correlation between ER expression with histopathological grading of inﬁltrating ductal carcinoma patients.
Voluntary Counseling and Testing (Vct) to Prisoner in Class I Prison of Surabaya
Authors: Muhith Abdul , Prasetyaning Linda , Nursalam Nursalam
Published: July 2022

Introduction: VCT is one of the efforts of the prison to minimize the risk of HIV/AIDS on Injecting Drug User Prisoners. But there are still obstacles in the implementation of this program in prison. The purpose of this study was to evaluate the VCT in Class I Surabaya Prison.Method: This study used qualitative and quantitative method. Samples to evaluate the VCT Program among Ofﬁ cer, Clinical Ofﬁcers who carry out VCT and NGOs as well as four IDU prisoners selected using purposive sampling. Samples to describe prisoner's characteristic and risk factor of HIV/AIDS from behavior aspect were 60 prisoners. Data were collected by ﬁlling out the questionnaire and in depth interview.Result: The results were analyzed by qualitative descriptive narrative. The results of this study was a major behavioral factors that lead to the incidence of HIV/AIDS on injecting drug user prisoners, unsafe sexual behavior and tattooing.Discussion: As for the evaluation of VCT was not performed well. In terms of input, the human resources sector and source of funds and independent laboratory facilities were deemed less. On process aspects, the sector of pre-and post-test counseling and support programs was still not optimal. In the aspect of output, an indicator to measure the success of VCT, patient satisfaction questionnaire coverage and effort to VCT client was still not implemented. It is necessary to enhance the implementation of VCT and to realize a program especially for drug user prisoners to prevent and control the transmission of HIV/AIDS such as harm reduction program.
Profile of Patients at Pediatric Emergency Services Soetomo Hospital Surabaya
Authors: Dharmawati Ira , Setyaningtyas Arina , Kusumastuti Neurinda Permata
Published: July 2022

Introduction: Installation service system at the Emergency Department (ED) Soetomo Hospital is a coordinated and integrated system under one roof. Include emergency medical and emergency surgery in a very important component of health services at each hospital. The information published on the patient proﬁle and the usefulness of emergency care services indeveloping countries and developed countries is still very rare. This study aimed to describe the characteristic of patients attending the ED at Soetomo hospital Surabaya.Method: This study was a retrospective study. The proﬁle of patients visiting the ED for 1 year were recorded and presented descriptively.Result: The total number of patients visiting the hospital was 5,835, with a monthly average of 486 patients. The children at the age of 1–5 years presented the largest age group (33.6%). The main diagnosis was respiratory tract infection (31%), diarrhea (17.%), followed by seizure (12.4%). The overall mortality rate was 1.7%.Discussion: Respiratory tract infection in children at the age of 1–5 years still count as a major problem at Soetomo Hospital Surabaya.
The Relation between Pediatric Immunodeficiency Category and Diarrhea in AIDS/HIV Infected Child
Authors: Wibowo Satrio
Published: July 2022

Introduction: Diarrhea is one of the most prevalent cause of mortality and morbidity in AIDS/HIV infected child. Severe immune suppression increase prolong and persistent diarrhea. The correlation between diarrhea and immune suppression level has not well known yet, particularly in Saiful Anwar Hospital. The aim of this study is to determine relation between immune suppression leveland prolonged or persistent diarrhea in AIDS/HIV infected child.Method: Retrospective crosssectional research were conducted on 68 medical records taken from patients who were admitted between February 2008 and August 2011. The characteristic of data taken were: age, sex, nutritional status, CD4+ counts, duration of diarrhea, other comorbid diseases beside diarrhea (pneumonia, tuberculosis, moniliasis) and the patient outcome. National Guidelines Clinical Management of HIV/AIDS in Children were used to diagnose HIV/AIDS. Immune supression level was determined using CDC guidelines. Immune supression level was ranked in to four categories: no immune deﬁcient, mild suppression, moderate suppression, and severe immunodeﬁcient.Result: Thirty six (53%) patients were male; diarrhea was found in 32 (47%) patients, acute diarhhea in 12 patients, prolonged diarrhea in 1 patient, persistent diarrhea in 19 patients. Forty (40%) were severe immunodeﬁcient, 6% mild, 28% moderate and 40% without immunodeﬁ ciency.Discussion: Statistical analysis showed that there was no correlation between immune supression level and types of diarrhea. (95% CI, p = 0.17).
Assessment of Quality of Life in Cancer Children
Authors: Irmawati Mira , Irwanto Irwanto , Cahyadi Andy
Published: July 2022

Introduction: The survival rate of cancer children has increased over the past decade. The assessment of quality of life in childhood cancer survivors is required for understanding children's psychosocial functioning, perception of illness and its effect on daily life. The objective of this study was to assess the quality of life of cancer children.Method: This study was a cross sectional study done to both parents and cancer children 5–18 years old in January-February 2012. Subject and their parents were given the PedsQL 3.0 Cancer Module that was translated in to Indonesia Language. Cronbach's alpha and Pair-t tests were used for analysis.Result: Forty-four cancer children participated, mean age 6.4 years old, 30 (56.6%) were female, 24 (45.3%) suffered from leukemia. No signiﬁcant gender differences were found for all subscales. All subscales showed satisfactory reliability (Cronbach's alpha = 0.615–0.929). The scores from children-report was higher than parents-report for treatment anxiety, cognitive problem and total scale (p<0.05), the overall scores of 61–81. The subscale procedure anxiety, worry, and pain-hurt had low-scores for both children and parent.Disscussion: PedsQL 3.0 Cancer Module is an objective instrument for measuring quality of life in cancer children and their family.
An Action Error of Nursing Procedures: Types and Cause Factor Ners Profession Student
Authors: Khasanah Uswatun
Published: July 2022

Introduction: An error could be danger for the safety of patients. Ners students because of its lack clinical experiences are at risk to make an error in medication or procedure to the patient. The purposes of this study are to identify types and causes error events conducted by ners students.Method: This is a qualitative study. The participants are 29 students for answering the open questionnaire and 5 students for in-depth interview. The instruments are open questionnaire and interview guideline. Data analysis is used content analysis.Result: This study revealed that the error is classiﬁed into 2 types: error related to medication and nursing procedures. The natures of error are from mild to severe error. The factors of error are classiﬁed into 3 categories: student  factor, environment and preceptor factor. The student factors: lack of conﬁdence, nervous, ﬁrst time experience, and lack of practice. Environment factor: lack of facilities, emergency condition, lack of supervision, and lack of patient safety habit in the hospital. Preceptor factors: lack of guidance, unclear instruction.Discussion:The students feeling when doing an error is classiﬁed into 2: negative and positive feeling. Negative feelings are fear, feeling guilty. Positive feeling: motivated to learn. The student actions after doing an error are keep silent, inform to other students, or inform the preceptor or hospital nurses. The suggestion from this research is improving the skills lab education during academic phase and developing procedure for manage and prevent the error.
Nursing Care Model Development by Cope Approach for Reducing Parent’s Hospitalization Stress with Cancer Children
Authors: Krisnana Ilya
Published: July 2022

Introduction: Hospitalization stress on child affect on their parents. Parent empowerment is the important aspect to develop in nursing care for reducing hospitalization stress. The objective of this study was to develop the nursing care model of reduction hospitalization stress through the COPE (creating opportunity for parent empowerment) approach on the parent whose child was diagnosed cancer.Methods: This study used explanative research with cross sectional design. The population were parents whose child was diagnosed cancer in pediatric hematological ward RSUD Dr. Soetomo Surabaya, conducted on 3–15th May 2012. Sample were 30 mother who met inclusion criteria: 1) toddler and preschool age, 2) first time admition on Bona 1 or Bona 2, 3)read and write well and 4) noncritical condition. The independent variable were antecedens (attitude, social economic status, motivation), diffusion of innovation, empowerment (knowledge, participation, skill and environment). The dependent variable was parent’s hospitalization stress. Data were collected by using questionnaires and observation. The data were analyzed by PLS (Partial Least Square) with loading factor =0.5 and T-statistic=1.96.Results : The result showed that antecedens factors affected to COPE diffusion of innovation process. Motivation was the strongest factor to influence the diffusion and innovation process (path coeffi cient=0.450;T-stat=5.278). The diffusion of innovation process affected to empowerment variable (path coeffi cient=0.487; T-stat=6.507).Conclusion: It can be concluded that environment was the strongest factor as the compiler component of empowerment. Environment include physical and non-physical component. Empowerment affected to parent’s hospitalization stress with path coefficient=0.360 and T-statistik=4.980.Nursing Care Model Development by Cope Approach for Reducing Parent’s Hospitalization Stress with Cancer Children
The Relationship of Ns1 Antigen Profi Le and Days of Illness in Children with Dengue Virus Infection
Authors: Puspitasari Dwiyanti , Dewi Saraswati , Aryati Aryati
Published: July 2022

Introduction: Dengue NS1 Antigen (NS1 Ag) detection or quantification has become a specific diagnostic tool for dengue virus infection, but has variable sensitivity. Previous research reported NS1 Ag level can be detected up to the 7th–10th day of fever, others stated the sensitivity was decreased after four days of fever. We performed this research to analyze the NS1 Ag profile and its relationship with the day of illness.Methods: This study was a prospective cohort study on 39 children hospitalized at Dr. Soetomo Hospital Surabaya since November 2009 to May 2010. Inclusion criteria were acute fever less than 72 hours, bleeding tendency denoted at least by positive tourniquet test, age between 1–14 years, and confirmed by positive dengue IgM/IgG on the 5th day of fever. We performed daily quantitative dengue NS1 Ag tests until defervescence day, and its relationship with the day of illness were analyzed.Results: NS1 Ag was positive in 19/39 samples. Secondary infection occurred in 14/19 of Dengue Fever and 17/20 of Dengue Hemorrhagic Fever cases. Positivity of NS1Ag was higher in primary (6/8 cases) than secondary infection (12/31 cases). Mean level of NS1 Ag was highest on the 2nd day, decreased afterwards and undetected on the 5th day of fever. There was significant relationship between NS1 Ag positivity (P=0.037, rs=-0.9) and level (P<0.001, rs=-1) with the day of illness.Conclusion: Dengue NS1 Ag positivity and level were highest during the acute phase of fever and decreased afterwards.The Relationship of Ns1 Antigen Profi Le and Days of Illness in Children with Dengue Virus Infection
Water Consumption on The Morning to Constipation of Patient with Immobilization
Authors: Yasmara Deni , Irawaty Dewi , Kariasa I Made
Published: July 2022

Introduction: Patient with musculoskeletal disorder has been moving limitation and caused decreasing of gut peristaltic. The aimed of this study to find out the influence of drinking plain water 500 ml on the morning to constipation Incident of Immobilize Patient with musculoskeletal system disorder.Methods: The methode of this study were quasi-eksperiment with post test only non equivalent control group design. The number of sample was 24 respondents as intervention group, and 24 respondent as control group. The instrument that be used were Bowel Score that have been observed everyday for three days.Result: The result shows significant influences of drinking plain water on the morning to constipation incident of immobilize patient musculoskeletal system dysorder (p value=0.002; α=0.05.Conclusion: consuming water can avoid constipation on immobilize patient with musculoskeletal disorder. For the next research hopefully measures and analize psychosocial faktor of the patient defecation such as comfortable and privacy.