bluuebunny/crossref_metadata_2025 huggingface dataset:
Análise do estado funcional de pacientes crí­ticos internados em unidade de terapia intensiva
Authors: Petry Moecke Debora Melissa , Mazzali Biscaro Roberta Rodolfo
Published: February 2019

O comprometimento fí­sico funcional é um aspecto significativo em pacientes crí­ticos e para que seja possí­vel intervir de forma precoce, torna-se importante analisar o estado funcional destes indiví­duos. Este é um estudo longitudinal e prospectivo, do qual participaram 40 indiví­duos internados na UTI do HU/UFSC em Ventilação Mecânica (VM) por pelo menos 48h. Na inclusão ao estudo (AV1) foram coletados dados referentes ao estado funcional e fragilidade prévios; na segunda etapa (AV2) - avaliação da força muscular e do estado funcional; e na alta clí­nica (AV3) – reavaliação da força muscular, estado funcional e check list dos marcos funcionais. De forma geral, os pacientes apresentaram prejuí­zo significativo na funcionalidade no despertar, com Índice de Barthel médio de 3,33 ± 6 e Escore Perme de 8,18 ± 3,99 e também na alta da UTI, com Índice de Barthel médio de 12,7 ± 13,99 e Escore Perme de 13,68 ± 6. O estado funcional e a fragilidade prévios se relacionaram com os desfechos clí­nicos (p = 0,022 e p = 0.019, respectivamente). O estado funcional no despertar teve correlação com o desfecho funcional (p < 0,001). A força muscular periférica se alterou juntamente com o estado funcional tanto no despertar (p = 0,005 e p < 0,001) quanto na alta da UTI (p = 0,002). Sendo assim, pode-se dizer que o estado funcional dos pacientes reduziu significativamente durante a internação na UTI, comparada há um mês antes da admissão, e manteve-se baixa após a alta dessa unidade. Verificou-se ainda que o estado funcional e a fragilidade prévios se relacionam com o desfecho clí­nico e que o estado funcional no despertar se relaciona com o desfecho funcional. A força muscular periférica também se alterou juntamente com o estado funcional.Palavras-chave: unidade de terapia intensiva, estado funcional, paciente crí­tico, mobilização precoce.
Desenvolvimento do mapa estratégico como diretriz de gestão em serviço de fisioterapia hospitalar
Authors: Do Carmo Carolina Mendes , Fernandes Amanda Coelho , Mol Caroline Gomes , Stipanich Cassio , Da Silva Deise Ferreira , De Carvalho Priscila , Pereira Rita Pavione Rodrigues , Tanaka Clarice
Published: February 2019

Trata-se de um relato de caso abordando a experiência de um projeto de gestão desenvolvido na Divisão de Fisioterapia do Instituto Central do Hospital das Clí­nicas da Faculdade de Medicina da Universidade de São Paulo. A gestão de serviços de saúde é complexa e desafiadora, devido a fatores como as constantes transformações tecnológicas e terapêuticas, aumento da população idosa e de doenças crônicas, escassez de recursos e carência de gestão eficiente nas organizações. A definição de objetivos, estratégias e instrumentos de monitoramento para direcionar a organização e promover qualidade são determinantes nas ações gerenciais e no desempenho estratégico da empresa. Neste contexto, o projeto objetivou construir um mapa estratégico considerando o Balanced ScoreCard como diretriz gerencial e instrumento de análise do desempenho da Divisão de Fisioterapia. Reuniões estruturadas com membros da liderança de fisioterapia foram realizadas para definir a visão do futuro e objetivos estratégicos a médio e longo prazo, idealizados pela Divisão de Fisioterapia, tendo como base as perspectivas do Balanced ScoreCard, aprendizado e crescimento, processos internos, clientes, sustentabilidade financeira e social. O mapa estratégico foi construí­do em uma representação gráfica permitindo fácil compreensão da visão do futuro e objetivos estratégicos que irão direcionar o comportamento e o desempenho da Divisão de Fisioterapia, nos próximos anos. Além de direcionar as ações de melhorias da Divisão, o mapa estratégico elaborado também apresenta caracterí­sticas marcantes de alinhamento com o mapa estratégico institucional.Palavras-chave: qualidade, acesso e avaliação da assistência í  saúde, planejamento estratégico, planejamento em saúde.
Determination of Cervical Metastases by Lymphoscintigraphy in Patients with Oral Cancer: A Single Institute Experience
Authors: Habib Md Ahsan , Rahman Quazi Billur , Mutsuddy Pupree , Begum Shamim MF , Sultana Sadia , Sarker Azmal Kabir , Nath Khokon Kumar , Begum Rokeya
Published: February 2019

Background: Oral cancer is the sixth most common cancer in the world. Cervical metastasis is an important adverse prognostic factor and about 40% of the patients with oral cancer develop lymphatic metastasis. Lymphoscintigraphy is the minimally invasive method for the detection of cervical nodal metastasis. The aim of the study was to detect the lymphatic involvement with the aid of lymphoscnitigraphy in patient with oral cancer undergoing surgical procedure and to find out the accuracy of the findings with the post operative histopathological diagnosis.

Patients and methods: A total of 30 patients with histologically proven oral cancer underwent lymphoscintigraphic evaluation to detect the lymphatic spread of the tumor. The findings and results of lymphoscintigraphy were compared with the postoperative histopathological diagnosis.

Results: Among the 30 patients, lymphatic obstruction was observed in 19 patients of whom 15 patients had perfusion defect and 4 patients had gap defect. No lymphatic obstruction was evident in the rest 11 patients by lymphoscintigraphy. The calculated sensitivity of lymphoscintigraphy in diagnosis of cervical lymph node metastasis was 100%, specificity 78.6%, accuracy 90% and positive predictive value was 84.2% and negative predictive value was 100%.

Conclusion: Lymphoscintigraphy was found to be an effective method in detecting lymph node involvement and can be used as an alternative to identify regional lymph nodes metastases pre-operatively in oral cancer patients. Thereby, it will help the surgeon to plan the extent of dissection before surgery which may decrease postoperative complications related to unnecessary extensive lymph node dissection and morbidity.

Bangladesh J. Nuclear Med. 21(1): 12-15, January 2018
PENGEMBANGAN MULTIMEDIA INTERAKTIF PADA MATA PELAJARAN IPA MATERI MENDESKRIPSIKAN DAUR HIDUP HEWAN DI LINGKUNGAN SEKITAR SISWA KELAS IV SEKOLAH DASAR
Authors: Permana Erwin Putera , Nourmavita Desy
Published: February 2019

This research is motivated by the observation in grade IV of elementary school of Natural Science subject (IPA) animal life cycle, because most students experience saturation in learning because the teacher still use conventional teaching method that is lecture. In addition, the source of student learning comes only from teachers and textbooks alone without any use of instructional media. Teachers do not pay attention to the explanations of teachers and students do not understand the material being taught. This research is a research development or research and development (R & D) adapted from the ADDIE development model. The stages are 5 stages: 1) Analysis (Analysis), Development (Design), Implementation (Implementation), and Evaluation (Evaluation). Validation is done by material experts, media experts, and learning practitioners. The results of this study are (1) Development of Interactive Multimedia Life Cycle Animals using professional adobe flash CS6 application with the method of ADDIE model development. (2) The teacher's response to this media is the optimism of teachers to achieve the learning objectives, as well as the students' response to this media is very positive, they are very fond of this media. (3) Interactive multimedia from the big aspect based on the percentage of the feasibility assessment in the category is very appropriate to be used as learning media of Natural Science for fourth grade students of elementary school. Based on the conclusions of the results of this study, namely: (1) For teachers, can use interactive multimedia to help students become more active and can create a fun classroom atmosphere. (2) For further research, make a broad try again, in order to produce learning media that can be used widely.
Penerapan Metode Simulasi untuk Meningkatkan Prestasi Belajar Siswa pada Mata Pelajaran PKn Di Kelas IV SD Negeri 12 Kepahiang
Authors: Senawati Senawati
Published: February 2019

Permasalahan yang terdapat dalam penelitian ini adalah: 1) Prestasi belajar Pendidikan Kewarganegaraan di kelas IV SD Negeri 12 Kepahiang belum memenuhi kriteria ketuntasan belajar secara klasikal, 2) metode pengajaran masih kurang bervariasi. Tujuan penelitian ini, untuk meningkatkan aktivitas siswa dalam pembelajaran Pendidikan Kewarganegaraan melalui penerapan metode simulasi pada siswa kelas IV SD Negeri 12 Kepahiang, untuk meningkatkan prestasi belajar siswa di kelas IV SD Negeri 12 Kepahiang melalui penerapan metode simulasi. Jenis penelitian ini adalah Penelitian Tindakan Kelas (Classroom Action Reasearch) yang telah dilaksanakan dalam dua siklus, setiap siklus terdiri dari 4 tahap yaitu tahap perencanaan, tahap pelaksanaan  tindakan, tahap observsi dan tahap refleksi. Instrument yang digunakan terdiri dari lembar observasi guru dan siswa serta lembar tes tertulis dalam bentuk essay.Data tes dianalisis dengan menggunakan rata-rata nilai dan persentase ketuntasan belajar, sedangkan data observasi dianalisis dengan rata-rata skor dan kriteria skor. Hasil dari penelitian ini yaitu pada siklus I diperoleh nilai rata-rata skor observasi guru 27,75 dengan kreteria baik, dan rata-rata skor observasi siswa sebesar 27,25 dengan kreteria baik, pada siklus II rata-rata skor observasi guru meningkat menjadi 30,75 dengan kreteria baik dan rata-rata skor observasi siswa sebesar 30 dengan kreteria baik. Hasil analisis ketuntasan belajar secara klasikal pada siklus I sebesar 38,70% dengan nilai rata-rata 6,82. Pada siklus II ketuntasan belajar secara klasikal meningkat menjadi 90,32% diikuti dengan nilai rat-rata yang juga meningkat menjadi 7,95. Dengan demikian dapat disimpulkan bahwa penggunaan metode simulasi dapat meningkatkan prestasi belajar siswa pada mata pelajaran Pendidikan Kewarganegaraan di kelas IV SD Negeri 12 Kepahiang.
Upaya Meningkatkan Hasil Belajar IPS Melalui Media Permainan Ular Tangga pada Peserta Didik Kelas VI SD Negeri 104/IX Kedemangan Kabupaten Muaro Jambi
Authors: Jamalia Jamalia
Published: February 2019

The purpose of this research is to improve results learning subjects IPS through snake ladder media on grade 6 students SD No 104 / IX Kedemangan Muaro Jambi District Academic Year 2012/2013. The low learning interest of students in following the subjects of Social Sciences (IPS) which causes lowlearning outcomes of students is a major element of this research. The form of research is action research which is implemented in three cycles/ series. each cycle/ series consists of four stages namely, planning, action, observation, and reflection. There were 27 subjects, consisting of 11 males and 16 females. The method used as the main method is observation and test. The results showed that through the game media snake ladder the increased learning outcomes of IPS students, in the pre-action of the learners overall learning outcomes show percentage of 7.40% of students learn complete, after the first cycle/ series of learning results have increased in the amount of 40.74%. However the school established KKM 60 with percentage 100% complete, the action continued in II cycle/series and then result increased by 70.37%. and then the action is continued in III cycle/series with result score of 100% complete. it can be concluded that through the game media snake ladder can improve learning outcomes of IPS in grade 6 students SD 104 / IX Kedemangan muaro jambi district academic year 2012/2013.
Upaya Meningkatkan Pemahaman Pengukuran Sudut Pelajaran Matematika Melalui Penerapkan Pembelajaran Two Stray Two Stay Siswa Kelas IV SD Negeri 03 Merigi Kabupaten Kepahiang
Authors: Misyani Misyani
Published: February 2019

Tujuan dari penelitian ini adalah: (a) Untuk mengungkap pengaruh pembelajaran Two Stray Two Stayterhadap hasil belajar   Matematika. (b) Ingin mengetahui seberapa jauh pemahaman dan penguasaan mata pelajaran   Matematika  setelah diterapkannya pembelajaran Two Stray Two Stay Penelitian ini menggunakan penelitian tindakan (action research) sebanyak tiga putaran. Setiap putaran terdiri dari empat tahap yaitu: rancangan, kegiatan dan pengamatan, refleksi, dan refisi. Sasaran penelitian ini adalah siswa Kelas IV SD Negeri 03 Merigi. Data yang diperoleh berupa hasil tes formatif, lembar observasi kegiatan belajar mengajar.Dari hasil analis didapatkan bahwa prestasi belajar siswa mengalami peningkatan dari siklus I sampai siklus III yaitu, siklus I 35%),  siklus II (75 %), siklus III ( 95 %). Pembelajaran Two Stray Two Stay dapat berpengaruh positif terhadap motivasi belajar Siswa kelas IV SD Negeri 03 Merigi. Sehingga dapat disimpulkan bahwa model pembelajaran Two Stray Two Stay  dapat digunakan sebagai salah satu alternativ model dalam pembelajaran Matematika.
MOZAIKSEBAGAI SARANA PENGEMBANGAN KREATIVITAS ANAK DALAM PEMBELAJARAN SENI RUPAMENGGUNAKAN METODE PEMBINAAN KREATIVITAS DAN KETERAMPILAN
Authors: Hasnawati Hasnawati , Anggraini Dwi
Published: February 2019

Tujuan penulisan artikel ini adalah untuk mendiskusikan tentang materi mozaik sebagai sarana pengembangan kreativitas anak dalam pembelajaran seni rupa dengan metode pembinaan kreativitas dan keterampilan. Selain berupa kegiatan menggambar, melukis, mencetak, dalam berkreasi seni rupa bagi anak Sekolah Dasar juga dapat diberikan pengenalan seni aplikasi, seperti seni mozaik atauseni kerajinan mozaik. Mozaik dari bahan limbah selain dapat menunjang kreativitas anak juga sangat  berpengaruh terhadap keterampilan anak dalam mencipta karya seni rupa. Yang sering terjadi dalam pembelajaran seni rupa pada siswa Sekolah Dasar adalah pembelajaran dirasa monoton dan tidak mengacu pada penekanan pengembangan kreativitas, padahal penciptaan karya seni pada pembelajaran seni rupa tingkat Sekolah Dasar bukan hanya menggambar. Kreativitas seni aplikasi berupa mozaik dari bahan limbah dapat mengembangkan kompetensi rasa seni dan keterampilan siswa Sekolah Dasar sejalan dengan perkembangan kreativitasnya. Dengan penggunaan metode pembinaan kreativitas dan keterampilan siswa dapat memiliki pengetahuan dan keterampilan serta pengalaman dalam mencipta karya seni rupa.
UPAYA PENINGKATAN KUALITAS PROSES DAN HASIL BELAJAR SISWA PADA MATA PELAJARAN IPA DI SDN 5 KOTA BENGKULU MENGGUNAKAN PENDEKATAN BERBASIS PBL MODEL SSCS DAN LESSON STUDY
Authors: Dalifa Dalifa
Published: February 2019

Penelitian ini bertujuan untuk: (1) menghasilkan perangkat pembelajaran IPA dengan pendekatan Berbasis PBL model SSCS untuk mencapai tujuan pendidikan IPA dikelas 5 SDN 5 Kota Bengkulu setelah melaksanakan langkah plan dari lesson study; (2)menghasilkan perangkat pembelajaran IPA dengan pendekatan Berbasis PBL model SSCS revisi untuk mencapai tujuan pendidikan IPA dikelas 5 SDN 5 Kota Bengkulu setelah melaksanakan langkah do dari lesson study; (3) meningkatkan kualitas proses pembelajaran IPA dengan pendekatan Berbasis PBL model SSCS di kelas 5 SDN 5 Kota Bengkulu melalui langkah see dari lesson study dan; (4) meningkatkan hasil belajar siswa setelah mengikuti pembelajaran pembelajaran IPA dengan pendekatan Berbasis PBL model SSCS di kelas 5 SDN 5 Kota Bengkulu melalui langkah see dari lesson study. Jenis penelitian yang dilakukan yaitu Lesson Study, setiap langkah Plan Do Check terdiri dari 3 tahap yaitu tahap Plan, tahap pelaksanaan do, dan tahap check. Instrumen yang digunakan terdiri dari lembar observasi guru dan siswa dan lembar tes tertulis dalam bentuk esai. Data hasil belajar yang diperoleh dianalisis secara deskriptif dengan mengacu pada ketuntasan belajar klasikal. Dari analisis data menunjukkan pada langkah Plan Do Check I diperoleh nilai rata-rata skor observasi guru sebesar 29 dengan kriteria cukup, dan rata-rata skor observasi siswa sebesar 29,5 dengan kriteria cukup, pada langkah Plan Do Check I rata-rata skor observasi guru sebesar 38 dengan kriteria baik dan rata-rata skor observasi siswa sebesar 38,5 dengan kriteria baik. Hasil analisis nilai rata-rata kelas 58,8 dengan ketuntasan belajar klasikal 35% pada langkah plan do see awal dan nilai rata-rata kelas 67,4 dengan ketuntasan belajar klasikal 56% pada langkah plan do see I dan meningkat menjadi 80 dengan ketuntasan belajar 85% pada langkah plan do see II.
STUDI KOMPARASI PEMBELAJARAN TEMATIK MENGGUNAKAN MODEL INKUIRI DAN INTERAKTIFUNTUK PENGEMBANGAN SIKAP PEDULI LINGKUNGANDAN PELESTARIAN BIODIVERSITY BAGI SISWA KELAS IV SDN 11 KOTA BENGKULU
Authors: Karjiyati Viktoria
Published: February 2019

Penelitian ini bertujuan untuk membandingkan sikappeduli lingkungan antara siswa yang mengikuti pembelajaran tematik menggunakan model inkuiri dan interaktif pada siswa kelas IV SDN 11 Kota Bengkulu. Jenis penelitian ini adalah penelitian eksperimen semu. Sampel penelitian ini adalah siswa kelas IV A yang berjumlah 35 siswa sebagai kelas eksperimen I menggunakan model inkuiri dan kelas IV B yang berjumlah 34 siswa sebagai kelas eksperimen  II menggunakan model interaktif.Instrumen penelitian ini menggunakan lembar observasi dan dokumentasi. Tehnik analisis data menggunakan Uji-t dua sample independen.Hasil analisis data menunjukkan bahwa thitung sebesar -0,06 lebih kecil dari pada ttabel sebesar 1,67 pada taraf signifikan 0,05. Hasil analisis uji hipotesis menggunakan Uji-t dua sample independen diperoleh bahwa tidak terdapat perbedaan hasil belajar aspek sikap anatara siswa yang mengikuti pembelajaran menggunakan inkuiridengan siswa yang menggunakan model pembelajaran interaktif. Kesimpulan dalam penelitian ini tidak terdapat perbedaan hasil belajar sikap peduli lingkungan dan pelestarian biodiversity antara siswa yang mengikuti pembelajaran tematik menggunakan model inkuiri dengan siswa yang mengikuti pembelajaran menggunakan model interaktif.
UPAYA MENINGKATKAN KEAKTIFAN DAN PRESTASI BELAJARSISWA MELALUI PENDEKATAN TEKNIK BERPIKIR, BERPASANGAN, BERBAGI PADA MATA PELAJARAN PKN DI KELAS IV SDN 07 KABAWETAN
Authors: Suarjo Suarjo
Published: February 2019

Penelitian ini bertujuan untuk meningkatan keaktifan belajar dan hasil belajar siswa dalam proses pembelajaran dengan menerapkan pendekatan Teknik Berpikir,Berpasangan, Berbagi dalam pembelajaran PKN dalam  pada siswa kelas IV SDN 07 Kabawetan. Penelitian ini merupakan Penelitian Tindakan Kelas (PTK) yang terdiri dari 3 siklus. Subjek penelitiannya adalah siswa kelas IV SDN 07 Kabawetan yang terdiri dari 12 orang pada tahun pelajaran 2014/2015. Pengumpulan data dilakukan melalui lembar observasi dan lembar tes. Observasi dilakukan untuk mengamati aktivitas guru selama kegiatan belajar mengajar berlangsung. Tes ini digunakan untuk mengetahui tingkat keberhasilan siswa. Hasil yang diperoleh dari penelitian yaitu: (1) pada siklus I terdapat 4 kelemahan yang terdapat pada aktivitas guru, serta nilai rata-rata dari hasil tes diperoleh 6,16 dan persentase ketuntasan belajar klasikal 66,66%dengan kategori belum tuntas; (2) siklus II terdapat 2 kelemahan lagi pada aktivitas guru, serta nilai rata-rata dari hasil tes diperoleh 7,12, dan persentase ketuntasan belajar klasikal 83,33% dengan kategori belum tuntas; (3) siklus 3 hanya tersisa 1 kelemahan pada aktivitas guru pada saat pembelajaran berlangsung, serta nilai rata-rata diperoleh 8,02 dengan persentase ketuntasan belajar klasikal 91,66% dalam kategori tuntas. Berdasarkan hasil penelitian tersebut maka penerapan pendekatan Tehnik Berpikir, Berpasangan, Berbagi dapat meningkatkan hasil belajar, aktivitas siswa, dan aktivitas guru serta kualitas proses pembelajaran PKN di kelas IV SDN 07 Kabawetan.
EVALUASI PROGRAM AKPMM (ALIH KREDIT PENGAKUAN MASA MENGAJAR) DALAM PENINGKATAN KUALITAS PENDIDIKAN JARAK JAUHDI UNIVERSITAS TERBUKA
Authors: Kristanti Dwi , Asnamawati Lina
Published: February 2019

This study aimed to evaluate the program AKPMM (Alih Kredit Pengakuan Masa Mengajar, Credit Transfer Recognition Teaching Period) in improving the quality of long distance education in UPBJJ UT (ADivision of Long Distance Learning Program in the Open University). AKPMM program was evaluated from the dimensions of implementation, effectiveness, and program performance. The location of this research is in the UPBJJ UT Padang and Bengkulu. The sample in this study amounted to 210 students. Simple linear regression was used to test the relationship between the variables in this study. The results of this study indicate that the AKPPM program can be implemented better in UPBJJ UT Padang compared UPBJJ UT Bengkulu. In terms of ratios, the number of students who take the program AKPMM in the UPBJJ-UT Bengkulu larger than UPBJJ UT Padang. In terms of program evaluation, it was found that the program AKPMM more positively impact on the students in UPBJJ-UT Padang compared with the students in the UPBJJ-UT Bengkulu. Thisstudy also found that a significant difference among the implementation, evaluation, and effectiveness variables of AKPMM program in the Open University.
ANEKA IMPLIKATUR YANG TERKANDUNG DALAM TINDAK TUTUR NOVEL “KETIKA DERITA MENGABADIKAN CINTA”
Authors: Muktadir Abdul
Published: February 2019

Penelitian ini bertujuan untuk menemukan dan menjelaskan: (1) wujud tindak tutur yang mengandung implikatur dalam novel Ketika Derita Mengabadikan Cinta; (2) aneka implikatur yang terkandung dalam tindak tutur pada novel “Ketika Derita Mengabadikan Cinta.” Penelitian ini menggunakan metode deskriptif kualitatif. Sumber data adalah data objektif berupa dokumen, yakni tuturan tokoh-tokoh dalam novel “Ketika Derita Mengabadikan Cinta.” Teknik pengumpulan data dilakukan dengan cara menganalisis/mengkaji/mencatat dokumen (content analysis). Hasil penelitian menunjukkan (1) wujud tindak tutur yang mengandung implikatur dalam novel “Ketika Derita Mengabadikan Cinta” antara lain tindak tutur Representatif, Direktif, Ekspresif, Komisif, Deklarasi, dan tindak tutur perlokusi; (2) aneka implikatur yang terdapat dalam novel “Ketika Derita Mengabadikan Cinta” berupa nilai moral/pembentukan karakter, sosial, psikologis, serta hal-hal positif lain yang dapat dijadikan sebagai teladan hidup. baik dalam berperilaku atau bertutur kata, seperti tuturan yang mengandung tindakan, mengajak, menyenangkan orang lain, mengklaim, meminta izin, memberikan kepastian/alasan, mengkritik, perasaan senang, humor, dan memberi nasihat.
EFFECT OF FAMILY EMPOWERMENT IN ENHANCING THE CAPABILITIES OF CHILDREN WITH AUTISM
Authors: Suprajitno Suprajitno
Published: February 2019

Background: Children with autism as individuals have a right to receive developmental needs obtained from parent/caregiver during their stay in the family. The family ability can be improved through empowerment training to provide stimulation for the development of children with autism.
Objective: This study aims examine the effect of family empowerment in enhancing the capabilities of children with autism.
Methods: The research design used a two-stage quasi-experiment. The first stage was a training for parent/caregiver of children with autism using modules. Training was done three times in the Autism Service Center (PLA) of Blitar City Indonesia. The second stage was the parent/caregiver provided stimulation to their children at home. There were 33 children selected using total sampling in the PLA of Blitar City on April – August, 2016. Data were analyzed using descriptive statistics and paired t-test.
Results: The family ability to stimulate the capability of children with autism in the sense of hearing, vision, motoric, and inviting to play obtained average changes of 61.99%, with average items increased from 18.52 to 30.00. While the increase capabilities of children with autism were categorized into five classification: communication, fulfilling of activity daily living, language-numbers–tactile, psychology, and understanding commands.
Conclusion: There was a significant effect of family empowerment in enhancing the capabilities of children with autism. Thus, training to improve the ability of parent/caregiver in caring children with autism needs to be implemented in a planned and gradually manner.
CAREGIVERS’ EXPERIENCE IN MEETING SELF-CARE NEEDS OF ADOLESCENTS WITH AUTISM SPECTRUM DISORDER: A QUALITATIVE STUDY
Authors: Lestari Lilis , Herini Elisabeth Siti , Gamayanti Indria Laksmi
Published: February 2019

Background: Autism spectrum disorder is a complex developmental disorder, which increased rapidly than other developmental disorders in the world. This complex disorder affects a child’s self-autonomy, which has become a challenge for their parents or caregivers.
Objective: This study is to explore main caregivers’ experience to meet self-care needs of adolescents with autism spectrum disorder in Pontianak, West Borneo, Indonesia.
Methods: This study employed a qualitative design with semi-structured in-depth interviews. Seven main caregivers who are living together and taking care of the adolescents with autism spectrum were selected using a purposive sampling. Triangulation was conducted to ensure the trustworthiness of this study, including interviews, observations of self-care activities, documents such as photos, learning reports, and field notes. Participants’ statements were recorded using a voice recorder, and then transcribed, coded, interpreted, and categorized to form main themes and sub-themes.
Results: The study identified three main themes: 1) autonomy in self-care, 2) care effort, 3) feelings, supports, and expectations. These findings emphasize the potentials of the children with autism to be autonomous in their daily self-care.
Conclusions: Adolescents with autism spectrum disorder can potentially meet the needs of their daily care independently.
 
This article has been corrected with a separate erratum: 
https://doi.org/10.33546/bnj.1146
THE INFLUENCE OF SUNDANESE ZITHER (KACAPI) MUSIC THERAPY ON ANXIETY LEVELS IN PRE-CARDIAC CATHETERIZATION PATIENTS
Authors: Handayani Kristiana Prasetya , Johan Andrew , Ropyanto Chandra Bagus
Published: February 2019

Background: Patients who will have cardiac catheterization mostly experience anxiety. Unresolved anxiety may have a harmful effect such as increasing frequency of heart, breathing and blood pressure as well as risks of complication. Music is considered effective in reducing anxiety.

Objective: This study aims to examine the effect of Sundanese zither (kacapi) music therapy on anxiety level in pre-cardiac catheterization patients.

Methods: This was a quasi-experimental study. Fifty-six respondents were selected using consecutive sampling technique, which 28 respondents assigned in the experiment group and control group. Anxiety was measured using Hamilton Anxiety rating Scale (HARS). Data were analyzed using Wilcoxon and Mann-Whitney test.

Results: The results showed an average decrease in anxiety value in the experiment group of 10.28, and in the control group of 3.25. Mann-Whitney test results obtained p value <0.001, which indicated that there was a significant difference of mean decrease between the experiment group and the control group.

Conclusion: This study proves that the intervention of Sundanese kacapi music significantly decreasing anxiety levels (p <0.001) in pre-cardiac catheterization patients. It is suggested that Sundanese kacapi music can be used as an alternative therapy in the independent nursing interventions.
HOW DO KNOWLEDGE AND SELF-EFFICACY OF INTERNSHIP NURSING STUDENTS IN PERFORMING CARDIOPULMONARY RESUSCITATION?
Authors: Desiani Selly , Nuraeni Aan , Priambodo Ayu Prawesti
Published: February 2019

Background: Cardiopulmonary Resuscitation (CPR) is the emergency first aid in cardiac arrest. CPR delivery is influenced by knowledge and self-efficacy. Internship students can be the first responders of cardiac arrest in hospital and they are expected having knowledge and high self-efficacy of CPR. However, there is no data on self-efficacy of internship students in performing CPR.

Objective: The purpose of this research was to identify knowledge and self-efficacy of the internship students in performing CPR.

Methods: The method in this research was descriptive quantitative with cross-sectional approach on 76 internship students selected by simple random sampling. Knowledge questionnaire and Resuscitation Self-Efficacy Scale instrument were used, with validity score of 0.56-0.84 (α=0.91). Data were analyzed using descriptive statistics.

Results: The results showed that 49 respondents (64.5%) had moderate knowledge and 73 respondents (96.1%) had high self-efficacy. The lowest domain in the knowledge was conceptual knowledge, while in the self-efficacy were reporting, debriefing and recording.

Conclusions: Therefore, it becomes important to increase the information on the conceptual knowledge as well as to enhance training on the self-efficacy domains: reporting; debriefing and recording.
EFFECT OF FE-FORTIFIED TEMPE ON HEMATOLOGIC STATUS IN PREGNANT MOTHERS WITH ANEMIA
Authors: Wulandhari Anggraini , Supriyana Supriyana , Bahiyatun Bahiyatun , Hadisaputro Soeharyo , Mashoedi Imam Djamaluddin
Published: February 2019

Background: The prevalence of anemia among pregnant mothers is still high in Indonesia. Fe-fortified tempe is a traditional soy product originating from Indonesia considered able to increase hematologic status.

Objective: This study aims to determine the effect of Fe-fortified tempe on hemoglobin, hematocrit, and erythrocyte levels in pregnant women with anemia.

Methods: This was a true-experimental study with randomized pretest and posttest control group design, conducted on November - December 2016 in Bandarharjo Health Center, Semarang, Indonesia. Sixty-eight respondents were selected using simple random sampling, with 34 respondents were randomly assigned to each group. Blood examination was performed in each respondent. Mean, percentage, and frequency distribution of respondents were described. Paired t test and independent t test with α = 0.05 were performed to analyze the data.

Result: Findings showed that hemoglobin, hematocrit, and erythrocyte levels before and after intervention in the treatment group showed p-value 0.000 (< 0.05), which means there was a significant effect of Fe-fortified on the increase of hemoglobin, hematocrit, and erythrocyte levels.

Conclusion: There was an increase in hemoglobin, hematocrit, and erythrocyte levels after given Fe-fortified tempe for 10 consecutive days. It is suggested that pregnant women can consume Fe-fortified tempe.
EFFECT OF ACUPRESSURE ON QUALITY OF SLEEP AND PULSE RATE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
Authors: Wiyatno Eko Rustamaji , Pujiastuti Rr. Sri Endang , Suheri Titin , Saha Djenta
Published: February 2019

Background: Patients with acute myocardial infarction have a change in sleep pattern. Acupressure is identified as a therapy with the principle of healing to deal with sleep changes.

Objective: To analyze the effect of acupressure on sleep quality and pulse rate in patients with acute myocardial infarction.

Methods: This study employed a quasi-experiment study with non-randomized pretest-posttest with control group design. There were 50 respondents selected in this study, with 25 assigned in the intervention and control group using consecutive sampling. Quality Sleep Questionnaire and bedside monitor were used to measure sleep quality and pulse rate. Acupressure in combination of Neiguan point (PC 6), Shenmen (HT7), Sanyinjiao (SP6), Yintang (EX3) and Tay (EX5) was given as the nursing intervention in this study. Data were analyzed using paired t-test and independent t-test.

Results: There was statistically a significant increase of quality of sleep and significant decrease of pulse rate in the intervention group with p-value 0.000 (<0.05).

Conclusion: Acupressure has a significant effect on the increase of sleep quality and the decrease of pulse rate in patients with acute myocardial infarction. Thus, it is suggested that acupressure could be one of the nursing interventions for AMI patients to increase sleep quality and decrease of pulse rate.
IDENTIFICATION OF URINARY INCONTINENCE IN PEOPLE AGED 65 AND OVER: A TURKEY SAMPLE
Authors: Demirbag Birsel Canan , Aslan Gulpinar , Bakan Ayse Berivan
Published: February 2019

Objective:  This study aims to identify urinary incontinence and its prevalence in people aged 65 and over. 

Methods: This descriptive study was conducted between April and June, 2017. It was conducted with 1527 volunteer people aged 65 and over who applied to A Family Health Centre. Data were collected through face-to-face interviews, using Personal Identification Form and International Consultation on Incontinence Questionnaire- Short Form (ICIQ-SF).

Results: Of all the participants, 50.7% were male, and 78.8% were aged between 65 and 74. Besides, 31.2% of them had urinary incontinence, and ICIQ-SF mean score was found 11.44 ± 5.01. The most prevalent incontinence type was found to be urge urinary incontinence. ICIQ-SF total scores of elderly people with urinary incontinence were higher in those who were aged 85 and over, who were illiterate, who did not have health insurance, and who had more than one chronic disease and multiple medicine use.

Conclusion: Urinary incontinence is a health problem which maintains its importance in people aged 65 and over. People in this age group do not express this problem because they feel shy; therefore, their quality of life deteriorates.
DETERMINANTS OF INDEPENDENT NURSING ACTIONS IN DAILY LIVING ACTIVITIES, CARING & SUPPORT, AND REHABILITATION IN INPATIENT WARDS OF THE GENERAL HOSPITAL OF DR. M. HAULUSSY AMBON
Authors: Tuasikal Hani , Margawati Ani , Dwiantoro Luky
Published: February 2019

Background: Low independent nurse actions leads to poor health care quality. Therefore, understanding the factors affecting independent nursing action is necessity. 

Objectives: This study aims to analysis the independent nurse actions and its related and predicting factors.

Methods: This study used a cross-sectional design with observational technique for data collection. There were 165 nurses recruited using simple random sampling in 14 inpatient wards of the General Hospital of dr. M. Haulussy Ambon, Indonesia. Spearman Rank Correlation and multiple regressions were used for data analysis.

Results: Results of this study showed that there were significant relationships of age, gender, education, employment time, family burden, working experience, knowledge, workload, and nurse ability with independent nursing action with p-value <0.05. Nurse knowledge was the most dominant factor predicting independent nursing action with R-value 0.450.

Conclusions: Independent nurse actions in daily living activities, caring & support, and rehabilitation were influenced by multiple factors such as nurse knowledge, ability, education and gender. Nurse knowledge is the most predicting factors affecting independent nursing action. Therefore, hospital and nurse managers need to well manage these predicting variables in order to improve independent nurse action that leads to the better quality of health service in the hospital.
EFFECT OF AUDIO THERAPY USING AL-QUR'AN MURROTAL ON BEHAVIOR DEVELOPMENT IN CHILDREN WITH AUTISM
Authors: Astuti Anjar , Suryono Suryono , Widyawati Melyana Nurul , Suwondo Ari , Mardiyono Mardiyono
Published: February 2019

Background: Autism is a neurodevelopmental disorder. Audio therapy is considered as one of the complementary therapies to improve the behavior of children with autism.

Objective: This study was to analysis the effectiveness of the Al-Qur'an murrotal audio therapy on behavioral development in children with autism.

Methods: This study was a true-experimental research using pretest and posttest approach with control group. This research was conducted on November 2016 in the Autism Foundation of Semarang City, Indonesia. There were 30 samples were selected using simple random sampling, with 15 samples assigned in the experiment and control group. Mann Whitney and Wilcoxon tests were used for data analysis in this study.

Results: Results showed that there was a significant difference in the mean of behavioral development after given intervention between the experiment group and control group with p-value 0.034 (<0.05). The mean of behavioral development in the experiment group (4.53) was higher than the mean in the control group (3.47).

Conclusion: The Al-Qur'an murrotal audio therapy is effective to develop behavior of children with autism. Therefore, it is expected that this audio therapy can be applied an alternative therapy for children with autism.
ACEH CULTURE ON MATERNAL AND CHILD HEALTH RELATED TO INTEGRATED MANAGEMENT OF INFANT ILLNESS: A QUALITATIVE STUDY IN NORTH SUMATRA INDONESIA
Authors: Marianthi Dewi , Soenarto Sri Supar Yati , Haryanti Fitri , Prabandari Yayi Suryo
Published: February 2019

Background: Maternal and infant mortality rates in Aceh province are still quite high compared to other provinces in Indonesia. In addition to disease factors, the factor that contributes to the rates is socio-cultural factor.

Objective: This study aims to know and understand the view of postpartum mothers, health personnel, cadres, and the chairperson of the Aceh traditional assembly about the culture related to postpartum and newborn and integrated infant management program (MTBM) in Aceh.

Methods: This was a qualitative study. Data collection was conducted from October 2016 to January 2017 on seven health cadres by focus group discussion and in-depth interviews on five postpartum mothers, one health worker, and the Aceh traditional assembly chairperson. The open-code software program was used for data analysis.

Results: Three themes emerged from data: 1) The 'Madeung' Culture in postpartum mothers in Aceh has a relationship with maternal health problems, 2) 'Peucicap' and 'troen tanoh' cultures in newborns in Aceh are at risk of causing complex problems in newborns, and 3) Community-based integrated management of young infants can be implemented while maintaining Acehnese culture.

Conclusion: To improve access to maternal and neonatal health services with socio-cultural issues, the community-based integrated management of young infants is considered appropriate in Aceh culture.
THE EFFECTIVENESS OF COMBINATION OF OXYTOCIN AND ENDORPHIN MASSAGE ON UTERINE INVOLUTION IN PRIMIPAROUS MOTHERS
Authors: Sari Nurmala , Soejoenoes Ariawan , Wahyuni Sri , Setiani Onny , Anwar Choiroel
Published: February 2019

Background: One of the puerperal complications is uterine subinvolution that can cause bleeding to maternal death. Oxytocin massage can stimulate oxytocin hormone that plays a role in the process of uterine involution. Endorphin massage can increase the release of oxytocin and endorphin hormone that give a sense of calm and comfort. It also increases production of oxytocin hormone that can improve the process of uterine involution.

Objective: To prove the effectiveness of a combination of oxytocin massage and endorphin massage to uterine involution in primiparous mothers during postpartum period.

Methods: This was a quasi-experimental study with pretest-posttest with control group design. Total samples were 44 normal postpartum mothers selected using purposive sampling technique, which were randomly assigned in four groups, namely: 1) oxytocin massage group, 2) endorphin massage group, 3) combined oxytocin-endorphin massage group, and 4) control group. Data were analyzed using univariate, bivariate and One-Way ANOVA to test the effectiveness of the intervention.

Results: There were statistically significant differences of fundal height before and after intervention among the four groups (p=<0.05).

Conclusion: The combination of oxytocin massage and endorphin massage proved most effective in accelerating uterine involution in normal postpartum mothers.
THE IMPACT OF CONSUMING AMARANTHUS SPINOSUS L EXTRACT ON PROLACTIN LEVEL AND BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS
Authors: Kuswaningrum Okta , Suwandono Agus , Ariyanti Ida , Hadisaputro Soeharyo , Suhartono Suhartono
Published: February 2019

Background: Breast milk is the best natural nutrient for the baby. However, some mothers have problems with breastfeeding due to lack of breast milk production. Spinach leaf (Amaranthus Spinosus L) is considered as one of the plants that have the effect of non-synthesis lactagogues to increase milk production.

Objective: To analysis the effect of spinach leaf (Amaranthus Spinosus L) extract on prolactin and breast milk production in postpartum mothers.

Methods: This was a quasi-experimental study with pretest posttest with control group design conducted in the Community Health Center of Wonogiri II Indonesia from December 2016 to January 2017. There were 30 participants were selected using purposive sampling, with 15 participants assigned in an experiment group and a control group. Data were analyzed using independent and paired t-test.

Results: The results showed significant differences in prolactin levels (p = 0.000), breast milk production (p = 0.000), and infant weight (p = 0.000) (<0.05) after given spinach leaf (Amaranthus Spinosus L) extract.

Conclusion: Spinach leaf (Amaranthus Spinosus L) extract had a significant effect in increasing the prolactin levels and breast milk production in postpartum mothers.
ABANDONED: CAN IT BE A NEW DIAGNOSIS IN PSYCHIATRIC NURSING IN INDONESIA?
Authors: Saputra Fauzan
Published: February 2019

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FACTORS AFFECTING HAND WASHING PRACTICE AMONG ELEMENTARY SCHOOLS STUDENTS IN INDONESIA
Authors: Nazliansyah Nazliansyah , Wichaikull Susheewa , Wetasin Kanokwan
Published: February 2019

Background: Hand washing is the most effective method of preventing the transmission of diseases through hands.
Objective: To identify relationships between gender, availability of hand washing facilities, perception of barriers toward hand washing compliance and subjective norm in implementing hand washing practice among students of public elementary school in Belitung district, Indonesia.
Method: A cross-sectional research study was used in this study. Of 309 participants were recruited in 11 public elementary schools from 3 sub districts that has been implemented the hand washing program in Belitung, Indonesia. Purposive sampling method was used to select the participants. This study was used a self-administered questionnaire with minimal interference in order to minimize bias and by emphasizing to the students that this is not an examination.
Results: The results showed that 71.8% of the students were not hand washing properly. It also showed that availability of hand washing facilities and gender were not related with hand washing behavior. In regards of barrier perception toward hand washing compliance also showed that was not related to hand washing practice among elementary schools’ students. However, subjective norm (c² =4.459, p < .05) was related to hand washing practice among elementary schools’ students.
Conclusion: Subjective norm has a significant relationship to hand washing behavior. Thus, health care provider could develop specific intervention programs based on TPB to promote subjective norm among elementary schools’ students since this norm or perception of norm can motivate hand washing behavior among the students effectively.
DARK CHOCOLATE’S EFFECT ON MENSTRUAL PAIN IN LATE ADOLESCENTS
Authors: Maharani Sandy Isna , Pramono Noor , Wahyuni Sri
Published: February 2019

Background: Menstrual pain can be severe enough to interfere with everyday activities for a few days every month, particularly in activities in homes and schools for late adolescents. Dark chocolate is considered effective in reducing menstrual pain. However, little is known about its effect.

Objective: This study aimed to examine the effect of dark chocolate on menstrual pain in late adolescents. 

Methods: This was a true experiment study with randomized pretest-posttest with control group design. This study was conducted from September to November 2016 at the Bhakti Husada Boarding School of Poltekkes Kemenkes Semarang. There were 50 samples recruited by simple random sampling, with 25 randomly assigned to the experiment and control group. Numeric Rate Scale (NRS) was used to measure pain. Independent t-test and Mann-Whitney were used to examine the effect of intervention. 

Results: There were significant differences in menstrual pain (p <0.001) before and after treatment. The mean of menstrual pain in the treatment group (2.76 ) was lower than the menstrual pain in the control group (5.36) with p <0.001.

Conclusion: Dark chocolate could reduce menstrual pain significantly in the late adolescents.
THE ASSOCIATION OF ISLAMIC BASED CARING MODEL AND COMMITMENT TO ORGANIZATION IN STAFF NURSES
Authors: Timorita Yuda Ayu , Hartiti Tri , Warsito Bambang Edi , Ismail Suhartini
Published: February 2019

Background: Strong organizational commitment is needed by hospitals to attract and retain nursing staffs in order to consistently deliver good quality of nursing services. The decrease in organizational commitment among nurses can cause many losses to the organization, including increased organizational spending, breakdown in patient care, and cause performance trends that appear not for the benefit of the organization or unit, but more for personal self-interest.

Objective: To analyze the relationship of the application of Islamic Based Caring (IBC) model with organizational commitment among nurses.

Methods: This was a correlation analytic research with cross sectional design. There were 108 nurses selected using a proportionate stratified random sampling. Islamic Based Caring was measured using a questionnaire developed based on the theory of Suhartini Ismail (2016), and organizational commitment was measured using a questionnaire developed based on the concept of Caldwell, O’Reilly & Chatmann (1990) and Mowday, Porter dan Steers (1982) in Asmaningrum (2009). Logistic regression and forward stepwise (conditional) method were used for data analysis.

Results: There was a statistically significant correlation of a healing presence (p=0.000), caring relationship (p=0.010), caring environment (p=0.045) and belief in God (p=0.000). Belief in God (Allah SWT) has the highest correlation (OR=6.660) with organizational commitment among nurses.

Conclusion: There is a positive and significant relationship between the implementation of Islamic Based Caring with the organization's commitment among nurses.
EXPERIENCE OF BARRIERS TO HYPERTENSION MANAGEMENT IN MINANGKABAU ETHNIC GROUP IN PAYAKUMBUH INDONESIA: A PHENOMENOLOGICAL STUDY
Authors: Kurnia Vera , Suza Dewi , Ariani Yesi
Published: February 2019

Background: Understanding barriers to hypertension managements remains important to reduce the hypertension rate in community. Minangkabau is one of the ethnic groups in West Sumatra Indonesia that has a high proportion of people with hypertension although its management has been implemented. Objective: This study aims to explore the experiences of barriers to hypertension management in Minangkabau ethnic group in Payakumbuh, Indonesia. Methods: This was a phenomenological study with twelve respondents selected using purposive sampling. Data were collected using in-depth interview. Colaizzi’s content analysis method was used for data analysis. Results: Five themes were emerged from the data, namely: (i) lack of self-motivation in the management of hypertension, (ii) disobedience in the management of hypertension, (iii) culture pattern of food intake, (iv) lack of social support, and (v) excessive stress and anxiety. Conclusions: The barriers to hypertension management in Minangkabau ethnic group are closely related to its culture both in lifestyle and in food intake of the family members and the community. Nurses are expected to always give health education about hypertension and finding the way to control it.
FACULTY OF HEALTH SCIENCES: AN OPPORTUNITY FOR THE IMPLEMENTATION OF INTERPROFESSIONAL EDUCATION
Authors: Yusuf Saldi
Published: February 2019

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