bluuebunny/crossref_metadata_2025 huggingface dataset:
THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA
Authors: Khomsah Yuli Sya’baniah , Suwandono Agus , Ariyanti Ida
Published: February 2019

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.

Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the Community Health Center of Kawunganten, Cilacap, Central Java, Indonesia.

Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one-way ANOVA, post hoc ANOVA and repeated ANOVA for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.

Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect  in reducing pain compared with effleurage.

Conclusion: Acupressure and effleurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and  serve as an additional input for midwives in order to carry out the care of mother during labor.
RELATIONSHIP OF SPIRITUAL-WELLBEING WITH ANXIETY AND DEPRESSION IN PATIENTS WITH CARDIAC HEART DISEASE
Authors: Nuraeni Aan , Mirwanti Ristina , Anna Anastasia
Published: February 2019

Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that  spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD  in Indonesia is still unknown.

Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients.

Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variables were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and  Spirituality Index of Well-Being scale. Data were taken on 100 respondents within three months  in outpatient cardiac unit with the consecutive sampling technique and analyzed  by Spearman correlation test.

Results: The mean of anxiety, depression, and spiritual well-being respectively were 47.66, 43, and 60. Based on Spearman test, spiritual wellbeing was correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571).

Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with negative correlation direction. The higher the spiritual well-being, the lower the level of anxiety and depression will be. Thus, nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.
THE LIFESPAN OF NURSING EDUCATION IN CAMBODIA
Authors: Koy Virya
Published: February 2019

This paper aims to explain the lifespan of nursing education in Cambodia, which has been up and down for over 66 years. The journey of Cambodian nursing education is fulfilled by many challenges faced by nursing leaders in the country, including the challenges caused by the decades of civil war devastated Cambodian society. It takes high responsibility and needs more powers, skills, and commitments to produce competent professional nurses to fulfill the tasks in the clinical settings through nursing education, and it is characterized by the progress in responding societal needs of the society.
EFFECT OF INVOCATION (DO’A) ON PAIN-COPING BEHAVIORS OF PRIMIPAROUS MUSLIM WOMEN DURING THE FIRST THREE HOURS OF THE ACTIVE PHASE OF LABOR
Authors: Desmawati Desmawati
Published: February 2019

Background: Pain-coping behavior of primiparous women may have adverse effects on the mother and fetus. In Tangerang, the majority of pregnant women have negative experiences of pain and pain-coping behaviors during labor.

Objective: The purpose of this study was to examine the effect of the invocation (do’a) on pain-coping behaviors of primiparous Muslim women during the first 3 hours of the active phase of labor.

Methods: It was an experimental study with pre-posttest design. Ten primiparous women were randomly selected and assigned to the control and intervention group. Each group consisted of 5 participants. Pain-coping behavior was measured by the Pain Behavior Observation Scale (POBS).

Results: Findings revealed that pain-coping behaviors were increased for those who received the invocation (do’a) with p-value < .05 than those who received the routine care. The effectiveness of do'a could be seen from the average difference of scores of pain-coping behaviors before and after intervention. The intervention group significantly had higher pain-coping behaviors than the control group during three hours of posttest, while controlling for the pretest measure, F (3.24) = 15.68, p< .001.

Conclusions: The invocation (do’a) program for primiparous women during labor is feasible to be conducted, and effective to increase pain-coping behaviors. Therefore, it is suggested to provide this program for primiparous women during the first 3 hours of active phase of labor.
EFFECT OF YOGA ON DURATION OF THE SECOND STAGE OF LABOR AND PERINEAL RUPTURE IN PRIMIGRAVIDA MOTHERS
Authors: Setyowati Ana , Suhartono Suhartono , Ngadiyono Ngadiyono , Endang Pujiastuti Rr Sri , Dyah Dyah
Published: February 2019

Objective: To determine the effect of yoga on the duration of the second stage of labor and perineal rupture in primigravida mothers.

Methods: This was a quasi-experimental study with posttest group only design. The study was conducted in the Public Health Center of Pekalongan, Central Java, Indonesia from December 2016 until January 2017. There were 50 mothers selected using purposive sampling, which 25 assigned in the experiment and control group. Independent t-test and Chi Square test were used for data analysis.

Results: There was a statistically significant difference in the duration of second stage of labor (p=0.000) and perineal rupture (p=0.001) between experiment and control group.

Conclusion: There was a significant effect of yoga on the duration of the second stage of labor and perineal rupture in primigravida mothers. Therefore, yoga is recommended for midwife to be included in the antenatal care.
EFFECT OF CONSUMING TOMATO (LYCOPERSIUM COMMUNE) JUICE IN LOWERING BLOOD PRESSURE IN PREGNANT MOTHERS WITH HYPERTENSION
Authors: Anita Theresia , Suwandono Agus , Ariyanti Ida , Pramono Noor , Kumorowulan Suryati
Published: February 2019

Background: High blood pressure during pregnancy can pose significant problems such as preeclampsia, eclampsia, and premature birth. Thus, early prevention is needed. Consuming tomato (lycopersium commune) juice is considered effective to reduce blood pressure in pregnant women.

Objective: This study aims to examine the effect of tomato juice on the decrease in blood pressure of pregnant women with hypertension in pregnancy.

Methods: This study was a quasi-experiment with pretest-posttest control group. This research was conducted at the working area of the Community Health Center of Magelang Indonesia in July 2016 - January 2017. The target population of this study was pregnant women in trimester I, II, and III with high blood pressure. There were 30 samples selected using consecutive sampling, with 15 assigned in the experiment and control group. Wilcoxon test was performed for data analysis.

Results: There was a statistically significant difference in systolic and diastolic blood pressure before and after given tomato juice with p = 0.001 (<0.05).

Conclusion: Consuming tomato juice can be one of the efforts to reduce blood pressure in pregnant women with hypertension.
EFFECT OF YOGA AND ACUPRESSURE ON PAIN AND FUNCTIONAL CAPABILITY OF LOWER BACK IN PREGNANT MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY
Authors: Resmi Dewi Candra , Hadisaputro Suharyo , Runjati Runjati
Published: February 2019

Objective: To examine the effect of yoga and acupressure in lower back pain and functional capability in pregnant women during the third semester of pregnancy.

Methods: A quasi-experimental design with pretest posttest with non-equivalent control group. The research was conducted at the Community Health Center of Kalikajar I, Selomerto I and Garung I in Wonosobo regency Indonesia in January 2017. The samples of this research were 42 pregnant women in trimester III selected using purposive sampling, which 14 samples assigned in the yoga group, acupressure group, and control group. A Visual Analog Scale (VAS) was used to measure pain level, and Oswestry Disability Index to measure functional capability of lower back. Data were analyzed using paired t-test and one-way ANOVA.

Results: Findings showed that there was a statistically significant effect of yoga, acupressure, and pregnancy exercise (control group) in reducing lower back pain and lower back functional capability with p <0.05. Pregnancy exercise (mean=-1.43) was more effective in reducing lower back pain compared with yoga (mean=-2.29) and acupressure (mean=-2.71); and acupressure (mean=-14.29) was more effective in improving lower back functional capability than yoga (mean=-6.57) and pregnancy exercise (mean= -13.29).

Conclusion: There were significant effects of yoga, acupressure, and pregnancy exercise in reducing pain and in improving the functional ability of the lower back. It is recommended for midwife to use these interventions as an alternative to deal with back pain and functional capability in pregnant women, especially in the Community Health Center in Wonosobo regency, Indonesia.
EFFECT OF ROSELLE (HIBISCUS SABDARIFFA) ON CHANGES IN HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA TAKING IRON SUPPLEMENT
Authors: Nisa Rif’atun , Soejoenoes Ariawan , Wahyuni Sri
Published: February 2019

Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.

Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.

Methods: This study was a quasi-experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.

Results: Paired t-test obtained p-value 0.00 (<0.05) indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr/dl and in the experiment group was 1.08 gr/dl. The hemoglobin levels in the experiment group were higher than the levels in the control group. Independent t-test obtained p-value 0.000 (<0.05) indicated that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.

Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.
QUALITY OF LIFE OF PATIENTS WITH END-STOMA IN MEDAN: A PHENOMENOLOGICAL STUDY
Authors: Alwi Fahrizal , Setiawan Setiawan , Asrizal Asrizal
Published: February 2019

Background: Colorectal cancer continues to be a serious problem in Indonesia. A common colorectal treatment is surgical removal of the diseased colon, followed by the creation of a colostomy through the abdominal wall to bypass the colorectal function of emptying waste products. Those who require permanent colostomy are likely to have quality of life issues impacting their physical, psychological, social, and spiritual needs. There issues impact persons’ life satisfaction, happiness, and overall quality of life.

Objective: The aim of study was to describe the experiences of patients with end-stoma regarding their quality of life.

Methods: The study design used descriptive phenomenology following the approach of Collaizzi. There were 12 participants who qualified using purposive sampling based on the inclusion criteria. The data were gathered in-depth interviews. Analysis and interpretation used verbatim descriptions in Bahasa Indonesia and subsequently translated into English language.

Results: The research emerged seven themes, namely: (i) becoming limited in doing daily activity, (ii) having limitation during sexual and social intercourse, (iii) having various negative feelings after the existence of end-stoma, (iv) having financial difficulties, (v) attempting to survive with end-stoma, (vi) experiencing changes in fulfilling rest and sleep, physic, and complication, and (vii) having expectation which has to be achieved after having end-stoma.

Conclusion: The results show that patients with end-stoma run into spiritual, social, psychological and physical disorder that affect the quality of their life. This study provides an understanding of the quality of life of patients with end-stoma and nurses are able to provide appropriate nursing care.
EFFECT OF HARIRING KABAYAN INSTRUMENTAL MUSIC THERAPY ON PAIN AND ANXIETY LEVEL IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION
Authors: Rahman Arip , Santoso Bedjo , Sudirman Sudirman
Published: February 2019

Background: Death due to acute myocardial infarction (AMI) continues to increase every year. Efforts to prevent AMI complications through the control of pain and anxiety with the approach of classical music therapy have been widely practiced, but the approach through local music has not been much done when transcultural nursing theory emphasizes the importance of cultural approaches in nursing care, while Indonesia has a lot of local music that is a cultural potential which needs to be developed.

Objective: This study aims to know the effect of Hariring Kabayan instrumental music therapy in reducing pain and anxiety of AMI patients after 24 hours of CICU admission.

Methods: This was a quasi-experimental study with pretest-posttest control group design.  There were 32 participants selected using consecutive sampling, which 16 assigned in an experiment group and a control group. Hariring Kabayan therapy was played at 60 BPM using headphones  connected to the MP3 player for 30 minutes. Numerical Pain Rating Scale (NPRS) was used to measure pain and Numerical Rating Scale Anxiety (NRS-A) was used to measure anxiety. Data were analyzed using Paired t-test and Independent t-test.

Result: Hariring Kabayan instrumental music therapy given for 30 minutes gave a significant change on pain in the respondents (p = 0.005), but it did not give a significant change on anxiety (p = 0.053), with significant value of 0.05.

Conclusion: Hariring Kabayan instrumental music therapy is effective in reducing pain in AMI patients but ineffective in anxiety reduction.
RELATIONSHIP BETWEEN QUALITY OF CARE OF YOUNG MOTHERS AND SOCIAL-EMOTIONAL DEVELOPMENT IN PRESCHOOL CHILDREN
Authors: Aryani Atik , Warsini Sri , Haryanti Fitri
Published: February 2019

Background: Social-emotional development in preschooler children is an important component in child development, as it becomes the foundation in preparing children for confidence, empathy and intellect, building trust, and being able to use language in communication and connect with others. One of the factors that affect children's emotional social development is the quality of mother's care. Children of young mothers have risks in emotional and intellectual social problems in children.

Objective: The purpose of the study was to determine the relationship of quality care of young mothers with social-emotional development in preschool children in the working area of the Health Center of Kemalang, Klaten Regency, Indonesia.

Methods: This was a correlational analytic research with cross sectional design. The sample of the study was 124 young mothers with preschool children selected using consecutive sampling technique. The study was conducted from July to August 2017 at six kindergarten schools in the working area of the Health Center of Kemalang, Klaten Regency. Data were collected using parent behavior questionnaire and stage social-emotional instrument. Data were analyzed using chi square test.

Results: Findings showed that 58.1% of young mothers had good quality of care, and 55.6% of preschoolers were at risk of developing emotional social development problems. There was a significant correlation between the quality of care of young mothers with social-emotional development in preschool children (p-value <0.05).

Conclusion: There was a correlation between the quality of care of young mothers with social-emotional development in preschool children.
VALUE OF CLINICAL PULMONARY INFECTION SCORE IN CRITICALLY ILL PATIENTS: BETWEEN THE USE OF CHLORHEXIDINE AND PIPER BETLE LINN MOUTHWASH
Authors: Hamid Irfany Nurul , Pujiastuti Rr Sri Endang , Widigdo Dwi Ari , Saha Djenta
Published: February 2019

Background: One of the complications of ventilator use in patients in Intensive Care Unit (ICU) is Ventilator-Associated Pneumonia (VAP). Oral hygiene is one of the methods to prevent VAP.

Objective: The objective of this study was to compare the value of clinical infection score (CPIS) in critically ill patients after given oral hygiene using chlorhexidine and Piper betle Linn mouthwash.

Methods: This was an observational study with cross-sectional study design, which consisted of two intervention groups. Thirty respondents were selected using total sampling, with 15 respondents randomly assigned in each group. Independent t-test was used for data analysis.

Results: Findings showed that  the mean of CPIS in the Piper betle Linn group was 3.80 and the mean of CPIS in the chlorhexidine group was 4.07.

Conclusion: CPIS in the treatment group using Piper betle Linn mouthwash was lower than the mean of CPIS in the treatment group using chlorhexidine.
ABORTION AND ITS INFLUENCING FACTORS: A QUALITATIVE STUDY IN THE DETENTION CENTER
Authors: Hendari Rini , Ahmad Dahlan H , Martiningsih Martiningsih
Published: February 2019

Objective: This study was to explore the actions and factors causing abortion, killing and disposal of babies qualitatively in the detention center of Class II B, Raba Bima, West Nusa Tenggara, Indonesia.

Methods: This was a descriptive qualitative study with six respondents who were purposively selected. Content analysis was used for data analysis. Member-checking and crosscheck triangulation were performed to ensure the trustworthiness of the data.

Results: Findings emerged from data, namely: factors that cause adolescent abortion, killing and disposal of baby (internal factors, family factors and partner factors), the way to do those actions (to take medicine, by the help of health workers, shaman and the nearest person), and behavior after doing abortion, killing and disposal of baby.

Conclusion: Understanding the factors affecting abortion, killing and disposal of baby among adolescents and the way how they did them as well as their behavior after all of these activities might help health practitioners to find the strategies to reduce the incidence of unwanted pregnancy which lead to abortion, killing and infant disposal.
EFFECTIVENESS OF COLD PACK WITH EARLY AMBULATION IN PREVENTING COMPLICATIONS OF HAEMORRHAGE AND HAEMATOMA IN PATIENTS POST CARDIAC CATHETERIZATION
Authors: Ginanjar Rizal , Hadisaputro Soeharyo , Mardiyono Mardiyono , Sudirman Sudirman
Published: February 2019

Objective: To examine the effect of early ambulation with cold pack on the prevention of bleeding and haematoma complications in patients post-cardiac catheterization.

Methods: This research used an experimental method with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, with 15 assigned in the experiment and control group. The experiment group was given cold pack and early mobilization, while the control group was given sand pillow with immobilization for 6 hours. Independent t-test and Fisher’s exact test were used for data analysis.

Results: Findings showed that there was no significant difference in haemorrhage between experiment and control group after given intervention (p= 1.000), and found a significant difference in haematoma between the two groups (p=0.001).

Conclusion: Cold packs with early ambulation and sand pillow with immobilization for 6 hours were equally effective in preventing haemorrhage. However, cold packs with early ambulation was more effective in preventing haematoma.
EFFECT OF SPIRITUAL BASED MINDFULNESS INTERVENTION ON EMOTIONAL CONTROL IN ADULT PATIENTS WITH PULMONARY TUBERCULOSIS
Authors: Sadipun Donatus Korbianus , Dwidiyanti Meidiana , Andriany Megah
Published: February 2019

Background: Emotions have an impact on the healing process as it affects the body's defense system. The work that can be done to control the emotions of pulmonary TB patients is mindfulness with a spiritual approach.

Objective: To examine the effect of spiritual based mindfulness intervention on the emotional control in adult patients with  pulmonary TB.

Methods: This was a pre-experimental study with one group pre-posttest design with a total of 45 adult patients with pulmonary TB recruited purposively in the public health centers. A questionnaire of emotional regulation was used for data analysis. Paired t-test was used for data analysis.

Results: There was a significant difference in emotional control between before and after given spiritual based mindfulness intervention with p = 0.000 (<0.05).

Conclusion: The spiritual based mindfulness intervention has a significant effect to  improve the emotional control of adult patients with pulmonary TB. This can be used as one of the efforts to control the emotions of pulmonary TB patients as well as to speed the healing process.
THE IMPACT OF HOSPITAL BASED INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS TRAINING ON PEDIATRIC NURSE COMPETENCY
Authors: Haryanti Fitri , Hakimi Mohammad , Sunarto Yati , Prabandari Yayi S
Published: February 2019

Background: Although the WHO strategy integrated management of childhood illness (IMCI) for primary care has been implemented in over 100 countries, there is less global experience with hospital-based IMCI training. Until recently, no training had been done in Indonesia, and globally there has been limited experience of the role of IMCI in rebuilding health systems after complex emergencies.

Objective: We aimed to examine the effect of hospital-based IMCI training on pediatric nurse competency and explore the perception of Indonesian doctors, nurse managers and pediatricians about IMCI training and its development in West Aceh, a region that was severely affected by the South-Asian tsunami in December 2004.

Methods: This study used stepped wedge design. Training was conducted for 39 nurses’ staff, 13 midwives, 6 head nurses, 5 nurse managers, 5 doctors, 1 pediatrician, and 3 support facilities  (nutritionist, pharmacist, laboratory) in Cut Nyak Dien (CND) Hospital in Meulaboh, West Aceh, Indonesia. The IMCI training was developed based on the WHO Pocketbook of Hospital Care for Children. A nurse’s competency questionnaire was used based on the guideline of assessment of the quality of child health services at the first level reference hospitals in districts / municipalities issued by the Ministry of Health in 2007. A linear mixed model was used for data analysis.

Results: The hospital based IMCI training improved the competences of nurses pediatric in assessing emergency signs of the sick children, management of cough and difficulty breathing, diarrhea, fever, nutritional problems, supportive care, monitoring, discharge planning and follow-up.  The assessment highlighted several problems in adaptation process of material training, training process and implementation in an environment soon after a major disaster.

Conclusion: Hospital based IMCI training can be implemented in a setting after major disasters or internal conflict as part of a rebuilding process.  The program requires strong management support and the emergency phase to be subsided.  Other pre-requisites include the existence of standard operating procedures, adequate physical facilities and support for staff morale and well-being.  Improving the quality of pediatric care requires more than just training and clinical guidelines; internal motivation and health worker support are essential.
THE EFFECT OF LISTENING TO MUROTTAL QUR'AN ON THE OXYGEN SATURATION LEVEL IN PRETERM INFANTS IN THE NEONATAL INTENSIVE CARE UNIT
Authors: Damayanti Dina Sulviana , Ismail Djauhar , Warsiti Warsiti
Published: February 2019

Background: Preterm infants are at risk for respiratory and hypothermia disorders that may affect physiologic growth and development processes that can be aggravated by treatment processes while in the neonatal intensive care unit. Treatment in the NICU can trigger stress that can affect the vital signs and healing process of preterm infants, thus requiring non-medical treatment to stimulate the condition. This research provides a different treatment of sound therapy that has never been given to preterm infants in previous studies by listening murottal Al-Qur'an.

Objective: To examine the effect of listening to the murottal Qur'an on oxygen saturation in preterm infants during treatment at the neonatal intensive care unit (NICU).

Method: This was a pre-experimental study with one group pretest-posttest design from September to October 2017. The samples were 30 preterm infants treated at NICU of the General Hospital of Panembahan Senopati Bantul selected using accidental sampling. The analysis used was simple linear regression.

Result: There was an increase of the oxygen saturation level after given intervention of Murottal Qur'an for 3 days. The first day of oxygen saturation intervention increased by 2.07%, the second day 3.75%, and the third day 4.65% compared to the oxygen saturation level before the intervention.

Conclusion: Listening to murrotal Qur'an could statistically increase oxygen saturation, but clinically there was no significant change in preterm infants, as the increase of oxygen saturation level was still within normal limits.
“IT’S A NATURAL PROCESS AND WE SHOULD ACCEPT IT AS OUR DESTINY”: INDONESIAN WOMEN PERCEPTION TO MENOPAUSE
Authors: Kartini Farida , Hikmah Hikmah
Published: February 2019

Background: The changes in menstrual cycle are commonly followed by symptoms such as hot flushes, palpitations, sleep disorders, depression, irritability, headaches and low sexual drive in women. Women’s knowledge and perception to their menopause cyclic changes are important in their adaptation to menopause symptoms.

Objective: This study aims to assess women’s perception toward menopause.

Methods: This study employed a qualitative research design with phenomenology approach. Nine married women aged 45-55, residing in Ngestiharjo, Bantul district, Daerah Istimewa Yogyakarta, Indonesia participated in this research.

Results: Respondents perceived menopause as a natural event for every woman above 45 years old and therefore it should be accepted as it is. Participants of the study defining menopause as a period when ovaries naturally end producing sexual hormone resulting with no menstrual periods for 12 consecutive months without other identified biological or physiological causes. The participants understand the basic knowledge of menopause and remarked their menopause period with muscular pain and irregular flows. In practice, as well as other menopausal women, respondents also experienced vaginal pains during coitus.

Conclusion: Women of the study acknowledged that menopause as the end of their reproductive period. It is believed as a natural event and will be experienced by every woman. Nevertheless, women’s misconception and belief to menopause myths alarms the need for an adequate information related healthy menopause. Women preparedness is expected to reduce the symptoms and disorders following menopause.
MEN, MASCULINITIES AND HIV/AIDS IN INDONESIA
Authors: Risal Abd , Gunawan Joko
Published: February 2019

N/A
INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS
Authors: Iskandar Iskandar , Dharmajaya Ridha , Ariani Yesi
Published: February 2019

Background: Peripheral arterial disorders in diabetes mellitus is a common complication that often occurs and can develop into diabetic foot ulcers. High blood sugar levels in people with diabetes mellitus can cause increased blood viscosity resulting in thickening of the capillary membrane, where erythrocytes, platelets and leucocytes are attached to the blood vessels. Electrical stimulation by placing electrodes in the calf muscle is one of the measures to increase foot blood flow that can reduce the poor foot circulation.

Objective: This study aims to determine the effect of electrical stimulation in improving blood flow of patients with diabetes mellitus.

Methods: The research used pre-experimental design with one-group pretest-posttest. Sampling technique using purposive sampling as many as 62 patients with diabetes mellitus. Electrical stimulation was done by attaching electrodes to left and right calf muscles for 20 minutes, with frequency 3 times a week for 2 weeks. Before and after electrical stimulation performed foot circulation examination by ankle brachial index technique. Data were analyzed using Wilcoxon signed rank test.

Results: The results showed that before the stimulation was obtained the mean ankle brachial index 0.82 mmHg and after stimulation it was 0.95 mmHg (p = 0.000). There was an effect of electrical stimulation in increasing foot blood flow. A calf muscle contraction during stimulation leads to increased leg blood flow through the addition of vascular endothelial growth factor and increased nitric oxide as a vasodilator of blood vessels. Electrical stimulation can be applied in increasing the blood flow of the foot, thus preventing the occurrence of diabetic foot ulcers.

Conclusion: Stimulation is one therapy that can be done to prevent poor foot circulation of patients with diabetes mellitus.
BALINESE TRADITIONAL TREATMENT (BALIAN) IN PATIENTS WITH MENTAL DISORDERS
Authors: Muryani Ni Made Sri , Winarni Indah , Setyoadi Setyoadi
Published: February 2019

Background: Balinese believe that mental disorders are caused after being possessed and cursed by one’s ancestors, so Balinese choose traditional Balinese treatment (balian/shaman) in handling patients with mental disorders. Objective: The purpose of this research was to explore deeply about the use of balian in treating patients with mental disorder. Methods: A qualitative method with an interpretive phenomenological approach was used. In-depth interview technique with semi-structured interview guidelines was used for data collection. Data were analyzed using Interpretative Phenomenological Analysis (IPA) approach. Results: Five themes emerged, including 1) ancestors’ curse, 2) possessed by a spirit, 3) believe that balian has healing power, 4) balian becomes the first choice prior to the hospital, and 5) the use of traditional and medical treatment at once. Conclusion: Balian became the first choice in treating patients with mental disorders. It is because Balinese still believes that mental disorders caused by the ancestors’ curse and possessed by the spirit.
THE HEALTH BELIEF MODEL OF ASTHMA CONTROL AMONG ADULT ASTHMATIC PATIENTS IN YOGYAKARTA INDONESIA
Authors: Sari Lisa Anita
Published: February 2019

Background : Asthma is a chronic respiratory disease which affects daily life of people. The ultimate target of health care for adult people living with asthma is to control their asthma. It is important to keep asthma under control in order to avoid impact of uncontrolled asthma.

Objective : The purpose of this study was to examine factors related to asthma control among adult asthmatic patients based on the Health Belief Model (HBM).

Methods : This was a descriptive study with cross-sectional design, which conducted in Pulmonary Primary Health Center (PPHC) Yogyakarta on April 2016. There were 397 participants selected using simple random sampling. Asthma control was measured using Asthma Control Questionnaire (ACQ). The Rossenstock for Health Belief Model (HBM) was used to guide this study. Descriptive statistic was performed for data analysis.

Results : Findings showed that age (p >.05), gender (p >.05), sufficiency of income (p >.05), educational level (p >.05), and occupation (p >.05) were not significantly related to asthma control. There was a significant correlation among perceived susceptibility (p <.05), perceived severity (p <.05), perceived benefit (p <.05), and perceived barrier (p <.05) with asthma control.

Conclusion : It is concluded that asthma control of adult asthmatic patients is influenced by their perception of control their asthma. The study suggests that nurses in the community should increase health promotion to change health perceptions to keep asthma control status in adult asthmatic patients.
PREDICTION MODEL OF OBESITY AMONG TEACHERS IN SENIOR HIGH SCHOOL IN KENDARI
Authors: Banudi La , Ischak Wenny Ino , Koro Suriana , Leksono Purnomo
Published: February 2019

Background: Obesity that occurs in adolescents (age >18 years) shows a significant increase, from 12% in 2007 to 13% in 2010 and 19% in 2019 in males, and from 13% to 28% in 2013 in females. 

Objective: To analyze the prediction model of obesity among teachers in senior high school in Kendari, Indonesia.

Methods: This was a prediction cross-sectional study. There were 250 high school teachers were recruited from 12 senior high schools using a purposive sampling. The instruments used were questionnaires (food frequency, consumption recall, and activities recall questionnaire), Seca weight scale, anthropometry microtoice, meter, computer program, and stationery. Data were analyzed using Chi-Square.

Results: Findings showed that there was a significant correlation between age group (p = 0.05), knowledge (p= 0.02), stress (p= 0.05) and diet (p= 0.013). The prediction factor of obesity among high school teachers was that teachers with an upper age (age> 45 years) were likely to be obese 2.64 times than teachers at a young age (age <45 years). If teachers experienced stress, they would suffer from obesity 2.17 times compared with teachers with no stress.

Conclusion: Factors associated with obesity in high school teachers in Kendari Indonesia were age, knowledge, stress and dietary factors. Factors that were not related with obesity were attitudes about nutrition, activity and smoking habits. The highest predictors of obesity were age and stress.
RELATIONSHIP OF ADHERENCE, SELF EFFICACY, SOCIAL SUPPORT, QUALITY OF HEALTH CARE, AND PSYCHOLOGICAL RESPONSE OF PARENS TOWARDS QUALITY OF LIFE OF CHILDREN WITH TUBERCULOSIS IN YOGYAKARTA, INDONESIA
Authors: Lusmilasari Lely , Akhmadi Akhmadi , Rahayu Rochma Dwi , Rahmawati Jeki , Khartika Ardhy , Rukmana Sefti
Published: February 2019

Background: Quality of life includes the aspects of physical, emotional, social function, welfare and perceptions about life. Quality of life of children with tuberculosis is considered lower than the quality of life of healthy children. Little is known about the factors related to the quality of life of children with tuberculosis, especially in Yogyakarta, Indonesia.

Objective: This study aims to examine the relationships of adherence, social support, quality of healthcare, self-efficacy, and psychological response of parents towards quality of life of children with tuberculosis in Yogyakarta, Indonesia.

Methods: This study employed a cross-sectional correlation design, which was conducted from April to November 2016, and involved 41 caregivers and children with tuberculosis according to research criteria. A consecutive sampling was applied to determine sample size. Data were analyzed by bivariate and multivariate analysis using SPSS with significant level p=0.05 and confidence interval = 95%.

Results: Findings showed significant relationships between social support, psychosocial response, mainly anxiety and stress (p<0.05) with quality of life. While adherence, self-efficacy, and quality of healthcare did not have significant relationship (p>0.05) with quality of life. The results of multivariate analysis showed significant relationships between social support with r =0.305 (CI95%:0.134-0.188; p=0.026), psychosocial response of caregiver, mainly level of stress with r= 0.425 (CI95%:-1.369-0.126; p=0.007) and anxiety with r= 0.378 (CI95%: -0.107-1.692; p=0.03) and quality of children life  (R square=0.278). The strongest variable related to quality of children life was psychosocial response (anxiety) of parents (r=0.425).

Conclusions: Quality of life in children with tuberculosis is related to social support and psychosocial response of parents. The dominant factor is psychosocial responses of anxiety.
DO NOT IGNORE SEPARATION ANXIETY IN CHILDREN
Authors: Lamtraktul Su-ari
Published: February 2019

N/A
A VISUAL MANAGEMENT TOOL FOR NURSES TO STANDARDIZE THE ADMINISTRATION OF VESICANT CHEMOTHERAPY
Authors: Alkaiyat Mohamad Omar , Deeb Ahmad , Salam Mahmoud
Published: February 2019

N/A
EFFECT OF SECANG WOOD (CEASALPINIA SAPPAN L.) EXTRACT ON MORPHOLOGY OF SPERMATOZOA, SPERM COUNT, AND REVERSIBLE PROCESS IN MALE RATS
Authors: Arum Silfia Sekar , Hidayat Syarief Thaufik , Khafidhoh Nur , Kumorowulan Suryati , Suhartono Suhartono , Suwondo Ari
Published: February 2019

Background: Limited choice of contraception for males is one of the reasons why their participation is low. Secang wood is considered as an alternative contraception that has an influence in the morphology and number of spermatozoa and reversible in nature.

Objective: To examine the effect of extracts of secang wood in the morphology of spermatozoa, sperm count and reversible process in male mice.

Methods: This was a quasi-experimental study with randomized posttest only control group design. There were 32 male rats (Mus Muscullus L) recruited in this study. Four groups were involved, namely: 1) ethanol group, 2) chloroform fraction, 3) water fraction, and 4) control group. Each group consisted of 8 mice. There were two treatments in this study: 1) each group was given secang extract with dose 50 mg/25 gram of weight, 2) the observation period was 10 days after the treatment. Four mice in each group was dissected to see the morphology and sperm count while the other four mice were allowed to live and maintained until 20 days to see reversible morphology and sperm count.

Results: The extract of secang wood at a dose of 50mg/25gram weight could increase the abnormal sperm morphology and lower sperm count. There was a significant difference between the treatment group and control group with p-value <0.05. The extract was also reversible on the morphology and sperm count.

Conclusion: There was a significant effect of secang wood extract on sperm morphology, the number of spermatozoa, and reversible process. This study provides the insight of scientific information about the effect of the secang extracts on the number and morphology of spermatozoa, and it could be used as a basis for further research in human in the development of natural contraceptive on a reversible man.
COMPARISON OF EFFECTS OF ABDOMINAL STRETCHING EXERCISE AND COLD COMPRESS THERAPY ON MENSTRUAL PAIN INTENSITY IN TEENAGE GIRLS
Authors: Cahya Rosyida Desta Ayu , Suwandono Agus , Ariyanti Ida , Suhartono Suhartono , Mashoedi Imam Djamaluddin , Fatmasari Diyah
Published: February 2019

Background: Pain during menstruation is not uncommon, especially in young women, which has an impact on their life activities.

Objective: To examine the effect of abdominal stretching exercise and cold compress therapy on decreasing intensity of menstrual pain in teenage girls.

Design: A quasi-experimental study with two group comparison pretest-posttest design at SMK Bakti Indonesia Medika, Indonesia. There were 46 respondents selected in this study by consecutive sampling that consisted of 23 samples in the abdominal stretching exercise group and 23 samples in the cold compress group. The menstrual pain was measured using VAS (visual analog scale). Data were analyzed using Mann-Whitney, Chi-Square, and Wilcoxon test.

Results: Findings showed that the mean of menstrual pain before intervention in the abdominal stretching exercise was 7.04 and in the cold compress therapy was 6.74 with p-value 0.211 (<0.05), which indicated that there was no mean difference of pain between both groups. However, after intervention, the menstrual pain was reduced from 7.04 to 1.91 (5.09 difference) in the abdominal stretching exercise group; and from 6.74 to 5.52 (1.22 difference) in the cold compress group with p-value 0.000 (<0.05), which indicated that there was statistically significant difference of menstrual pain before and after intervention, both abdominal stretching exercise and cold compress therapy.

Conclusion: There were statistically significant effects of abdominal stretching exercise and cold compress therapy on menstrual pain in teenage girls. The abdominal stretching exercise is more effective than cold compress therapy in reducing menstrual pain intensity. Thus, it is suggested that abdominal stretching exercise can be an alternative choice of management of dysmenorrhea in teenage girls, and can be a part of subject in the education as non-pharmacological medicine.
ASSESSMENT RESIKO TEKNOLOGI PADA IMPLEMENTASI SISTEM INFORMASI AKADEMIK E-UNIVERSITY
Authors: Meilani Yayuk Ike , Syamsuar Dedy , Kunang Yesi Novaria
Published: February 2019

Information technology has become an essential part of human life so as to facilitate a business activity. However, the use of information technology is not separated from the risks that can affect the process of the activity. As for the purpose of this study was to conduct an assessment of risk against potential vulnerabilities and threats that can attack the academic information system E-University all at once mempersiapan action anticipation towards things that can interfere with the the system. To do the assessment, this study uses the framework NIST SP 800-30r-1 consisting of nine stages to risk assessment i.e. in the characteristics of the system are used, identify the threats that attack system, identification of vulnerability, control systems, determine the likelihood of occurring (likelihood), determine the impact (impact), the determination of risks, control recommendations and documentation of results. The results of the risk assessment against the academic information system E-University is there are three risks disrupting existing activities in the system. Then from the results of the assessment of risks in the form of recommendations are used to minimize the risks that occur on the system
Культура метамодерну (перші десятиліття ХХІ століття) і мистецтво хореографії
Authors: Khotsianovska Liudmyla
Published: February 2019

У статті розглянуто розвиток хореографічного мистецтва в умовах епохи метамодерну. Аналізуються характерні жанри, рушійні сили й тенденції розвитку хореографії метамодерну. Автор спирається на думку. що глибинною культурно-філософською основою розвитку хореографічного мистецтва є зміна картезіанської парадигми й уявлень про людську тілесність у її співвідношенні з духом та свідомістю. Автор доходить висновку, що відбувається проникнення хореографії та її поєднання з низкою життєвих практик, зокрема зі спортом, фізичною культурою та суміжними видами активності. У хореографії метамодерну однією з найхаратерніших рис є її медиатизація, коли танець стає жанром і художнім засобом медіакультури.
О драматургии вокального цикла «Твой облик милый» Эдисона Денисова
Authors: Garmel Oksana
Published: February 2019

В статье впервые представлен анализ драматургии вокального цикла «Твой облик милый» Э. Денисова для голоса и фортепиано на стихи А. Пушкина. Отдельно изучена поэтическая драматургия цикла и акцентировано внимание на важности этого аспекта в произведении. Раскрыты особенности музыкальной стилистики вокального цикла, в которой оригинально соединены традиции романсовой лирики с индивидуальным «стилем EDS» Э. Денисова.
Феномен валторнового виконавства
Authors: Churikov Ievgen
Published: February 2019

З’ясовано, що валторнове виконавство є складним утворенням, в якому система технічних умінь і навичок забезпечує успішність художньої інтерпретації музичних творів, а також стає джерелом ефективної виконавської діяльності. Розглянуто певні ознаки, які відповідають категорії «виконавська школа». Визначено особливості та традиції основних світових шкіл валторнового виконавства (європейська, американська, російська, українська).
Жанровая образность в поэтике фортепианного искусства ХХ века
Authors: Daping Zhou
Published: February 2019

Опираясь на философские, психологические и музыковедческие представления об образном содержании, жанре и стиле музыки, на метод жанрово-стилевого анализа музыкального текста, автор выводит определение понятия «жанровой образности», выявляет стилевое основание данного вида художественно-образного смысла музыки, отмечает особенности отношения композиторов ХХ века к жанровой основе музыкального творчества, подчеркивает значение стилизации в поэтике современной музыки и анализирует проявления жанровой образности в цикле Д. Лигети «Musica ricercata». Полученные выводы позволяют планировать разработку методов освоения современных произведений в процессе обучения пианистов.
Ett fall framåt: case i förskollärarutbildningen
Authors: Lago Lina , Vladavic Alma , Elvstrand Helene
Published: February 2019

Teori och praktik beskrivs ofta som varandras motsatser. Men i förskollärares vardag är de snarare en enhet. På Linköpings universitet används case i förskollärarutbildningens första termin för att koppla samman de teoretiska delarna av utbildningen med praktiken.
Killar och tjejer upplever matematikundervisning på olika sätt
Authors: Samuelsson Marcus , Samuelsson Joakim
Published: February 2019

Elevers upplevelser av matematikundervisningen i skolan påverkar hur väl de lyckas i matematikämnet. Killar upplever att de i högre utsträckning än tjejerna har inflytande över innehållet och är mer delaktiga i undervisningen. Tjejerna upplever matematiken i skolan som svårare än vad killar gör.
Att hitta kärnan i fritidspedagogik
Authors: Elvstrand Helene , Nilsson Åsa , Voogand Martin , Rondahl-Johansson Ingela , Vestergren Ann , Hjertqvist Therese , Näsberg Lund Maria , Bohlin Stefan , Hultberg Jenny , Brorsson Anna
Published: February 2019

Vad är fritidshemmets uppdrag och hur kan vi gemensamt formulera en fritidspedagogisk kärna? Det är frågor vi pedagoger ställer oss i ett pågående aktionsforskningsprojekt på Svärtingehus fritidshem.
Förskolebarn använder mätning i legoleken
Authors: Albinsson Anders , Samuelsson Joakim , Simonsson Maria
Published: February 2019

I legoleken använder förskolebarn mätning på många olika sätt. De växlar mellan olika mätredskap och måttenheter, beroende på kontext och önskat mätresultat. Genom mätningar löser barnen problem i legoleken. Mätresultatet kommuniceras genom att visa, förklara och argumentera med matematiska begrepp.