bluuebunny/crossref_metadata_2025_split huggingface dataset:
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.
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.
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.