bluuebunny/crossref_metadata_2025_split huggingface dataset:
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.
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.
EFFECT OF PEER EDUCATION MODEL ON KNOWLEDGE AND SELF-EFFICACY OF CHILDREN IN THE PREVENTION OF PHYSICAL SEXUAL VIOLENCE
Authors: Fitriana Rufaida Nur , Suryawati Chriswardani , Zubaidah Zubaidah 
Published: February 2019

Background: The rate of incidence of physical assault on school children increases from year to year. Efforts to prevent child sexual violence can be done through school-based education with student empowerment.
Objective: To identify the effect of education by peers on the knowledge and self-efficacy of primary school children in preventing sexual violence in Grabag sub-district, Magelang regency, Indonesia.
Methods: This study was a quasi-experimental study with pretest and posttest non-equivalent control groups. A total of 84 school-aged children were purposively recruited from two different primary schools. Each group consisted of 42 respondents. Children's Knowledge of Abuse Questionnaire-Revised III (CKAQ-RIII) instrument was used to measure knowledge and self-efficacy questionnaire was measured for self-efficacy. Data were analyzed using Wilcoxon and Chi-Square test.
Results: The study showed that a statistically significant difference in the variables of both knowledge (p=0.008) and self-efficacy (p=0.000) in the intervention group after given peer education treatment.
Conclusion: Educational interventions by peers can improve the knowledge and self-efficacy of primary school-aged children in preventing sexual violence. Peer education can be used as an effort to prevent sexual violence in children through school empowerment programs.
EFFECT OF SPIRITUAL NURSING CARE ON THE LEVEL OF ANXIETY IN PATIENTS WITH STROKE
Authors: Trihandini Bernadeta , Fatmasari Diyah , Hartati YK Lucia Endang , Sudirman Sudirman 
Published: February 2019

Background: Anxiety in stroke patients occurs as a normal reaction to stress with life changes; however, when it becomes excessive, it will be disorder. Effort to deal with anxiety is needed and spiritual approach nursing care is considered useful in caring patients with stroke.
Objective: To examine the effect of spiritual nursing care on anxiety in stroke patients in the inpatient ward.
Methods: This study used a quasi-experimental design with pretest-posttest control group. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in the experiment and control group. The Hamilton Anxiety Rating Scale was used to measure anxiety. Data were analyzed using paired t-test and independent t-test.
Results: The results showed that the mean level of anxiety in the experiment group before intervention was 29.33 and decreased to 9 after intervention, while in the control group the mean level of anxiety before intervention was 29.47 and decreased to 17.73 after intervention. Paired t-test obtained p-value 0.000 (<0.05), which indicated that there was a significant effect of spiritual nursing care on anxiety levels in patients with stroke.
Conclusion: Spiritual nursing care could reduce anxiety in patients with stroke.
COMBINATION OF HYPNOSIS THERAPY AND RANGE OF MOTION EXERCISE ON UPPER-EXTREMITY MUSCLE STRENGTH IN PATIENTS WITH NON-HEMORRAGHIC STROKE
Authors: Irawan Chandra , Mardiyono Mardiyono , Suharto Suharto , Santjaka Aris 
Published: February 2019

Background: Range of Motion (ROM) exercise has been identified in the literature that it has an effect in improving muscle strength, especially in patients with stroke. However, little is known about the effect of ROM exercise combined with hypnosis therapy.
Objective: To determine the effect of combination of hypnosis therapy and ROM exercise on upper extremity muscle strength in patients with non-hemorrhagic.
Methods: This study employed a quasi-experiment with pretest-posttest control group design. Thirty-two samples were selected using simple random sampling, which 16 randomly assigned in the experiment and control group. Muscle strength was measured using muscle strength scale. Hypnosis Deepening test was used to measure the level of hypnosis depth. Paired t-test and Independent t-test were used for data analysis.
Results: The mean value of muscle strength in the experiment group was 3.50 and the mean value in the control group was 2.62. Independent sample t-test obtained p-value = 0.012, indicated that there was a statistically significant difference in the mean of muscle strength of upper extremity in the experiment and control group. Paired t-test obtained p-value = 0.000, which indicated that there was significant difference between the average of muscle strength value before and after treatment
Conclusion: The combination of hypnosis therapy and ROM exercise has a significant effect in increasing muscle strength of upper extremity in patients with stroke non-hemorrhagic.
EMPOWERING WOMEN’S ORGANIZATIONS FOR ANEMIA PREVENTION AND CONTROL IN TRIMURTI VILLAGE, SRANDAKAN SUB-DISTRICT, BANTUL, YOGYAKARTA, INDONESIA
Authors: Waryana Waryana , Supadi Supadi , Haryani Wiworo 
Published: February 2019

Background: Anemia in Indonesia is mostly caused by micronutrient deficiency such as iron. Although much have been done to address anemia in the community, the problem remains. As health is not solely government’s responsibility, community participation should be seen as an alternative effective approach.
Objective: The influence of women’s organizations to community participation and their self-sustenance in anemia prevention and control was examined.
Methods: It was a quasi-experimental study with pretest and post-test control group design involving 30 women in reproductive-age who were selected through a multi-stage random sampling method; and 20 health providers, of whom were members of Dasa Wisma, posyandu cadres, PKK, and Karang Taruna. At the intervention group, women’s organization in anemia prevention and control was enabled in order to increase community participation. Hemoglobin level was measured as the outcome of the intervention program.
Results: By empowering women’s organization, participation level of community members in the intervention group significantly increased, shown by family’s willingness to provide and consume iron-sufficient foods in their daily diets. As an outcome, hemoglobin level of reproductive-aged women at the intervention group slightly raised from its initial level, whilst the level in the control group was relatively stagnant.
Conclusion: Involving the community member has been proven as an effective approach in anemia prevention and control. Given that women’s social movement are existed in many settings, therefore, empowering such organization as a manifestation of community participation can be applied in other setting, and also for other health program.
THE CORRELATION BETWEEN LEVEL OF HEMOGLOBIN, HEMATOCRIT, AND THROMBOCYTES OF MOTHER AND ASPHYXIA IN NEWBORN
Authors: Priansiska Norwidya , Raden Abkar , Rokhanawati Dewi 
Published: February 2019

Background: Infant mortality in Indonesia is at the highest level among the countries in South East Asia. Asphyxia in newborn has become the second risk factor for infant mortality.
Objective: The objective of this study was to investigate the correlation between the level of hemoglobin, hematocrit, and thrombocytes of the mothers and asphyxia in the newborns at Panembahan Senopati Bantul Hospital, Indonesia.
Methods: The study employed case-control method with 282 samples, which 141 assigned in the case and control group. This study used medical record of the patients as the secondary data. Chi-square, multiple logistic regression, and Odds Ratio Calculation (OR) were used for data analysis.
Results: There was a meaningful correlation between the level of hemoglobin (OR=2.3, 95%CI=1.3-4), hematocrit (OR=4.3, 95%CI=1.4-13.4, and thrombocytes (OR=5.3, 95%CI=1.14-24.6) of the mothers and asphyxia in newborns. Thrombocytes was the most dominant factor related to asphyxia in newborns.
Conclusion: Mothers who have hemoglobin, hematocrit and thrombocytes levels under the normal have more than two times risk of asphyxia in their newborn than mothers who have normal hemoglobin, hematocrit and thrombocytes levels.
PERCEPTIONS OF INDONESIAN PRACTICAL NURSES TOWARDS UPDATING CAPABILITY TO PROVIDE CARE: A QUALITATIVE STUDY
Authors: Arofiati Fitri , Nuntaboot Khanitta 
Published: February 2019

Background: Capability to provide care can be recognized as the combination of nursing knowledge, skills, and attitude of care which is dynamic.
Objective: This study aims to explore the perceptions of practical nurses towards updating capability to provide care.
Methods: A descriptive qualitative study was conducted to explore the deep understanding of practical nurses towards updating capability to provide care. Data were gathered using in-depth interview with 25 practical nurses from different areas of practices, three times focus group discussion (FGD) and participant-observation. Qualitative content analysis model was applied to anaylze the data.
Result: There were two themes emerged from data: 1) internal perceptions of updating capacity to provide care, with three subthemes: having great expectation, being confidence as a professional nurse, and developing self-initiation, 2) external contexts driving perception of practicing nurses, with two subthemes: giving best care and acquiring requirement.
Conclusions: The findings indicated that updating capacity to provide care supports practical nurses to provide better nursing services to patients and meet the regulation of nursing professionalism.
EFFORT TO REDUCE ANXIETY LEVELS AMONG MOTHERS USING FEBRILE CONVULSIONS EDUCATIONAL PACKAGE
Authors: Rofiqoh Siti , Isyti’aroh Isyti’aroh 
Published: February 2019

Background: Parents often experience anxiety when seeing their children having febrile convulsion. It may be due to lack of knowledge about febrile seizure and the way of handling it.
Objective: This study aims to analyze the education package of febrile convulsion and its effect on mother’s anxiety.
Methods: This was a quasi-experimental study with pretest posttest with control group design. Eighty-one participants were selected, which randomly assigned to be two groups that 41 participants in control group and 40 participants in intervention group. Anxiety was measured using State Anxiety Inventory in Indonesian version. Data were collected from March to Mei, 2017. Data were analyzed using Wilcoxon-test.
Results: The results showed that the mean of anxiety level in the intervention group before intervention was 77.40 and decreased to 35.78 after intervention, while the mean of anxiety level in the control group was 68.17 before intervention and decreased slightly to 64.17 after intervention. The p-value of the difference between control and intervention group was 0.001 (<0.05).
Conclusion: There was a significant effect of education package about febrile convulsion on mother's anxiety level. It is suggested that febrile convulsion educational package can be used as an alternative therapy to reduce anxiety levels among mothers.
THE EFFECT OF KELAKAI (STECHNOLAENA PALUSTRIS) CONSUMPTIONS ON HEMOGLOBIN LEVELS AMONG MIDWIFERY STUDENTS
Authors: Petricka Gracea , Makiyah SN Nurul , Mawarti Retno 
Published: February 2019

Background: It is estimated that 49.2% of Indonesian adolescents (10-19 years) have iron deficiency of anemia. Green vegetables can be used as an alternative consumption to meet the body's need for iron. Kelakai (Stenochlaena palustris) containing 291.32 mg-100 g of Fe has been consumed by Dayak ethnic society to prevent anemia.
Objective: The aim of this study was to determine the effect of Kelakai (Stenochlaena palustris) consumptions to increase hemoglobin levels among late adolescents (17-19 years).
Methods: It was a quasi-experiment with pre-test and post-test study on anemic Midwifery students (8-11 g / dl) of Betang Asi Midwifery Academy of Palangka Raya Indonesia in September 2017. In which Kelakai was given as dietary supplements of the subject line and ferrous fumarate tablet as a control. There were 66 participants recruited by purposive sampling, divided into 33 subjects for each group. Kelakai (Stenochlaena palustris) (250 mg) and ferrous fumarate tablet (60 mg) were administrated daily for a week. Hemoglobin levels were measured before and after intervention using the hemoglobin testing system quick-check tool. Data were analyzed using paired and independent t-test.
Result: The result showed of significant increases on hemoglobin levels (3.24 g / dl) after consuming Kelakai (Stenochlaena palustris) for a week (p≤0.05). The hemoglobin levels after intervention in the control group were 0.03 g / dl higher than Kelakai group, but based on the analysis, there was no significant difference on both groups (p≥0.05).
Conclusion: Kelakai is proven to increase hemoglobin levels. Thus, Kelakai (Stenochlaena palustris) is recommended a food supplementation to prevent iron deficiency of anemia.
VALIDITY AND RELIABILITY OF INSTRUMENT TO MEASURE CLINICAL INDICATOR OF NURSING DIAGNOSIS: FATIGUE ON PATIENT UNDERTAKING HAEMODIALYSIS
Authors: Astuti Atika Dwi , Nurjannah Intansari , Mulyani Sri 
Published: February 2019

Background: Fatigue as nursing diagnosis is a common phenomenon in patient undertaking haemodialysis. There is, however, no clear instrument to measure the clinical indicators of this nursing diagnosis.
Objectives: To measure the validity and reliability an instrument to measure clinical indicator in nursing diagnosis fatigue.
Methods: Content Validity Index for Scale (S-CVI) and Point-Biserial Correlation were used to measure the validity of instrument. Cronbach Alpha Reliability was used for reliability of 72 patients undertaking haemodialysis.
Results: S-CVI score was 1 on relevance, accuracy and clarity, 0.98 on simplicity and ambiguity. The Cronbach’s Alpha of the instrument was 0.675 which was considered reliable.
Conclusion: The instrument to measure clinical indicators of nursing diagnoses fatigue has acceptable validity and reliability score in Indonesian, and it is recommended to be used in clinical setting.
THE EFFECTIVENESS OF COACHING USING SBAR (SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION) COMMUNICATION TOOL ON NURSING SHIFT HANDOVERS
Authors: Herawati Vitri Dyah , Nurmalia Devi , Hartiti Tri , Dwiantoro Luky 
Published: February 2019

Background: The SBAR (situation, background, assessment, recommendation) method assists nurses in communicating information in nursing shift handover. Inaccurate shift handover can have a serious impact on patients due to poor communication. Optimal resource development can be done by coaching as the best guidance method from manager for directional discussion and guidance activity to learn to solve problem or do better job and build nursing leadership culture in clinical service.
Objective: To analyze the effectiveness of coaching method using SBAR communication tool on nursing shift handovers.
Methods: This was a quasi-experimental study with pretest posttest control group design. Fifty-four nurses were selected using a consecutive sampling, which 27 assigned in the experiment and control group. An observation checklist was developed by the researchers based on the Theory of Lardner to evaluate the effectiveness of the implementation of coaching using SBAR on nursing shift handover. Independent t-test, Mann-Whitney test and Wilcoxon test were used for data analyses.
Results: There was an increase in coaching ability of head nurses in the implementation of SBAR in nursing handover after 2-weeks and 4-weeks of coaching. There was also a significant improvement of the use of SBAR on nursing shift handover in the experiment group (p <0.05) compared to the control group.
Conclusion: Coaching using SBAR (situation, background, assessment, recommendation) communication tool was effective on nursing shift handovers. There was a significant increase of the capability of head nurses and nursing shift handovers after given coaching intervention.
FACTORS RELATED TO DEPRESSION AMONG OLDER PEOPLE LIVING IN CIMAHI, WEST JAVA PROVINCE, INDONESIA
Authors: Gustryanti Kiki , Thongpat Sunanta , Maneerat Sonthaya 
Published: February 2019

Background: Depression is commonly found in older people. The prevalence of depression among older people, particularly in Indonesia is increasing worldwide.
Objective: This study aimed to identify the factors related to depression among older people living in Cimahi, West Java Province, Indonesia.
Method: A cross sectional design was used with a total of 267 older people aged from 60 to 79 years old. A multi-stage random sampling was used in five public health centers in Cimahi. The instruments comprised of socio-demographic questionnaires, general health perceptions questionnaire, Chula Activities of Daily Living Index (CADLI), and Geriatric Depression Scale-15 (GDS-15). Data analysis was conducted using descriptive statistic, chi-square, and point-biserial.
Results: The result revealed that 56.2% of respondents were no depression and 43.8% of respondents was depression. The results also showed that age, marital status, family history of depression, perceived health status, and activities of daily living was significant relationship with depression among older people (p<.01; p<.05).
Conclusion: This finding can be used as a reference to implement new strategies to decrease depression among older people.

This article has been corrected with a separate erratum: https://doi.org/10.33546/bnj.1141
EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE (SACETT) IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT
Authors: Sukmadi Arfiyan , Pujiastuti Rr Sri Endang , Santjaka Aris , Supriyadi Supriyadi 
Published: February 2019

Background: The mechanical ventilator is an indispensable breathing tool in the Intensive Care Unit (ICU). But the mechanical ventilator is associated with the risk of Ventilator Associated Pneumonia (VAP). VAP occurs due to poor hygiene of the endotracheal tube (ETT). ETT hygiene should be maintained to inhibit bacterial development in the lungs using suction above cuff endotracheal tube (SACETT) to prevent VAP.
Objective: To analyze the effectiveness of SACETT in preventing Ventilator Associated Pneumonia (VAP) in critical patients in the ICU.
Methods: This was a quasi-experimental study with posttest only with control group design with 15 samples in intervention group (SACETT and Chlorhexidine 0.2%) and 15 in control group (ETT, Open Suction, and Chlorhexidine 0.2%) with purposive technique sampling. The Simplified Clinical Pulmonary Infection Score (CPIS) was used to measure VAP.
Results: This study illustrates that there was no VAP incidence in the intervention group, and as much as 13.3% VAP in the control group. SACETT was more effective in preventing VAP than in standard ETT on day 4 (p = 0.001).
Conclusion: SACETT is more effective in preventing VAP than standard ETT in the fourth day in patients with neurological, cardiovascular, urinary, digestive, and immune system disorders.