bluuebunny/crossref_metadata_2025_split huggingface dataset:
EFFECT OF 14 POINTS ACUPRESSURE ON UPPER AND LOWER EXTREMITY MUSCLE STRENGTH LEVELS IN PATIENTS WITH NON-HEMORRHAGIC STROKE
Authors: Asmawariza Lalu Hersika , Hadisaputro Suharyo , Mardiyono Mardiyono , Parwati Desak Made Wenten 
Published: February 2019

Background: Acupressure is considered as one form of holistic therapies that can improve tissue perfusion to improve motor function in patients with stroke.Objective: To analyze the effect of 14 points acupressure on upper and lower extremity muscle strength in patients with non-hemorrhagic stroke patients.Methods: This was a quasi-experimental study with pretest posttest control group design. Paired comparative analytic design was also used. Thirty-eight participants were selected, which 19 participants assigned in the experiment and control group. The Medical Research Council (MRC) scale was used to measure the lower and upper muscle strengths.Results: There was a significant difference between the improvement of the upper muscle strength in the experimental group and the control group at day 3, 4, 5, 6, 7 (p = 0.010, p = 0.000, p = 0.000, p = 0.000, p = 0.000); and there was a significant difference between the improvement of the lower extremity muscle strength in the experimental group and the control group at day 3, 4, 5, 6, 7 (p=0.023, p=0.000, p=0.000, p=0.000, p=0.000).Conclusion: The 14 points acupressure is effective in increasing upper and lower extremity muscle strength in patients with non-hemorrhagic stroke.
COMPARISON OF EFFECTIVENESS OF A PROGRESSIVE MOBILIZATION AND MOZART MUSIC THERAPY ON NON-INVASIVE HEMODYNAMIC STATUS CHANGES IN PATIENTS WITH HEAD INJURY IN THE INTENSIVE CARE UNIT
Authors: Indriani Novi , Santoso Bedjo , Arwani Arwani , Mardiyono Mardiyono 
Published: February 2019

Background: The instability of hemodynamic status in patients with head injury with decreased consciousness has an effect on the increase of intracranial pressure. The recovery of hemodynamic status can be done through nursing intervention either by providing a sensory stimulus (music therapy) or motor stimulus (progressive mobilization).
Objective: To compare the effectiveness of progressive mobilization of level I with Mozart's music therapy on non-invasive hemodynamic status changes in patients with head injury with decreased awareness.
Methods: This was a quasi-experimental study with pretest-posttest design. There were 34 samples selected using consecutive sampling, which 17 samples assigned in a group of progressive mobilization and group of music therapy. Paired t-test and Wilcoxon test were used for paired group, and Independent t-test and Mann-Whitney test for unpaired group.
Results: Progressive mobilization of level I had significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.002) and MAP (p = 0.019), and no significant effect on heart rate (p = 0.155), respiration (p = 0.895) and oxygen saturation (p = 0.248). Mozart's music therapy had a significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.0001), respiration (p= 0.032) and oxygen saturation (p = 0.008), but no effect on MAP (p = 0.561). There was a significant difference between the two interventions in the systolic blood pressure and heart rate variables (p <0.05), while the diastolic blood pressure, MAP, respiration and oxygen saturation variables did not show a difference (p> 0.05).
Conclusion: The Mozart's music therapy is more effective on non-invasive hemodynamic status changes in patients with head injury with decreased consciousness compared with progressive mobilization of level I.
FACTORS INFLUENCING MATERNAL LABOR COMPLICATION IN KUTAI KARTANEGARA REGION
Authors: Astutik Widya , Dasuki Djaswadi , Kurniawati Herlin Fitriani 
Published: February 2019

Background: To decrease maternal mortality rate until 70 per 100,000 living birth in 2030 (SDG’s) has become the health priority. In fact, the maternal mortality rate in Indonesia is still very high, and almost two-third maternal mortality is caused by maternal labor complications.
Objective: The objective of the study was to investigate the factors influencing maternal labor complications in Kutai Kartanegara Region Indonesia in 2017.
Methods: This was a correlational study with cross sectional design. The populations in the study were women who had labor process in the area of Kutai Kartanegara Region. There were 95 respondents selected using purposive sampling. Data were collected using questionnaires and medical records. Chi-square and logistic regression were used for data analysis.
Results: Most of the respondents had maternal labor complication (53.7%). The highest complication occurred was prolonged labor (58.9%). Factors influencing maternal labor complication were antenatal care, mother’s age, education level, parity, and distance of pregnancy. Age was identified as the most dominant variable influencing maternal complication, with the value of OR was 5.837, which indicated that high-risk-age mothers have 5.837 times of labor complication than mothers with no risk age.
Conclusion: Antenatal care, age, education, parity and distance of pregnancy had correlation with maternal labor complications, and its most dominant variable was age.
THE ROLE OF MATERNAL SUPPORT MOTIVATORS AND EXCLUSIVE BREASTFEEDING BEHAVIOR AT THE PUBLIC HEALTH CENTER IN YOGYAKARTA: A CORRELATIONAL STUDY
Authors: Fauzi Aulia Ridla , Suryantoro Purnomo , Rokhanawati Dewi 
Published: February 2019

Background: The target of exclusive breastfeeding decreased to 17% at the Pakualaman Health Center in Yogyakarta due to the barriers caused by the wrong perception regarding breastfeeding and returning to work. The roles of motivators in the promotion activity and exclusive breastfeeding reinforcements are expected to exchange experience among peers who have experienced of exclusive breastfeeding at maternal group activities.
Objective: To identify the correlation between the role of motivators in supporting maternal groups in providing exclusive breastfeeding and exclusive breastfeeding behavior.
Methods: This was a correlational study with cross-sectional design on 55 samples selected using purposive sampling technique. This study was conducted in women who had a > 6-23-month infant at Pakualaman Health Center in Yogyakarta Indonesia in 2017. Chi-square and multiple logistic regressions were used for data analysis.
Results: There was no significant correlation between the role of motivators in supporting maternal groups and exclusive breastfeeding behavior in mothers with 0-6-month infants (p= 0.631). There was a significant correlation between the variable of access to information with the behavior of exclusive breastfeeding (p = 0.019).
Conclusion: The role of motivators in supporting maternal groups has no significant relationship with exclusive breastfeeding behavior. It is suggested for midwives to increase the access of information among mothers, as information access has significant association with behavior of mothers in exclusive breastfeeding.
THE CORRELATION BETWEEN KNOWLEDGE OF MARRIAGEABLE AGE, EDUCATION, MATCHMAKING AND CHILD MARRIAGE IN FEMALES IN BANJARNEGARA INDONESIA
Authors: Sumanti Reni , Handayani Sri , Astuti Dhesi Ari 
Published: February 2019

Background: Teenage marriage is still found in developing countries including in Indonesia. The percentage of teenage marriage in females in Indonesia in 2016 was 11.5%. Various factors related to teenage marriage are education, knowledge, economy, and culture. Impacts caused by teenage marriages include pregnancy in adolescence which results in increased maternal and infant deaths, dropouts, and poor quality of the family. The prevalence of teenage marriage in Banjarnegara in 2016 was 23% higher than the national prevalence.
Objective: This study aims to determine the correlation between factors related to knowledge of marriageable age, education, matchmaking and child marriage in females in Banjarnegara Indonesia.
Methods: This was a correlational cross-sectional study. There were 96 respondents selected using proportionated stratified random sampling. Chi square and logistic regression were used for data analysis.
Results: Findings show that there were statistically significant correlations between knowledge of marriageable age, education and child marriage. There was no significant relationship between matchmaking and child marriage. The respondents with low knowledge were 0.5 times more likely to have child marriage compared with those with high knowledge (p = 0.001, 95% CI = 0.320-0.782).
Conclusion: Knowledge of marriageable age was considered as the dominant factor affecting child marriage in Banjarnegara Indonesia. It is suggested that health care providers should continuously promote about the impact of child marriage to increase the knowledge of marriageable age.
FACTORS RELATED TO RESILIENCE IN TYPE 2 DIABETES MELLITUS PATIENTS IN DENPASAR BASED ON SELF-CONCEPT MODE OF ROY ADAPTATION MODEL
Authors: Yundarini Ni Made Candra , Noorhamdani Noorhamdani , Kristianto Heri 
Published: February 2019

Background: Patients with type 2 Diabetes mellitus are impaired both physically and psychologically. Based on preliminary studies carried out in public health centers in Denpasar, Bali, out of 10 patients interviewed, 70% of the patients with type 2 diabetes mellitus expressed their difficulties in adapting to the current state of the disease. One of the capabilities that must be owned by the patients to be able to adapt to the stressor is resilience. Roy adaptation model could be used in order to explain factors associated with resilience in patients with type 2 diabetes mellitus.
Objective: To analyze the factors associated with resilience in patients with type 2 diabetes mellitus in Denpasar based on self-concept mode of Roy adaptation model.
Methods: It used an observational analytic design with cross-sectional approach. Respondents used in this study were type 2 diabetes mellitus patients in four selected public health centers in Denpasar, Bali. 125 samples obtained by cluster sampling technique were used in this study. Conor-Davidson Resilience Scale-2 (CD-RISC-2), Illness Identity Questionnaire (IIQ) and Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-Sp) questionnaires were used in order to measure resilience, self-concept, and spirituality respectively. Pearson Product Moment test was used for bivariate analysis to determine the relationship between self-concept and spirituality and resilience in patients with type 2 diabetes mellitus. Multiple Linear Regression was used for multivariate analysis in order to find the most dominant factor related to resilience based on self-concept mode of Roy adaptation model.
Results: The results of this study showed a significant relationship between self-concept and spirituality with resilience in patients with type 2 diabetes mellitus (p = 0.000). These two variables have r values equal to 0.599 and 0.597 respectively. Multiple linear regression showed that self-concept was the dominant factor related to resilience based on self-concept mode of Roy adaptation model with beta value equals to 0.687.
Conclusion: There was a significant relationship between factors associated with resilience in patients with type 2 diabetes mellitus in Denpasar based on self-concept mode of Roy adaptation model.
VALIDITY AND RELIABILITY OF SHORTENED GENERAL COMFORT QUESTIONNAIRE IN INDONESIAN VERSION
Authors: Artanti Eria Riski , Nurjannah Intansari , Subroto Subroto 
Published: February 2019

Background: Comfort is one of nurses’ concerns in each of nursing care activity. There are several different instruments to measure patient’s comfort. Tools regarding comfort however, have not been developed and tested in Indonesian.
Objectives: This study aimed to assess the validity and reliability of the Shortened General Comfort Questionnaire (SGCQ) in Indonesian version.
Methods: SGCQ was translated and back translated to Indonesian before it was used for this study. Three experts (two lecturers and one clinician) were recruited to measure the content validity of SGCQ in Indonesian version. S-CVI and I-CVI analyses were used to measure the content validity of this instrument, and Pearson correlation was used for the construct validity. Content validity of instruments consists of relevance, accuracy, clarity, credibility and equivalency. Reliability analysis of this instrument was performed using Cronbach’s alpha in 71 patients undergoing hemodialysis.
Results: Result show that an I-CVI score was 1, which implies that each item of relevance, accuracy, clarity, credibility, and equivalency was acceptable. In addition, the S-CVI score was also 1, which implies that the validity of this instrument was acceptable. Cronbach’s alpha score was also showed 0.769 means that the SGCQ instrument in the Indonesian language is reliable because the score was in the range of 0.7–0.95.
Conclusion: SGCQ in Indonesian version has acceptable validity and reliability and it can be used to measure patient’s comfort level in Indonesian.
THE IMPLEMENTATION OF THERAPEUTIC COMMUNICATION OF NURSES TO THE PARENTS OF PEDIATRIC PATIENTS IN PRE-OPERATIVE STAGE
Authors: Adistie Fanny , Mediani Henny Suzana , Nurhidayah Ikeu , Hendrawati Sri 
Published: February 2019

Background: The pre-operative care aims at preparing the patient and family to face the surgery. In providing nursing care to the pediatric patients, it is better and is recommended that the nurse demonstrate a therapeutic communication.
Objective: This study aims to identify the implementation of the therapeutic communication by nurses to the parents of the pediatric patients who will undergo surgery in the pediatric surgical ward based on the perspective and expectation of the parents.
Methods: The study used a mixed method, with the strategy of sequential explanatory. The quantitative study involved 101 respondents. The implementation of therapeutic communication is measured by using the questionnaire of therapeutic communication implementation. The qualitative study was conducted to six participants as samples, with analysis interactive model technique.
Results: The result of quantitative study found that 53.5% identified poor therapeutic communication being implemented by nurses to the parents of the patients. The result of the qualitative study foundthat parents expect comprehensive therapeutic communication from nurses, both in terms of language or behavior in any delivery of information or actions to be performed.
Conclusion: The result of this study is expected to be an input for the health care institutions, especially to make it as a reference for consideration in making the standard operating procedures on the implementation of therapeutic communication to improve the nurses’ quality of care.
COMPARISON STUDY OF ENERGY EXPENDITURE CALCULATION BETWEEN CONVENTIONAL METHOD AND IRETON-JONES METHOD FOR CRITICALLY ILL PATIENT
Authors: Ismail Suhartini , Nursasmita Rizqi 
Published: February 2019

Background: The critically ill patients are having nutrition problems in dealing with the critical condition. The problem of nutrition is demanding on the severity of illness. Therefore, the ICU nurses should understand how nutrition can support the patients’ recovery.
Objective: This study’s aim was to compare the result of energy expenditure calculation of conventional method with Ireton-Jones method for critically ill patients in the intensive care unit.
Methods: This was a comparative and cross-sectional study which recruited 40 samples. The samples were divided into two groups, conventional group method and Ireton-Jones group method, and they met the inclusion criteria. The sample of this study was determined by convenience sampling. To answer the hypothesis, the hypothesis test used Independent sample t-test.
Results: The results revealed that there is no significance difference between energy expenditure calculation conventional method and Ireton-Jones method statically. In the other word, either used the conventional method or the Ireton Jones method, the result of energy expenditure calculation has statically significant difference.
Conclusion: It can be concluded that the nurse can use both methods to calculate the energy expenditure for critically ill patients to meet their nutrition need. We suggest that for further investigation will recruit many samples and do control of other factors that might be influenced in the study.
THE DESCRIPTION OF RESILIENCE IN POST-ACUTE ATTACK PATIENT WITH CORONARY ARTERY DISEASE
Authors: Puspawatie Eva , Prawesti Ayu , Sutini Titin 
Published: February 2019

Background: Coronary heart disease patients shall experience physical, psychological and social changes that will affect life. The psychological condition of outpatients that has been investigated include anxiety, depression and quality of life, all of these problems can be attributed to resilience.
Objective: The purpose of this study was to determine the image of resilience of coronary heart disease patient following up the acute attack in outpatient ward.
Methods: The research method used quantitative descriptive using CD-RISC instrument 25. Instrument had validity value r = 0.83, P <.0001 and reliability value of Cronbach’s α 0.89. The selection of sample with consecutive sampling and got sample number 50 people for 2 weeks. Data were analyzed based on the value of each respondent categorized using tertile to see the overall resilience picture, while for the five sub-variables measured using the mean and standard deviation.
Result: The results showed that almost half of respondents had 70-75 resilience. The mean value of sub-variables if sorted from the lowest to the highest is trust and reinforcement (2.71±0.58); competence and resilience (2.88±0.53); relationships with others (2.92±0.48); self-control (3.04±0.62) and spiritual influence (3.33±0.45). These results are influenced by lack of self-efficacy, optimism and family support.
Conclusion: The conclusions of the research resilience of patients are in the medium category, for the lowest sub-variable value is trust and strengthening, while the highest is the spiritual influence. So, it is advisable to provide education to improve management skills post-acute attacks and increase social support in the care of patients at home.
CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
Authors: Solikhah Umi , Kusnanto Hari , Haryanti Fitri , Prabandari Yayi Suryo 
Published: February 2019

Background: One of the efforts in the health sector for programs to reduce infant and under-five mortality and morbidity rates is by the competence-based integrated management childhood illness (CB-IMCI) program. However, the program has been poorly implemented by health workers at the health center. Thus, the involvement of cadres is needed and their competency remains important to be improved.
Objective: To quantitatively analyze cadre knowledge and competencies in the CB-IMCI program, and its relationship with the implementation of CB-IMCI, as well as to qualitatively explore and analyze the responses of cadres, health workers, and the community to the addition of cadre roles to the management of sick children.
Methods: This was a mixed methods study with randomized controlled trials and qualitative method. For randomized controlled trials, 100 cadres were selected, which 50 randomly assigned in the intervention and control group. And for quantitative methods, informants included 10 cadres, 4 health workers, and 20 mothers. Paired t-test and independent t-test were employed for quantitative analysis, and triangulation was used for qualitative analysis.
Results: The improvement of knowledge in the intervention group was better (I=14.42/C=4.44/p-value 0.00). The intervention group was more competent in the management of child illness (p-value 0.00). In addition, the cadres have additional competencies assisted by health workers to confidently detect cases earlier, and health center services reach a wider coverage in the community.
Conclusion: The addition of cadres’ roles and competencies in the management of child illness in the community can be implemented in Banyumas District. It is suggested that the implementation of this program should be followed up in other health centers by the Health Department of Indonesia.
EFFECTIVENESS OF BREASTFEEDING AND NON-NUTRITIVE SUCKING ON PAIN RELIEF IN INFANT IMMUNIZATION
Authors: Probowati Etri , Soejoenoes Ariawan , Wahyuni M Sri , Mulyantoro Donny Kristanto , Widyawati Melyana Nurul , Fatmasari Diyah 
Published: February 2019

Background: Immunization in infants is an action that can cause trauma due to injection of the immunization that can cause pain. Breastfeeding and non-nutritive sucking are considered non-pharmacologic strategies of pain management.
Objective: This study aims to investigate the effectiveness of breastfeeding and non-nutritive sucking on pain relief in infant immunization.
Methods: This was a quasi-experimental study with posttest only control group. This study was conducted on 26 October till 30 November 2016 at three Community Health Centers (Puskesmas), namely Puskesmas Cilacap Utara I, Puskesmas Cilacap Tengah, and Puskesmas Cilacap Selatan I. The population was infants aged 2-4 months who got immunization of DPT-HB-Hib 1. Samples were recruited using a consecutive sampling technique. There were 69 samples in this study, which were divided into three groups: 1) The group given a breastfeeding intervention (23 respondents), 2) The second group given a non-nutritive sucking intervention (23 respondents), and 3) The control group (23 respondents). Data were analyzed using ANOVA.
Results: The average of pain response of the three groups was 2.74 in the breastfeeding group, 1.87 in the non-nutritive sucking group, and 3.26 in the control group. There was a significant difference between non-nutritive sucking and control group with p-value = 0.000, and also a significant difference between breastfeeding and non-nutritive sucking with p-value = 0.016. However, there was no difference between breastfeeding and control group with p-value = 0.142.
Conclusion: Breastfeeding and non-nutritive sucking were effective in reducing pain during infant immunization. It is suggested that midwives could administer these interventions to reduce pain in infant immunization, and it could be applied as non-pharmacological strategy in pain management in the community health center in Indonesia.