bluuebunny/crossref_metadata_2025_split huggingface dataset:
EFFECT OF MUSA BALBISIANA COLLA EXTRACT ON BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS
Authors: Wahyuningsih Diyan , Hidayat Syarief Taufik , Khafidhoh Nur , Suwondo Ari , Fatmasari Diyah , Susiloretni Kun Aristiati 
Published: February 2019

Background: Musa balbisiana Colla, known as Jantung Pisang Klutuk or Pisang Batu, is considered as a traditional food that can increase breast milk production. Little is known about its benefit in Indonesia. Thus, to examine the impact of Musa balbisiana Colla on the production of breast milk is needed.
Objective: This study aims to examine the effect of the extract of banana flower (Musa balbisiana Colla) to increase milk production of breastfeeding mothers.
Methods: This was a quasi-experimental study with pretest-posttest control group design. This study was conducted in the working area of the Health Center (Puskesmas) of Pesantren II in January – February 2017. There were 16 respondents were selected by accidental sampling, divided into intervention group (8 respondents) and control group (8 respondents). Randomization was performed to select the respondent in each group. The quantity of milk production was measured based on the volume of milk production, while the quality of milk production was based on the levels of prolactin in early (pre) and late (post) using Electro Chemi-Luminescence Immunoassay (ECLIA) method. Independent t-test was used to analyze the data.
Results: Findings showed that the mean of the volume of the breast milk production in the experiment group was 470.681 ml and in the control group was 364.650 ml with SD 113.502. The mean of prolactin levels in the experiment group was 35.337 nanogram and in the control group was -38.381 nanogram. There was a significant effect of consuming Musa balbisiana Colla extract on the volume of breast milk production (p-value 0.003) and prolactin levels (p-value 0.001) (<0.05).
Conclusion: There was a significant effect of banana flower (Musa balbisiana Colla) extract on breast milk production and prolactin level in breastfeeding mothers. The findings of this study could be used to be alternative daily menu for postpartum mothers and a solution for midwives to deal with those who have inadequate production of breast milk and low prolactin levels.
EFFECT OF CONSUMING RED SPINACH (AMARANTHUS TRICOLOR L) EXTRACT ON HEMOGLOBIN LEVEL IN POSTPARTUM MOTHERS
Authors: Muliani Resty Himma , Soejoenoes Ariawan , Suherni Titi , Hadisaputro Soeharyo , Mashoedi Imam Djamaluddin 
Published: February 2019

Background: Postpartum mothers are susceptible to anemia, due to loss of blood count during labor. Postpartum anemia causes uterine subinvolution which causes postpartum hemorrhage, facilitates puerperium infection, decreases breastfeeding and causes mamae infection. One alternative to prevent anemia in postpartum is to consume vegetables with high iron one red spinach. Red spinach is one of the non-heme iron sources needed to synthesize hemoglobin.
Objective: To determine the effect of red spinach in increasing the levels of hemoglobin in postpartum mothers.
Methods: This was a quasi-experiment with pretest posttest with control group design in October-December 2017 at the Community Health Center of PONED Tarub, Tegal regency, Indonesia. Thirty postpartum mothers were included using purposive sampling, which 15 assigned in each group. Blood sampling and examination were performed in each respondent. Paired and Independent t-test were done for data analysis.
Results: The results of the 14-day intervention of given red spinach extract showed that there was a significant increase of hemoglobin level (1.25 g / dL) with p-value 0.047.
Conclusion: There is a significant effect of consuming red spinach extract (Amaranthus tricolor L.) on the increase of hemoglobin level in postpartum mother. It is recommended that midwives could apply this intervention and cooperate with agriculture and food processing in order to produce red spinach extract that increases hemoglobin, hematocrit and erythrocytes levels.
ITEM ANALYSIS AND INTERNAL CONSISTENCY OF CHILDREN’S SLEEP HABIT QUESTIONNAIRE (CSHQ) IN INDONESIAN VERSION
Authors: Hartini Sri , Sunartini Sunartini , Herini Elsisabeth Siti , Takada Satoshi 
Published: February 2019

Background: The Children’s Sleep Habit Questionnaire (CSHQ) has been utilized for assessing sleep behavior problems in children aged 4-10 years in many countries. However, a proper tool to detect of sleep behavior problems in Indonesian children has not been proven.
Aims: The aim of our study was to test the item analysis and internal consistency of the Children’s Sleep Habit Questionnaire (CSHQ) in Indonesian version.
Methods: We used a cross-sectional design and 305 mothers of pre- and primary school children in Yogyakarta Indonesia participated in this study. The Indonesian version of the Children’s Sleep Habit Questionnaire was used for assessing the sleep behavior problems in children. Internal consistency was evaluated by using the Cronbach α method. The internal consistency was tested with Cronbach alpha coefficients. Pearson’s Product Moment was completed to estimate the correlation between all items of CSHQ with Subscales and total scores of CSHQ.
Results: Internal consistency of all items of the Children’s Sleep Habit Questionnaire was 0.80. Internal consistency of subscales ranged from 0.42 (parasomnias) to 0.66 (night wakening). 31 of 33 items had significant positive correlation with total score of Children’s Sleep Habit Questionnaire. Inter-subscales with the highest correlation were sleep onset delay with parasomnias, parasomnias with sleeps disordered breathing, and sleep disorder breathing with night waking.
Conclusions: The Indonesian version of the Children’s Sleep Habit Questionnaire is suitable for screening sleep behavior problems in Indonesian children aged 4-10 years.
THE REFLECTIVE SUPERVISION MODEL: AN EFFORT TO INCREASE NURSE JOB SATISFACTION
Authors: Santoso Santoso , Sari Rita Kartika , Anggorowati Anggorowati 
Published: February 2019

Background: Job satisfaction influences the quality of health services in hospitals. However, low job satisfaction of nurses exists in the literature and influenced by various factors, including supervision. Thus, a reflective supervision model is considered effective in improving nurse job satisfaction.
Objective: This study aims to analyze the effect of the reflective supervision model on nurse job satisfaction.
Methods: This was a quasi-experimental study with control group design conducted from May to July 2017 at two hospitals at Central Java, Indonesia. There were sixty-eight nurses selected using purposive sampling, with 34 nurses assigned in the experiment and control group. Data were collected using questionnaires and then analyzed by paired t-test.
Results: Paired t-test obtained p-value of 0.000, which indicated that the reflective supervision model has a significant influence to nurse work satisfaction.
Conclusion: The reflective supervision model has a significant effect in increasing nurse job satisfaction. Therefore, this model could be applied by the head nurses to improve nurse outcome indicator, especially for nurse job satisfaction.
ALOE VERA BARBADENSIS MILLER AS AN ALTERNATIVE TREATMENT FOR CHILDREN WITH FEVER
Authors: Dwi Astuti Siti Choirul , Suhartono Suhartono , Ngadiyono Ngadiyono , Supriyana Supriyana 
Published: February 2019

Background: Applying a cooling treatment from outside the body is one way to lower fever in children. Midwives commonly perform a warm water compress in their care, but it is considered less effective. Thus, compress with Aloe Vera Barbadensis Miller is proposed in this study as an alternative treatment.
Objective: To examine the effect of Aloe Vera Barbadensis Miller compress in reducing body temperature in children with fever.
Methods: This was a quasi-experimental study with pretest and posttest with control group design. Forty children were recruited, with twenty of them assigned in each group. Purposive sampling was performed to select the sample. A digital rectal thermometer was used to measure the temperature. Independent t- test and paired test were used for data analysis.
Results: Findings showed that the Aloe Vera compress group showed a higher decrease of body temperature compared to the warm water compress group. The difference of body temperature after 20 minutes in the experiment group was 1.435 while in the control group was only 1.085. There were statistically significant differences in body temperature between the experiment and control group (p=0.013).
Conclusion: Aloe Vera Barbadensis Miller compress is an effective alternative therapy in reducing body temperature in children with fever. It is recommended for midwives to apply this intervention to reduce body temperature significantly.
EFFECT OF CONSUMING GREEN BEAN (PHASEOLUS RADIATUS) JUICE ON MATERNAL BLOOD PROFILE DURING PREGNANCY
Authors: Anastasia S Stefani , Soehartono Soehartono , Ngadiyono Ngadiyono , Muchlis Muchlis , Dyah Dyah 
Published: February 2019

Background: Most of anemia in pregnancy is caused by iron deficiency. Thus, giving iron tablets is an effort to deal with anemia. A green bean (Phaseolus Radiatus) juice is considered helping the absorption of iron effectively.
Objective: To analyze the effect of green bean (Phaseolus Radiatus) juice on changes in blood profile levels in pregnant women with anemia who received Fe tablet supplementation.
Methods: This was a quasi-experimental study with pretest posttest with control group design conducted from November 2016 to January 2017 in the working area of the Community Health Center of Kedungmundu Semarang, Indonesia. Consecutive sampling was used in this study to select 40 samples based on the hypothesis formula of two independents. There were 20 samples assigned in each group. Data were analyzed using paired t-test and Independent t-test.
Results: The results of this study showed that there were significant increases in hemoglobin, hematocrit, and erythrocytes (p = 0.000) after given green bean (Phaseolus Radiatus) juice.
Conclusion: There was a significant effect of green bean (Phaseolus Radiatus) juice in increasing the levels of hemoglobin, hematocrit, and erythrocytes. It is expected that this green bean juice can be used as an alternative treatment to deal with anemia in pregnant women.
EFFECT OF HEALTH EDUCATION OF SLEEP HYGIENE ON SLEEP PROBLEMS IN PRESCHOOLERS
Authors: Wahyuningrum Eka , Hartini Sri , Rahmat Ibrahim 
Published: February 2019

Background: Children need adequate sleep for good health status. Without a balanced sleep, it will encourage the emergence of serious health or developmental problems. Previous studies showed more than 40% of preschoolers experienced sleep problems.
Objective: To examine the effect of HESH (Health Education of Sleep Hygiene) on sleep problems in preschoolers.
Methods: Pretest posttest design non-equivalent control group was used in this study. Sixty participants recruited by consecutive sampling. Parents in the experimental group received health education using power point and booklet HESH for 100 minutes, parents in the control group received health education using power point for 100 minutes without booklet HESH. Telephone follow up was done for evaluation program. Sleep problem was measured with Children’s Sleep Habits Questionnaire (CSHQ) completed by children’s parents. Data analysis used unpaired t-test with 95% confidence interval.
Results: The result showed that there was effect of HESH toward sleep problems in preschooler (experimental group: -3.367±5.269; control group: 0.033±5.061, p= 0.015).
Conclusion: HESH in parents could decrease sleep problems in preschoolers in Indonesia. It is expected that HESH can be used as an alternative nursing intervention involved parents to decreases sleep problem in preschooler.
EFFECTIVENESS OF PROGRESSIVE MOBILIZATION LEVEL I AND II ON HEMODYNAMIC STATUS AND DECUBITUS ULCER RISK IN CRITICALLY ILL PATIENTS
Authors: Rahayu Ningtyas Ni Wayan , Pujiastuti RR Sri Endang , Indriyawati Nina 
Published: February 2019

Background: Patient immobility remains to be one of the primary causes of pressure ulcers. Therefore, mobilization is necessity for patients being treated in the intensive care unit. However, the occurrence of pressure ulcers is dependent on not only the mobilization but also the bed itself and the type of mattress. This study used the same mattress and bed and compared the effectiveness of progressive mobilization with regular mobilization.
Objective: This study aims to examine the effectiveness of progressive mobilization level I and II on hemodynamic status and decubitus ulcer risk in critically ill patients.
Methods: This was a quasi-experimental study using repeated measure design. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in each group. A Braden scale was used to measure the risk of decubitus ulcer. Paired t-test and repeated measures ANOVA were performed for data analysis.
Results: Paired t-test showed that there was a significant difference of systolic pressure, diastolic pressure, MAP, heart rate, and Braden score after given intervention with p-value <0.05. However, repeated ANOVA test showed that diastolic pressure had p-value >0.05, thus could not be continued to post-hoc test. The progressive mobilization of level I and II in critical patients can stabilize systolic pressure (52.46%), stabilize MAP (58.43%), stabilize heart rate (68.99%), and reduce the risk of decubitus (55.03%) for 7 days of recurrent intervention.
Conclusion: The progressive mobilization of level I and II can reduce the risk of decubitus and stabilize the patient's hemodynamic status in critical patients.
EFFECT OF ACUPRESSURE THERAPY POINT LI 4, SP 6, AND BL 60 ON DURATION OF THE FIRST STAGE OF LABOR IN PRIMIGRAVIDA AND NEWBORN’S APGAR SCORE
Authors: Theresia Patty Fara Imelda , Suhartono Suhartono , Ngadiyono Ngadiyono , Mardiyono Mardiyono 
Published: February 2019

Background: The prolonged partus is one of the causes of maternal deaths marked by the slow progress of labor. Induction of labor and caesarean section is a common procedure performed on long-term partus events to end pregnancy. The birth acupressure technique is a complementary method to activate the hormone oxytocin at a certain point to use to soften the cervix and increase contraction.
Objective: To examine the effect of acupressure point LI4, SP6 and BL60 on the duration of the first stage of labor and APGAR score of newborns in primigravida.
Methods: This research employed a quasi-experimental study with posttest control group design. It was conducted at the Public Health Center of Trauma and Public Health Center of Palaran Samarinda, East Kalimantan, Indonesia. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in the experiment and control group. The duration of the first stage of labor was assessed using partograph and APGAR score was assessed using APGAR score assessment sheets. Mann Whitney test was used for data analysis
Results: Findings showed that the duration of the first stage of labor in the experiment group was 187 minutes and in the control group was 307 minutes. Mann Whitney test obtained p-value 0.001 (<0.05), which indicated that there was a statistically significant difference of the duration of the first stage of labor between both groups. However, Mann Whitney test for APGAR score showed p-value 0.114 (>0.05), which indicated that there was no significant difference of APGAR score in the experiment and control group.
Conclusion: There was a significant effect of acupressure on the duration of the first stage of labor, but no effect of the APGAR score. Therefore, acupressure may be recommended to shorten the duration of the first stage of delivery in primigravida.
EFFECTIVENESS OF LAVENDER AROMATHERAPY AND CLASSICAL MUSIC THERAPY IN LOWERING BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION
Authors: Maisi Sri , Suryono Suryono , Widyawati Melyana Nurul , Suwondo Ari , Kusworowulan Suryati 
Published: February 2019

Background: Hypertension during pregnancy remains high in Indonesia. It is a major cause of maternal death. Aromatherapy lavender and classical music therapy are considered effective in lowering blood pressure in hypertension.
Objective: To examine the effect of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension.
Methods: A quasi-experimental study with pretest-posttest control group design. There were 52 pregnant women selected using simple random sampling, divided into lavender aromatherapy group, classical music group, combination of aromatherapy and music group, and control group. Sphygmomanometer was used to measure blood pressure. Mann Whitney and Post Hoc test were used for data analysis.
Results: Results showed that four groups had a significant decrease in systolic blood pressure after given intervention with p-value <0.05. The mean decrease of systolic blood pressure among four groups was: lavender group (5.77 mmHg), music group (7.23 mmHg), combination group (9.54 mmHg), and control group (3.67 mmHg); and the mean decrease of diastolic blood pressure was: the lavender group (2.77 mmHg), music group (0.61 mmHg), combination group (8.23 mmHg), and control group (3.42 mmHg).
Conclusion: There was a significant effect of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. However, the combination of both interventions was more effective than lavender aromatherapy or music therapy alone.
EFFECT OF PSYCHOEDUCATION ON ANXIETY IN PATIENTS WITH CORONARY HEART DISEASE
Authors: Sulistiyo Yuli , Santoso Bedjo , Shobirun Shobirun , Hadisaputro Soeharyo , Latifah Leni , Endang Pujiastuti Rr Sri 
Published: February 2019

Background: Cardiovascular heart disease still remains high in Indonesia. Various interventions have been implemented as an effort to deal with cardiovascular disease. However, little is known about intervention to reduce anxiety in patients with cardiovascular disease although anxiety is related to angina attack in this patient. Psychoeducation is considered effective in decreasing anxiety.
Objective: To examine the effect of psychoeducation in decreasing anxiety in patients with coronary heart disease (CHD) at the General Hospital of Semarang, Indonesia
Methods: This was a quasi-experimental design with pretest posttest control group design. The study was conducted in the inpatient wards of the General Hospital of Semarang on 17 January until 8 March 2017. Fifty-six respondents were recruited using consecutive sampling, with 28 assigned in the experiment and control group. Hamilton Anxiety Rating Scale (HARS) was used to measure anxiety levels. Paired t-test and Independent t-test were used for data analysis.
Results: Paired test showed that there was a statistically significant effect of psychoeducation on anxiety level in the experiment group with p-value 0.001 (<0.05), and significant effect of given a brochure of CHD on the anxiety level in the control group with p-value 0.001 (<0.05). Independent t-test showed a statistically significant difference of anxiety level after intervention in the experiment and control group with p-value 0.001 (<0.05). The mean anxiety level in the experiment group (22.46) was lower than the mean anxiety level in the control group (41.54).
Conclusion: Psychoeducation is effective in reducing anxiety levels in patients with CHD. It is suggested that psychoeducation can be used as one of nursing intervention in an effort to reduce anxiety in patients with CHD.
EFFECT OF PREGNANCY EXERCISE ON DURATION OF THE FIRST AND SECOND STAGE OF LABOR IN PRIMIGRAVIDA MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY
Authors: Wahyuni Iin , Pramono Noor , Suherni Titi , Widyawati Melyana Nurul 
Published: February 2019

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar Lampung, Indonesia.
Methods: This study employed a quasi-experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann Whitney and Chi Square test.
Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).
Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.
NURSING STUDENTS’ BARRIERS IN CARING FOR SCHIZOPHRENIA PATIENTS WITH VIOLENCE RISK
Authors: Erawati Erna 
Published: February 2019

Background: There is a general consensus that schizophrenia patients have a greater risk to become violent. Caring for schizophrenia patients with risk of violence presents difficult clinical challenges, and it complicates the efforts of nursing student. Analysis of nursing student' barriers may lead to improve nursing management of risk of violence.
Objective: The aim of this study is to explore the nursing student barriers in for caring schizophrenia patients with violence risk.
Method: A total sample of 22 nursing students completed their experience through reflective diary during clinical placements. The qualitative data were explored by thematic content analysis method using NVivo.
Results: Three themes were emerged from the data included: emotions, personal experience, and inadequate communication skills.
Conclusion: These themes reflected the barrier of the nursing students when they applied nursing care toward schizophrenia patient with violence risk. Knowing the barriers is very important for successful violence risk management for nursing student.
EFFECT OF EDUCATIONAL INTERVENTION ON FAMILY SUPPORT FOR PREGNANT WOMEN IN PREVENTING ANEMIA
Authors: Triharini Mira , Armini Ni Ketut Alit , Nastiti Aria Aulia 
Published: February 2019

Background: Anemia during pregnancy is a major nutritional problem that can cause health problems for mothers and their fetus. Prevention of anemia has been done but many obstacles are perceived by pregnant women. Families need to provide support to improve the prevention behavior of anemia.
Objective: This research aims to explore the effect of educational intervention on family support for pregnant women in preventing anemia.
Methods: A quasi-experimental design was carried out on 60 pregnant women who had done pregnancy checkups at Community Health Centre and had received iron supplement, in which 30 women were in the experimental group and the rests were in the control group. This study was conducted from December 2016 to January 2017. Family support was measured using questionnaires before and after educational intervention.
Results: After educational intervention, there was a significant change from the pretest score to the posttest score in the experimental group (p<0.05). There was an increase in the average score in the experimental group, 14.47 ± 2.89 becomes 16.83 ± 2.32.
Conclusion: Educational interventions can increase family support for maternal behavior in preventing pregnancy anemia such as improving adherence to taking iron supplements and high intake of food containing iron.