bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE COMPARISON OF THE EFFECT OF HONEY AND CHLORHEXIDINE IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN PATIENTS ON MECHANICAL VENTILATON
Authors: Adini Syaukia , Santoso Bedjo , Sarkum Sarkum , Sudirman Sudirman 
Published: February 2019

Background: Ventilator Associated Pneumonia (VAP) is one of the causes of infection in the hospital and the main cause of death due to nosocomial infection. The strategy to prevent VAP is by oral hygiene. Honey may be a good solution for oral hygiene.
Objective: This study aims to compare the effect of the use of 20% honey solution and 0.2% chlorhexidine as oral hygiene on VAP prevention in patients on mechanical ventilation.
Methods: This was a quasi-experimental study with posttest only control group design in an incentive care unit of a general hospital in Indonesia. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in a 20% honey group and 0.2% chlorhexidine group. Clinical Pulmonary Infection Score (CPIS) was used to measure Ventilator Associated Pneumonia. Data were analyzed using Independent t-test.
Results: The mean of CPIS in the honey group was 3.33 and the chlorhexidine group was 3.53. Independent t-test showed p-value 0.618 (>0.05), which indicated that there was no significant difference of the effect of honey and chlorhexidine on VAP event.
Conclusion: The 20% honey solution has the same effect with 0.2% chlorhexidine in preventing VAP events in patients on mechanical ventilation.
EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA
Authors: Tyas Utami Theresia Febriana Christi , Fatmasari Diyah , Mardiyono Mardiyono , Shobirun Shobirun 
Published: February 2019

Background: Coronary angiography can cause complications of arterial and subcutaneous bleeding (hematoma) and back pain. Changing the position of the patient (positioning) in bed can reduce the pain post-diagnostic catheterization complications. Objective: This study was to examine the effect of positioning on bleeding complication and low back pain after diagnostic coronary angiography in patients with coronary heart disease patient in the Integrated Heart Care Center in Indonesia.Methods: This study was a true-experimental study with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, which 15 respondents were randomly assigned in the experiment group and control group. The experiment group was given a positioning with 150, 300, 450 head-of-bed elevation in left and right lateral position. An arc tool was used to measure the height of head of bed elevation, a measuring cup to measure arterial bleeding using, a perforated transparent plastic with 5 cm diameter to measure subcutaneous bleeding (hematoma), and Numeric Pain Rating Scale to measure low back pain. Data were analyzed using Kolmogorov- Smirnov and Repeated Measured ANOVA.Results: Findings showed that positioning had no effect on arterial hemorrhage (ρ=1.000) and subcutaneous bleeding (hematoma) (ρ=0.999). Repeated ANOVA test results revealed that positioning had a significant effect on low back pain (ρ=0.017). Conclusion: There was no significant effect of positioning on the occurrence of arterial and subcutaneous bleeding (hematoma), but there was a significant effect in reducing low back pain.
EFFECT OF HYPNOBIRTHING ON THE PROGRESS OF THE LATENT PHASE OF LABOR IN PRIMIGRAVIDA
Authors: Mudihayati Wiwik , Hidayat Syarif Thaufik , Khafidhoh Nur , Suwondo Ari 
Published: February 2019

Background: The first stage of labor is a tiring moment for mothers, which may cause exhaustion, dehydration, risk of infection, uterine atony, and postpartum hemorrhage. Hypnobirthing is considered effective to speed up early labor process.
Objective: This study aimed to examine the effect of hypnobirthing on the progress of the latent phase of labor.
Methods: This study was a quasi-experiment with posttest only control group design. Thirty-two primigravida mothers in the latent phase of labor were selected using purposive sampling, with 16 assigned in the experiment group and the control group. The progress of labor was measured by four indicators recorded in partograph, namely frequency and duration of uterine contraction, cervical dilatation, and descent of the fetal head. Independent t-test was used for data analysis.
Results: There was a significant difference in the frequency of uterine contraction (p=0.001), duration of contraction (p=0.001), cervical dilatation (p=0.007), and descent of the fetal head (p=0.001) between the experiment group and the control group.
Conclusion: Hypnobirthing technique is significant in accelerating the progress of the latent phase of labor in primigravida mothers.
THE RELATIONSHIP BETWEEN CARING, COMFORT, AND PATIENT SATISFACTION IN THE EMERGENCY ROOM, RATU ZALECHA HOSPITAL, SOUTH KALIMANTAN, INDONESIA
Authors: Noor Sirajudin , Maria Insana , Agianto Agianto 
Published: February 2019

Background: Emergency nursing service system requires the role of nurses who are able to pay attention to the behavior of caring and patient comfort. Caring in an emergency room is an important aspect in lifesaving procedures. It might impact the psychology of patients if nurses are not caring. Caring behavior and comfort given by nurses can also affect to patient satisfaction. Patient satisfaction is considered important as a bridgehead for the treatment of patients.
Objective: The purpose of this study is to determine the relationship between caring behavior and comfort with patient satisfaction in the emergency room, Ratu Zalecha Hospital, South Kalimantan, Indonesia.
Method: This was an analytic correlational study with cross-sectional approach involved 341 patients in the emergency unit using consecutive sampling. Four questionnaires were used to measure the characteristics of the respondent, the nurse caring behavior, comfort given by the nurses, and patient satisfaction. Data were analyzed using descriptive statistics for respondents’ characteristic, and chi-square to analyze the relationship between variables.
Result: There were 285 respondents (92.8%) who received nurses’ caring behaviors were satisfied, and 268 respondents (87.3%) stated that the nurses were able to provide comfort in nursing care in the emergency room.
Conclusion: This study revealed that there was a relationship between caring behavior, and comfort with patient satisfaction. It tells that caring and comfort are very important components that influence the satisfaction of patients. Therefore, the role of nurse to provide caring and comfort for the patients in the future should be developed along with the development of science and technology and society's demands.
THE LIVED EXPERIENCE OF PATIENTS WITH PRE-DIALYSIS CHRONIC KIDNEY DISEASE: A QUALITATIVE STUDY
Authors: Agustiyowati Tri Hapsari Retno , Sitorus Ratna , Waluyo Agung , Besral Besral 
Published: February 2019

Background: Chronic kidney disease is identified as kidney damage for more than three months with glomerulus filtration rate less than 60ml / min / 1.73 m2.
Objective: This study aims to explore the experience of life of patients with pre-dialysis chronic kidney disease used Roy’s adaptation model.
Methods: This study was a qualitative study using descriptive phenomenology approach in the General Hospital of Cibabat Cimahi West Java, Indonesia. Data were obtained with depth interviews involved eight participants with pre-dialysis chronic kidney disease consisting of two men and six women, aged ranged from 35 to 65 years. The years living with chronic kidney disease ranged from 1 to 2 years. Data were analyzed using Colaizzi’s methods.
Results: We found nine themes, namely: physical stimulus, psychic stimulus, socio-economic stimulus, physical coping mechanisms to control the situation, a coping mechanism to maintain health function, selecting behavioral adaptation physiology, selecting a behavior adaptation of the self-concept, selecting adaptation behaviors role function, and selecting behavioral adaptation interdependence.
Conclusion: It can be concluded that the experience of patients with pre-dialysis chronic kidney disease complained physical, psychological, social, economic, and spiritual problems. Therefore, health care professionals need to design an intervention to improve patients’ coping mechanism to maintain kidney function, and adapt to diet for foods and drinks, activity patterns and roles according to their conditions, which also elaborate the function of family support.
CORONARY HEART DISEASE PATIENTS' LEARNING NEEDS
Authors: Nuraeni Aan , Mirwanti Ristina , Anna Anastasia 
Published: February 2019

Background: Patients with coronary heart disease (CHD) should have good self-management capabilities. This is determined by the effective of health education which is based on the assessment of patients’ learning needs and consideration of health personnel. On the other hand, the study of perceptions of CHD patients’ learning needs in Indonesia is little known.
Objective: This study aimed to identify the CHD patients’ learning needs.
Methods: This study was a descriptive quantitative with cross-sectional approach. Population was CHD patients in one of the referral hospitals in West Java Indonesia. Samples were recruited using consecutive sampling technique for a 2-month period (n=106). Data were collected using TR-CPLNI instrument and analyzed using descriptive quantitative and Kruskal Wallis test.
Results: The order of learning needs based on the highest to the lowest mean was anatomy and physiology of heart (4.42); medication information (4.33); cardiopulmonary information (4.32); life style (4.28); dietary information (4.19); symptom management (4.08); psychology (4.07); and physical activity (3.64). The significant differences (p<0.05) based on ward categories were learning needs of dietary information (p=0.002); physical activity (p=0.009) and symptom management (p=0.037), with the highest needs respectively were in High Care Unit (HCU); HCU; and non-intensive care unit.
Conclusions: These eight learning needs were important for CHD patients. However, the priority of the patients’ learning needs were seen by category of ward or recovery phase and illness duration different from each other. Therefore, this can be a consideration in providing education to CHD patients.
BREASTFEEDING EXPERIENCES OF WORKING MOTHERS IN VIETNAM
Authors: Truong Xuan Nguyen Thi , Nguyen Nhan Thi 
Published: February 2019

Background: World Health Organization recommends mothers all over the world should continue breastfeeding up to the age of two years or beyond to achieve optimal health, growth and development for their infants. However, the breastfeeding practices among working mothers have been decreased by the time passed.
Objective: to describe the breastfeeding experiences of mothers who returned to work after childbirth.
Methods: This study was utilized a qualitative design. Purposive sampling was used to recruit the participant who met the inclusion criteria. Data were collected from 10 semi-structured in-depth interviews. All interviews were audio-recorded and transcribed verbatim. The interview transcriptions were analyzed by using the qualitative content analysis approach.
Results: The breastfeeding period of 10 working mothers ranging from 7 to 15 months. Five categories emerged from the data were: 1) Attitude towards breastfeeding, 2) Breastfeeding support during working, 3) Strategic plan for breastfeeding, 4) Psychological distress, and 5) A need for support facilities and resources for breastfeeding during working.
Conclusion: This research provided a better understanding of breastfeeding experiences of working mothers in Vietnam. The findings can help nurses and other healthcare professionals in providing anticipatory guidance to mothers who plan to continue breastfeeding after returning to work.
FACTORS INFLUENCING HEALTH BEHAVIOR AMONG TYPE 2 DIABETES MELLITUS PATIENTS: AN INTEGRATIVE REVIEW
Authors: Putra Kusuma Wijaya Ridi , Toonsiri Chanandchidadussadee 
Published: February 2019

Objective: This integrative review aims to summarize and identify the current literature related to health behavior among Type 2 Diabetes Mellitus (T2DM) Patients and its factors.
Methods: An integrative review was undertaken using literature published between 2000 and 2013, based on CINAHL, Springer link, PubMed, Science Direct and Google Scholar.
Results: Twenty-two articles were selected based on inclusion and exclusion criteria. This review indicated a wide range of factors influencing health behavior among T2DM patients including predisposing factors (socioeconomic, knowledge, stress management, and health belief), reinforcing factor (family support), and enabling factor (health service).
Conclusion: Family support, socioeconomic and knowledge are the significant major factors of health behavior among T2DM patients. However, the others factors such as stress management, health belief and health service are also the important factors for T2DM patient’s health behaviors. Therefore, these factors should be considered for development of appropriate interventions to promote health behavior among T2DM patients at community.
EFFECT OF FRUIT DECOCTION OF PHALERIA MACROCARPA ON URIC ACID LEVELS IN ELDERLY
Authors: Simanullang Rostime Hermayerni 
Published: February 2019

Background: The incidence of gout is rising both in the developed and developing countries not only in the elderly but also in young adults. Thus, the effort to reduce its incidence is necessary.Objective: To determine the effect of fruit decoction of phaleria macrocarpha on the levels of uric acid in the elderly.Methods: This was a pre-experimental study with pretest and posttest design. This study was conducted at Sei Semayang Village North Sumatra from April to May 2017. There were 10 elderly selected using purposive sampling. Urid acid levels were measured using monitoring system of Easy Touch GCU. Independent t-test was used for data analysis.Results: Findings of this study showed that there was a significant difference in the mean value of the levels of uric acid before and after given fruit decoction of phaleria macrocarpa (p=0.004).Conclusion: There was a significant effect of fruit decoction of phaleria macrocarpa to decrease the level of uric acid in elderly. It is suggested that fruit decoctions of phaleria macrocarpa can be one of alternative therapies to prevent the increase of uric acid.
OSTEOPOROSIS HEALTH BELIEF, KNOWLEDGE LEVEL AND RISK FACTORS IN INDIVIDUALS WHOSE BONE MINERAL DENSITY WAS REQUIRED
Authors: Aslan Gulpinar , Kilic Dilek 
Published: February 2019

Aim: This descriptive-relational study aims to identify osteoporosis health belief, knowledge level and risk factors in individuals whose bone mineral density was required.
Method: Target population of the study was 110 men and 126 women aged 35 and over, who applied to Atatürk University Aziziye - Yakutiye Research Hospital Nuclear Medicine Center Bone Densitometer Unit between January 2010 and October 2010. No sampling was performed, the whole target population was involved in the study. Data were collected through the Personal Information Form that included socio-demographic features, the osteoporosis health belief scale, the osteoporosis self-efficacy scale and the osteoporosis knowledge test.
Results: The osteoporosis health belief score of the participants was 139.99±14.79, osteoporosis knowledge score was 10.06±4.30, and osteoporosis self-efficacy score was 742.00±213.44. Among osteoporosis health beliefs, women’s susceptibility, seriousness, barriers of exercise, and barriers of calcium mean scores were found to be higher than those of men (p<0.001). Men’s osteoporosis self-efficacy scale and sub-dimensions mean scores were found to be higher in comparison to women (p<0.001). DEXA analysis results show that 57.1% of the women and 27.3% of the men were diagnosed with osteoporosis.
Conclusion: According to the Logistic regression analysis that aimed to identify the risk factors having roles in Osteoporosis diagnosis, the affecting risk factors were gender, age, and medicine use. As for women, logistic regression analysis showed that the risk factors were education level – being illiterate, medicine use, osteoporosis story in family, and 4 or more deliveries.
EFFECT OF CONSUMING PAPAYA (CARICA PAPAYA LINN.) ON THE LEVEL OF HEMOGLOBIN AND HEMATOCRIT IN PREGNANT WOMEN WITH ANEMIA
Authors: Eliagita Choralina , Kuntjoro Tjahjono , Sumarni Sri , Suwondo Ari , Hadisaputro Soeharyo , Eliagita Choralisa , Mulyantoro Donny Kristanto 
Published: February 2019

Background: The prevalence of anemia among pregnant women is still high in Indonesia, especially in Bengkulu. Consuming papaya is considered as one of the solutions to increase hemoglobin and hematocrit level.
Objective: This study aims to examine the effect of consuming papaya on the level of hemoglobin and hematocrit in pregnant women.
Methods: This study employed a true experiment with randomized pretest and posttest design with control group. There were 42 respondents recruited in this study using simple random sampling. Randomization was performed to divide the samples into two groups, namely 21 respondents in a treatment group and 21 respondents in a control group. A total of 110 grams of papaya was given to the intervention group every day for 14 days. Data were analyzed using dependent t-test and independent t-test.
Result: There was a significant effect of consuming papaya on the hemoglobin and hematocrit level with p-value 0.000 (< .05). The mean difference between two groups showed that hemoglobin level (control group 10.010 gr/dL; intervention group 10.838 gr/dL) and hematocrit level (control group 27.43 %; intervention group 30.10 %).
Conclusion: Consuming papaya has a significant effect on changes in hemoglobin and hematocrit levels. It is suggested that consuming papaya should be one of alternative treatments for midwives to prevent anemia in pregnant women.
THE IMPACT OF PINEAPPLE (ANANAS COMOSUS (L.) MERR.) JUICE ON FUNDAL HEIGHT IN PRIMIGRAVIDA MOTHERS DURING POSTPARTUM PERIOD
Authors: Harianja Winda Yunyaty , Setiani Onny , Umaroh Umaroh , Widyawati Melyana Nurul , Mashoedi Imam Djamaludin , Pujiastuti Sri Endang 
Published: February 2019

Background: Failure in the process of uterine involution can result in bleeding if not treated immediately. Provision of pineapple (Ananas Commosus (L). Merr) juice can be administered as a medicinal plant therapy to prevent sub involution of the uterus and is considered to speed up the recovery process of the uterine involution.
Objective: This study aims to examine the effect of pineapple (Ananas Commosus (L). Merr) juice to decrease fundal height in primigravida mothers during postpartum period.
Design: This was a quasi-experimental study with non-equivalent control group, conducted in the working area of the Health Center (Puskesmas) of Jekulo Kudus Indonesia on 1-30 December 2016. There were 28 respondents selected using consecutive sampling technique, consisted of 14 respondents in the intervention group and 14 respondents in the control group. Data were analyzed using independent t-test and paired t-test.
Results: Findings showed that there was a mean difference of the height of the uterine fundus after given pineapple juice in the intervention group with mean score 13.80 in pretest and 5.80 in posttest, while there was also a decrease in fundal height in the control group with mean score 13.35 in pretest and 7.01 in posttest. The mean of fundal height in the intervention group was 8.15 cm and in the control group was 6.09 cm in 7 days. There was significant difference of the average of the decrease of fundal height between both groups with p-value (0.000).
Conclusions: Pineapple (Ananas comosus (L.) Merr) juice had a significant effect in the decrease of fundal height. It is suggested that pineapple juice can be used as herbal or medicinal plants, which can be used during postpartum period that is processed naturally without involving the use of chemical and incorporated into the procedure standard of midwives in postnatal care.
FUNCTIONAL STATUS IN PATIENTS WITH CHRONIC KIDNEY DISEASE BEING TREATED WITH HEMODIALYSIS IN PKU MUHAMMADIYAH HOSPITAL, YOGYAKARTA, INDONESIA
Authors: Mardiyah Adiyati , Anggorowati Anggorowati , Johan Andrew 
Published: February 2019

Background: Hemodialysis process is useful for patients with end-stage renal disease. However, this is a situation of abject dependence on a machine, a procedure and a group of qualified medical professionals for the rest of their lives that may influence their functional status.
Objective: This study aims to describe the functional status of patients with chronic kidney disease undergoing hemodialysis.
Method: This was a descriptive study with cross-sectional design, which conducted in the PKU Muhammadiyah Hospital Yogyakarta Indonesia on March 2017. There were 78 patients selected using purposive sampling. Functional status was measured using SF-36 questionnaire. Descriptive statistic was performed for data analysis
Result: The total average of functional status level was 42.92, with Physical Component Scale (PCS) of 42.31 and Mental Component Scale (MCS) of 45.78.
Conclusion: There were functional deficiencies in both physical and mental status in patients with chronic kidney disease undergoing hemodialysis. Thus, it is suggested that pharmacological management of these patients need stringent monitoring on part of the psychiatrist to deal with mental health problems, and the interdisciplinary team need to do great efforts to improve functional status and quality of life of patients with chronic kidney disease.
ROSELLE FLOWER (HIBISCUS SABDARIFFA) IN THE TREATMENT OF HYPERTENSION IN POSTPARTUM MOTHERS
Authors: Ritonga Nikmah Jalilah , Setiani Onny , Umaroh Umaroh , Budhi R Kamilah , Amri Faisal 
Published: February 2019

Background: Roselle flower (Hibiscus sabdariffa) has been used as a food and herbal drinks, in hot and cold beverages, as an herbal medicine.
Objective: To examine the effect of consuming roselle dried flower petals on changes in maternal hypertensive blood pressure during postpartum period.
Methods: This was a quasi-experimental study with non-equivalent control group design conducted in 2016. There were 30 samples recruited using consecutive sampling with 15 samples in an intervention group and a control group. Data were analyzed using paired t-test to know the difference of blood pressure value before and after intervention in the intervention and control group, and independent t-test to determine the difference of blood pressure decrease between intervention and control group. Mann-Whitney and Wilcoxon test were also conducted for data analysis.
Results: Findings showed that there were statistically significant differences in systolic and diastolic blood pressure values before and after intervention in the intervention and the control group with p-value 0.000 (<0.05) with systolic blood pressure decrease was 5 mmHg and diastolic was 5.33 mmHg. Additionally, there was a significant effect in the duration of healing in the intervention group with p-value 0.000 (<0.05), with the average duration of healing was 2 days.
Conclusion: There were significant effects of dried petals of rosella flowers (Hibiscus sabdariffa) brewed with 200 ml of hot water with temperature 90oC in lowering blood pressure, and there were significant differences in systolic and diastolic blood pressure and duration of healing between the intervention group and the control group of mothers who consumed antihypertensive drugs. The results of this study can be applied by midwives in postpartum care with the cases of hypertension. It is expected that this intervention can help the healing process more quickly through a combination of antihypertensive medicines and sedated petals of rosella flowers.