bluuebunny/crossref_metadata_2025_split huggingface dataset:
ASSOCIATION BETWEEN EMOTIONAL DEVELOPMENT AND BULLYING BEHAVIOR IN CHILDREN AT THE ELEMENTARY SCHOOL NO 7, BANYUASIN, PRAJIN, PALEMBANG
Authors: Tirtayanti Sri , Nurjannah Intansari , Lusmilasari Lely 
Published: February 2019

Background: Bullying is a form of repetitive persecution both on physical and emotional aggressions and potentially causing mental and physical disorders on perpetrators and victims. There are various factors that may affect a child to behave as bullies. These are important factors to be identified as one of prevention effort to stop bullying behavior on children.
Objective: This research aims to identify the association between emotional development and bullying behavior in children at the Elementary School No 7, Banyuasin Prajin, Palembang, Indonesia.
Methods: This was a correlation descriptive using a cross sectional design. This research has been conducted on November 21, until December 1, 2016 involving 85 children as respondents. The instruments used for this research were Bar-On Emotional Quotient Inventory: Youth Version, school-bullying questionnaire, parenting style questionnaire and peer influence questionnaire. Chi-square test was used for bivariate data analysis and logistic regression test for multivariate analysis.
Results: Results from chi-square test showed a significant association between emotional developments and parenting with bullying behavior (ρ<0.05), but no significant correlation between peer influence and bullying behavior (ρ>0.05). Logistic regression test showed a significant relationship between parenting and bullying behavior (OR) 4.655 (95% CI: 1.292-16.774), which indicated that the uninvolved parenting potentially makes bullying behavior have a chance to increase 4.655 times higher.
Conclusion: There is a significant association between emotional development and parenting with children bullying behavior.
SLOW DEEP PURSED-LIPS BREATHING EXERCISE ON VITAL LUNG CAPACITY IN POST-EXTUBATION PATIENTS IN THE INTENSIVE CARE UNIT
Authors: Supriwandani Heru , Mardiyono Mardiyono , Warijan Warijan 
Published: February 2019

Background: The incidence of respiratory failure reaches 20-75 cases per 100,000 population each year with mortality rate reaching 30-50%. Provision of respiratory assistance with mechanical ventilation is provided with an indication of the inability of the respiratory function for optimal alveolar ventilation. Efforts to restore lung oxygenation ventilation function can be done through breathing exercises and are expected to improve pulmonary ventilation function.
Objective: This study was to examine the effectiveness of the modified Slow Deep Pursed-Lips Breathing Exercise (SDPLBE) on vital lung capacity in patients post-extubation of mechanical ventilators.
Methods: This was a true experimental study with pretest posttest control group design. Thirty respondents were selected using stratified random sampling, with 15 samples assigned in the experiment and control group. Peak flow meter was used to measure vital lung capacity (FEV1 value). Repeated measures ANOVA was used for data analysis.
Results: There was a significant difference on respondent's vital lung capacity after given slow deep pursed lips-breathing exercise at each session from session 1 to session 8 (p=0.000). However, both groups were not yet able to achieve ≥ 400 mL / min, but the experiment group was closer to the normal value (369) than the control group.
Conclusion: Slow Deep Pursed-Lips Breathing Exercise may increase vital lung capacity in patients post-extubation of mechanical ventilator.
EFFECT OF SOLUS PER AQUA (SPA) ON INFANT WEIGHT
Authors: Melati Agrystina Ryma , Kuntjoro C Tjahjono , Sumarni Sri , Hidayati Kamilah , Pujiastuti Rr. Sri Endang 
Published: February 2019

Background: The prevalence of skinny infants in Indonesia is still high. Baby's spa is considered to be able increase infant’s weight.
Objective: To determine the effect of baby spa in infant weight in in Bebengan Village, Boja Sub District, Kendal Regency, Central Java, Indonesia.
Methods: This study was a quasi-experimental study with non-equivalent control group design. There were 38 infants were selected using purposive sampling, divided into three groups, namely: 1) a group received spa two times per week (12 infants), 2) a group received spa three times per week (13 infants), and 3) a control group. Baby digital scale of ARN-EBSD-04 was used to measure infant weight. Data were analyzed using paired t-test and ANOVA.
Results: There was statistically significant effect of intervention in each group on the infant’s weight. However, the data showed that the intervention that had a better effect on infant weight was the intervention of spa in two times per week with mean difference before and after intervention of 603 g.
Conclusions: Doing spa two times per week could significantly increase infant weight effectively. Therefore, it is recommended for midwife to apply this intervention to increase the weight gain of babies and to reduce the number of skinny infants in Indonesia.
COMPARISON OF EFFECTS OF MASSAGE THERAPY ALONE AND IN COMBINATION WITH GREEN COCONUT WATER THERAPY ON B-ENDORPHIN LEVEL IN TEENAGE GIRLS WITH DYSMENORRHEA
Authors: Ulya Fitria Hikmatul , Suwandono Agus , Ariyanti Ida , Suwondo Ari , Kumorowulan Suryati , Pujiastuti Sri Endang 
Published: February 2019

Background: Dysmenorrhea is pain during menstruation in lower abdomen, and is not due to other diseases. Effleurage massage and consuming green coconut water are considered able to reduce menstrual pain. However, little is known about the effect of the combination between the two interventions. Objective: To compare the effectiveness of effleurage massage and in combination with green coconut water on pain, anxiety, and ß-endorphin level in teenage girls with menstrual pain (dysmenorrhea). Design: A quasi-experiment with pretest-posttest approach design with control group. There were 36 samples recruited in this study by purposive sampling, which were divided into a massage therapy group, the combination therapy group, and a control group. Menstrual pain was measured using Numeric Rating Scale, while anxiety was measured using Zung Self rating Anxiety Scale (ZSAS), and endorphin level using ELISA (Enzyme-Linked Immunosorbent Assay). One-way ANOVA test and repeated ANOVA were performed as a bivariate analysis. MANCOVA and post hoc ANOVA were used for multivariate analysis. Result: The combination of massage and green coconut water was more effective in reducing pain (p 0.013) and anxiety levels (p 0.000), and in increasing β-endorphin (p 0.029) with significant value of <0.05 compared to the massage therapy alone. Conclusion: The combination of effleurage massage and green coconut water had significant effect in decreasing anxiety and pain levels, and increasing β-endorphin levels in teenage girls with painful periods (dysmenorrhea); and more effective than performing effleurage massage only. It is suggested that this combination therapy could be used as an alternative therapy for women with dysmenorrhea.
EFFECT OF CONSUMING TEMULAWAK (CURCUMA XANTHORRHIZA ROXB.) EXTRACT ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS
Authors: Desbriyani Chyntia , Hadisaputro Soeharyo , Suherni Titi , Suwondo Ari , Supriyana Supriyana 
Published: February 2019

Background: The dominant factor inhibiting breastfeeding is the lack of milk production. The extract of temulawak (curcuma xanthorrhiza Roxb) is considered having an effect to increase breast milk production.
Objective: To examine the effect of temulawak (curcuma xanthorrhiza Roxb) extract to increase milk production in postpartum mothers in the working area of Ambarawa Community Health Center, Indonesia.
Methods: This was a quasi-experimental study with non-equivalent control group design conducted on October-December 2016. There were 38 respondents included using consecutive sampling, with 19 assigned in the intervention and control group. Paired t-test and independent test were used for data analysis.
Results: Findings showed that there were significant increases of prolactin hormone (p = 0.000), breast milk volume (p = 0.001), baby’s urinary frequency (p = 0.001), baby’s defecation frequency (p = 0.000), and baby’s sleep duration (p = 0.000) after given temulawak (curcuma xanthorrhiza Roxb) extract.
Conclusion: Temulawak (curcuma xanthorrhiza Roxb) extract had a significant effect in increasing breast milk production and prolactin levels in postpartum mothers. Thus, it is recommended that temulawak (curcuma xanthorrhiza Roxb) extract can be an option for postpartum mother to increase milk production.
EFFECT OF MASSAGE AND AROMATHERAPY ON STRESS AND PROLACTIN LEVEL AMONG PRIMIPAROUS PUERPERAL MOTHERS IN SEMARANG, CENTRAL JAVA, INDONESIA
Authors: Widyawati Melyana Nurul , Hadisaputro Soeharyo , Anies Anies , Soejoenoes Ariawan 
Published: February 2019

Background: Exclusive breastfeeding in Semarang during the past five years remains low. Only 20 to 64% of mothers were breastfed exclusively in 2010-2012. The incidence of postpartum blues was reported by 29.9% of mothers and most of them were primiparous.
Objective: This study aims to determine the effect of loving massage, aromatherapy, and a combination of loving massage and aromatherapy on stress levels, and changes in levels of prolactin in primiparous puerperal in Semarang.
Method: A true experimental study with a randomized pretest-posttest control group design. Cluster random sampling was used to select 12 health centers from the 37 health centers in Semarang. A random assignment with a sealed envelope was performed to divide study participants into four groups; loving massage group, aromatherapy group, and a combination group of loving massage and aromatherapy, and a control group. A total of 52 primiparous puerperal mothers was involved, with 13 mothers were distributed equally in each group.
Results: Loving massage, aromatherapy, and a combination of loving massage and aromatherapy effectively changed mother’s stress and prolactin levels. Effectiveness of each treatment assessed from the average difference in scores before and after treatment. Combination of loving massage and aromatherapy had proven as the most effective treatment in reducing stress levels (11.61 ± 6.76), and increasing prolactin level (83.13 ± 6.41 ng/ml).
Conclusions: Loving massage and aromatherapy shown to lower the levels of stress, and can increase the levels prolactin in postpartum primiparous. Therefore, it is recommended to provide loving massage therapy and aromatherapy to postpartum primiparous mothers.
THE EFFECT OF ACUPRESSURE AND EFFLEURAGE ON PAIN RELIEF IN THE ACTIVE PHASE OF THE FIRST STAGE OF LABOR IN THE COMMUNITY HEALTH CENTER OF KAWUNGANTEN, CILACAP, INDONESIA
Authors: Khomsah Yuli Sya’baniah , Suwandono Agus , Ariyanti Ida 
Published: February 2019

Background: Pain during pregnancy and childbirth is a physiological process, but it leads to discomfort without pain management. Acupressure and effleurage are considered to be effective in reducing labor pain.
Objective: To examine the effect of acupressure and effleurage in reducing pain during in the active phase of the first stage of labor in the Community Health Center of Kawunganten, Cilacap, Central Java, Indonesia.
Methods: This was a quasi-experimental study with pretest-posttest control group design. There were 33 respondents recruited using simple random sampling. Numerical rating scale was used to measure labor pain. Data were analyzed using one-way ANOVA, post hoc ANOVA and repeated ANOVA for normal data distribution. Kruskal Wallis was also used for non-normal data distribution.
Results: There was a statistically significant mean difference of pain scale before and after given acupressure and effleurage (p-value <0.05). However, acupressure treatment had a greater effect in reducing pain compared with effleurage.
Conclusion: Acupressure and effleurage had a significant effect in reducing pain in mothers in the active phase of the first stage of labor. The results of this study are expected to enrich and contribute to the development of science in the field of health promotion, and serve as an additional input for midwives in order to carry out the care of mother during labor.
RELATIONSHIP OF SPIRITUAL-WELLBEING WITH ANXIETY AND DEPRESSION IN PATIENTS WITH CARDIAC HEART DISEASE
Authors: Nuraeni Aan , Mirwanti Ristina , Anna Anastasia 
Published: February 2019

Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD in Indonesia is still unknown.
Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients.
Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variables were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and Spirituality Index of Well-Being scale. Data were taken on 100 respondents within three months in outpatient cardiac unit with the consecutive sampling technique and analyzed by Spearman correlation test.
Results: The mean of anxiety, depression, and spiritual well-being respectively were 47.66, 43, and 60. Based on Spearman test, spiritual wellbeing was correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571).
Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with negative correlation direction. The higher the spiritual well-being, the lower the level of anxiety and depression will be. Thus, nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.
EFFECT OF INVOCATION (DO’A) ON PAIN-COPING BEHAVIORS OF PRIMIPAROUS MUSLIM WOMEN DURING THE FIRST THREE HOURS OF THE ACTIVE PHASE OF LABOR
Authors: Desmawati Desmawati 
Published: February 2019

Background: Pain-coping behavior of primiparous women may have adverse effects on the mother and fetus. In Tangerang, the majority of pregnant women have negative experiences of pain and pain-coping behaviors during labor.
Objective: The purpose of this study was to examine the effect of the invocation (do’a) on pain-coping behaviors of primiparous Muslim women during the first 3 hours of the active phase of labor.
Methods: It was an experimental study with pre-posttest design. Ten primiparous women were randomly selected and assigned to the control and intervention group. Each group consisted of 5 participants. Pain-coping behavior was measured by the Pain Behavior Observation Scale (POBS).
Results: Findings revealed that pain-coping behaviors were increased for those who received the invocation (do’a) with p-value < .05 than those who received the routine care. The effectiveness of do'a could be seen from the average difference of scores of pain-coping behaviors before and after intervention. The intervention group significantly had higher pain-coping behaviors than the control group during three hours of posttest, while controlling for the pretest measure, F (3.24) = 15.68, p< .001.
Conclusions: The invocation (do’a) program for primiparous women during labor is feasible to be conducted, and effective to increase pain-coping behaviors. Therefore, it is suggested to provide this program for primiparous women during the first 3 hours of active phase of labor.
EFFECT OF YOGA ON DURATION OF THE SECOND STAGE OF LABOR AND PERINEAL RUPTURE IN PRIMIGRAVIDA MOTHERS
Authors: Setyowati Ana , Suhartono Suhartono , Ngadiyono Ngadiyono , Endang Pujiastuti Rr Sri , Dyah Dyah 
Published: February 2019

Objective: To determine the effect of yoga on the duration of the second stage of labor and perineal rupture in primigravida mothers.
Methods: This was a quasi-experimental study with posttest group only design. The study was conducted in the Public Health Center of Pekalongan, Central Java, Indonesia from December 2016 until January 2017. There were 50 mothers selected using purposive sampling, which 25 assigned in the experiment and control group. Independent t-test and Chi Square test were used for data analysis.
Results: There was a statistically significant difference in the duration of second stage of labor (p=0.000) and perineal rupture (p=0.001) between experiment and control group.
Conclusion: There was a significant effect of yoga on the duration of the second stage of labor and perineal rupture in primigravida mothers. Therefore, yoga is recommended for midwife to be included in the antenatal care.
EFFECT OF CONSUMING TOMATO (LYCOPERSIUM COMMUNE) JUICE IN LOWERING BLOOD PRESSURE IN PREGNANT MOTHERS WITH HYPERTENSION
Authors: Anita Theresia , Suwandono Agus , Ariyanti Ida , Pramono Noor , Kumorowulan Suryati 
Published: February 2019

Background: High blood pressure during pregnancy can pose significant problems such as preeclampsia, eclampsia, and premature birth. Thus, early prevention is needed. Consuming tomato (lycopersium commune) juice is considered effective to reduce blood pressure in pregnant women.
Objective: This study aims to examine the effect of tomato juice on the decrease in blood pressure of pregnant women with hypertension in pregnancy.
Methods: This study was a quasi-experiment with pretest-posttest control group. This research was conducted at the working area of the Community Health Center of Magelang Indonesia in July 2016 - January 2017. The target population of this study was pregnant women in trimester I, II, and III with high blood pressure. There were 30 samples selected using consecutive sampling, with 15 assigned in the experiment and control group. Wilcoxon test was performed for data analysis.
Results: There was a statistically significant difference in systolic and diastolic blood pressure before and after given tomato juice with p = 0.001 (<0.05).
Conclusion: Consuming tomato juice can be one of the efforts to reduce blood pressure in pregnant women with hypertension.
EFFECT OF YOGA AND ACUPRESSURE ON PAIN AND FUNCTIONAL CAPABILITY OF LOWER BACK IN PREGNANT MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY
Authors: Resmi Dewi Candra , Hadisaputro Suharyo , Runjati Runjati 
Published: February 2019

Objective: To examine the effect of yoga and acupressure in lower back pain and functional capability in pregnant women during the third semester of pregnancy.
Methods: A quasi-experimental design with pretest posttest with non-equivalent control group. The research was conducted at the Community Health Center of Kalikajar I, Selomerto I and Garung I in Wonosobo regency Indonesia in January 2017. The samples of this research were 42 pregnant women in trimester III selected using purposive sampling, which 14 samples assigned in the yoga group, acupressure group, and control group. A Visual Analog Scale (VAS) was used to measure pain level, and Oswestry Disability Index to measure functional capability of lower back. Data were analyzed using paired t-test and one-way ANOVA.
Results: Findings showed that there was a statistically significant effect of yoga, acupressure, and pregnancy exercise (control group) in reducing lower back pain and lower back functional capability with p <0.05. Pregnancy exercise (mean=-1.43) was more effective in reducing lower back pain compared with yoga (mean=-2.29) and acupressure (mean=-2.71); and acupressure (mean=-14.29) was more effective in improving lower back functional capability than yoga (mean=-6.57) and pregnancy exercise (mean= -13.29).
Conclusion: There were significant effects of yoga, acupressure, and pregnancy exercise in reducing pain and in improving the functional ability of the lower back. It is recommended for midwife to use these interventions as an alternative to deal with back pain and functional capability in pregnant women, especially in the Community Health Center in Wonosobo regency, Indonesia.
EFFECT OF ROSELLE (HIBISCUS SABDARIFFA) ON CHANGES IN HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA TAKING IRON SUPPLEMENT
Authors: Nisa Rif’atun , Soejoenoes Ariawan , Wahyuni Sri 
Published: February 2019

Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.
Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.
Methods: This study was a quasi-experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.
Results: Paired t-test obtained p-value 0.00 (<0.05) indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr/dl and in the experiment group was 1.08 gr/dl. The hemoglobin levels in the experiment group were higher than the levels in the control group. Independent t-test obtained p-value 0.000 (<0.05) indicated that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.
Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.
QUALITY OF LIFE OF PATIENTS WITH END-STOMA IN MEDAN: A PHENOMENOLOGICAL STUDY
Authors: Alwi Fahrizal , Setiawan Setiawan , Asrizal Asrizal 
Published: February 2019

Background: Colorectal cancer continues to be a serious problem in Indonesia. A common colorectal treatment is surgical removal of the diseased colon, followed by the creation of a colostomy through the abdominal wall to bypass the colorectal function of emptying waste products. Those who require permanent colostomy are likely to have quality of life issues impacting their physical, psychological, social, and spiritual needs. There issues impact persons’ life satisfaction, happiness, and overall quality of life.
Objective: The aim of study was to describe the experiences of patients with end-stoma regarding their quality of life.
Methods: The study design used descriptive phenomenology following the approach of Collaizzi. There were 12 participants who qualified using purposive sampling based on the inclusion criteria. The data were gathered in-depth interviews. Analysis and interpretation used verbatim descriptions in Bahasa Indonesia and subsequently translated into English language.
Results: The research emerged seven themes, namely: (i) becoming limited in doing daily activity, (ii) having limitation during sexual and social intercourse, (iii) having various negative feelings after the existence of end-stoma, (iv) having financial difficulties, (v) attempting to survive with end-stoma, (vi) experiencing changes in fulfilling rest and sleep, physic, and complication, and (vii) having expectation which has to be achieved after having end-stoma.
Conclusion: The results show that patients with end-stoma run into spiritual, social, psychological and physical disorder that affect the quality of their life. This study provides an understanding of the quality of life of patients with end-stoma and nurses are able to provide appropriate nursing care.