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Association Between Maternal Myopia and Myopia in Children Aged 10-12 Years in Karanggondang, Indonesia: A Cross-Sectional Study Nabila Dwi Desi Puspita; Herry Susanto; Indra Tri Astuti; Loan Thi Dang
Viva Medika Vol 18 No 3 (2025)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v18i3.2197

Myopia is the most common refractive error among school-aged children and a growing public health concern, particularly in developing countries. Although parental myopia is widely recognized as a genetic risk factor, evidence from Indonesia, especially among children aged 10 to 12 years, remains limited and inconsistent. By focusing on maternal myopia as a single and practical familial indicator in school-based settings, this study also considers a null association as a meaningful context-specific finding. This observational analytic study employed a cross-sectional design and was conducted from August to October 2025 in three public elementary schools in Karanggondang, Indonesia. A total of 88 child-mother pairs were recruited using purposive sampling. Visual acuity in both children and mothers was assessed using a Snellen chart without cycloplegic refraction. Refractive status was classified dichotomously as myopia or non-myopia. Data were analyzed using descriptive statistics and Chi-square tests with Yates’ continuity correction, and associations were expressed as odds ratios with 95 percent confidence intervals. The prevalence of myopia was 20.5 percent among children and 59.1 percent among mothers. Childhood myopia was slightly more frequent among children of myopic mothers at 12.5 percent compared with 8.0 percent among those of non-myopic mothers. However, no statistically significant association was found between maternal myopia and childhood myopia, with a p value of 1.000. The estimated odds ratio was 1.12 with a 95 percent confidence interval of 0.385 to 3.209. Maternal myopia was not a significant independent predictor of myopia in children aged 10 to 12 years in this population. This context-specific null finding suggests that maternal myopia alone may have limited explanatory value. Preventive strategies should prioritize modifiable lifestyle factors alongside routine vision screening, and future studies should incorporate cycloplegic refraction and broader familial and environmental measures

Comparative Effectiveness of Animated Video Versus Storytelling Distraction on Procedural Pain in Preschool Children During Intravenous Insertion Yunita Anggrain; Herry Susanto; Indra Tri Astuti; Siriluk Winitchayothin
Viva Medika Vol 19 No 2 (2026)
Publisher : LPPM Universitas Harapan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v19i2.2204

Intravenous (IV) insertion is a common invasive procedure in preschool children and frequently causes pain and distress because of limited developmental ability to understand and cope with the procedure. Effective non-pharmacological strategies are essential to reduce procedural pain and support atraumatic pediatric care. This study aimed to compare the effectiveness of animated video distraction and storytelling in reducing pain during IV insertion among children aged 3-5 years. A quasi-experimental posttest-only design was conducted in the emergency department of a tertiary hospital. Thirty-two preschool children were recruited using purposive sampling and non-randomly allocated to an animated video group (n = 16) or a storytelling group (n = 16). Pain intensity during IV insertion was assessed using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. Data were analyzed using descriptive statistics, the Shapiro-Wilk test, and the Mann-Whitney U test. Most children in both groups experienced moderate pain following intervention. The animated video group demonstrated a lower mean FLACC score (3.94) compared to the storytelling group (4.75). Statistical analysis revealed a significant difference in pain levels between the two interventions (Z = -2.015; p = 0.044; effect size r = 0.36), indicating greater effectiveness of animated video distraction. Both distraction methods reduced procedural pain, although animated video distraction was associated with significantly lower pain than storytelling in this single-site emergency department sample. These findings support the integration of audiovisual distraction into pediatric nursing practice to improve comfort and cooperation during IV insertion while future randomized studies are recommended to confirm these results.

Story Time Interaktif sebagai Alternatif Program Stimulasi untuk Meningkatkan Kemampuan Interaksi Sosial Anak Berkebutuhan Khusus Nopi Nur Khasanah; Indra Tri Astuti; Kurnia Wijayanti; Herry Susanto
Jurnal Pengabdian Masyarakat Kedokteran Vol 5, No 2 (2026): May
Publisher : Fakultas Kedokteran, Universitas Islam Sultan Agung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/abdimasku.5.2.108-120

Anak berkebutuhan khusus sering mengalami hambatan interaksi sosial yang memerlukan stimulasi terstruktur, menyenangkan, dan sesuai dengan karakteristik belajar anak. Program pengabdian kepada masyarakat ini bertujuan meningkatkan kemampuan interaksi sosial anak berkebutuhan khusus melalui story time interaktif di SLB Bina Putra Salatiga. Kegiatan dilaksanakan pada 26 siswa dan 9 guru melalui penyusunan modul, validasi media, pelatihan guru, serta empat sesi implementasi kelas. Validitas isi media oleh tiga pakar menunjukkan skor rerata 0,93. Pemahaman guru meningkat dari rerata 58,33 menjadi 96,67. Keterlibatan aktif anak selama sesi mencapai 84,62%. Rerata skor interaksi sosial anak meningkat dari 21,12 menjadi 26,03 atau naik 23,32% setelah intervensi. Program ini menunjukkan bahwa story time interaktif dapat menjadi alternatif stimulasi sosial yang aplikatif, disukai anak, dan berpotensi dilanjutkan oleh sekolah.Children with special needs often experience social interaction difficulties that require structured, enjoyable, and developmentally appropriate stimulation. This community service program aimed to improve social interaction skills through interactive story time at SLB Bina Putra Salatiga. The program involved 26 students and 9 teachers through module development, media validation, teacher training, and four classroom implementation sessions. Content validity assessed by three experts showed a mean score of 0.93. Teachers’ knowledge increased from a mean score of 58.33 to 96.67. Active student engagement during the sessions reached 84.62%. The mean social interaction score increased from 21.12 to 26.03, representing a 23.32% improvement after the intervention. These findings indicate that interactive story time is a feasible and engaging social stimulation strategy and has good potential for continued implementation by the partner school.

PENGARUH BERCERITA KISAH ISLAMI TERHADAP KECEMASAN ANAK USIA PRASEKOLAH YANG DIRAWAT DI RUMAH SAKITSARI ASIH CIPUTAT Dwi Sugihariyati; Indra Tri Astuti; Nopi Nur Khasanah
The Shine Cahaya Dunia D-III Keperawatan Vol 11 No 01 (2026): The Shine Cahaya Dunia D III Keperawatan
Publisher : LPPM Universitas An Nuur

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Background: Preschool children (3-6 years old) are vulnerable to hospitalization due to their developing immune systems, which can lead to high levels of anxiety due to new environments, traumatic medical procedures, and separation from parents. The prevalence of hospitalization anxiety reaches 70.8% in South Tangerang, hindering child care and development. Therefore, non-pharmacological interventions such as Islamic storytelling, which offers positive moral values and distraction, are necessary. Objective: To determine the effect of telling Islamic stories on the level of anxiety of preschool-aged children being treated in hospital. Methods: This study used a quantitative pre-experimental study with a one-group pretest-posttest design on 15 preschool children at Sari Asih Hospital in Ciputat, using purposive sampling. The Islamic storytelling intervention (10-15 minutes/day for 3 days) was measured using the 26-item parent-reported Preschool Anxiety Scale (PAS), analyzed by the Wilcoxon SPSS test with α=0.05. Results: Before the intervention, anxiety was mild in 3 respondents (20%), moderate in 8 respondents (53.3%), and severe in 4 respondents (26.7%). After the intervention, 3 respondents (20%) experienced mild anxiety, 12 respondents (80%), and 0 respondents (0%) experienced severe anxiety. The Wilcoxon test showed a significant difference (p=0.046 <0.05), with the majority of respondents aged 3 years (6%) being female, 9 respondents (60%), and 12 respondents (80%) having experienced hospitalization. Conclusion: Telling Islamic stories effectively reduces anxiety in preschool children during hospitalization.

THE EFFECT OF LISTENING TO THE QUR’AN (MUROTTAL) ON CHILDREN’S ANXIETY DURING HOSPITALIZATION IN THE PEDIATRIC WARDOF SARI ASIH KARAWACI HOSPITAL Ici Sriwanti; Indra Tri Astuti; Nopi Nur Khasanah
The Shine Cahaya Dunia D-III Keperawatan Vol 11 No 01 (2026): The Shine Cahaya Dunia D III Keperawatan
Publisher : LPPM Universitas An Nuur

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Background: Hospitalization in children can cause anxiety that negatively affects recovery and growth. One non-pharmacological intervention that may reduce anxiety is Qur’anic murottal therapy. This study aimed to examine the effect of listening to Surah Al-Ikhlas murottal on anxiety levels among hospitalized children in the Pediatric Ward of Sari Asih Karawaci Hospital. Methods: This quantitative study employed a one-group pretest–posttest design involving 38 children aged 6–12 years selected through accidental sampling. Anxiety levels were measured using the Indonesian version of the CSAS-C questionnaire before and after the intervention. The murottal therapy was administered for 20 minutes, twice daily for three days. Data were analyzed using univariate analysis and the Wilcoxon test. Results: Prior to the intervention, anxiety levels were predominantly classified as severe (36.8%). Following the intervention, anxiety levels decreased to a moderate level (44.7%). The Wilcoxon test indicated a significant difference in anxiety levels before and after the murottal therapy (p = 0.000). Conclusion: Listening to Surah Al-Ikhlas murottal therapy is effective in reducing anxiety among hospitalized children and may be recommended as a complementary non-pharmacological intervention in pediatric nursing care.

Pengaruh Pemberian Minyak Zaitun terhadap Penurunan Skala Pruritus pada Pasien yang Menjalani Hemodialisa Fitri Nur’aini; Kurnia Wijayanti; Indra Tri Astuti
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5480

Pruritus, or itching, varies in duration, location, and severity, and can occur in specific areas or across the entire body surface. Common pharmacological treatments include antihistamines, emollients, topical capsaicin, opioid antagonists, gabapentin, immunomodulators, immunosuppressants, tacrolimus ointment, and oral activated charcoal. Itching in patients undergoing hemodialysis is a common problem that significantly impacts patient comfort, making effective management necessary. Olive oil is known for its anti-inflammatory and moisturizing properties, which may help alleviate pruritus. This study aims to examine the effect of olive oil administration on the reduction of pruritus scores in hemodialysis patients at RSI Sultan Agung Semarang. The study used a quantitative design with a quasi-experimental pre-post two-group comparison model. The sample consisted of 42 hemodialysis patients divided into two groups: the intervention group, which received olive oil and antihistamine, and the control group, which only received antihistamine. The results showed that the average pruritus score before treatment in the intervention group was 5.625, and after administration of olive oil + antihistamine, it decreased to 3.375. Statistical analysis using the Paired Samples Test showed a significant effect of olive oil + antihistamine administration on pruritus reduction (p = 0.000 < 0.05). Furthermore, there was a significant difference in effectiveness between the intervention group (olive oil + antihistamine) and the control group (antihistamine only), with a p-value of 0.000 < 0.05. In conclusion, the administration of olive oil combined with antihistamines is more effective than antihistamine alone in reducing pruritus scores in hemodialysis patients at RSI Sultan Agung Semarang.

Hubungan Pengetahuan tentang Manajemen Laktasi dengan Sikap Ibu dalam Pemberian Asi Indah Wahyuni; Kurnia Wijayanti; Indra Tri Astuti
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5482

Breast milk is the best nutrition for babies because it contains complete nutrients and antibodies that support immunity and optimal growth and development. However, the rate of exclusive breastfeeding in Indonesia is still low, even though its benefits have been proven to reduce the risk of stunting, obesity, and infectious diseases. Mothers' lack of knowledge about lactation management is one of the inhibiting factors, so educational efforts are needed to improve mothers' attitudes towards breastfeeding and support their babies' health. This study aims to determine the relationship between knowledge about lactation management and mothers' attitudes towards breastfeeding at Dr. H Soewondo Kendal Hospital. This study used a quantitative research design with a descriptive correlation and cross-sectional approach. The number of respondents was 38 mothers selected using purposive sampling. The data collection instruments were questionnaires on knowledge about exclusive breastfeeding (15 items) and attitudes towards breastfeeding (16 items). Data analysis was performed using Spearman's rank correlation test. The results of the study showed that most of the breastfeeding mothers were aged 20-35 years (30 respondents), most of them had a high school/vocational school education (25 respondents or 65.8%), and most of them were housewives (21 respondents or 55.3%). Knowledge about lactation management was mostly adequate among 25 respondents (65.8%), and good among 13 respondents (34.2%). Attitudes toward breastfeeding were mostly adequate and good among 19 respondents (50.0%) each. There was a relationship between knowledge about lactation management and mothers' attitudes towards breastfeeding at Dr. H Soewondo Kendal Hospital with a p-value of 0.000. The Spearman correlation test also showed a relationship strength value (rho value) of 0.721, which means that there is a positive relationship: the better the level of knowledge about lactation management, the better the mothers' attitudes towards breastfeeding. It is recommended that nurses be more active in providing comprehensive and structured education on lactation management, not only limited to basic breastfeeding theory, but also covering practical skills, breastfeeding time management, and techniques for dealing with lactation problems commonly experienced by breastfeeding mothers.

Pengaruh Media Edukasi Leaflet terhadap Keterampilan Ibu dalam Merawat Bayi BBLR Dwi Astutik; Kurnia Wijayanti; Indra Tri Astuti
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5483

Proper care of LBW is crucial, as LBW infants are susceptible to illnesses such as infections, unstable body temperature, and respiratory disorders. Mothers' unpreparedness in caring for LBW infants is due to a lack of knowledge regarding infant care. Knowledge can be improved by providing interventions in the form of providing information using media, one of which is leaflets. This study aims to determine the effect of educational leaflets on mothers' skills in caring for LBW infants. This study used a quasi-experimental study with a pretest-posttest with control group design. The sample size was 38 postpartum mothers who gave birth to LBW infants, consisting of 19 mothers in the intervention group and 19 mothers in the control group obtained through purposive sampling technique. Data were collected using a questionnaire on mothers' skills in caring for LBW infants and leaflets. Data analysis was performed using the Wilcoxon test to examine the effect of educational leaflets on mothers' skills in caring for LBW infants and the Mann-Whitney test to find differences in mothers' skills in caring for LBW infants between the intervention and control groups. There is an influence of leaflet educational media on mothers' skills in caring for LBW babies at Dr. H. Soewondo Kendal Regional General Hospital p-value = 0.000 (<0.05). There is a difference in mothers' skills in caring for LBW babies between the intervention group and the control group p value (0.002), where the average value of mothers' skills between the intervention group and the control group shows a difference of 2.31. Education about LBW care through leaflet media improves parents' skills in caring for LBW at home, because leaflets provide informative visualization of knowledge as a medium that is easy to understand.

Pengaruh Pemberian Metode Kangaroo Mother Care (KMC) terhadap Respon Fisiologis pada Bayi BBLR Intan Triyanti; Kurnia Wijayanti; Indra Tri Astuti
Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran Vol. 3 No. 4 (2025): Termometer: Jurnal Ilmiah Ilmu Kesehatan dan Kedokteran,
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/termometer.v3i4.5485

In general, LBW infants do not have a mature immune system to adapt due to the immaturity of the infant's organ systems. Improving the physiological response of LBW infants can be done using an inexpensive, easy-to-do, and effective intervention, namely the Kangaroo Mother Care (KMC) method. This study aims to determine the effect of the Kangaroo Mother Care (KMC) method on the physiological response of LBW infants. This study used a quasi-experimental study with a pretest-posttest with control group design. The sample size was 34 LBW infants born at Dr. H. Soewondo Kendal Regional General Hospital, obtained through an infinite population technique. Data were collected using observation sheets and bedside monitors. Data analysis was performed using a paired t-test to determine the effect of the Kangaroo Mother Care (KMC) method on the physiological response of LBW infants. The results showed that there was an effect of Kangaroo Mother Care (KMC) on temperature (p-value 0.000), respiratory rate (p-value 0.000), pulse rate (p-value 0.000) and oxygen saturation (p-value 0.000) in LBW babies. There was an effect of standard care on temperature (p-value 0.000), respiratory rate (p-value 0.006), pulse rate (p-value 0.028) and oxygen saturation (p-value 0.000) in LBW babies. There was a difference in the physiological response of LBW babies between those given KMC and the nesting care control group, where KMC showed a better physiological response with a temperature difference of 1,230C, respiratory rate of 5.41 x/minute, pulse rate of 9.65x/minute and 1,230C, respiratory rate of 5.41 x/minute, pulse rate of 9.65x/minute and oxygen saturation of 2.23%.

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