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PENGETAHUAN PERAWAT TENTANG DEVELOPMENTAL CARE PADA BAYI BERAT LAHIR RENDAH Hotmayda, Hertaty; Utami, Tuti Asrianti; Wirdani, Paramitha
Jurnal Kesehatan Saelmakers PERDANA (JKSP) Vol 2 No 2 (2019): Jurnal Kesehatan Saelmakers PERDANA
Publisher : Fakultas Ilmu Kesehatan Universitas Katolik Musi Charitas

Low birth weight (LBW) infants are infants born with a weight less than or equal to 2500 grams regardless of the infant's gestational age. LBW infants often have difficulty in transitioning from intrauterine to extrauterine. Developmental care can facilitate LBW infants in adapting to their environment. LBW infants have generally treated the Neonatal Intensive Care Unit (NICU) and require a long period of hospitalization due to the immaturity of immunity. Abnormalities in the process of growth and development are frequently in LBW infants and will affect the quality of life. This study aims to determine the relationship between characteristics with the knowledge of nurses about developmental care in LBW infants. Thirty-eight respondents were included. This study uses the quantitative method with the cross-sectional design and descriptive correlation. Data were analyzed using Kendall's Tau B or Tau C. The results of this study showed that There isn't a significant correlation between age and nurse knowledge about developmental care in LBW with p-value 0,429,there isn;t a significant relationship between education and nurse knowledge about developmental care on LBW infants with p-value 0,764, there isn?t a significant relationship between the length of work with the knowledge of nurses about developmental care in LBW infants with p-value 0.134, there isn't a significant relationship between training with knowledge of nurses about developmental care at LBW infants with p-value 0,879.Keywords: developmental care, knowledge, LBW, NICU, nurse

THE RELATIONSHIP OF KNOWLEDGE ON THE BEHAVIOR OF MOTHERS CARING FOR CHILDREN TODDLER WITH DIARRHEA Arianusyanti, Riza; Utami, Tuti Asrianti
Jurnal Keperawatan Respati Yogyakarta Vol 7, No 1 (2020): Januari 2020
Publisher : Universitas Respati Yogyakarta

Diarrhea is an endemic illness in Indonesia and a potential case of Kasus Luar Biasa (KLB) is often accompanied by death. Easy diarrhea occurs in children, especially children toddlers. Respondents of the research were mothers of children toddler with diarrhea were treated in a private hospital child care in Lippo Village Tangerang in August-September 2017. The purpose of this study was to find out. the relationship of knowledge on the behavior of mothers caring for children toddler with diarrhea. The method used is a quantitative descriptive correlation with a cross-sectional study design. The technique of collecting data by distributing questionnaires. The data collection method by total sampling, the total sample of 53 respondents with the most respondents at the age of 31-40 years as many as 25 people (47.2%), Some of them are university graduated as many as 26 people (49,1%) most of them 32 people (60,4%) as a housewife, well educated as many as 41 people (77,4%) and well behaved as many as 45 people (84.9%). The results of this study indicate that there is no relationship between age (?-value = 0469), education (?-value = 0.075), job (?-value = 0632) with the behavior of mothers caring for children toddler with diarrhea and there is a relationship between knowledge and behavior of mother to toddler care for children with diarrhea (?-value = 0.045). Knowledge is the result out of someone on an object through its senses, so that a good mother knowledge about caring for children toddler with diarrhea, the mother will have good behavior, as well as his son, should be admitted to hospital because of diarrhea.

PENGALAMAN IBU DENGAN PUTING LECET TERHADAP KEBERLANJUTAN MENYUSUI Yesika, Inosensia; Utami, Tuti Asrianti; Ernawati
Jurnal Mitra Kesehatan Vol. 3 No. 2 (2021): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v3i2.87

Pendahuluan: Pengalaman puting lecet dialami oleh semua ibu menyusui terutama pada saat melahirkan anak pertama karena merupakan pengalaman pertama yang dilakukan oleh ibu menyusui. Tujuan dari penelitian ini adalah untuk meningkatkan pengalaman ibu menyusui. Metode: Metode yang digunakan dalam penelitian ini adalah metode kualitatif dengan menggunakan fenomenologi deskriptif. Partisipan dalam penelitian ini adalah 7 orang dengan perjuangan 22 sampai 35 tahun dengan bola salju. Metode pengumpulan data yang digunakan adalah wawancara mendalam dengan teknik teknik analisis data Colaizzi. Hasil: Penelitian ini menghasilkan 3 tema yaitu pengalaman ibu menyusui, manajemen dalam mengatasi masalah, dan kegiatan yang menghasilkan ibu menyusui. Kesimpulan: Peneliti menginginkan agar ibu bersalin khususnya puting lecet tidak berhenti memberikan ASI kepada bayinya, begitu juga sebaliknya ibu memahami manajemen dalam penanganan masalah yang dapat tercapai secara optimal. Penelitian ini juga dapat dikembangkan.

The Effectiveness of Duration Skin to Skin Contact and Telelactation in Exclusive Breastfeeding for Postpartum Mothers in Tangerang Novita, Regina Vidya Trias; Utami, Tuti Asrianti; Marni, Nursanty Wardoyo; Yusandra, Evra
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 4: December 2021
Publisher : Universitas Aisyah Pringsewu

Skin to Skin Contact (SSC) immediately after birth (SSC), proved could initiate breastfeeding for the first time. Sustaining breastfeeding could stop because the mother cannot be fencing their problems, and the end to stop to breastfeed their baby. the telelaction was a solution for mothers with difficulties during lactation with support during pandemics. The aim analysis the characteristic (age, education level, type of birth, and parity), duration of SSC, and telelactation to exclusive breastfeeding during two weeks at home. Methodquasi-experimental design, one group posttest-only. Analysis independent T-test, and regression logistic binary among102 respondents with accidental sampling. The results are the majority of mothers age 20-35 (85.3%), Have the highest level of education (93.1%), spontaneous delivery (65.7%), and multipara (69.6%). Duration SSC 31-60 minutes (64.7%) active telelactation (83.3%) at least twice during two weeks and (72.5%) have breastfeeding exclusively. SSC less than 30 minutes positively 16 times and SSC 30 minutes have 26.7 times to exclusive breastfeeding. Parity, duration SSC, and telelactation significant to Exclusive breastfeeding (p less than 0.05).Regression logistics was found parity (pvalue 0.036), duration SSC?30 minutes (pvalue 0.005) and telelactation (pvalue 0.014). SSC less than 30 minutes 4 times, parity 3 times, and telelactation 4 times influence mothers to exclusive breastfeeding during two weeks at home. The competency of the health professional should be increased and the telelactation was one of the alternative to apply a continuum of care for postpartum mothers who want to breastfeed, with health protocol during the pandemic.

Korelasi Penghasilan Orang Tua terhadap Kualitas Hidup Anak yang Mengalami Talasemia Mayor Utami, Tuti Asrianti; Anggraeni, Lina Dewi
Faletehan Health Journal Vol 10 No 02 (2023): Faletehan Health Journal, July 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i02.577

Thalassemia requires prolonged care and treatment; so that it has an impact on the quality of life of the children. The quality of life of the children can include the subjective evaluation of positive and negative aspects of their life. This study aims to analyze factors related to the quality of life of children with thalassemia major. It was a quantitative study with a cross-sectional approach and conducted at Gatot Subroto Hospital and Harapan Kita Hospital in Jakarta. The number of samples were 83 respondents selected by using purposive sampling. The results based on chi-square test analysis explained that there was a significant relationship between children age (p-value 0.031), sex (p-value 0.001), children education (p-value 0.006), parents age (p-value 0.050), parity (p-value 0.00) and parental income (p-value 0.000) with the quality of life of children suffering from thalassemia major. The analysis of binary logistic regression tests found a positive relationship between parental income >regional minimum wage and the quality of life of children suffering from thalassemia major as much as 10.507 times more effectively than parental income less than regional minimum wage. The research showed the importance of parental assistance for the treatment continuation of children suffering from thalassemia major.

Motivasi perawatan payudara dengan pijat dan kompres payudara berhubungan terhadap keberhasilan pemberian ASI eksklusif pada ibu bekerja di rumah sakit x Yuliana, Meri; Utami, Tuti Asrianti
Kisi Berkelanjutan: Sains Medis dan Kesehatan Vol 1 No 3 (2024): Juli-September
Publisher : PT Karya Inovasi Berkelanjutan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Air Susu Ibu (ASI) Eksklusif adalah makanan bayi yang paling penting terutama pada usia 0-6 bulan diawal kehidupannya. Pemberian ASI Eksklusif pada ibu bekerja biasanya banyaknya ibu rumah tangga yang bekerja dan membantu menjadi pencari sumber pendapatan keluarga. Penelitian ini bertujuan untuk menganalisis hubungan karakteristik dan motivasi perawatan payudara dengan keberhasilan pemberian ASI eksklusif di rumah sakit X Group Jakarta. Metode penelitian yang digunakan adalah kuantitatif deskriptif korelasional dengan pendekatan cross sectional. Pengambilan data dilakukan dengan cara penyebaran kuesioner dan dianalisis menggunakan analisis univariat dan bivariat. Uji Analisa statistik menggunakan spearman rank. Pengambilan sampel dilakukan dengan metode Slovin dengan responden sebanyak 58 responden. Hasil analisis univariat menunjukan usia responden > 30 tahun (50%), pendidikan SMA-PT (100.0%), bekerja sebagai perawat (75.9%), memiliki paritas primipara (53.4%), memiliki motivasi kuat perawatan payudara dengan pijat payudara (62.1%), memiliki motivasi kuat perawatan payudara dengan kompres payudara (69.0%), tidak berhasil memberikan ASI eksklusif (84.5%). Hasil uji Rank Spearman dengan ketentuan bermakna jika p-value < 0,05 menunjukan adanya hubungan motivasi perawatan payudara dengan keberhasilan pemberian ASI eksklusif, antara lain: motivasi perawatan payudara dengan pijat payudara (p-value=0,007), motivasi perawatan payudara dengan kompres payudara (p-value=0,025) dengan keberhasilan pemberian ASI eksklusif dan tidak adanya hubungan karakteristik (usia (p-value=0.597), pendidkan (p-value=0,846), paritas (p-value=0,635), pekerjaan (p-value=0,383). Motivasi perawatan payudara diperlukan untuk membantu keberhasilan pemberian ASI Eksklusif. Informasi tentang motivasi perawatan payudara perlu diberikan untuk ibu-ibu yang akan memberikan ASI Eksklusif.

FACTORS CONTRIBUTED TOWARD STUNTING IN CHILDREN IN INDONESIA Anggraeni, Lina Dewi; Utami, Tuti Asrianti; Wihardja, Hany
Jurnal Ilmiah Keperawatan Vol 8 No 1 (2025): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v8i1.5007

Stunting is a condition of failure to thrive in children under five due to chronic malnutrition, especially in the first 1000 days of Life. Stunting is closely related to the growth and development of the brain and the risk of suffering from chronic diseases in adulthood. Multi-factors that caused stunting include nutrition intake, toddler health status, maternal characteristics, parity, breastfeeding history, and the environment sanitation. This study aimed to identify the factors associated with the incidences of stunting in children under five years. This study was a quantitative study with a cross-sectional approach. This study was conducted from April to October 2019. This study involved 220 toddlers aged 1-5 years with their mothers. Study revealed that number of children were statistically correlated with to the incidence of stunting (p-value 0.005). There were three factors associated with the incidence of stunting in children under five years of age These factors are parity, history of exclusive breastfeeding, and mother's knowledge. The parity factor or the number of children is the most related factor with the incidence of stunting in children (p-value 0.007). Mothers of toddlers must be motivated to provide adequate nutrition in accordance with the needs at the age of growth and development. Government programs to overcome stunting need to start from family planning and the quality of performance of nutrition programs, one of which is intensive nutrition education for pregnant women and mothers of toddlers.

Pengaruh Pengetahuan tentang ASI Eksklusif dan Makanan Pendamping ASI Dini dengan Kejadian Stunting di Puskesmas X Bara, Maria Fatima; Utami, Tuti Asrianti; Susilo, Wilhelmus Hary
Malahayati Nursing Journal Vol 7, No 3 (2025): Volume 7 Nomor 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i3.16195

ABSTRACT Stunting is a measure obtained on a child's nutritional status based on his height which is determined by the comparison of the heights of children of his age. Factors causing stunting are mothers' lack of knowledge about the importance of exclusive breastfeeding and the providing of early weaning foods. This study aims to analyze the influence of mothers' knowledge about the importance of exclusive breastfeeding and early weaning food feeding on the incidence of stunting at the X District Health Center, West Jakarta. This research is a quantitative study with a logistic regression model using a cross-sectional approach. The data collection method used was distributing questionnaires. The sampling technique in this research used purposive sampling with 71 respondents. The results of the univariate analysis showed that 48 (67.6%) respondents had less knowledge about giving exclusive breastfeeding, 45 (63.4%) had less knowledge about providing weaning foods, 23 (32.4%) had stunted toddlers in the short category (stunted) and stunted toddlers in the very short category (severely stunted) were 31 (43.7%).The results of the mann-whitney analysis test with the condition that it is significant if the p-value < 0.05 shows that there is a significant influence between knowledge about exclusive breastfeeding with the incidence of stunting (p-value = 0.002) and knowledge about the providing of providing early weaning foods with the incidence of stunting (p-value = 0.001). Keywords: Stunting, Exclusive Breastfeeding, Weaning Foods ABSTRAK Stunting merupakan ukuran yang didapatkan pada status gizi anak berdasarkan tinggi badannya yang ditentukan oleh perbandingan tinggi pada anak-anak seusianya. Faktor penyebab terjadinya stunting adalah kurangnya pengetahuan ibu tentang pentingnya pemberian ASI eksklusif dan pemberian makanan pendamping ASI dini. Penelitian ini bertujuan untuk menganalisis pengaruh pengetahuan ibu tentang pentingnya pemberian ASI eksklusif dan makanan pendamping ASI dini dengan kejadian stunting di Puskesmas X Jakarta Barat. Penelitian ini merupakan penelitian kuantitatif dengan model non-parametric test dengan menggunakan uji mann-whitney menggunakan pendekatan cross sectional. Metode pengumpulan data yang digunakan berupa penyebaran kuesioner. Teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling dengan responden sebanyak 71 responden. Hasil analisis univariat menunjukan responden yang mempunyai pengetahuan kurang tentang pemberian ASI eksklusif sebanyak 48 (67,6%), pengetahuan kurang tentang pemberian MP ASI sebanyak 45 (63,4%), balita stunting kategori pendek (stunted) sebanyak 23 (32,4%), dan balita stunting dengan kategori sangat pendek (severely stunted) sebanyak 31(43,7%). Hasil analisis uji mann-whitney dengan ketentuan bermakna jika p value < 0,05 menunjukan adanya pengaruh yang signifikan antara pengetahuan tentang ASI eksklusif dengan kejadian stunting (p value=0,002), dan pengetahuan tentang pemberian MP ASI dini dengan kejadian stunting (p value=0,001). Kata Kunci: Stunting, ASI Eksklusif, Makanan Pendamping ASI

Hubungan Pelaksanaan Dokumentasi Nesting dengan Respon Fisiologis Bayi Berat Badan Lahir Rendah (BBLR) di RS X Jakarta Maimunatun, Siti; Utami, Tuti Asrianti; Prabawati, Dewi
MAHESA : Malahayati Health Student Journal Vol 5, No 1 (2025): Volume 5 Nomor 1 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i1.16084

ABSTRACT Low birth weight (LBW) or Low Birth Weight (LBW) is a baby whose birth weight is less than 2500 grams, regardless of gestational age. LBW can affect the baby's quality of life in the process of growth and development. Nesting helps facilitate LBW in adapting to their environment. Execution of nesting helps LBW to improve their physiological responses. The physiological changes that occur can be seen from the documentation carried out by the nurse. This study aims to analyze the relationship between implementing nesting documentation and physiological responses in LBW Method: This study used quantitative methods with a retrospective design from electronic medical records (EMR) from January 2021 to December 2022. The results of the study explain that there is no relationship between the implementation of comfortable nesting documentation and the temperature on day 1 p-value 0.899 (p>0.05) and there is a relationship between temperature on day 5 p-value 0.008 (p<0.05), there is a relationship between implementation of suitability of documentation nesting with heart rate frequency on day 1 p-value 0.010 (p<0.05) and there is a relationship on day 5 p-value 0.005 (p<0.05), there is no relationship between completion of nesting documentation and oxygen saturation on day 1 p-value 0.117 ( p>0.05) and day 5 p-value 0.011 (p<0.05). Nurses in carrying out nesting should make complete documentation. Suggestion: RS X Jakarta can provide Standard Operating Procedures for Nesting Documentation for nurses. Keywords: LBW, Nesting, Physiological Response ABSTRAK Berat badan lahir rendah (BBLR) atau Low Birth Weight (LBW) merupakan bayi yang berat lahirnya kurang dari 2500 gram, terlepas dari usia kehamilannya. BBLR dapat mempengaruhi kualitas hidup bayi dalam proses tumbuh dan kembangnya. Nesting membantu memfasilitasi BBLR dalam beradaptasi dengan lingkungannya. Pelaksanaan nesting membantu BBLR pada respon fisiologisnya menjadi lebih baik. Perubahan fisiologis yeng terjadi dapat terlihat dari pendokumentasian yang dilakukan perawat. Penelitian ini bertujuan menganalisa hubungan pelaksanaan dokumentasi nesting terhadap respon fisiologis pada BBLR. Penelitian ini menggunakan metode kuantitatif dengan desain retrospektif dari Electronic Medical Record (EMR) sejak Januari 2021 sampai Desember 2022. Hasil penelitian menjelaskan tidak terdapat hubungan pelaksanaan kesesuaian dokumentasi nesting dengan suhu hari ke 1 p-value 0.899 (p>0,05) dan ada hubungan suhu hari ke 5 p-value 0.008 (p<0.05), terdapat hubungan pelaksanaan kesesuaian dokumentasi nesting dengan frekuensi denyut jantung hari ke 1 p-value 0.010 (p<0.05) dan ada hubungan hari ke 5 p-value 0.005 (p<0.05), tidak terdapat hubungan pelaksanaan kesesuaian dokumentasi nesting dengan saturasi oksigen hari ke 1 p-value 0.117 (p>0.05) dan hari ke 5 p-value 0.011 (p<0.05). Perawat dalam melaksanakan nesting sebaiknya membuat dokumentasi dengan lengkap agar mengetahui setiap adanya perubahan kondisi bayi BBLR. Saran: RS X Jakarta dapat menyediakan Standar Operasional Prosedur Pendokumentasian Nesting bagi perawat. Kata Kunci: BBLR, Nesting, Respon Fiologis

Hubungan Kontak Kulit Ke Kulit Dini Dengan Sikap Ibu Dalam Pemberian ASI Ekslusif Pada Persalinan Sectio Caesarea Utami, Tuti Asrianti; Supriyatin, Rika
JURNAL NERS LENTERA Vol. 11 No. 1 (2023)
Publisher : Fakultas Keperawatan, Universitas Katolik Widya Mandala Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/ners.v11i1.4704

Kontak kulit ke kulit dini antara ibu dan bayi merupakan kegiatan awal yang membantu mensukseskan keberhasilan menyusui. Sectio caesarea dapat menyulitkan bagi ibu dan bayi untuk melakukan kontak kulit ke kulit dini. Tujuan penelitian untuk menganalisa hubungan kontak kulit ke kulit dini dengan sikap ibu dalam memberikan ASI ekslusif di ruang perawatan RS Swasta X Jakarta. Metode penelitian deskriftif korelatif dengan metode kuantitatif pendekatan cross sectional serta observasi kontak kulit dini di ruang operasi pada ibu dengan post sectio caesarea. Populasi penelitian seluruh ibu yang melahirkan secara sectio caesarea di RS Swasta X Kelapa Gading dan melakukan kontak kulit ke kulit dini sebanyak 38 ibu, sampel penelitian menggunakan total sampling. Hasil analisa statistic menggunakan chi square menjelaskan ada hubungan antara kontak kulit ke kulit dini dengan sikap ibu dalam memberikan ASI ekslusif pada ibu post section caesarea (p value 0,000). Ibu yang melakukan kontak kulit ke kulit dini sebagian besar memiliki sikap positif 24 kali lebih besar dalam pemberian ASI ekslusif sebanyak 92.3% (24 responden), dibandingkan dengan responden yang tidak melaksanakan kontak kulit ke kulit dini. Saran untuk tenaga kesehatan dapat membantu ibu-ibu dalam melakukan kontak kulit ke kulit segera setelah bayi lahir agar pemberian ASI ekslusif pada bayi usia 0-6 bulan dapat lebih di optimalkan.

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