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Fear of Childbirth pada Ibu Hamil Beresiko Julianti, Pudja Antika; Marfuah, Dewi; Mutiar, Astri; Purnama, Heni
Edu Dharma Journal :Jurnal penelitian dan pengabdian masyarakat Vol 7, No 2 (2023): Edu Dharma Journal: Jurnal Penelitian Dan Pengabdian Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52031/edj.v7i2.608

Fear of childbirth is one of the most common problems among pregnant women that can threaten their health and that of their babies. Pregnant women with high risk have a high level of fear in facing childbirth because they have great risks that will be faced by themselves and the baby to be born. The purpose of this study was to identify features of fear of giving birth in women with high-risk pregnancies. This study used qualitative methods with multiple case studies. Data collection was carried out through in-depth interviews. Participants were four pregnant women at risk. Data were transcribed and analyzed. This study found five themes emerged related to the description of fear childbirth among risky pregnant women, namely ambivalence about pregnancy, fear of labor process, fear of labor complications to their baby, fear of labor complications to themselves, and the copings to reduce fear of childbirth are do antenatal care routine, strengthen spiritual care and their self management. Pregnant women are at proven risk of experiencing fear. Their fear is not only fear about pregnancy but also fear in facing the birth process which can impact the health of the mother and also the baby. ABSTRAKKetakutan melahirkan merupakan salah satu masalah yang paling umum dikalangan wanita hamil yang dapat mengancam kesehatan mereka dan bayinya. Wanita hamil dengan risiko tinggi memiliki tingkat ketakutan yang tinggi dalam menghadapi persalinan karena memiliki resiko yang besar yang akan dihadapi oleh dirinya maupun bayi yang akan dilahirkan. Tujuan dari penelitian ini adalah untuk mengidentifikasi gambaran ketakutan melahirkan pada ibu dengan hamil beresiko. Penelitian ini menggunakan metode kualitatif dengan multiple case study. Pengumpulan data dilakukan melalui wawancara mendalam. Partisipan empat orang ibu hamil beresiko. Data terdiri dari rekaman wawancara. Data dibuat transkrip dan analisis. Ditemukan empat tema muncul terkait gambaran ketakutan melahirkan pada ibu dengan hamil beresiko yaitu penerimaan positif terhadap kehamilan, ketakutan akan proses persalinan, ketakutan akan kesehatan anak, ketakutan dampak pasca persalinan terhadap kesehatan ibu, dan koping menghadapi ketakutan dengan antenatal care, pendekatan spiritual dan selfmanagement. Ibu hamil beresiko terbukti mengalami ketakutan. Ketakutan mereka tidak hanya ketakutan soal kehamilan saja tetapi mengalami ketakutan dalam menghadapi proses persalinan yang bisa berdampak pada kesehatan ibu dan juga bayinya.

DOMINAN FACTORS RELATED TO PHYSICAL ACTIVITY IN PREGNANT WOMEN Marfuah, Dewi; Rahman, Ameliya Salsabila; Mutiar, Astri; Anggraini, Dian
Edu Dharma Journal :Jurnal penelitian dan pengabdian masyarakat Vol 8, No 1 (2024): Edu Dharma Journal: Jurnal Penelitian Dan Pengabdian Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Widya Dharma Husada Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52031/edj.v8i1.738

ABSTRACTPhysical activity in pregnant women is still low in Indonesia, even though doing physical activity during pregnancy has many health benefits and is an important part of a healthy lifestyle. This study aims to find out what factors are related to physical activity in pregnant women. This research was a quantitative study using a cross-sectional design. This research was conducted offline using a questionnaire sheet and Google form. The sampling technique used Convenience Sampling, with a total of 130 pregnant women with the criteria of pregnant women who can communicate well, own a smartphone, and read also write. Data were analyzed using linear regression with a significance level of p<0.05. Most of the respondents (62.3%) have physical activity in the moderate category. Age, gestational age, parity, and BMI were not significantly related to physical activity in pregnant women. However, education and occupational levels are significantly related to physical activity in pregnant women. Some pregnant women already have good awareness and knowledge of doing physical activity, but some are still in the mild category. So, physical activity in pregnant women still needs to be improved. ABSTRAKPhysical activity pada ibu hamil masih rendah di Indonesia, padahal melakukan physical activity pada saat hamil itu banyak manfaat untuk kesehata dan merupakan salah satu bagian penting dari gaya hidup yang sehat. Penelitian ini bertujuan untuk mengetahui apa saja faktor – faktor yang berhubungan dengan physical activity pada ibu hamil. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain cross sectional. Penelitian ini dilakukan secara offline dengan menggunakan lembar kuesioner dan google form. Teknik pengambilan sampel menggunakan Convenience Sampling, dengan jumlah 130 ibu hamil dengan kriteria ibu hamil yang bisa berkomunikasi dengan baik, memiliki smartphone dan bisa baca tulis. Data dianalisis menggunakan linear regressesion dengan tingkat signifikasi p<0,05. Sebagian besar reesponden (62.3%) memiliki physical activity pada kategori aktif sedang. Usia, usia kehamilan, paritas dan BMI tidak berhubungan secara signifikan dengan physical activity pada ibu hamil. Namun, tingkat pendidikan dan pekerjaan berhubungan secara signifikan dengan physical activity pada ibu hamil. Sebagian ibu hamil telah memiliki kesadaran dan pengetahuan yang baik dalam melakukan physical activity, namun sebagian lainnya masih ada pada kategori aktif ringan. Sehingga, physical activity pada ibu hamil masih perlu untuk ditingkatkan.

Application Development and Content Validation of "SinoBed" for Pressure Ulcer Prevention and Monitoring Taryudi, Taryudi; Lindayani, Linlin; Darmawati, Irma; Mutiar, Astri; Wijaya, Silman Silman Juwana
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 9 No. 4 (2023): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v9i4.630

Aims: This study aimed to describe the application development and validation of the "SinoBed" application for pressure ulcer prevention and monitoring. Methods: The Delphi technique was used in this study to validate the researchers' content. Twelve specialists willing to help with this research validate the content of the SinoBed application. The experts were invited through email to participate in the study, and they were then issued an electronic form to fill out and return for evaluation. The data collecting tool was created using the Google Forms® platform and included a sociodemographic survey of the participants and an evaluative survey with seventeen closed-ended questions. We used the CVI (Content Validity Index) to check the information and modified kappa. Results: The study involved twenty experts, but only twelve participated. The I-CVI ranged from 0.92 to 1.00. The summary received mostly positive expert assessments throughout the study. The SinoBed app has a collection of five unique algorithms. The topics to be discussed in this paper include: 1) Identification creation, 2) Roles as a patient or nurse, 3) Monitoring position and mobilization, 4) Nursing care plan, and 5) Education. Conclusion: The content supplied in SinoBed® was validated using an expert consensus. The experts determined that the mobile application is suitable for preventing pressure ulcers.

Customer Attitude Toward Smart Innovation Bed (SiNoBed) Application Nugraha, Ananditha Zahra; Lindayani, Linlin; Mutiar, Astri; Taryudi, Taryudi; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.692

Aims : The purpose of this study is to examine and identify factors that influence customer attitudes towards and intention to use Smart Innovation Bed (SiNoBed). Methods : This type of research is descriptive research with a quantitative approach. Total of 136 valid questionnaires was obtained through online means. The demographic profile of the respondents reflected a balanced representation, with 50% being male and female. mean age of the participants was calculated to be 28.45(SD= 5.778 ) and 57% of the respondents, identified themselves as individuals employed in the nursing profession. Results : The findings reveal a significant relationship, indicating that customers who express favorable opinions on attributes such as price, design, quality, and usability tend to show high purchase intentions towards SinoBed. In conclusion this study reveals a significantly positive customer attitude towards the purchase interest in Sinobed. Conclusions : The study highlights the positive customer attitude towards SinoBed, highlighting the importance of factors like competitive pricing, appealing design, quality, and usability in shaping purchase intentions.

The Effect of Yoga with Motivational Interviewing During Pregnancy on Physical Activity Marfuah, Dewi; Fitriana, Anisa Nur; Mutiar, Astri; Juniarni, Lia
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 3 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i3.705

Aims: Physical activity is crucial for a healthy pregnancy, promoting physical and mental health. Pregnant women can reduce weight gain, low back pain, and high-risk pregnancies. Yoga is a structured exercise for increased physical activity. Motivational Interviewing (MI) can encourage safe physical activity behavior in pregnant women. Knowing the effect of Yoga with Motivational Interviewing on physical activity in pregnant women. Methods: This study used a quasi-experiment design, dividing 52 pregnant women into two groups: 26 intervention and 26 control groups. The intervention involved yoga and weekly physical activity, with data collected using the PPAQ. Results: The effect of providing Structured Exercise Training and Motivational Interviewing interventions on physical activity in pregnant women Wilcoxon Test with a p-value of 0.003 (significant <0.05) and the Mann-Whitney Test p-value 0.001 (significant <0.05) which means that the hypothesis is accepted. ANCOVA results in p-value 0.000. Conclusions: Research in obstetric clinics and community settings reveals the impact of yoga and MI on pregnant women. Structured exercise training and motivational interviewing can increase physical activity in pregnant women. The study suggests improving education and facilities for yoga in obstetric clinics and communities.

A Qualitative Study of Information Needs about Human papillomavirus (HPV) Among Elementary School Students Syahrani, Dilla; Mutiar, Astri; Marfuah, Dewi; Purnama, Heni
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 4 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL) : SPECIAL EDIT
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i4.725

Aims: This research aims to to identify the information requirements of elementary school children toward human papillomavirus (HPV). Methods: The researcher employed a qualitative method utilizing the focus group discussion technique to gather data on several predetermined topics. A total of 20 female students who met the criteria were divided into several groups, and the discussions were recorded and documented. Result: Most of elementary school children have no background knowledge of HPV. Many of them have limited understanding of sexual health education. Although children aged 9-14 have received the HPV vaccine, most of them do not know about HPV. Further information is needed regarding the definition of HPV, the virus transmission process, potential symptoms, diseases caused by the virus, and complications arising from inadequate attention to prevention. Conclution: Providing comprehensive and child-friendly information about the HPV virus is essential to enhance the knowledge of elementary school students. It also contributes to increasing the acceptance of the HPV vaccine and maximizing preventive measures.

EFFECTIVENESS OF TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION CORSETS THERAPY ON MENSTRUAL PAIN IN ADOLESCENTS Pratiwi, Maulinda Rizki; Marfuah, Dewi; Mutiar, Astri; Perdani, Agni Laili
Journal of Maternity Care and Reproductive Health Vol 6, No 4 (2023): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v6i4.12285

Background: Menstrual pain is pain felt in the lower abdomen during menstruation. This pain can be cramped and last for a long time, interfering with everyday activities. Treatment in adolescents given during menstrual pain can be pharmacological or non-pharmacological. One of the non-pharmacological treatments commonly used is the Transcutaneous Electrical Nerve Stimulation (TENS) corset therapy using electrical currents through the skin that serves to lower the scale of menstrual pain. This study aimed to find out the impact of Transcutaneous Electrical Nerve Stimulation Corset Therapy on Menstrual Pain in Teenagers. Methods: This research was a quantitative research using experimental Quasi Two Group Pre-Posttest design. This study conducted toward adolescents in Bandung District area, West Java with a sample of 50 respondents, the girls were divided into two groups namely intervention and control groups with 25 respondents for easy group. The intervention was carried out for 3 days with 15 minutes of therapy a day. Sampling techniques used a purposive sampling and for data compilation used the questionnaires and a checklists characteristic menstrual pain form. Results: The age of respondents were <17 years old (38%) and >17 years old (62%), they were in Senior High School (84%) and in Junior High School (16%), age of menarche <12 years old (42%) and >12 years old (58%). The Bivariat analysis on Impact of Transcutaneous Electrical Nerve Stimulation Corset Intervention Therapy toward Menstrual Pain in Adolescents using the Wilcoxon test showed p value 0.000 (significance < 0.05), and the Mann-Withney test with p value 0.000 (< 0.05) which means there was a significant difference between the intervention group and the control group, and also ANCOVA test results showed p value 0.000. Conclusion: The conclusion of the study showed that there was an effect of the Transcutaneous Electrical Nerve Stimulation Corset therapy intervention toward Menstrual Pain in adolescents. It could be reduce level menstrual pain,

The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease Lindayani, Linlin; Yosep, Iyus; Purnama, Heni; Mutiar, Astri; Putri, Anisa Dwi
Jurnal Keperawatan Padjadjaran Vol. 12 No. 3 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i3.2629

Background: Depression is the most common psychological condition among patients with coronary heart disease (CHD). Although psychoeducational programs (PEPs) based on the Transtheoretical Model (TTM) have shown promise for psychiatric patients, their application among individuals with medical conditions, particularly cardiovascular disease, remains limited—especially in Indonesia. Purpose: This study aimed to assess the effectiveness of a TTM-based PEP intervention in reducing depression among CHD patients. Methods: A quasi-experimental design was employed, involving 80 CHD patients hospitalized in the coronary care unit (CCU) of a private hospital in West Java, Indonesia, in 2022. Participants in the intervention group attended seven sessions, each lasting 60 to 90 minutes. Depression symptoms were measured using the Hamilton Depression Rating Scale (HDRS). An ANOVA was performed to compare pre- and post-intervention mean HDRS scores and subscale scores between the two groups. After accounting for attrition, the final analysis included data from 76 patients. Results: The participants had a mean age of 59.39 years (SD = 11.10) and a mean disease duration of 4.05 years (SD = 1.69). A paired t-test showed a significant reduction in the mean HDRS score of the intervention group, from 13.79 ± 2.84 pre-intervention to 10.16 ± 2.16 post-intervention (p < 0.0001). Most HDRS subscale scores also decreased significantly, except for insomnia, somatic/genital symptoms, and weight loss. ANCOVA confirmed significant differences between the two groups in overall HDRS scores. Conclusions: The findings suggest that TTM-based PEP is effective in reducing depression among CHD patients. Incorporating such programs alongside standard treatments is recommended for enhanced patient outcomes.

The Effect of Application-Based Exergames on Cognitive Function in Hemodialysis Patients Fauzi, Achmad; Lindayani, Linlin; Mutiar, Astri; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.756

Aims: Hemodialysis (HD) patients may disrupt physical and cognitive capabilities, affecting older mobility, independence, psychological well-being, and health care expenditures. Home-based exergame training overcomes accessibility issues. Methods: This research examined how mobile app exergames affected cognitive performance in hemodialysis patients. This research used a repeated measurement-quasi-experiment two-group pretest-posttest design in a West Java. The intervention group trained three times a week for 30-40 minutes for two months, totaling 24 sessions (8 weeks). In the control group, participants were told to live normally. Results: Inlcusion criteria was performing HD at least twice a week, age > 65, living independently, self-reported health, ability to stand for 10 minutes without help, and access to a TV with HDMI connection. The Trail Making Test (TMT) measured psychomotor speed and executive function. ANCOVA was used to compare scores before and after the intervention in both groups. The repeated ANOVA test revealed that the trial making test A (TMT A) decreased significantly in the intervention group after one month intervention (T2) (from 79.77 ± 7.23 at baseline to 40.87 ± 5.33 at follow up), with the effect size was 0.41, indicating moderate effect size. The trial making test B (TMT B) decreased significantly in the intervention group after one month intervention (T2) (from 77.6 ± 24.2 at baseline to 70.32 ± 23.3 at follow up), with the effect size was 0.45, indicating moderate effect size. However, there was not significant change of Trial making Test A and B from baseline to follow up time in the control group. Conclusions: Findings of this study could be one of the new solutions to help patients undergoing hemodialysis improve their cognitive function. Exergame training may be done at home, which helps to overcome accessibility constraints.

The Effect of Self-Awareness and Problem-Solving Skills Training Based on Edugames on Burnout in Midwives Novita, Novita; Lindayani, Linlin; Mutiar, Astri; Darmawati, Irma
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 5 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i5.757

Aims: This study aimed to determine the effect of edugame-based self-awareness and problem-solving skill training on burnout in midwives. Methods: The study used a repeated measurement-quasi-experiment design in a hospital in Bekasi, West Java, with 120 midwives in both groups. Results: Emotional exhaustion (Eta = 0.05, p = 0.443), depersonalization, (Eta = 0.03, p = 0.718) and personal accomplishment scores (Eta = 0.08, p = 0.694) did not change significantly in the control group. At the same time, interventions reduced the total score of emotional exhaustion (Eta = 0.26, p = 0.001), depersonalization (Eta = 0.20, p = 0.010), and personal accomplishment (Eta = 0.35, p = 0.001). Conclusions: Midwives were more likely to accept their emotional exhaustion after intervention, were able handle depersonalization and performed personal accomplishment. The study underscores the significance of midwives' self-awareness and problem-solving skills in identifying burnout symptoms, advocating for change, and providing necessary support services.

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