Articles
Efektivitas Metode Video dan Demonstrasi terhadap Kangaroo Mother Care Self Efficacy
Khotimah, Sania K;
Rahmawati, Eni;
Susmarini, Dian
JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Vol 5, No 2 (2019): Vol 5, No 2 (2019)
Publisher : Universitas Pendidikan Indonesia
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DOI: 10.17509/jpki.v5i2.19048
ABSTRAKBerat badan lahir rendah merupakan penyebab tertinggi angka kematian bayi. Bayi Berat Lahir Rendah(BBLR) beresiko mengalami hipotermi. Kangaroo Mother Care (KMC) atau perawatan metode kangguru merupakan salah satu intervensi hipotermi. Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas video dan demonstrasi pada discharge planning terhadap kangaroo mother care self efficacy pada ibu yang memiliki BBLR. Metode penelitian menggunakan desain quasy experimental non randomized prettest and posttest dengan kelompok kontrol. Teknik sampling yang digunakan kuota sampling dengan jumlah 19 responden di setiap kelompok. Analisis data menggunakan independent sample t test. Hasil studi menunjukkan tidak ada perbedaan skor self efficacy antara kedua kelompok sesudah perlakuan (p=0,187) dengan nilai signifikansi 5%. Kedua metode edukasi baik video maupun demonstrasi sama-sama efektif untuk meningkatkan self efficacy. Perawat dapat menggunakan video untuk menggantikan demonstrasi saat melakukan discharge planning perawatan metode kangguru. ABSTRACT Low Birth Weight (LBW) is the highest cause of infant mortality in the first month of life. Low birth weight babies are at risk of experiencing hypothermia. One of the treatments for hypothermia is kangaroo mother care (KMC). The study aims to determine the differences in the effect of video and demonstration in discharge planning addressed to mother’s kangaroo mother care self-efficacy with low birth weight baby. This research used quasy experimental non-randomized pretest and posttest design. The sampling technique of this research used quota sampling, which was 19 respondents in each group. The data was analyzed using the Independent Sample t-Test. The result showed that there were no differences in self-efficacy scores between the video and demonstration groups after treatment (p=0,187) with a 5% score significant. Both methods, video, and demonstration education are equally effective in improving mother self-efficacy. Nurses can use video to replace demonstrations when performing discharge planning treatments for kangaroo mother care.Â
EFEK VIDEO PERAWATAN BAYI BERAT LAHIR RENDAH SAAT DISCHARGE PLANNING TERHADAP KETERAMPILAN ORANG TUA
Veniawati, Okti;
Rahmawati, Eni;
Susmarini, Dian
Journal of Bionursing Vol 2, No 1 (2020)
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman
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DOI: 10.20884/bion.v2i1.34
Background: Low Birth Weigh Babies (LBWB) were at high risk of experiencing hyphothermia and lack of nurtition due to the weakness in suction reflex. That issue could be a cause for babies to be long hospitalized. The risk can be tackled with practicing the right breastfeeding technique and Kangaroo Mother Care (KMC) technique. Method: This type of research was quantitative with quasy experimental pretest and posttest with control group design. The sampling technique used quota sampling. Each group had 18 repondents made the total of respondents to be 36 people. The instruments in this research were observation sheets of breastfeeding and KMC. Result: It was obtained the score of breastfeeding with P value = 0.005 and KMC with P value = 0.016 in which both had P value = <0.05. There was significant difference of the video on the mother skill of breastfeeding and KMC. Conclusion: Home care video for Low Birth Weight Baby was effective in improving the parent?s skill on breastfeeding and KMC technique.
Efektivitas Modul untuk Manajemen Laktasi Pasca Melahirkan
Ramawati, Dian;
Latifah, Lutfatul;
Rahmawati, Eni
Jurnal Keperawatan Soedirman Vol. 08 No. 1 (2013)
Publisher : Jurusan Keperawatan FIKES UNSOED
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DOI: 10.20884/1.jks.2013.8.1.465
Perilaku orang tua dalam pemberian ASI eksklusif kurang optimal karena dipengaruhi oleh faktor sosial budaya, kesadaran akan pentingnya ASI. Satu cara yang mungkin dilakukan adalah memanfaatkan penggunaan modul dalam manajemen laktasi untuk meningkatkan motivasi dan pengetahuan ibu tentang pemberian ASI. Tujuan penelitian ini untuk mengetahui efektifitas penggunaan modul dalam manajemen laktasi pasca melahirkan. Penelitian ini merupakan penelitian pre eksperimental dengan menggunakan one-group pretest-posttest design. Pengambilan sampel dilakukan dengan teknik simple random sampling. Didapatkan hubungan yang sangat bermakna antara penggunaan modul dengan pengetahuan ibu tentang manajemen laktasi pasca melahirkan (p = 0,000) dan efektivitas penggunaan modul dalam meningkatkan pengetahuan ibu tentang manajemen laktasi pasca melahirkan sebesar 75%. Modul/booklet dapat menjadi salah satu cara untuk memberikan pengetahuan tentang manajemen laktasi pasca melahirkan dan sangat bermanfaat untuk para ibu agar dapat memberikan ASI secara eksklusif kepada bayi selama 6 bulan.
Extremity Strengthening Exercise on Neonates Receiving Phototherapy
Rahmawati, Eni;
Susmarini, Dian;
Purnamasari, Meivita Dewi
Jurnal Keperawatan Soedirman Vol 15, No 1 (2020)
Publisher : Jurusan Keperawatan FIKES UNSOED
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DOI: 10.20884/1.jks.2020.15.1.1223
Neonatal jaundice is a clinical condition in infants characterized by yellow staining of the skin and sclera due to the accumulation of unconjugated bilirubin excess. This is the leading cause of deathin 60% -80% of newborns. This research was aimed to investigate the effects of exercise on neonates with nutritional status and vital signs who were receiving phototherapy. In this quasi experimental study, 34 full term neonates with jaundice admitted for phototherapy were selected through quota sampling. Subjects were assigned to exercise and control groups. Neonates in exercise group received a passive extremities exercise for 15 to 20 minutes on extremities twice a day for 3 days, while the control group did not received any exercise. Statistics analysis used independent t test and mann-whitney test. Demographic and clinical characteristics, the defecation frequency, vital sign, total feeding amount and body weight were identified and compared between two groups.On the third day, the exercise group showed a significantly higher defecation frequency (p=0.000) and significant in respiration rate (p=0.029); not significant in vital signs (heart rate p=0.583 and temperature p=0.807;) enteral feeding (p=0.202) and body weight (p=0.181). Exercise could increase defecation frequency in neonates with jaundice receiving phototherapy.The effect of exercise was limited to stabilize temperature and heart rate.
Faktor-Faktor yang Mempengaruhi Burnout pada Wanita Bekerja di Kabupaten Banyumas
Swasti, Keksi Girindra;
Ekowati, Wahyu;
Rahmawati, Eni
Jurnal Keperawatan Soedirman Vol 12, No 3 (2017)
Publisher : Jurusan Keperawatan FIKES UNSOED
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DOI: 10.20884/1.jks.2017.12.3.738
The globalization era has given many changes in some aspects of life such as women participation in work field. There are women can perform their potential ability in doing their work. The effects of doing their role, women oftentimes feel weary not only physical but also mental and emotional therefore it can influence their work performance and personal life. This condition is called by “burnoutâ€Â. Burnout is influenced by individual, environment and cultural factor. Based on that problem, the researcher is interested to find out some factors that influence burnout for working women in Banyumas Regency. This research is quantitative by descriptive analysis design and the sample is chosen by simple random sampling. The relationship between characteristic of respondent demography and burn out was analyzed by Chi-Square and Sommers d test. The result of analysis are 55% respond are mild burnout and 42,5% are moderate burnout. Level of education, kind of work, amount of income and work duration are some factors that influence burnout for working women in Banyumas Regency. Based on that fact, it is needed some efforts to prevent sustainable burnout.
Efektivitas Manajemen Diare di Tatanan Rumah Tangga dalam Meningkatkan Pengetahuan dan Keterampilan Penanganan Diare Anak
Rahmawati, Eni;
Rahayu, Eva;
Pratama, Koernia Nanda
Jurnal Keperawatan Soedirman Vol 12, No 2 (2017)
Publisher : Jurusan Keperawatan FIKES UNSOED
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DOI: 10.20884/1.jks.2017.12.2.737
Diarrhea is a major cause of morbidity and mortality of children under five in developing countries and is one of main cause of malnutrition. Meanwhile, mother's behavior and knowledge about health impact on child’s mortality. Management of diarrhea is a therapeutic treatment by empowering parents, which is focused on the treatment of diarrhea at home. This study was aimd to identify the effect of management of diarrhea on the behavior of parents in caring for of children with diarrhea at home. This research method was the Quasi Eksperiment Pretest-Posttest Design with Control Group. The subjects were 55 respondents selected by purposive sampling. Knowledge and skills were measured in 18 days, using a knowledge questionnaire with 21 questions, while the skills was measured through direct observation. The average score effect on knowledge of the treatment and control group were 37.9 and 6.15. While the average score effect on skills of the treatment and control group were 35.07 and -0.51. The P-value in both variables using Independent Sample t-Test showed was 0.000, which means is a significant difference between the treatment and control groups. The management of diarrhea is effective to improve parents knowledge and skills in the treatment of childhood diarrhea.
Cesarean Delivery and Respiratory Distress Syndrome in Late Preterm Infants
Eni Rahmawati;
Mekar Dwi Anggraeni;
Erni Setiyowati
Caring: Indonesian Journal of Nursing Science Vol. 2 No. 2 (2020): Caring: Indonesian Journal of Nursing Science
Publisher : Talenta Publisher
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DOI: 10.32734/ijns.v2i2.4969
Cesarean sections (C-sections) associated with an increased risk of atopic disorders in infants. Late preterm infants born by C-sections tend to have more breathing problems especially Respiratory distress syndrome (RDS). RDS is one of the most common causes of respiratory morbidity and mortality in late preterm infants. Respiratory Distress Syndrome is one of the main causes of respiratory failure and neonatal death in premature infants and is caused by a lack of pulmonary surfactant due to fetal lung immaturity. The objectives of this research are to analyze the relationship between cesarean delivery and respiratory distress syndrome in late preterm infants. This type of research uses a type of quantitative research. The study design is a retrospective cohort study with a study cross-sectional approach. The sample in this study were 155 late preterm infants. This research was conducted in January-April 2019 in the Prof. DR. Margono Soekarjo Purwokerto. The analysis used univariate and bivariate analysis using The Chi-square test. The results of this study showed there is a significant relationship between C-sections and respiratory distress syndrome from p-value of 0.013 (> 0.05). Based on the results of this study, nurses are expected to recognize that C-sections delivery one of the risk factors of RDS in late preterm infants.
Efek Video Perawatan Bayi Berat Lahir Rendah Saat Discharge Planning terhadap Keterampilan Orang Tua
Okti Veniawati;
Eni Rahmawati;
Dian Susmarini
Journal of Bionursing Vol 2 No 1 (2020): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman
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DOI: 10.20884/1.bion.2020.2.1.34
Background: Low Birth Weigh Babies (LBWB) were at high risk of experiencing hyphothermia and lack of nurtition due to the weakness in suction reflex. That issue could be a cause for babies to be long hospitalized. The risk can be tackled with practicing the right breastfeeding technique and Kangaroo Mother Care (KMC) technique. Method: This type of research was quantitative with quasy experimental pretest and posttest with control group design. The sampling technique used quota sampling. Each group had 18 repondents made the total of respondents to be 36 people. The instruments in this research were observation sheets of breastfeeding and KMC. Result: It was obtained the score of breastfeeding with P value = 0.005 and KMC with P value = 0.016 in which both had P value = <0.05. There was significant difference of the video on the mother skill of breastfeeding and KMC. Conclusion: Home care video for Low Birth Weight Baby was effective in improving the parent’s skill on breastfeeding and KMC technique.
Risk Factors for Late- Preterm Infants in One Public Hospital at Banyumas District Indonesia
Haryatiningsih Purwandari;
Eni Rahmawati;
Aprilia Kartikasari
Journal of Bionursing Vol 2 No 2 (2020): Journal Of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman
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DOI: 10.20884/1.bion.2020.2.2.48
Background. Late preterm infants are near-term infants, but it is a critical development period. Evidence supported that late preterm infants’ birth impact on the short-and long-term outcomes. Investigating the risk factors associated with late preterm infants in Indonesia is important since Indonesia has a high number of preterm infants. However, a limited study investigating risk factors for late-preterm infants in Indonesia. Methods.A cross-sectional study was used in this study. A convenience sample of 46 dyads of mothers and preterm infants (33 late preterm infants aged equal and more than 34 weeks gestation, and 13 preterm infants aged < 34 weeks gestation) retrieved from level 1 and 2 neonatal carein one public hospital at Banyumas district, Indonesia. Self-reported questionnaire and medical record were utilized to collecting the data. Univariate, Chi-Square, Logistic regression, Hosmer and Lemeshow test, and Area under Curve with Receiver Operating Curve method (AUC ROC) were used in this study.Results. Working mother had risk 16.2 times for developing late preterm infant (LPI) compared to housewife (OR= 16.2; 95% CI: 2.315-123.444). Mother’s age < 31 years old, and multipara mother were found as the protective factors for delivering LPI (OR= .148; 95%CI: .013-1.632; OR=.059; 95%CI: .004-.927), however, the chance as the protective factors of LPI seems very low. The model prediction was y= 2.900-1.913 (mothers’ age) -2.833 (parity) +2.828 (mothers’occupation). Application the model was discussed. Hosmer and Lemeshow test demonstrated that the model had good calibration (p=.869).The AUC ROC was .809 indicated the model had good discriminant.Conclusion. The LPIs’ birth can be predicted by the mothers’ age, parity, and occupation. The mothers’ occupation was identified as the dominant factor in the model prediction. The model for predicting LPIs’ delivery had good quality and can be used for predicting the LPIs’ birth in the clinical practice.
Evaluasi Tingkat Pengetahuan Perawat tentang Terapi Stimulasi Fisik pada Hiperbilirubinemia Neonatus
Eni Rahmawati;
Dian Susmarini;
Meivita Dewi Purnamasari
Journal of Bionursing Vol 2 No 3 (2020): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman
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DOI: 10.20884/1.bion.2020.2.3.77
Background. Infants with hyperbilirubin have management in lowering bilirubin levels. Management of the physiological management of jaundice is regular drinking with frequent breastfeeding and light therapy if possible. WHO guidelines for the pathological management of jaundice can be carried out by phototherapy and pharmacology. Physical stimulation therapy is a complementary therapy in the form of passive Range of Motion (ROM) movements. The aim of the study was to evaluate the level of knowledge of nurses about physical stimulation therapy in hyperbilirubinemia neonates. Methods. This study used a quasi-experiment with a one-group pretest-posttest design approach. The research was conducted in May-August 2020 in virtual or online due to the Covid 19 pandemic situation. The number of respondents was 30 people. Data collection using a modified questionnaire by the researcher. The data were then processed and analyzed using univariate analysis and bivariate analysis using the Paired Sample T-Test. Results. The mean pre-test score was 77.18 and the post-test mean score was 93.74. The statistical test results showed a difference in knowledge before and after education with a p-value of 0.000 (p <0.05). Conclusion. Nurses' level of knowledge about physical stimulation therapy increased after being given an education.