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RELATIONSHIP OF SELF-ESTEEM TO POSTPARTUM DEPRESSION IN POSTPARTUM MOTHERS Vina Ayu Wardani; Kustati Budi Lestari; Irma Nurbaeti
Journal of Maternity Care and Reproductive Health Vol 4, No 1 (2021): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v4i1.164

Self-esteem influences women's transition to a new identity and adjustment of motherhood. Mothers with low self-esteem have poor coping, so it is easy to experience depression. In the postpartum period, physiological changes and psychological changes can trigger anxiety and depression that affect the bonding of the baby and mother. The purpose of this study was to find out if there was a link between self-esteem and postpartum depression. Method Quantitative research with cross-sectional design against 287 postpartum mothers 1-12 months meets inclusion criteria. Collection of research data in March – June 2016 in the working area of Puskesmas Ciputat Timur and Ciputat Tangerang Selatan; and Kebayoran Lama and Cilandak Jakarta Selatan. The research instrument uses the Indonesian version of the Edinburgh postpartum depression scale to measure postpartum depression and Rosenberg Self-Esteem Scale in Bahasa Indonesia to measure postpartum maternal self-esteem. Data collection with home visits. Test the statistic using Chi-square with α=0.05. The results showed that of the 38% of mothers with low self-esteem, 11.5% had postpartum depression. The chi-square test analysis results have a relationship between self-esteem and postpartum depression (p=0.002 value). Conclusion mothers with low self-esteem are at higher risk of causing postpartum depression, so it is necessary to increase postpartum mothers' self-esteem to undergo a transition period happily.

Efektivitas Comprehensive Breastfeeding Education terhadap Keberhasilan Pemberian Air Susu Ibu Postpartum Irma Nurbaeti; Kustati Budi Lestari
Jurnal Keperawatan Padjadjaran Vol. 1 No. 2 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Pemberian Air Susu Ibu (ASI) masih merupakan masalah bagi pemenuhan kebutuhan nutrisi bayi baru lahir. Dukungan agar ibu menyusui bayi merupakan hal penting dalam menginisiasi dan mempertahankan pemberian ASI. Strategi dibutuhkan untuk mendukung keberhasilan menyusui. Tujuan penelitian adalah menganalisis efektivitas comprehensive breastfeeding education terhadap keberhasilan pemberian (ASI) pada periode postpartum. Jenis penelitian ini menggunakan kuasi eksperimen one group pre post test repeated measured design. Jumlah sampel sebanyak 22 ibu dengan menggunakan teknik accidental sampling. Pengumpulan data dilaksanakan pada bulan September–Oktober 2013 di Puskesmas wilayah Kota Tangerang Selatan. Intervensi dilakukan selama 30 menit. Pengumpulan data dilakukan sebelum intervensi, 3 hari setelah intervensi (post1), dan 10 hari setelah intervensi (post 2). Pengumpulan data menggunakan kuesioner dan observasi. Keberhasilan pemberian ASI berdasar pada parameter pengetahuan, langkah menyusui, perlekatan bayi, dan kecukupan ASI. Analisis data menggunakan general linear model repeated measureANOVA. Hasil penelitian menunjukkan adanya signifikansi comprehensive breastfeeding education (p=0.001). Rata-rata keberhasilan pemberian ASI sebelum dan setelah intervensi meningkat. Sebesar 93,9% intervensi memengaruhi tingkat keberhasilan. Rata-rata sebelum intervensi 56,74 (SD 5,92), post 1 sebesar 60,83 (SD 6,38) dan post2 sebesar 74,55 (SD 5,32). Subvariabel yang memiliki efek secara signifikan setelah intervensi adalah pengetahuan (p=0.001) dan langkah menyusui (p=0.001), sedangkan subvariabel perlekatan bayi (p=0.061) dan kecukupan ASI (p=0.162) tidak secara signifikan berbeda antara sebelum dan setelah intervensi. Pelaksanaanbreastfeeding education disarankan pada ibu agar dapat melakukan posisi perlekatan bayi yang benar sehingga dapat mengurangi masalah-masalah berkaitan dengan perlekatan yang tidak sesuai seperti puting perih, lecet atau berdarah, dan bayi kurang puas dalam menyusu yang bisa mengakibatkan gagalnya program ASI ekslusif.Kata kunci:Menyusui, pendidikan, perlekatan, postpartum AbstractBreastfeeding have still been problem for adequate newborn nutrition. Adequate breastfeeding support is essential for mothers to initiate and maintain optimal breastfeeding practices. A strategic needed to support successful breastfeeding. The purpose of research is to analyze the effectiveness comprehensive breastfeeding education on successful breastfeeding at postpartum periods. A quasi-experimental one group pretest, post test, repeated mesaured was used. This study was conducted at public health in Tangerang Selatan municipality in September–October 2013 among 22 postpartum mothers, convenience sampling methods. Intervention was done 30 minute. Data were collected before intervention (pretest), third day after intervention (post 1) and tenth day after intervention (repeated/post 2) using four parameter, that are knowledge, breastfeeding steps, proper lacth-on and adequate breastmilk. Using repeated measures analysis of variance there was a significant increase (p=0.001) in the overall Successful breastfeeding mean. Around 93,9% the effectiveness of intervention influence on successful. The mean before intervention is 56,74 (SD 5,92), increased at post 1:60,83 (SD 6,38) and post 2:74,55 (SD 5,32). Subvariable which has effect significantly after intervention is knowledge (p=0.001) and breastfeeding steps (p=0.001), in contrary, proper latch-on (p=0,061) and adequate breastmilk (p=0.162) have no significant effect after intervention. Suggestion to support breastfeeding education and counselling proper latch-on adequately that can decrease the problem such as painful, creaks or bloody putting.Key words: Breastfeeding, education, latch-on, postpartum

Developing an android-based application for early detection of postpartum depression symptoms in Indonesia Irma Nurbaeti; Moch Syafii; Kustati Budi Lestari
Belitung Nursing Journal Vol. 7 No. 2 (2021): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1308

Background: Postpartum depression has become a mental health problem in Indonesia. Screening symptoms of postpartum depression as early as one month during the postpartum period is needed. A smartphone application is considered one of the fastest ways for screening. Objective: To develop an android-based application to early detect the symptoms of postpartum depression and evaluate its effectiveness. Methods: The smartphone application was developed using Analysis, Design, Development, Implementation, and Evaluation (ADDIE) instruction model. The survey design was carried out to evaluate the effectiveness of the application among 109 postpartum mothers selected using convenience sampling. Data were collected from August to October 2019 in South Tangerang, Indonesia. Results: The evaluation showed that the application is mostly positive. The appearance of the application is adequate (92.67%), easy to download (89.90%), understandable (96.33%), easy to fill-in (94.50%), beneficial (96.33%), new (90.83%), and reflecting psychological conditions (90.83%). Conclusion: The symptoms of postpartum depression can be measured by the android-based application. It is therefore recommended to Indonesian mothers use this app to detect postpartum depression symptoms early. This app also helps nurses and midwives to prevent depression among postpartum mothers. Also, the app can be imitated by other developers for non-Indonesian mothers.

Association between Islamic religiosity, social support, marriage satisfaction, and postpartum depression in teenage mothers in West Java, Indonesia: A cross-sectional study Irma Nurbaeti; Kustati Budi Lestari; Moch Syafii
Belitung Nursing Journal Vol. 9 No. 4 (2023): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2661

Background: Postpartum depression is a prevalent mental health issue among mothers after giving birth. Adolescent mothers are believed to have a higher rate of postpartum depression than adult mothers. However, research on postpartum depression among teenage mothers in Indonesia remains limited. This research gap emphasizes the need for more comprehensive studies to address the mental health and well-being of postpartum mothers in Indonesia, especially among adolescents. Objective: This study aimed to investigate the correlations between Islamic religiosity, social support, marital satisfaction, and postpartum depression in teenage mothers in Indonesia. Methods: A cross-sectional study was conducted involving 203 adolescent postpartum mothers selected through cluster sampling. Data were collected using validated questionnaires from July to August 2020 in Cianjur and Sukabumi districts, West Java Province, Indonesia. Descriptive statistics, chi-square, and multiple logistic regression were employed for data analysis. Results: The study revealed that 35.96% of teenage mothers experienced symptoms of postpartum depression. Among the variables studied, marriage satisfaction (p = 0.002), education level (p = 0.012), family income (p = 0.003), number of children (p = 0.044), and baby weight at birth (p= 0.0001) were significantly associated with postpartum depression. However, social support (p = 0.688) and religiosity (p = 0.788) showed no significant association with postpartum depression. Multiple logistic regression analysis further confirmed that marriage satisfaction (p = 0.001; OR = 0.365; 95% CI 0.197 - 0.676), family income (p = 0.001; OR = 0.326; 95% CI = 0.165 - 0.644), and the number of children (p = 0.026; OR = 3.68; 95% CI = 1.173 – 11.547) were the most significant factors associated with postpartum depression. Conclusion: The study highlighted a high prevalence of postpartum depression among adolescent mothers. Marital satisfaction, family income, and the number of children were identified as key factors associated with postpartum depression in this population. These findings emphasize the importance of considering these factors in nursing and midwifery practice to provide targeted support and interventions, ultimately improving the mental health outcomes for teenage mothers during the postpartum period.

The correlation between islamic mindfulness with nursing student professional attitude and caring behavior Irma Nurbaeti; Kustati Budi Lestari; Tsal Tsa Khairunnisa
Jurnal Keperawatan Padjadjaran Vol. 12 No. 2 (2024): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v12i2.2388

Background. Various stressors during the clinical practices may affect the psychological status of students which potentially impact on their professional attitudes and caring behavior. Prospective nursing students practices on clinical setting is necessary as the basis for strategy development in building students’ caring behavior. The role as care giver that believed can impact to professional attitude and caring behavior is Islamic mindfulness. The aim of the study was to identify the correlation between Islamic Mindfulness with professional attitude and caring behavior among nursing students. Methods. Cross-sectional design was carried out in this study. A total of 97 Moeslim students of nursing clinical Practices program were recruited from Islamic State University of Jakarta and Makassar Indonesia during November to December 2022 by total sampling. Instruments of Islamic Mindfulness questionnaire, Caring Asessment Tool and Professional attitude for Nurses students were used. Data collected by online. Bivariate analysis was performed to test the correlation between Islamic mindfulness with professional attitude and caring behavior among nursing students. Results. The mean score of Islamic mindfulness was 38.27 (SD=5.60), Professional attitude was 67.09 (SD=9.56) and Caring behavior was 84.96 (SD=15.14). Islamic mindfulness had very week-positive correlation with professional attitudes but not significant (r=0.148; p-value= 0.073). Islamic mindfulness had a weak-positive and significant correlation with caring behavior (r=0.363; p-value= 0.0001). Conclusion. Islamic mindfulness had a significant correlation to caring behavior. It is important to Nursing students features Islamic mindfulness to strengthen the caring behavior.

STORYTELLING DAN DEMONSTRASI MENINGKATKAN PENGETAHUAN, SIKAP, DAN TINDAKAN CUCI TANGAN PAKAI SABUN PADA ANAK Lestari, kustati Budi; Putri, Aprilia Wulandari
NURSE: Journal of Nursing and Health Science Vol 3, No 1 (2024): NURSE: Journal of Nursing and Health Sciences
Publisher : Prodi Ilmu Keperawatan, Fakultas Ilmu Kesehatan, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/nurse.v3i1.38633

Background: School children do many activities using their hands, so hands are important in cleanliness. Improper handwashing behaviour with soap is still high in children. This study aimed to determine the effect of storytelling and demonstration on increasing knowledge, attitudes, and actions of handwashing with soap. Method: This quantitative research uses a pre-experimental design with one group pre-test post-test design method. The sample amounted to 58 people with simple random sampling techniques. Data collection using questionnaires compiled by researchers has been tested for content validity on pediatric nursing experts and has a Croanbach's Alpha value of 0.860, data analysis using Wilcoxon and Mc Nemar tests. Results: The results of the study found a significant influence of health education with storytelling and demonstration methods on increasing knowledge, attitudes, and actions with p-value = 0.000 < 0.05. Conclution: Health education with storytelling methods and demonstrations about handwashing with soap can be given to children because by telling stories and practices children can more easily understand the message conveyed. Teachers are required to be creative and smart in telling stories so that the message given is on target.

Pengetahuan Gizi dan Riwayat Pola Makan Ibu Hamil Berhubungan dengan Kejadian Stunting pada Balita Lestari, Kustati Budi
JURNAL KEPERAWATAN RAFLESIA Vol. 5 No. 2 (2023): Jurnal Keperawatan Raflesia, Prodi Keperawatan Curup, Poltekkes Kemenkes Bengku
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jkr.v5i2.912

Stunting is a global problem including Indonesia and a threat to developing countries related to the impact of malnutrition, malnutrition and infection on children, so this problem is urgent to be addressed. This study aims to analyze the relationship between nutritional knowledge and dietary history of pregnant women with the incidence of Stunting cases. The cross-sectional correlation design study used the purposive sampling method for as many as 53 respondents, based on the guidance of the results of height measurements 6 months earlier in the MCH book and researchers measured height and weight together with nurses/midwives during Posyandu activities in the month of data collection. The research was conducted for 1 month in the working area of the Puskesmas Tanah Tinggi Kota Tangerang. Data were collected using maternal nutrition knowledge questionnaires and dietary history of pregnant women developed by researchers with reliability results of 0.935 and 0.912. The results of the chi-square statistical test, show that low nutritional knowledge in pregnant women can trigger six times the incidence of Stunting with p: 0.002 and poor diet of pregnant women contributes seven times the incidence of Stunting with p: 0.003. Stunting is triggered by low maternal knowledge about nutrition and poor diet during pregnancy. Providing education related to nutrition for pregnant women and diet is better given before pregnancy, especially for adolescent girls or couples before marriage by utilizing adolescent posyandu.

Knowledge and practice of early essential newborn care among health professionals in Indonesia Agus, Yenita; Elany, Dinda Assyifa Putri; Lestari, Kustati Budi
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 21 No. 2 (2025): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.4090

Indonesia's neonatal mortality rate stands at 12 deaths per 1,000 live births, driven by prematurity, asphyxia, and congenital anomalies. Inconsistent Essential Newborn Care (EENC) implementation fuels preventable first-24-hour deaths. This study aims to assess EENC knowledge and practices among Indonesian health professionals. A cross-sectional survey of 132 experienced providers (>3 years in delivery/perinatology) from hospitals, community health centers, and independent midwifery practices used a validated questionnaire via Google Forms. Descriptive statistics and chi-square tests identified associations (P<0.05). Overall, 66.4% showed poor EENC knowledge. Strengths included breastfeeding cues (99.2% correct attachment; 93.9% rooting), but deficits marked contraindications (34.8% for maternal hemorrhage >1,000 ml; 49.2% post-birth wheezing). Practices excelled in basics (93.2% recognized hypothermia/cord/skin-to-skin/breastfeeding/infection prevention; 90.2% upright positioning) yet faltered in sequencing: only 15.9% prioritized birth time announcement then thorough drying, 50.8% suctioned airways immediately, and 48.5% endorsed supine second-stage positioning. Workplace significantly affected knowledge (χ²=9.467, P=0.009): hospitals were the worst (79.1% poor), and independent midwifery practices were the best (33.3%). Age, education, experience, and training showed no association. Procedural sequencing and contraindication gaps stem from heavy workloads and patchy training. Skills-focused programs with supervision and supportive settings are essential to boost competency and decrease deaths. Observational studies should capture real behaviors and assess training/policy impacts on newborn outcomes.

AN OVERVIEW OF GROWTH AND DEVELOPMENT OF TODDLERS IN SINGLE-PARENT FAMILIES Maulina Handayani; Zoga Gymnastiar; Kustati Budi Lestari; Nia Damiati; Puspita Palupi
Journal of Maternity Care and Reproductive Health Vol 9, No 1 (2026): Journal of Maternity Care and Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v9i1.12359

Single parents are individuals who raise and care for their children independently without a partner in daily caregiving roles. This condition may affect toddler growth and development due to limited family support, parenting practices, and stimulation. However, research specifically examining the impact of single-parent status on toddler growth and development remains limited. This study aimed to describe the growth and development of toddlers raised by s. A descriptive quantitative study with a cross-sectional design was conducted using snowball sampling, involving 38 respondents. Data were collected using a weighing scale, stature meter, infantometer, and the Pre-Screening Developmental Questionnaire (KPSP). Most s were mothers (81.6%), predominantly aged 36–45 years. The mean age of toddlers was 46.42 months, with a higher proportion of girls (57.9%). Based on weight-for-height, 60.5% of toddlers had normal nutritional status, while 23.7% were overweight and 10.5% obese. Height-for-age assessment showed 52.6% normal, 28.9% tall, and 18.4% stunted. Developmental assessment indicated questionable development in 47.4% of toddlers and developmental deviation in 7.9%. Single parents are encouraged to receive education on nutritional monitoring and adequate stimulation. Future studies should involve larger samples and use correlational methods to further examine this relationship.

Edukasi Sehat Tentang Pencegahan Obesitas Siswa Di Sekolah Dasar Dwi Setiowati; Kustati Budi Lestari; Irma Nurbaeti; Maulina Handayani
Amaliah: Jurnal Pengabdian Kepada Masyarakat Vol 9 No 1 (2025): Amaliah Jurnal: Pengabdian kepada Masyarakat
Publisher : LPPI UMN AL WASHLIYAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32696/ajpkm.v9i1.4418

Obesity in school-age children is an increasing health problem that has a long-term impact on children's physical and mental conditions. One effective prevention strategy is through early health education in the school environment. This community service activity aims to increase elementary school students' knowledge about obesity prevention through interactive and fun health education. The activity was carried out at SDN 02 Pamulang, South Tangerang, involving 140 5th grade students, four lecturers, and 14 nursing students. The methods used included anthropometric measurements (height and weight), educational game “Isi Piringku”, counseling using poster media, as well as pre-test and post-test. The results of the activity showed an increase in students' enthusiasm and knowledge of the importance of balanced nutrition and physical activity as an effort to prevent obesity. This activity also received full support from the school and teachers. As a follow-up, monitoring student health through the School Health Unit (UKS) is recommended to be carried out regularly to maintain the results that have been achieved. Strengthening the role of schools as an educational environment in the promotion of healthy lifestyles is key in efforts to prevent obesity from an early age. Keywords: childhood obesity, health education, balanced nutrition

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