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EXPLORE THE IMPACT OF THE COVID-19 PANDEMIC ON EXCLUSIVE BREASTFEEDING Nurul Anjarwati; Veny Erlisa Irawan
Jurnal Kesehatan Mesencephalon Vol 8, No 1 (2022): Jurnal Kesehatan Mesencephalon - April 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Kepanjen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36053/mesencephalon.v8i1.334

Abstract

Impact of COVID-19 pandemic on health occurred in all age groups including pregnant women, mothers giving birth, and newborns. Breastfeeding during a pandemic requires special attention because of the short-term and long-term health implications. The purpose of this study was to explore the impact of the COVID-19 pandemic on the success of exclusive breastfeeding. The research design is qualitative with in-depth interview data collection methods on 7 participants. The sample was selected according to the inclusion criteria, namely mothers who gave birth during a pandemic and when data were collected on children aged 6-12 months in the working area of the Kepanjen Health Center, Kab. Poor. Researchers as the main instrument in the study and interview guides as a reference for questions. The results of the interviews will be written in the form of transcripts and then analyzed using thematic analysis methods to obtain research themes. From the results of data analysis obtained 3 research themes. The first theme is the Practice of Early Initiation of Breastfeeding (IMD) during a pandemic, the second is the problems faced after childbirth, and the third is the practice of breastfeeding in exclusive breastfeeding during a pandemic. These results indicate that mothers need to get education and support related to breastfeeding starting from pregnancy to the success of exclusive breastfeeding. Health workers can facilitate the practice of IMD, assist mothers in solving breastfeeding problems and provide education regarding breastfeeding self-efficacy for mothers. Keywords: Nursing, exclusive breastfeeding, Covid-19 pandemic, qualitative
Penerapan Konservasi Energi Myra Levine Pasien Acutely Decompensated Heart Failure (ADHF) Fakrul Ardiansyah; Elly Nurachmah; Muhammad Adam; Nurul Anjarwati; Revani Hardika; Azhari Baedlawi
JURNAL KESEHATAN MERCUSUAR Vol. 5 No. 1 (2022): JURNAL KESEHATAN MERCUSUAR
Publisher : STIKes MERCUBAKTIJAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36984/jkm.v5i1.279

Abstract

ABSTRACT Cardiovascular system nursing care and Acutely Decompensated Heart Failure (ADHF) cases increase every year accompanied by an increase in life expectancy. Cardiovascular system disorders nursing care with energy conservation theory approach developed by Myra Levine. Patients with cardiovascular disorders on average experience shortness of breath during activities and chest pain. A balance of energy input and output is required to avoid excessive fatigue. The main focus of care is acute cardiac care. The purpose of this case study is to provide nursing care for ADHF patients with Myra Levine's energy conservation theory approach. This research design uses a descriptive case study approach. The sample in this study was a patient diagnosed with Acutely Decompensated Heart Failure (ADHF). The results of the application of nursing care in ADHF patients with Myra Levine's energy conservation theory approach obtained conservation priority Tropichognosis: Activity intolerance; and priority structural integrity: decreased cardiac output. The results of the priority hypothesis of nursing care in ADHF patients with Myra Levine energy conservation theory approach obtained an effective heat pump. The priority intervention applied in nursing care for ADHF patients with Myra Levine’s energy conservation approach is acute cardiac care. The final result of nursing care for ADHF patients with the energy conservation theory approach of Myra Levine, it was found that patients were able to conserve the problem of decreasing cardiac output. Keywords: Acutely Decompensated Heart Failure (ADHF); Myra Levine; energy conservation theory ABSTRAK Asuhan keperawatan sistem kardiovaskuler serta kasus ADHF meningkat setiap tahunnya diiringi dengan peningkatan usia harapan hidup. Asuhan keperawatan gangguan system kardiovaskuler dengan pendekatan teori konservasi energi yang dikembangkan Myra Levine. Pasien yang mengalami gangguan kardiovaskuler rata-rata mengalami keluhan sesak saat beraktivitas dan nyeri dada. Keseimbangan input dan output energi diperlukan untuk menghindari kelelahan berlebihan. Fokus perawatan utama adalah perawatan jantung akut. Tujuan studi kasus ini adalah melakukan asuhan keperawatan pada pasien ADHF dengan pendekatan teori konservasi energi Myra Levine. Desain penelitian ini menggunakan desain deskriptif pendekatan studi kasus. Sampel dalam penelitian ini adalah 1 pasien terdiagnosis Acutely Decompensated Heart Failure (ADHF). Hasil penerapan asuhan keperawatan pada pasien ADHF dengan pendekatan teori konservasi energy Myra Levine didapatkan Tropichognosis prioritas konservasi: Intoleransi aktivitas; dan prioritas integritas structural: penurunan curah jantung. Hasil prioritas hipotesis asuhan keperawatan pada pasien ADHF dengan pendekatan teori konservasi energy myar Levine didapatkan pompa jantung efektif. Intervensi prioritas yang diterapkan dalam asuhan keperawatan pada pasien ADHF dengan pendekatan konservasi energy myra Levine adalah perawatan jantung akut. Hasil akhir asuhan keperawatan pada pasien ADHF dengan pendekatan teori konservasi energy myra Levine didapatkan pasien mampu melakukan konservasi terhadap masalah penurunan curah jantung. Kata Kunci : Acutely Decompensated Heart Failure (ADHF); Myra Levine; Teori Konservasi Energi
PENGARUH PENERAPAN METODE FAMILY CENTERED CARE TERHADAP STRESS HOSPITALISASI PADA ANAK Febriyanti Akmalia; Nurul Anjarwati; Yulia Candra Lestari
JURNAL KESEHATAN MERCUSUAR Vol. 4 No. 1 (2021): JURNAL KESEHATAN MERCUSUAR
Publisher : STIKes MERCUBAKTIJAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36984/jkm.v4i1.163

Abstract

Family Centered Care merupakan hal terpenting dalam hospitalisasi anak yang didasarkan pada kolaborasi antara anak, orang tua, dokter anak, perawat anak, dan profesional lainnya dalam perawatan klinis yang berdasarkan perencanaan, pemberian dan evaluasi pelayanan Kesehatan. Tujuan penelitian ini untuk mengetahui Pengaruh Penerapan Metode Family Centered Care Terhadap Stress Hospitalisasi pada Anak di Ruang St Theresia RS Panti Nirmala Malang. Desain penelitian menggunakan Quasi Experimental Design dengan pendekatan Pretest-Postest Control Group, Teknik sampling yang digunakan consecutive sampling sebanyak 42 responden, yang terbagi menjadi 2 kelompok yaitu 21 responden kelompok kontrol dan 21 responden kelompok intervensi. Hasil uji Wilcoxon menunjukkan ada perbedaan tingkat stress yang signifikan antara pre-test dan post-test pada kelompok perlakuan (p=0,000< 0,05), sedangkan pada kelompok kontrol ada perbedaan tingkat stress yang signifikan antara pre-test dan post-test (p = 0,028< 0,05). Berdasarkan uji Mann Whitney terdapat perbedaan yang signifikan antara skor tingkat stress post-test kelompok kontrol dengan skor tingkat stress post-test kelompok perlakuan (p=0,000< 0,05). Oleh karena itu, dapat disimpulkan bahwa Penerapan Family Centered Care pada pasien anak sangat diperlukan, guna untuk menurunkan stress hospitalisasi pada anak dan diharapkan dapat diterapkan di Rumah Sakit maupun di pelayanan Kesehatan untuk meningkatkan kepuasan keluarga dan mutu pelayanan di Rumah Sakit.
Perbedaan Tingkat Kecemasan Sebelum dan Sesudah Pemberian Terapi SEFT pada Pasien Preoperasi Mardika, Pamela; Kholifah, Siti; Anjarwati, Nurul; Agustina, Wiwik
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.16803

Abstract

Pada tindakan pembedahan, walaupun bertujuan untuk menyembuhkan pasien, namun akan menghasilkan reaksi cemas terhadap aspek fisiologis dan psikologis tanpa memandang besar kecilnya operasi. Kecemasan adalah respon adaptif, dipengaruhi oleh karekteristik individual atau proses psikologis, yaitu akibat dari tindakan, situasi atau kejadian eksternal yang menyebabkan tuntutan fisik atau psikologis terhadap seseorang. Respon psikologis karena tindakan pembedahan dapat berkisar cemas ringan, sedang, berat sampai panik tergantung masing-masing individu. Pasien yang akan dioperasi biasanya menjadi agak gelisah dan takut. Perasaan gelisah dan takut kadang tidak tampak jelas. Tetapi kadang-kadang pula kecemasan itu dapat dilihat dalam bentuk lain.Tujuan penelitian ini adalah mengetahui perbedaan tingkat kecemasan sebelum dan sesudah diberikan terapi Spiritual Emotional Freedom Technique (SEFT) pada pasien pre operasi di RS Panti Nirmala Malang. Desain penelitian mengunakan desain Pra-Experimental design. Hasil uji statistik menggunakan Paired t-Test .Instrument pengambilan data menggunakan kuisioner HARS. Sampel dalam penelitian ini sebanyak 50 pasien di ruang Santa Anna yang memenuhi kriteria Inklusi.Berdasarkan hasil penelitian di ruang St.Anna Rs Panti Nirmala Malang diperoleh bahwa kepada 50 responden dapat dijelaskan bahwa hasil uji T menunjukan p= 0,00 hasil menunjukan adanya perbedaan, dengan Nilai mean (rata-rata) pre 19.6% dan post 12.58%. Maka menunjukan penurunan terhadap kecemasan.Diharapkan pasien mendapatkan kemanfaatan dari terapi komplementer SEFT dan Rumah Sakit menerapkan terapi ini sebagai kombinasi dari terapi farmakologis dalam mengurangi kecemasan pada pasien pre operasi.
Pengaruh Pemberian ASI Fase Kolostrum Terhadap Kejadian ISPA Pada Balita di Poli Anak RS Panti Nirmala Malang Nurul Anjarwati; Wiwit Nurwidyaningtyas; Fitri Nur Ika Revliawan; La Saudi
Journal Scientific of Mandalika (JSM) e-ISSN 2745-5955 | p-ISSN 2809-0543 Vol. 6 No. 6 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/10.36312/vol6iss6pp1502-1508

Abstract

ARI is an acute infection involving the lower respiratory tract organs caused by viruses, fungi and bacteria which often occurs in children under five years and still ranks as the highest cause of infant mortality, one of the influencing factors is the lack of exclusive breastfeeding. The aim of this research is to determine the effect of colostrum phase breastfeeding on the incidence of ARI in toddlers. This type of research is observational using a cross sectional design with a quantitative approach. The population in this study were all toddlers with ARI who came to the Children's Polyclinic at Panti Nirmala Hospital Malang (data October - November 2023), the sampling technique used consecutive sampling of 128 people. The research instrument used a questionnaire, analysis used chi-square. The results of the study showed that most of the colostrum phase breastfeeding (59.4%) was categorized as not being given breast milk, the incidence of ARI in toddlers was found to be almost half (35.3%) categorized as mild ARI, and the results of the chi-square analysis showed a p value of 0.000, which means the data was declared significant and Ha was accepted, meaning that colostrum phase breastfeeding had a significant effect on the incidence of ARI in toddlers at the Children's Polyclinic at Panti Nirmala Hospital, Malang. Parents of toddlers are expected to give colostrom phase breast milk exclusively to their babies from birth until 7 days of age, this is because colostrom phase breast milk is the best source of nutrition and protection for babies, because it can improve the baby's immune system and prevent respiratory tract infections. Health workers are expected to be able to provide education and counseling to pregnant and breastfeeding mothers about the importance of colostrom phase breastfeeding for the baby's health
Pengaruh Pemberian Aromaterapi Essential Oil Lavender Terhadap Peningkatan Kuantitas Tidur Anak di Panti Asuhan Anak Malang Nadhifah Rahmawati; Lembah Andriani; Nurul Anjarwati; Astrid Ester Hayer
Journal Scientific of Mandalika (JSM) e-ISSN 2745-5955 | p-ISSN 2809-0543 Vol. 6 No. 6 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/10.36312/vol6iss6pp1558-1563

Abstract

Sleep is something that is needed and must be fulfilled by humans. Children need enough sleep for good health status. Without balanced sleep, it will encourage the emergence of developmental problems and serious health problems. Based on the results of previous studies, it shows that 50.9% of preschool children have a sleep quantity of less than 10 hours. Therefore, the purpose of this study was to determine the effect of giving lavender essential oil on increasing the sleep quantity of children at the Malang Orphanage. This research method is quantitative research with the type of research used is quasi-experimental with a one group pre-post test design. The sampling technique used in this study is non-probability sampling with a sample size of 30 children. In this study, the Paired t-test was used as a parametric test to determine whether or not there was a difference in the quantity of children's sleep before and after being given the aroma of lavender essential oil. This study was conducted on October 2-8, 2024 in Malang Orphanage. The instruments used in this study were the SOP for administering lavender essential oil aromatherapy and observation sheets and evaluation sheets. The results of this study indicate that there is a difference in the average between before and after being given lavender essential oil aroma, with an average of 7.23 hours of sleep per day before the intervention and 8.54 hours per day after the intervention. Meanwhile, the results of the difference test using the Paired t-test showed a significant value or p value = 0.000 (p <0.05). The conclusion of this study indicates that there is a significant effect of administering lavender essential oil aromatherapy on the quantity of sleep of children in Malang Orphanage. Further researchers are expected to be able to develop research by further examining the duration of respondents' naps in order to accumulate the duration of sleep per day of respondents as a whole. In addition, nurses as caregivers and the community can also apply the results of this study as an effort to increase the quantity of sleep in children.
PEMBERIAN ASI EKSKLUSIF DAN PERKEMBANGAN MOTORIK HALUS PADA BALITA USIA 6-24 BULAN DI WILAYAH KERJA PUSKESMAS REJOSO: Exclusive Breastfeeding and Fine Motor Development Of Children AGED 6-24 MONTHS IN THE WORK AREA OF REJOSO COMMUNITY HEALTH CENTER Nur Khasan, Muhammad Arif Harianto; Anjarwati, Nurul; Rohimah, Afiatur; Rahmawati , Eny
Jurnal Ilmiah Pamenang Vol. 7 No. 1 (2025): Jurnal Imiah Pamenang (JIP)
Publisher : Stikes Pamenang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53599/jip.v7i1.343

Abstract

ABSTRAK ASI eksklusif merupakan pemberian ASI saja tanpa makanan dan minuman lain pada bayi selama enam bulan pertama kehidupan. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian ASI eksklusif terhadap kemampuan motorik halus pada balita usia 6-24 bulan. Penelitian ini menggunakan metode analitik observasional dengan desain cross sectiona. Sampel penelitian adalah 58 balita di wilayah kerja Puskesmas Rejoso, diambil dengan teknik purposive sampling dengan kriteria Inklusi antara lain yaitu bersedia menjadi responden, anggota posyandu balita 0-6 bulan dan balita yang mendapatkan ASI Eksklusif 0-6 bulan. Data dikumpulkan menggunakan lembar observasi Denver II dan dianalisis dengan uji Chi-Square. Hasil penelitian menunjukkan adanya pengaruh yang signifikan antara pemberian ASI eksklusif dengan perkembangan motorik halus (p-value 0,003 < 0,05). Dari hasil yang sudah ada bahwa balita yang menerima ASI Eksklusif  menunjukkan perkembangan motorik halus yang normal dan balita yang tidak menerima ASI Eksklusif mengalami keterlambatan perkembangan motorik halus (sespek). Dalam hal ini terdapat pengaruh pemberian ASI Eksklusif   terhadap perkembangan motorik halus balita. Disarankan agar pemberian ASI eksklusif terus digalakkan untuk menunjang tumbuh kembang anak. ABSTRACK Exclusive breastfeeding is the feeding of only breastfeeding without other foods and drinks to the baby during the first six months of life. This study aims to determine the effect of exclusive breastfeeding on fine motor skills in toddlers aged 6-24 months. This study uses an observational analytical method with a cross sectiona design. The research sample was 58 toddlers in the working area of the Rejoso Health Center, taken by purposive sampling technique with inclusion criteria, namely being willing to be respondents, members of the posyandu for toddlers 0-6 months and toddlers who received exclusive breastfeeding for 0-6 months. Data were collected using the Denver II observation sheet and analyzed using the Chi-Square test. The results showed a significant influence between exclusive breastfeeding and fine motor development (p-value 0.003 < 0.05). From the existing results, toddlers who received Exclusive Breastfeeding showed normal fine motor development and toddlers who did not receive Exclusive Breastfeeding experienced delayed fine motor development (sespek). In this case, there is an effect of exclusive breastfeeding on the fine motor development of toddlers. It is recommended that exclusive breastfeeding continues to be encouraged to support children's growth and development.
Global Research Trends in CBT for Children with ASD: A Bibliometric Analysis of Disparities Between Developed and Developing Countries Lameky, Vernando Yanry; Saudi, La; Apriliawati, Anita; Sutini, Titin; Anjarwati, Nurul; Widyyati, Mei Lestari Ika
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 7: JULY 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i7.7331

Abstract

ntroduction: Autism spectrum disorder (ASD) is a neurodevelopmental condition with an increasing global prevalence that demands effective intervention strategies. Cognitive behavioral therapy (CBT) is a well-researched approach for treating various co-occurring disorders in children with ASD. However, despite the growing volume of research, there remains a lack of comprehensive bibliometric analysis that maps global trends, thematic focus, and collaboration patterns in CBT-related ASD studies, highlighting a critical gap that this study seeks to address. Methods: This study used a bibliometric approach to analyze global research trends in CBT for treating children with ASD. It analyzed 148 articles published between 2007 and 2025. Data were collected from the Scopus database and analyzed using VOSviewer, Harzing's Publish or Perish, and Microsoft Excel. This bibliometric analysis provides a novel perspective by quantitatively mapping the evolution of research, identifying underexplored themes, and revealing disparities in scientific contributions between developed and developing countries, an area that has received limited attention in existing CBT-ASD literature. Results: The results showed a significant upward trend in publications on CBT for ASD since 2007, peaking by 2025. The United States, the United Kingdom, Canada, and Australia dominated the geographical distribution of research, whereas developing countries had limited contributions. Collaboration patterns revealed strong connections between developed countries, with the United States as the main center. This study focused on the effectiveness of CBT in managing anxiety disorders, improving social skills, and addressing comorbidities, such as obsessive-compulsive disorder and sleep problems. However, there are research gaps in the application of CBT for severe ASD and in the involvement of developing countries. Conclusion: This study offers a novel bibliometric insight into the evolution and focus of CBT research in ASD, highlighting underexplored areas for future inquiry. Its implications can be extended to health practitioners, policymakers, educators, and researchers. Future research should explore the adaptation of CBT to various cultural contexts and ASD severity, utilizing technological advancements and multidisciplinary collaboration to provide more inclusive and accessible interventions for children with ASD worldwide.