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SIKAP DOSEN TERHADAP PEMBELAJARAN INTERPROFESIONAL EDUCATION (IPE) STUDI PADA DOSEN DI STIKES JENDERAL ACHMAD YANI YOGYAKARTA
Hajri, Waode Syahrani;
Hutasoit, Masta;
Santiasari, Retty Nirmala
Media Ilmu Kesehatan Vol 7 No 2: MIK Agustus 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta
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DOI: 10.30989/mik.v7i2.285
Background: Application of IPE in academics prioritizes collaborative competencies to make students able to understand how to work interprofessionally, so as to foster readiness. Lecturer attitudes are considered as an important component in implementing successful IPE in academic environment.
Objective: The purpose of this study was to examine and analyse lecturers attitudes towards interprofessional education.
Method: This was descriptive comparative study with cross sectional design. Sampel were 31 lecturers from departments of nursing, midwifery, and medical record taken by purposive sampling. Modified questioner of Attitudes Toward Interprofessional Health Care Teams (ATHCT), Readiness for Interprofessional Learning Scale (RIPLS), and Attitudes Towards Interprofessional Learning in Academic Setting (ATILAS) were applied to examine lecturers attitudes.
Result: The results indicate lecturers positive attitude toward IPE, with an average score of statement item M = 3.96 on the attitude aspect to the interprofessional health care teams; M = 4.11 on attitude aspect to interprofessional education; as well as on attitudes towards interprofessional learning in academic setting with M = 3,93. Discipline, gender, and teaching experience have no significant relationship with overall attitudinal responses towards IPE.
Conclusions: These findings can be used as a consideration of the intitution in applying Interprofessional Education at the academic settings.
Keywords: Attitudes, Interprofessional Education, Lecturers
I Meningkatkan Frekuensi Menyusui Mempercepat Onset Laktasi
Nursanti, Ida
Media Ilmu Kesehatan Vol 1 No 1: MIK April 2012
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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DOI: 10.30989/mik.v1i1.1
Background: The administration of breast milk since early after birth is highly recommendedbecause it provides many health benefits for mother and baby. In the first hour, a baby willlearn to get used to sucking nipples and this prepares the mother to start producingcolostrums. The open access to maternal and infant closeness and unlimited frequency offeeding the baby for the first days after birth are the beginning of the acceleration of milkproduction. Objectives: To determine the postpartum mothers’ breastfeeding frequency, to determine theonset of lactation in primiparous postpartum mothers and to determine the effect ofbreastfeeding frequency on the onset of lactation on postpartum mothers in YogyakartaMunicipal Hospital. Methods: This was an observational study with a prospective cohort design. The number ofsamples was 54 determined purposively. The collection of data used observation sheet andchecklist. The study was started immediately after birth and followed until the third day. Thebivariable analysis used chi-square test with significant level of p <0.05 and CI95%.Results: The study found the majority of mothers had breastfed their babies with sufficientfrequency (72.2%) and with more rapid onset of lactation (64.8%) found in primiparouspostpartum mothers. There was a significant relationship between the frequency ofbreastfeeding and the onset of lactation, based on the analysis with p = 0.03, RR 2.3 andCI95% 0.95-4.23. Conclusion: Mothers who breastfed their babies with sufficient frequency were likely to havea 2.3 time opportunity to not delay the onset of lactation.
Keywords: breastfeeding frequency, onset of lactation, primiparous
Apakah Bayi Perlu di Jemur pada Pagi Hari?
Nursanti, Ida
Media Ilmu Kesehatan Vol 1 No 1: MIK April 2012
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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DOI: 10.30989/mik.v1i1.7
Background: The neonatal jaundice (icterus neonatorum) is a frequent problem encountered ininfants during the first week after birth. Sixty percents of healthy infants born full term are at riskof neonatal jaundice and 5-12% of infants are at risk of developing severe jaundice. Bilirubinencephalopathy causes severe jaundice/kernicterus and the baby suffering from cernicterus willexperience impaired growth and development. Severe neonatal jaundice can be prevented byutilization of sunlight. Sunlight helps the process of bilirubin degradation as to preventaccumulation of excessive bilirubin in the blood in the newborn.Objective: To determine the effect of utilization of sunlight on the risk of severe icterusneonatorum. To determine the reasons mothers do the utilization of sunlight and the reason themothers have not done proper utilization of sunlight.Methods: This study was an observational study with a prospective cohort design. The study wasconducted with quantitative and qualitative approaches. Sampling used purposive sampling. Thesample size was 86 pairs of mother-infant who met the inclusion and exclusion criteria. The datawas collected using monitoring sheets, check lists, and questionnaires. The qualitative data wereobtained from interviews to 6 respondents. Hypothesis test used chi-square with p<0.05 and 95%Confidence Interval. Analysis of data used univariable, bivariable, and qualitative analyses.Results: There were differences in the proportion of the incidence risk of neonatal jaundiceamong infants who received the good utilization of sunlight with infants who had less utilization ofsunlight. Babies who lacked the benefits of sunlight had a 2.5 times greater chance to experienceneonatal jaundice compared with infant with good benefits of sunlight. The reason why motherstook advantage of sunlight was because they felt confident that the sun could cope with jaundicein infants. They received knowledge about the benefits of sunlight from the information providedby health workers and family. The mothers had enough knowledge about the techniques ofappropriate utilization of sunlight but with less knowledge about the risks of ultraviolet on skin.Conclusion: Infants who benefited less sunlight had higher risk for having neonatal jaundicecompared with infants who benefited adequate sunlight.
Keywords: baby born healthy, sunlight, neonatal jaundice
MENINGKATKAN FREKUENSI MENYUSUI MEMPERCEPAT ONSET LAKTASI
Nursanti, Ida
Jurnal Media Ilmu Kesehatan Vol 1 No 1 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background:The administration of breast milk since early after birth is highly recommended because it provides many health benefits for mother and baby. In the first hour, a baby willlearn to get used to sucking nipples and this prepares the mother to start producingcolostrums. The open access to maternal and infant closeness and unlimited frequency offeeding the baby for the first days after birth are the beginning of the acceleration of milkproduction. Objectives:To determine the postpartum mothers? breastfeeding frequency, to determine theonset of lactation in primiparous postpartum mothers and to determine the effect ofbreastfeeding frequency on the onset of lactation on postpartum mothers in YogyakartaMunicipal Hospital. Methods:This was an observational study with a prospective cohort design. The number ofsamples was 54 determined purposively. The collection of data used observation sheet andchecklist. The study was started immediately after birth and followed until the third day. Thebivariable analysis used chi-square test with significant level of p <0.05 and CI95%. Results:The study found the majority of mothers had breastfed their babies with sufficientfrequency (72.2%) and with more rapid onset of lactation (64.8%) found in primiparouspostpartum mothers. There was a significant relationship between the frequency ofbreastfeeding and the onset of lactation, based on the analysis withp= 0.03, RR 2.3 andCI95% 0.95-4.23. Conclusion:Mothers who breastfed their babies with sufficient frequency were likely to havea 2.3 time opportunity to not delay the onset of lactation. Keywords: Breastfeeding frequency, onset of lactation, primiparous
APAKAH BAYI PERLU DIJEMUR PADA PAGI HARI?
Nursanti, Ida
Jurnal Media Ilmu Kesehatan Vol 1 No 1 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: The neonatal jaundice (icterus neonatorum) is a frequent problem encountered ininfants during the first week after birth. Sixty percents of healthy infants born full term are at riskof neonatal jaundice and 5-12% of infants are at risk of developing severe jaundice. Bilirubinen cephalopathy causes severe jaundice/kernicterus and the baby suffering fromcernicterus willexperience impaired growth and development. Severe neonatal jaundice can be prevented byutilization of sunlight. Sunlight helps the process of bilirubin degradation as to preventaccumulation of excessive bilirubin in the blood in the newborn. Objective: To determine the effect of utilization of sunlight on the risk of severe icterusneonatorum. To determine the reasons mothers do the utilization of sunlight and the reason themothers have not done proper utilization of sunlight. Methods:This study was an observational study with a prospective cohort design. The study was conducted with quantitative and qualitative approaches. Sampling used purposive sampling. The sample size was 86 pairs of mother-infant who met the inclusion and exclusion criteria. The data was collected using monitoring sheets, check lists, and questionnaires. The qualitative data were obtained from interviews to 6 respondents. Hypothesis test used chi-square with p<0.05 and 95% Confidence Interval. Analysis of data used univariable, bivariable, and qualitative analyses. Results: There were differences in the proportion of the incidence risk of neonatal jaundice among infants who received the good utilization of sunlight with infants who had less utilization of sunlight. Babies who lacked the benefits of sunlight had a 2.5 times greater chance to experienceneonatal jaundice compared with infant with good benefits of sunlight. The reason why mother stook advantage of sunlight was because they felt confident that the sun could cope with jaundice in infants. They received knowledge about the benefits of sunlight from the information providedby health workers and family. The mothers had enough knowledge about the techniques of appropriate utilization of sunlight but with less knowledge about the risks of ultraviolet on skin. Conclusion: Infants who benefited less sunlight had higher risk for having neonatal jaundicecomparedwith infants who benefited adequate sunlight. Keywords: Baby born healthy, sunlight, neonatal jaundice
INISIASI MENYUSU DINI MENJAMIN KECUKUPAN ASUPAN ASI
Nursanti, Ida
Jurnal Media Ilmu Kesehatan Vol 1 No 2 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: Breastfeeding is the best way of providing ideal food for babies? growth. Exclusive breastfeeding appropriate to the needs of babies is recommended considering the benefits of breastfeeding for the next phase of life. Optimal breastfeeding management will affect the adequacy of breast milk intake in babies. Volume of milk produced by lactating mothers is closely related to the earlytime of breastfeeding. One factor likely to lead to inadequate intake of milk is unimplemented practice of early initiation of breastfeeding at the first hour after birth. Objective: To determine the implementation of early initiation of breastfeeding (EIB), to determine the adequate in take of milk to the newborn, to determine the relationship of EIB implementation to adequate in take of milk and to determine the effect of IEB implementation on the adequacy of breast milk intake in new borns. Methods: This was an observational study with a prospective cohort design using quantitative approach. The number of samples was 92 pairs of mother-baby determined by purposive sampling. Data were collected by observation using monitoring sheets. Statistical tests used were Chi-square (x²) at the significance level of p <0.05, to see the magnitude of the risk of the effect (outcome) seen in the RR with the confidence interval (CI) 95%. Results: The majority of babies was initiated early breastfeeding and received a good adequacy of breastmilk. There was a significant association between early initiation of breastfeeding (EIB) and adequate in take of breastmilk (p = 0.001) and EIB in creased the chances to the baby to get adequate intake of milk (RR = 2.0). Conclusion: Babies who received early initiation of breastfeeding had a better chance to get adequate intake of milk than those who did not receive early initiation of breastfeeding. Keyword: Healthily born baby, early initiation of breastfeeding, adequate intake of breast milk
ONSET LAKTASI TERLAMBAT SERING TERJADI PADA PRIMIPARA
Kesumaningsih, Rr. Fitriyana;
Nursanti, Ida
MEDIA ILMU KESEHATAN Vol 1 No 3 (2012): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: WHO and UNICEF recommend giving breast milk (ASI) exclusively for 6 months. In 2009, in Indonesia, the coverage of infants who were exclusively breastfed for 6 months was only 34.3%. In Yogyakarta Province, according to the Provincial Health Office of Yogyakarta, the coverage of exclusive breastfeeding in 2010 amounted to 40.57%, whereas the MOH target of achieving exclusive breastfeeding for 6 months was by 80%. There are several factors which hamper exclusive breastfeeding, one of which is the onset of lactation. Delayed onset of lactation can result in inhibition of milk expenditures. Results of research reveal more primiparous mothers delayed onset of lactation than multiparous. Stress during labor and after childbirth can increase levels of cortisol hormone. An increase in cortisol hormone causes decreased levels of oxytocin hormone, which results in the delay of onset of lactation. Objective: To determine the effect of parity on lactation onset in postpartum mothers. Methods: This was an observational study with a prospective cohort design. Research subjects in this study were postpartum mothers. Observations made on the respondents until 72 hours of postpartum period. Analysis of the data in this study used univariable and bivariable analysis. Statistical test used was chi-square with significance level of p <0.05. Results: The results of analysis showed that delayed onset of lactation occurred in 19 postpartum mothers (44%) and 79% were primiparous. Statistical tests with chi-square obtained p-value of 0.00 with a contingency coefficient of 0.35 and Relative Risk of 5.4. Conclusion: Primiparous mothers had a risk of delayed onset of lactation 5.4 times higher than multiparous mothers. Health workers are expected to conduct health education about breastfeeding in postpartum mothers particularly those at risk of delayed onset of lactation (primiparous mothers) Keywords: Onset of lactation, parity, postpartum.
FOTOTERAPI BUKAN ALASAN UNTUK GAGAL ASI EKSKLUSIF
Suwarniningsih;
Nursanti, Ida
Jurnal Media Ilmu Kesehatan Vol 2 No 2 (2013): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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DOI: 10.30989/mik.v2i2.48
Background : Exclusive breastfeeding is recommended based on the evidence of the benefits and proper nutrients for the baby. Phototherapy is done for the treatment of hyperbilirubinemia in infants with several side effects such as: increased temperature, increased insensible water loss, and a separate room will increase a risk fordisanting exclusive breastfeeding. Objective : This study aimed for identifying the correlation between phototherapy and continuity of exclusive breastfeeding at Perinatology room of Wates Hospital Propinsi Daerah Istimewa Yogyakarta 2012. Method : This was a prospective cohort study that was conducted from 1st December until 31 December 2012. Sixty eight hospitalized babies at a neonatology ward were involved in this study. Using a purposive sampling method, 34 babies receiving photothetapy were assigned into the treatment group and 34 babies were assigned into control group. The breastfeeding continuity was measured using a valid and reliable observational checklist which was constructed by the researcher. Result : There was no correlation between phototherapy with continuation of exclusive breastfeeding (p = 0.27) Conclusion and suggestion : Phototherapy treatment did not interrupt continuityof breastfeeding. Based on this study, we strongly recommend that during the phototherapy treatment affecting on separation between mothers and baby, the breastfeeding continuity needs to be concerned. Keywords : Exclusive breastfeeding, phototherapy.
KECEMASAN MENGHAMBAT ONSET LAKTASI IBU POST PARTUM
Lia Puspita, Rizki;
Nursanti, Ida
MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: Lactation is the overall process of breastfeeding production until the baby suckling. Exclusive breastfeeding has many benefits for mother and the baby, it is supported by UNICEF and WHO with Baby friendly Hospital Initiative program. However, exclusive breastfeeding rates remain low. Some studies show that delayed onset of lactation are less likely to continue full breastfedding. One factor that may influence the delayed onset of lactation is anxiety levels in the postpartum. Purpose: To knew how the relationship between the anxiety levels with onset lactation postpartum mothers in RSUD Panembahan Senopati Bantul. Methods: The study used cohort prospective to 60 respondents were recruited with purposive sampling. Analysis of the data devided be univariable and bivariabel analysis using chi-square with a significance level of p <0.05. Results: There was a significant association between levels of anxiety with the onset of lactation on postpartum mothers. Mothers who experienced mild levels of anxiety most rapid onset of lactation 81.7%, and mothers with severe levels of anxiety experienced were delayed onset of lactation (p = 0.000). Conclusion: The level of anxiety in postpartum influence to delayed onset of lactation. Suggestion: Good preparation for pregnancy and family support may affect on anxiety levels in postpartum. Keywords: Levels of anxiety, Onset Lactation
CEGAH IKTERUS DENGAN MENINGKATKAN PENGETAHUAN IBU
Nursanti, Ida
MEDIA ILMU KESEHATAN Vol 2 No 3 (2013): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta
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Background: Neonatal jaundice (icterus neonatorum) is acommon problem in infants in the first weekafter birth. Sixty percents of healthy infants born full term are at risk of neonatal jaundice. Bilirubinen cephalopathy causes severe jaundice/kernicterus and the baby suffering from kernicterus willexperience impaired growth and development. The Health education for mother is very important for improving the knowledge, disease prevention, and health improvement. Mother is expected to know and recognize the signsof icterus neonatorum so that shecan bring the baby to get help at the health facilityas fast as possible. Objective:To reduce the risk of neonatal jaundice in Yogyakarta; to know the incidence of neonatal jaundice in breastfed infants, the effect of health education against the risk of neonatal jaundice; Methods: This study was anobservational study with across-sectional design. Sampling used purposive sampling. The sample size was 115 pairs of mother-infant who met the inclusion and exclusion criteria. The data was collected using monitoring sheet sand check lists. Hypothesis test used chi-square with p<0.05 and 95% Confidence Interval. Analysis of data used univari able and bivari able analyses. Results: There was adifference in the proportion of the riskof neonatal jaundice between mothers who received good health education and those who received in adequate health education. Mothers who received in adequate health education were more likely to have chances of neonatal jaundice by 2.1 times compared with mothers who received ade quate health education. Conclusion: Mothers who received in adequate health education had ahigher risk for neonatal jaundicetooccur compared with those who received ade quate health education. Keyword: Healthy born baby, health education, neonatal jaundice (icterus neonatorum)