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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Jurnal Kedokteran Brawijaya JAM : Jurnal Aplikasi Manajemen Journal of Innovation and Applied Technology Research Journal of Life Science Indonesian Journal of Human Nutrition Jurnal NERS NurseLine Journal Health Information : Jurnal Penelitian Jurnal Aisyah : Jurnal Ilmu Kesehatan Journal of Community Service and Empowerment The Journal of Hospital Accreditation (JHA) Caring : Jurnal Pengabdian Masyarakat International Journal of Science and Society (IJSOC) Nursing Information Journal Indonesian Journal of Multidisciplinary Science Journal of Nursing Science Update Journal of Community Health and Preventive Medicine (JOCHAPM) Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing)

Asti Melani Astari

Universitas Brawijaya

Author-ID : 2409518

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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EFFECT OF SELF EFFICACY, POSITIVE BELIEF AND SOCIAL SUPPORT ON ROLE ADAPTATION OF POST PARTUM MOTHER WITH POST-TRAUMA STRESS DISORDER (PTSD) IN KEDIRI DISTRICT Reni Nurhidayah; Sri Poeranto; Asti Melani Astari
Journal of Nursing Science Update (JNSU) Vol. 5 No. 2 (2017)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Childbirth is a stressfull event, frequently labor can result PTSD in post partum period. The impact of post partum PTSD is a bonding issue between mother and baby that can affect the mother's ability to adapt to her new role. To Adapting with a new role mother requires an effective coping mechanism that is supported by an adequate coping source that includes self efficacy, positive belief and social support. The study describe the effect of self efficacy, positive belief and social support on adaptation of post partum mother role with PTSD. The study used cross sectional design. The sampling technique was purposive sampling and the numbers of samples were 92 respondents. The instruments for evaluate PTSD and coping was Modified PPQ, Barkin Index, PMP-SE, PPSS and PBRS. Pearson correlation test showed that all variables have p value <0,05, which means that all variables have effect on mother role adaptation. Linear Regression Test showed that self efficacy with R square 0.487 is the variable that most contribute to the mother role adaptation than the others. All variables have contribution, but self efficacy has the most significant influence on mother role adaptation. Therapeutic Activity Therapy in primary setting is needed to help pregnant women prepared adaptation

DIFFERENCES EFFECT OF PROGRESSIVE MUSCLE RELAXATION THERAPY AND SUPPORTIVE THERAPY ON PARENTS ANXIETY WITH CHILDREN HOSPITALIZATION AT RSUD.DR.R.SOEDJONO SELONG EAST LOMBOK Farida Maemunah Martiningsih; Retty Ratnawati; Asti Melani Astari
Journal of Nursing Science Update (JNSU) Vol. 6 No. 1 (2018)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Hospitalization is an issue that is not expected by everyone, especially children, because they have to undergo some procedure of action and examination. This problem causes anxiety and stress for parents, one of which is marked by muscle tension. This problem can be overcome by nursing actions using Progressive Muscle Relaxation Therapy and Supportive Therapy. The study aims to distinguish the influence of Progressive Muscle Relaxation Therapy and Supportive Therapy in reducing the anxietyÂ parents with children undergoing hospitalization. The research applied quantitative approach with Quasi experimental pre post test, the number of respondents 25 pairs of parent each group, using purposive sampling technique. The research location at RSUD.Dr.R.Soedjono Selong, East Lombok regency on August to October 2017. Based on the result of the study showed decrease of anxiety score the Progressive Muscle Relaxation Therapy was lower than Supportive Therapy, which was 6.30 < 10.44, and t value was 0.000. The used of Progressive Muscle Relaxation Therapy was significant which p value was 0.000. The conclusion of the study results There was a difference in effect between Progressive Muscle Relaxation Therapy and Supportive Therapy in lowering parental anxiety levels, with the results of Progressive Muscle Relaxation Therapy is better to lower parental anxiety than Suportive Therapy. Further research needs to be developed modification of Progressive Muscle Relaxation Therapy versus Supportive Therapy in other groups.Â

Analysis of Differences in Individual Characteristics, Lifestyle, Nutritional Status and Dieting Patterns in Pregnant Women with Preeclampsian History Asti Melani Astari; Nurul Evi; Muladefi Choiriyah; Puji Ariyani; Anif Lailatul Fitriy
Journal of Nursing Science Update (JNSU) Vol. 9 No. 1 (2021)
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

Preeclampsia is a multisystem complication that occurs after 20 weeks of gestation. In recent years there has been no significant decrease in the incidence of preeclampsia, even in developed countries it is still the main cause of maternal and fetal morbidity and mortality. This study aims to analyze differences in individual characteristics, lifestyle (physical activity), nutritional status and diet in pregnant women with a history of preeclampsia. This research design is descriptive analytic with cross sectional approach. Samples were obtained from 55 pregnant women with consecutive sampling who met the inclusion criteria. Data analysis used chi-square test and spearman correlation test. The results showed a relationship between physical activity with systolic blood pressure (p value 0.001, r = 0.449) and diastolic (p value 0.43, r = 0.273), there was also a relationship between diet and risk factors for preeclampsia through blood pressure measurements as evidenced by increase in blood pressure (p value 0.000) in pregnant women in the working area of Puskesmas Kedungkandang Malang. The results of this study are expected to be used as a reference in intervening pregnant women at risk of preeclampsia, so that the disease does not develop more severely so that it does not endanger the lives of the mother and the fetus she is carrying.

Factors Affecting Antenatal Care Visit Obedience during the Covid-19 Pandemic in Konawe District, Southeast Sulawesi Ayut Merdikawati; Eka Nurjannah; Asti Melani Astari; Muladefi Choiriyah
Journal of Nursing Science Update (JNSU) Vol. 10 No. 1 (2022): May
Publisher : Department of Nursing, Faculty of Health Sciencce, Universitas Brawijaya

The Covid-19 pandemic impacts both the access and quality of health services resulting in many restrictions on almost all routine services—the coverage of antenatal care visits in Indonesian public health centers decreases. Research on the factors affecting antenatal care visits of pregnant women during the Covid-19 pandemic in the eastern Indonesian population is currently limited. This study aims to analyze the factors affecting ANC visits of pregnant women during the covid-19 pandemic. This research implements a cross-sectional design by conducting the study on the coverage area of Pondidaha Health Center, Konawe, in January 2021. Respondents fulfilling the criteria included pregnant women residing in Konawe, experiencing the third trimester of pregnancy (28−40 weeks), having a personal Maternal-Child Health book, and recording the pregnancy visit at Pondidaha Public Health Center or Integrated healthcare center. The exclusion criteria included a mother who did not complete the questionnaires. The data analysis implements the Spearman rank test. Forty-six respondents participating in this study (with most of Pondidaha's pregnant women) were found to have incomplete ANC visits. Factors affecting incomplete ANC visits included knowledge, attitude, health care system, and health workers' support. The result indicated that the level of knowledge, mothers' attitude, healthcare, and health workers' support significantly indicated the positive outcome of ANC visits during the COVID-19 pandemic. In conclusion, the level of knowledge exhibited the highest correlation to the obedience of ANC visits.

Reasons and Hindrances of the Community Leaders in Releasing Stocked Persons with Mental Problems in Southern East Sulawesi Abdul Patawari; Titin Andri Wihastuti; Nurul Muslihah; Asti Melani Astari; Yulian Wiji Utami
Jurnal Kedokteran Brawijaya Vol. 31 No. 3 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.03.3

Undertaking stock punishment is an action to immobilized individuals that suffer mental health disorders. It is mostly done by placing woods on individuals' ankles. They are designed to restrict the patients' movements and made from wooden bars. The patients are chained or locked in a special room. A community leader, as the leader of certain people, has important roles in undertaking the stocks. It is done by considering various reasons based on the constructed understanding and emerging assumptions in the middle of society. This research aims to explore the reasons and hindrances of the community leader in releasing the stocks undertaken on individuals with mental health disorders. The applied research method is qualitative research with an interpretative phenomenology. 7 participants were selected by using purposive sampling. Then, an analysis was carried out by the Interpretative Phenomenological Analysis (IPA). The findings dealing with the reasons for the community leader to undertake the stocks consisted of two themes. They dealt with the administered medication to recover individuals with mental health disorders and to protect them, their families, and society. Meanwhile, the hindrances of the community leader in discharging or releasing the punishment dealt with the difficulty to get psychiatric service. The conclusions are the stocks reasons deal with a lack of the community leader's understanding to care for the individuals with mental health disorders and the necessity of active participation of medical officers. Thus, the people could obtain maximum psychiatric service

The Nurses' Experience in Providing Health Care for Criminals in General Hospital Wirmando Wirmando; Asti Melani Astari; Laily Yuliatun
Jurnal Kedokteran Brawijaya Vol. 31 No. 3 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.03.4

Providing health care for criminals is very complex, stressful, and challenging for the general hospital nurses who are usually not habituated to treat them. The nurses are required to keep their caring and professional work. Providing health care for criminals puts the nurses into a risky working environment. They are susceptible to physical and psychological aggressions that can influence their practices and their applied nursing care quality. The objective of this research is to explore the general hospital nurses' experience in providing health care for the criminals. This is qualitative method research with a phenomenological approach. The data collection was done by a deep interview for 10 nurses. The applied data analysis is the Interpretative Analysis Phenomenology (IPA). The six themes found in the research are: 1) feeling discomfort in working, 2) experiencing emotional conflict, 3) working in an unsafe environment, 4) having difficulties in creating a therapeutic relationship, 5) unnatural caring emergence, and 6) not wanting the police officers to get involved in treating the patients. The security and emotional feeling factors of the nurses become the greatest challenges. They make the nurses difficult to create a therapeutic relationship and lead to unnatural caring committed by the nurses. Therefore, it is important for the nurses to internalize and reflect sincere caring as the essential principles in the nursing profession. Thus, it can reach the objectives of nursing, service equality, and patient recovery.

ANALYSIS OF THE USE OF MENSTRUAL PAD, TAMPONS, AND MENSTRUAL CUP DURING MENARCHE Dewi Luberty Warashinta; Asti Melani Astari; Ayut Merdikawati
Journal of Community Health and Preventive Medicine Vol. 1 No. 2 (2021): JOCHAPM Vol. 1 No. 2 2021
Publisher : Universitas Brawijaya

Various kinds of alternative product innovations have beenÂ to substitute disposable sanitary napkins for reducing the increasing waste of disposable sanitary napkins and reduce environmental pollution. The products in question include, among others, menstrual cups, tampons. Tampons and menstrual cups are still rarely used by Indonesian women because there is little knowledge about menstrual hygiene and how to use them are still considered taboo. The objective of the study is to compare the analysis of the use of sanitary napkins, tampons, and menstrual cups during menarche. The method used in this study is a literature study from the journal published in 2015-2020. The database was from Ebsco, ProQuest, and Science Direct database, and 231 articles were obtained and filtered so that the final result were 12 articles that matched. The results of the comparison of the use of sanitary napkins, tampons, and menstrual cups in terms of hygiene and safety, environmental impact, and effectiveness showed that menstrual cups were superior to the other two products. In conclusion, the alternatives menstrual sanitation tools besides sanitary napkins are tampons and menstrual cups.Â Â This paper can be the basis for further research using different research designs to obtain more complete data.

Nurse’s Experience of Psychological Changes in Caring for Covid-19 Patients During Pandemic Wahyi Sholehah Erdah Suswati; Asti Melani Astari; Retno Lestari
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

The pandemic of COVID-19 had a psychological impact on health workers especially for nurses. They experienced anxiety, insomnia, depression and phobias during treating COVID-19 patients. The study aimed to explore the psychological experience of nurses in caring for COVID-19 patients during pandemic. The interpretive phenomenological approach was applied to collected data via zoom meeting cloud. 10 nurses were recruited purposively based on the spesific criteria. The findings were analyzed using the interpretive phenomenological analysis (IPA) technique and revealed 9 categories include: 1) accept the task half-heartedly, 2) fear of the impact of a given task, 3) depressed when first encountering the situation, 4) always have to be careful and disciplined with work safety protocols, 5) faith and confidence in God will give strength, 6) able to control feelings and seek help, 7) get moral and material support, 8) caring grows when dealing with patients being treated, and 9) sincerely enjoying work as part of a nurse's duties. The survival and growth in the stressful situations is the major theme of the study. The organizational institution should give support to the frontline nurses by providing psychological screening examination, regular monitoring, intervention training to improve nurses ability in psychological care independently.Abstrak: Pandemi COVID-19 mengakibatkan dampak psikologis bagi tenaga kesehatan khususnya perawat. Perawat mengalami kecemasan, insomnia, depresi, dan phobia selama merawat pasien COVID-19. Penelitian ini bertujuan mengeksplorasi pengalaman psikologis perawat selama merawat pasien COVID-19. Penelitian menggunakan pendekatan fenomenologi interpretif melalui wawancara mendalam kepada 10 partisipan yang dipilih secara purposive sesuai kriteria tertentu. Pengambilan data melalui zoom meeting cloud. Analisis data menggunakan teknik interpretive phenomenological analysis (IPA) menghasilkan 9 tema antara lain: 1) menerima tugas dengan setengah hati; 2) ketakutan terhadap dampak dari tugas yang dijalankan; 3) tertekan ketika pertama kali menghadapi situasinya; 4) mengharuskan diri selalu berhati-hati dan disiplin protokol keselamatan kerja; 5) kepercayaan dan keyakinan kepada Tuhan memberi kekuatan; 6) berupaya mengendalikan perasaan dan mencari bantuan; dan 7) mendapatkan dukungan moril maupun materiil; 8) kepedulian tumbuh saat menghadapi pasien yang dirawat; dan 9) ikhlas menikmati pekerjaan sebagai bagian dari tugas seorang perawat. Terdapat pertumbuhan aspek psikologis dari negatif menjadi positif pada diri perawat seiring berjalannya waktu. Perawat bertahan dan bertumbuh dalam situasi penuh tekanan menjadi tema besar penelitian ini. Rumah sakit perlu mendukung perawat dengan cara melakukan pemeriksaan dan pemantauan psikologis rutin, menyediakan pelatihan untuk meningkatkan kemampuan perawat dalam perawatan psikologis secara mandiri, serta menyediakan dukungan psikologis profesional jika diperlukan.

The Experience of Nurses in the Implementation of discharge planning for post-stroke Dwi Intan Pakuwita AR; Asti Melani Astari; Dina Dewi Sartika Lestari Ismail
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 7, No 4: December 2022
Publisher : Universitas Aisyah Pringsewu

The Implementation of discharge planning (DP) for stroke patients is very important because of the phenomenon that stroke can cause disability and last for a long time. This study describes the outcome with proper treatment of post-stroke disability can be minimized. The data analyzed in this study is the relationship between family knowledge about stroke to the family readiness in accepting of housing stroke sufferers. The result is there is a significant relationship between family knowledge about stroke and family readiness in accepting of stroke sufferers. So it is important to do for preparing the family readiness by supporting the knowledge on about the next post stroke patient care at home. This study uses a qualitative method by a phenomenological approach through in-depth interviews to 10 nurses in the Stroke Unit. The results of this study through data analysis, obtain 14 themes. Of these fourteen themes, two core themes were obtain discharge planning is the duty and responsibility of nurses and discharge planning helps simplify the treatment process.

Nutritional Status of Pregnant Women Aged Less Than 20 Years is a Risk Factor For The Incidence of Babies With Low Birth Weight (LBW) Asti Melani Astari Astari; Ayut Merdikawati; Muladefi Choiriyah; Helmi Nindra Agustin
Indonesian Journal of Human Nutrition Vol. 9 No. 1 (2022)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2022.009.01.6

Low birth weight (LBW) is influenced by various factors, such as maternal education, gestational age, maternal nutritional status, and economic level. The high pregnancy rate in adolescent mothers is in line with pregnancy complications experienced, one of which is giving birth to LBW babies. The aim of this study was to analyze the risk factors most associated with the incidence of LBW babies in mothers aged less than 20 years old in Wagir District, Malang Regency. The data collection method was used cross-sectional. The inclusion criteria in this study were mothers who were less than 20 years old, had given birth to a baby with LBW, and were domiciled in Wagir District. The data was analysed by logistic regression test. A total of 106 respondents participated in this study. The results showed that the factors that were significantly related were nutritional status (p-value 0.012), economic level (p-value 0.030), and gestational age (p-value 0.046). The dominant factor was nutritional status (p-value 0,012; OR 0,666). Nutritional status is the most influential thing for the health of both mother and baby, so the role of health workers in educating women during the preconception period regarding nutrition and the risk of pregnancy is essential.

Co-Authors Abdul Patawari Achmad Rudijanto Ade Ajeng Aulia Ajeng Aulia Aulia Agus Putra Murdani Agustina, Mulya Alasiry, Sharifa Alfien Yoesra Alfrina Hany Amanda, Efina Anif Lailatul Fitriy Aprioni, Anugerah Ariska, Hanisa Iis Ariyani, Anita Dwi Awaliyah Muslimah Suwetty Ayu Purnama Ayut Merdikawati Ayut Merdikawati Ayut Merdikawati Merdikawati Ayut Merdikawati, Ayut Azizah, Nurona Azizha Adila Fitri Balqis, Rani Diana Beo, Yosef Andrian Caressa, Dea Amanda Damayanti, Fransiska Erna Dannyanto, Diandra Nur Dewi Luberty Warashinta Dina Dewi Sartika Lestari Ismail Dina Dewi Sartika Lestari Ismail Dina Dewi Sartika Lestari Ismail Djuminah Djuminah Djuminah Djuminah, Djuminah Dwi Intan Pakuwita AR Edi Widjajanto Eka Nurjannah Else Agustina Elvira Sari Dewi Erwin Yektiningsih Farida Maemunah Martiningsih fatimah Fatimah Febriyanti Febriyanti Fransiska Imavike Fevriasanty Helmi Nindra Agustin Hermanto, Andrik Ika Setyo Rini Ilhamuddin Ilhamuddin, Ilhamuddin Inggita Kusumastuty Intan Yusuf Habibie Ismail, Dina Dewi Sartika Lestari Kamalia, Nabiela Kartika, Annisa Wuri Kawitantri, Orchidara Herning Kumboyono Kumboyono Kurnia Laksana Kusumawati, Diana Laily Yuliatun Laily Yuliatun Lestari, Retno Lilik Supriati, Lilik Lilik Zuhriyah Liyanovitasari, Liyanovitasari Lola Ayu Istifiani Maharanie, Jelita Marji Marji Masitah, Putri Dewi Muladefi Choiriyah Munif, Badrul Nabila Novarani Nahdya Hamida Niken Ummu Raehana Noor Hamdani Nurona Azizah Nurul Evi Nurul Evi Nurul Muslihah Pamungkas, Akhmad Yanuar Fahmi Patawari, Abdul Prasetyawan, Riyan Dwi Primasari Mahardhika Rahmawati Puji Ariyani Putri Ragil Kusumawardani Rahmawan, Fajri Andi Rahmawati, Anna Reni Nurhidayah Retno Lestari Retty Ratnawati Rinik Eko Kapti Rinik Eko Kapti Rinik Eko Kapti, Rinik Eko Ristiawan Muji Laksono Roshanti, Dian Rosuli, Ahmad Rudiyanto Rudiyanto, Rudiyanto Ruliatna, Etty Fitria Saputriyana, Tasya Satrianto, Anang Septiana, Lucy Puspita Sholehah, Baitus Sholihatul Amaliya Sholihatul Amaliya, Sholihatul Sri Andarini Sri Poeranto Supriyanto Supriyanto Suryanto Suryanto Titin Andri Wihastuti Toga, Erik Utami, Rahma Putri Vebby Astri Rizkilia Viera Wardhani Wahyi Sholihah Erdah Suswati Whaisna Switaningtyas Windarwati, Heni Dwi Wirmando, Wirmando Yati Sri Hayati Yati Sri Hayati Yati Sri Hayati Yulian Wiji Utami Yulian Wiji Utami Yusuf Hanafiah

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