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Journal : Belitung Nursing Journal

HYPNOANXIETY AS AN ALTERNATIVE THERAPY TO REDUCE ANXIETY IN PRIMIGRAVIDA MOTHERS Nurul Jannah; Hadi Hadi; Sri Rahayu; Soeharyo Hadisaputro; Diyah Fatmasari; Imam Djamaluddin Mashoedi
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (224.083 KB) | DOI: 10.33546/bnj.68

Abstract

Background: Anxiety among primigravida mothers should be handled to avoid the risks during pregnancy. Hypnotherapy is considered to be a solution; however, there are limited studies to determine its effect on anxiety, especially in primipara mothers. Objective: To examine the effect of hypnoanxiety on the level of anxiety in primigravida. Methods: This was a Randomized Controlled Trials (RCTs) with pretest-posttest design, conducted between September – October 2016 in the working area of the Health Center of Bergas Semarang, Indonesia. There were 40 respondents recruited using simple random sampling, which divided into intervention and control group. Hypnoanxiety was performed 8 times for 4 weeks. The Zung Self-Rating Anxiety Scale (ZSAS) was used to measure anxiety in pregnant women. Data were analyzed using Mann Whitney test and Kruskal Wallis test. Results: Findings showed that after four weeks intervention, there was a decrease of the level of anxiety in the intervention group, consisted of 25% of moderate anxiety, 40% of mild anxiety, and 35 % of respondents with no anxiety. The p-value was 0.05, which indicated that there was mean difference of anxiety level between intervention and control group. Conclusions: There was a significant effect of hypnoanxiety on the level of anxiety in pregnant women. It is suggested that hypnoanxiety could be one of the alternative therapies to reduce the anxiety among pregnant women. This could be considered to be included in the standard of midwifery care in Indonesia.
EFFECTIVENESS OF BREASTFEEDING AND NON-NUTRITIVE SUCKING ON PAIN RELIEF IN INFANT IMMUNIZATION Etri Probowati; Ariawan Soejoenoes; Sri Wahyuni M; Donny Kristanto Mulyantoro; Melyana Nurul Widyawati; Diyah Fatmasari
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.953 KB) | DOI: 10.33546/bnj.70

Abstract

Background: Immunization in infants is an action that can cause trauma due to injection of the immunization that can cause pain. Breastfeeding and non-nutritive sucking are considered non-pharmacologic strategies of pain management. Objective: This study aims to investigate the effectiveness of breastfeeding and non-nutritive sucking on pain relief in infant immunization. Methods: This was a quasi-experimental study with posttest only control group. This study was conducted on 26 October till 30 November 2016 at three Community Health Centers (Puskesmas), namely Puskesmas Cilacap Utara I, Puskesmas Cilacap Tengah, and Puskesmas Cilacap Selatan I. The population was infants aged 2-4 months who got immunization of DPT-HB-Hib 1. Samples were recruited using a consecutive sampling technique. There were 69 samples in this study, which were divided into three groups: 1) The group given a breastfeeding intervention (23 respondents), 2) The second group given a non-nutritive sucking intervention (23 respondents), and 3) The control group (23 respondents). Data were analyzed using ANOVA. Results: The average of pain response of the three groups was 2.74 in the breastfeeding group, 1.87 in the non-nutritive sucking group, and 3.26 in the control group. There was a significant difference between non-nutritive sucking and control group with p-value = 0.000, and also a significant difference between breastfeeding and non-nutritive sucking with p-value = 0.016. However, there was no difference between breastfeeding and control group with p-value = 0.142. Conclusion: Breastfeeding and non-nutritive sucking were effective in reducing pain during infant immunization. It is suggested that midwives could administer these interventions to reduce pain in infant immunization, and it could be applied as non-pharmacological strategy in pain management in the community health center in Indonesia.
COMPARISON OF EFFECTS OF ABDOMINAL STRETCHING EXERCISE AND COLD COMPRESS THERAPY ON MENSTRUAL PAIN INTENSITY IN TEENAGE GIRLS Desta Ayu Cahya Rosyida; Agus Suwandono; Ida Ariyanti; Suhartono Suhartono; Imam Djamaluddin Mashoedi; Diyah Fatmasari
Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.894 KB) | DOI: 10.33546/bnj.98

Abstract

Background: Pain during menstruation is not uncommon, especially in young women, which has an impact on their life activities. Objective: To examine the effect of abdominal stretching exercise and cold compress therapy on decreasing intensity of menstrual pain in teenage girls. Design: A quasi-experimental study with two group comparison pretest-posttest design at SMK Bakti Indonesia Medika, Indonesia. There were 46 respondents selected in this study by consecutive sampling that consisted of 23 samples in the abdominal stretching exercise group and 23 samples in the cold compress group. The menstrual pain was measured using VAS (visual analog scale). Data were analyzed using Mann-Whitney, Chi-Square, and Wilcoxon test. Results: Findings showed that the mean of menstrual pain before intervention in the abdominal stretching exercise was 7.04 and in the cold compress therapy was 6.74 with p-value 0.211 (<0.05), which indicated that there was no mean difference of pain between both groups. However, after intervention, the menstrual pain was reduced from 7.04 to 1.91 (5.09 difference) in the abdominal stretching exercise group; and from 6.74 to 5.52 (1.22 difference) in the cold compress group with p-value 0.000 (<0.05), which indicated that there was statistically significant difference of menstrual pain before and after intervention, both abdominal stretching exercise and cold compress therapy. Conclusion: There were statistically significant effects of abdominal stretching exercise and cold compress therapy on menstrual pain in teenage girls. The abdominal stretching exercise is more effective than cold compress therapy in reducing menstrual pain intensity. Thus, it is suggested that abdominal stretching exercise can be an alternative choice of management of dysmenorrhea in teenage girls, and can be a part of subject in the education as non-pharmacological medicine.
EFFECT OF MUSA BALBISIANA COLLA EXTRACT ON BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS Diyan Wahyuningsih; Syarief Taufik Hidayat; Nur Khafidhoh; Ari Suwondo; Diyah Fatmasari; Kun Aristiati Susiloretni
Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.328 KB) | DOI: 10.33546/bnj.103

Abstract

Background: Musa balbisiana Colla, known as Jantung Pisang Klutuk or Pisang Batu, is considered as a traditional food that can increase breast milk production. Little is known about its benefit in Indonesia. Thus, to examine the impact of Musa balbisiana Colla on the production of breast milk is needed. Objective: This study aims to examine the effect of the extract of banana flower (Musa balbisiana Colla) to increase milk production of breastfeeding mothers. Methods: This was a quasi-experimental study with pretest-posttest control group design. This study was conducted in the working area of the Health Center (Puskesmas) of Pesantren II in January – February 2017. There were 16 respondents were selected by accidental sampling, divided into intervention group (8 respondents) and control group (8 respondents). Randomization was performed to select the respondent in each group. The quantity of milk production was measured based on the volume of milk production, while the quality of milk production was based on the levels of prolactin in early (pre) and late (post) using Electro Chemi-Luminescence Immunoassay (ECLIA) method. Independent t-test was used to analyze the data. Results: Findings showed that the mean of the volume of the breast milk production in the experiment group was 470.681 ml and in the control group was 364.650 ml with SD 113.502. The mean of prolactin levels in the experiment group was 35.337 nanogram and in the control group was -38.381 nanogram. There was a significant effect of consuming Musa balbisiana Colla extract on the volume of breast milk production (p-value 0.003) and prolactin levels (p-value 0.001) (<0.05). Conclusion: There was a significant effect of banana flower (Musa balbisiana Colla) extract on breast milk production and prolactin level in breastfeeding mothers. The findings of this study could be used to be alternative daily menu for postpartum mothers and a solution for midwives to deal with those who have inadequate production of breast milk and low prolactin levels.
EFFECT OF SPIRITUAL NURSING CARE ON THE LEVEL OF ANXIETY IN PATIENTS WITH STROKE Bernadeta Trihandini; Diyah Fatmasari; Lucia Endang Hartati YK; Sudirman Sudirman
Belitung Nursing Journal Vol. 4 No. 1 (2018): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.658 KB) | DOI: 10.33546/bnj.346

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Background: Anxiety in stroke patients occurs as a normal reaction to stress with life changes; however, when it becomes excessive, it will be disorder. Effort to deal with anxiety is needed and spiritual approach nursing care is considered useful in caring patients with stroke. Objective: To examine the effect of spiritual nursing care on anxiety in stroke patients in the inpatient ward. Methods: This study used a quasi-experimental design with pretest-posttest control group. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in the experiment and control group. The Hamilton Anxiety Rating Scale was used to measure anxiety. Data were analyzed using paired t-test and independent t-test. Results: The results showed that the mean level of anxiety in the experiment group before intervention was 29.33 and decreased to 9 after intervention, while in the control group the mean level of anxiety before intervention was 29.47 and decreased to 17.73 after intervention. Paired t-test obtained p-value 0.000 (<0.05), which indicated that there was a significant effect of spiritual nursing care on anxiety levels in patients with stroke. Conclusion: Spiritual nursing care could reduce anxiety in patients with stroke.
THE IMPACT OF COMBINATION OF BREASTFEEDING AND EFFLEURAGE MASSAGE IN REDUCING PAIN RESPONSE IN INFANTS INDUCED BY BLOOD SAMPLING IN C-REACTIVE PROTEIN TEST: AN OBSERVATIONAL CROSS-SECTIONAL STUDY Alfi Maziyah; Diyah Fatmasari; Desak Made Wenten Parwati; Rr. Sri Endang Pujiastuti
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.215 KB) | DOI: 10.33546/bnj.353

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Background: C-reactive protein test is one of clinical assessments to minimize risks of infection in infants. However, its procedure may cause pain. Pain in the infants may result in negative metabolic behavior, physiology and metabolic response. Objective: This study was to describe the infant's pain response by administering a combination of breastfeeding and an effleurage massage on the blood sampling procedure of C-reactive protein examination. Methods: This was a descriptive observational cross-sectional study. There were 30 infants selected using consecutive sampling technique, which 15 samples assigned in an intervention group (combination of breastfeeding and effleurage massage) and a control group. Premature Infant Pain Profile (PIPP) instrument was used to measure pain. Univariate analysis was performed with the aim to describe data in mean and median. Results: The average of pain response at one-minute observation in the combination of breastfeeding and effleurage massage group was 7.47 ± 1.356, and the average of pain response in the control group was 10.80 ± 1.897. The average pain at five-minutes observation in the intervention group was 3.53 ± 1.922 and control group was 6.00 ± 1.852. Conclusions: Pain responses in the combination of breastfeeding and effleurage massage group were lower than the pain response in the control group.
MUSIC AND AROMATHERAPY: A GOOD COMBINATION FOR REDUCING ANXIETY AND STABILIZING NON-INVASIVE HEMODYNAMIC STATUS IN PATIENTS IN THE INTENSIVE CARE UNIT Ferry Kumala; Diyah Fatmasari; Kurniati Puji Lestari; Suharyo Hadisaputro
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.041 KB) | DOI: 10.33546/bnj.354

Abstract

Background: Combining musical and aromatherapy therapy is expected to have a stronger effect in the reduction of anxiety and non-invasive hemodynamic stability. Objective: To examine the effect of the combination of music and aromatherapy on anxiety and non-invasive hemodynamic in patients in the intensive care unit. Methods: This was a quasi-experimental study with non-equivalent group. An experimental group was given a combined musical and aromatherapy, while a control group was given music therapy. Thirty respondents were selected using accidental sampling, with 15 randomly assigned in the music group and the combination group. HARS scale (Hamilton Anxiety Rating Scale) was used to measure anxiety. Non-invasive hemodynamic status such as blood pressure and heart rate were documented in the observation sheet. Paired t-test and one-way ANOVA were used for data analysis. Results: There were significant effects of combination therapy on anxiety (p=0.001), diastole (p=0.004) and heart rate (p=0.031), but no significant effect on systole (p=0.387). The music therapy alone had a significant effect on anxiety (p=0.001), systole (p=0.047), and diastole (p=0.037). Conclusion: The combination of music and aromatherapy had a greater effect than the music therapy alone in decreasing anxiety and stabilizing diastolic blood pressure and heart rate. This therapy can be used as an alternative in nursing interventions and as an input to develop standard of operational procedure for anxiety and non-invasive hemodynamic stability.
EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA Theresia Febriana Christi Tyas Utami; Diyah Fatmasari; Mardiyono Mardiyono; Shobirun Shobirun
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.737 KB) | DOI: 10.33546/bnj.356

Abstract

Background: Coronary angiography can cause complications of arterial and subcutaneous bleeding (hematoma) and back pain. Changing the position of the patient (positioning) in bed can reduce the pain post-diagnostic catheterization complications. Objective: This study was to examine the effect of positioning on bleeding complication and low back pain after diagnostic coronary angiography in patients with coronary heart disease patient in the Integrated Heart Care Center in Indonesia.Methods: This study was a true-experimental study with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, which 15 respondents were randomly assigned in the experiment group and control group. The experiment group was given a positioning with 150, 300, 450 head-of-bed elevation in left and right lateral position. An arc tool was used to measure the height of head of bed elevation, a measuring cup to measure arterial bleeding using, a perforated transparent plastic with 5 cm diameter to measure subcutaneous bleeding (hematoma), and Numeric Pain Rating Scale to measure low back pain. Data were analyzed using Kolmogorov- Smirnov and Repeated Measured ANOVA.Results: Findings showed that positioning had no effect on arterial hemorrhage (ρ=1.000) and subcutaneous bleeding (hematoma) (ρ=0.999). Repeated ANOVA test results revealed that positioning had a significant effect on low back pain (ρ=0.017). Conclusion: There was no significant effect of positioning on the occurrence of arterial and subcutaneous bleeding (hematoma), but there was a significant effect in reducing low back pain.
Co-Authors Ade Ismail A.K Agus Suwandono Agustina Purba Ahmad Rizan Aprianda Silakhuddin Akhmad Kharis Nugroho Aldo, Mutia Perdana Hairun Nisa Alfi Maziyah Amalia, Dhanty Nurul Amartha, Tecky Afifah Santy Ani Subekti Ani Subekti Ani Subekti Aning Susilowati Aning Susilowati Aprillia, Zita Apriyanti, Lidya Dwi Aquarista, Nita Ari Suwondo Ari Suwondo Ari Suwondo Ariawan Soejoenoes Arlina Nurhapsari Arwani Arwani Arwani Aryadiva Prayoga Asmawati, Lilik Ayun, Quroti Bambang Sutomo, Bambang Bedjo Santoso Bedjo Santoso Kadri Benni Benyamin Budi Darmawan Budiono Budiono Cahya Rosyida, Desta Ayu Citra Dewi Fitri Setiani Daniati, Nia Daniati De Sena, Francisca Fatima Desak Made Wenten Parwati Dewi, Filanti Kusuma Dewi, Hevny Kartika Dika Agung Bakhtiar Diyan Wahyuningsih Djamil, Masrifan Djenta Saha Donny Kristanto Mulyantoro Dyaswara Tituk A.W Eksa Sinta Endah Aryati Eko Ningtyas Endah Aryati Eko Ningtyas Endah Aryati Eko Ningtyas Endah Aryati Ekoningtyas Endang Susilaningsih Erni Mardiati Erwid Fatchur R Erwid Fatchur Rahman Etri Probowati Fachry Abda El Rahman Fathonah, Yayuk Francisca Fatima De Sena Galuh Ayuning Suryo Gunawan, Rezky Aditya Hadi Hadi Hanik Maria Heni Pujiastuti Hermien Nugraheni Hevny Kartika Dewi Hutami, Rahma Rizki Ida Ariyanti Ihrom Fatma Saputri Ika Rosdiana Imam Djamaluddin Mashoedi Imam Djamaluddin Mashoedi Irma H.Y Siregar Irma H.Y Siregar Irmanita Wiradona Islami, Muhammad Rizqi Fauzi Iwan Dwi Prahasto Iwan Dwi Prahasto Joni Satria Julita Hendrartini Kris Adityawarman Kumala, Ferry Kun Aristiati Susiloretni Kurnia Budi Kurniawan Kurniati Puji Lestari Kusdinar, Shafa Marwah Aurilla Laksono Trisnantoro lely Surya Ningsih LINDA SEPTIANA Lutfiawaliah, Delvia Maghfirotunnisa, Ridha Mardiyono Mardiyono Mardiyono, Mardiyono Masrifan Djamil Masrifan Djamil Mateus Sakundarno Adi, Mateus Sakundarno Mayya Nailullathifah Melyana Nurul Widyawati Melyana Nurul Widyawati Mery Tresiana Effendi Muhammad Fiqih Sabilillah Muhammad Furqan, Muhammad Mutiah, Mar'atu Nadia Sari Ningsih, Rastia Nugraheni Widyastuti Nugraheni Widyastuti Nur Farida Lismawati Nur Khafidhoh Nurhuda, Gusti Aprilisa Nurjanah, Fatihah Wari Nurkhasanah, Isti Nurul Jannah Octa Nana Erviana Quroti A&#039;yun Quroti A’yun Rachmawati, Intan Rahma Rizki Hutami Rahmadhani, Febby Rahman, Waljuni Astu Rahmawati, Dinda Aprilia Ramadhani, Yoga Rizki Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Rasipin Ratnawati Hendari Ratnawati Hendari Renata, Agnes Lia Rezky Hidayati RISMAN ABDI RAPIUDDIN Rochman Mujayanto Roza, Safni Mulia Roziq, Mokhamad Ainu Rr. Sri Endang Pujiastuti Sadimin Sadimin Saha, Djenta Salikun Salikun Salsabila, Nanda Lutfia Saragih, Elv. Feedia Mona Satuti, Nindita Enhar Sembiring, Rinawati Setiadji Musthofa Shobirun Shobirun Siti Chumaeroh Soeharyo Hadisaputro Sri Rahayu Sri Sumarni Sri Wahyuni Sri Wahyuni M Sudirman Sudirman Sudirman Sudirman Suhartono, Suhartono Suharyo Hadisaputro Suharyo Hadisaputro Suharyo Hadisaputro Sukini, Sukini Sukmawati Sukmawati Supartinah Santoso Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana Supriyana, Supriyana Suryati Kumorowulan Syarief Taufik Hidayat Theresia Febriana Christi Tyas Utami Tiara Widiatami Tri Johan Agus Yuswanto Tri Wiyatini Tri Wiyatini, Tri Trihandini, Bernadeta Uswatun N.A Darjono Uswatun N.A. Darjono Utomo, Suprih W. Widjijono Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami Wahyu Jati Dyah Utami, Wahyu Jati Dyah Wahyuningtyas, Miranda Gita Wahyuningtyas Waljuni A Rahman Waljuni Astu Rahman Widyastuti, Nugraheni Wulandari, Tesa Yulike Yessi Idha Martha Yodong ,