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<![CDATA[Pengaruh Pelatihan Tedi’s Behavior Change Model pada Guru dan Orang Tua terhadap Keterampilan Menggosok Gigi Anak Prasekolah ]]>
<![CDATA[Tedi Purnama]]>;
<![CDATA[Rasipin Rasipin]]>;
<![CDATA[Bedjo Santoso]]>
<![CDATA[ Quality : Jurnal Kesehatan Vol. 13 No. 2 (2019): Quality : Jurnal Kesehatan ]]>
Publisher : <![CDATA[Politeknik Kesehatan Kemenkes RI Jakarta I ]]>
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DOI: 10.36082/qjk.v13i2.80
<![CDATA[Abstrak Masalah kesehatan gigi anak prasekolah lebih tinggi dibandingkan dengan sekolah dasar, hal ini disebabkan anak belum mampu melakukan aktivitas mandiri dalam menggosok gigi. Strategi perubahan perilaku yang tepat dapat dilakukan dengan memberikan pendidikan kesehatan gigi oleh orang tua dan guru menggunakan metode dan media pembelajaran disesuaikan perkembangan anak. Pelatihan tedi’s behavior change pada guru dan orang tua merupakan model pembelajaran menggosok gigi dalam upaya pembentukan perilaku menggosok gigi anak prasekolah dengan waktu 10 hari. Tujuan penelitian: Penelitian ini bertujuan untuk menghasilkan model pelatihan tedi’s behavior change sebagau upaya pembentukan perilaku menggosok gigi anak prasekolah. Metode: penelitian ini menggunakan Research and Development (R&D) dan uji model menggunakan quasy experiment pretest and posttest with control group design. Subyek penelitian anak prasekolah dibagi menjadi 2 kelompok: 1. Intervensi pelatihan tedi’s behavior change 2. Model menggosok gigi 21 hari sebagai kontrol. Variabel bebas: pelatihan tedi’s behavior change model dan variabel terikat: keterampilan menggosok gigi dan skor bebas plak anak prasekolah. Data diuji menggunakan uji intraclass corelation coefficient, repeated measure anova, friedman, t-test dan mann whitney. Hasil: Penerapan pelatihan tedi’s behavior change model sama-sama efektif dengan model menggosok gigi 21 hari terhadap peningkatan keterampilan menggosok gigi (p>0.304) dan sama-sama efektif terhadap peningkatan skor bebas plak (p<0.788) dibandingkan kelompok kontrol. Kesimpulan: Penerapan pelatihan tedi’s behavior change model pada guru dan orang tua efektif terhadap keterampilan menggosok gigi anak prasekolah. Kata Kunci: Pelatihan tedi’s behavior change model, keterampilan menggosok gigi, anak prasekolah Abstract Dental health problems in Preschool is higher than primary school, it is because children are not capable of independent activity in brushing teeth. Proper behavior change strategies can be done by providing dental health education by parents and teachers using customized learning methods and media development. Model tedi's behavior change is a learning model brushing teeth in efforts to establish the behavior of brushing teeth with a time of 10 days. Purpose of the study: This study aims to produce a model of Tedi's behavior change training towards the formation of the teeth brushing behavior of preschool children. Method: this research uses Research and Development (R&D) and the test model uses quasy experiment pretest and posttest with control group design. The subjects of preschool children were divided into 2 groups: 1. Tedi's behavior change training interventions 2. 21-day brushing model as a control. Independent variables: tedi's behavior change model training and the dependent variable: brushing skills and plaque free scores of preschool children. Data were tested using the intraclass correlation coefficient, repeated measures anova, friedman, t-test and mann whitney. Results: The implementation of the tedi's behavior change model training was equally effective with the 21-day brushing model for increasing the ability to brush teeth (p> 0.304) and equally effective for increasing the plaque-free score (p <0.788) compared to the control group. Conclusion: The application of tedi's behavior change model training to teachers and parents is effective in the teeth brushing skills of preschool children. Keywords: Tedi's behavior change model training, tooth brushing skills, preschool children]]>
<![CDATA[Model of Health and Mouth Health Care Services among Stroke Patients ]]>
<![CDATA[Wanda Nur Aida]]>;
<![CDATA[Supriyana Supriyana]]>;
<![CDATA[Rasipin Rasipin]]>;
<![CDATA[Bedjo Santoso]]>;
<![CDATA[Peni Yuliawati]]>
<![CDATA[ International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 4 (2020): International Journal of Nursing and Health Services (IJHNS) ]]>
Publisher : <![CDATA[Alta Dharma Publisher ]]>
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DOI: 10.35654/ijnhs.v3i4.274
<![CDATA[Stroke is the main trigger that can cause disability in adults. Stroke patients are known to be vulnerable to oral health problems, such as periodontal disease, due to limitations in their daily activities so that dental and oral hygiene management is neglected. These dental and oral health problems can become worse when patients are treated in a stroke unit. For this reason, dental and oral health care needs to be taken in stroke patients. The study aimed to develop a model of dental and oral health care among stroke patients. Research and Development (R&D), on five research stages, namely: information gathering, product/model design, expert validation and revision, product/model trials (using quasi-experiments with pretest and posttest with control group design). The sample was divided into two groups, the dental and oral health care model in stroke patients in the intervention group and the oral health care model No.284 year 2006 in the control group. Data were tested using normality, paired t-test, post hoc LSD, Mann Whitney, and linear regression. The model of dental and oral health care in stroke patients was relevant as dental and oral health care was shown to be p <0.001. The application of dental and oral health care models in stroke patients effectively improves the skills of gargling in moderate stroke patients p <0.001, increasing the ability to brush teeth in moderate stroke patients p <0.001. The application of dental and oral health care models in stroke patients is useful as an increase in the skills to rinse and brush teeth in moderate stroke patients]]>
<![CDATA[Smart Dental Card Game Model as An Effort to Improve Behavior of Health Care For Elementary School Students ]]>
<![CDATA[lely Surya Ningsih]]>;
<![CDATA[Bedjo Santoso]]>;
<![CDATA[Tri Wiyatini]]>;
<![CDATA[Diyah Fatmasari]]>;
<![CDATA[Waljuni A Rahman]]>
<![CDATA[ International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 5 (2020): International Journal of Nursing and Health Services (IJHNS) ]]>
Publisher : <![CDATA[Alta Dharma Publisher ]]>
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DOI: 10.35654/ijnhs.v3i5.345
<![CDATA[Correct teeth brushing behavior in elementary school children in Indonesia is 2.8%, and in Central Java, 1.7%. The influencing factor is the lack of information sources, so it is essential to carry out dental and oral health education, "Smart dental card game model" provides learning to children through game methods so that the learning process is more exciting and enjoyable. To produce a gamification-based dental and oral health education model called "Smart dental card game model" to increase dental health maintenance knowledge and decrease the debris index score in elementary school children. Research and development (R&D) and model trials using quasi-experiment pre-test and post-test with control sample design groups were divided into two groups, 28 intervention group students and 28 control group students. The dependent variable is the knowledge and debris index of elementary school students; the independent variable is the Smart dental card game model. The sample size was calculated by using the slovin formula. Data were tested using the interclass correlation coefficient test, Anova, Wilcoxon, Mann Whitney. The smart dental card game was appropriate as a guideline in the learning process to increase elementary school students' knowledge of 2,304 ± 9.07 and reduce the debris index of 0.419 ± 0.68 compared to the control group flipchart media and dental phantom. Smart dental card game is useful to increase dental health maintenance knowledge of elementary school students]]>
<![CDATA[Behavior Change Therapy Model for Improving Tooth Brushing Behavior among Children with Mental Retardation ]]>
<![CDATA[Rohisotul Laily]]>;
<![CDATA[rasipin rasipin]]>;
<![CDATA[Supriyana supriyana]]>;
<![CDATA[Suharyo Hadisaputro]]>;
<![CDATA[Bedjo Santoso]]>
<![CDATA[ International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 6 (2020): International Journal of Nursing and Health Services (IJNHS) ]]>
Publisher : <![CDATA[Alta Dharma Publisher ]]>
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DOI: 10.35654/ijnhs.v3i6.354
<![CDATA[Dental health problems occur in many communities, including mental retardation in children with all of their intellectual limitations, social behavior, and sometimes the weakness in motor coordination. The study aimed to develop and to examine the effectiveness of the behavior change therapy model as an alternative to improving the tooth brushing behavior among children with mental retardation. The Research and Development (R&D) approach was applied in this study. The quasi-Experimental, Pre-test, and Post-test with the non-equivalent control group for examining the effect of the model on health outcome. The research subjects of mental retardation children were divided into the intervention group and the control group. Experts tested by the intervention group validated the model development. Expert validation of the behavior change therapy model gets an average of 86.67 (very decent) as an alternative to improving tooth brushing behavior among children with mental retardation with p-value<0.05. Other results found that the model effectively enhanced the knowledge, gesture, and tooth brushing skills in mental retardation children with p-value <0.05. The therapy model as an alternative strategy was useful and recommended improving tooth brushing behavior among mental retardation children]]>
<![CDATA[Explosion Teeth Box Promotion Based-Media Model Towards Changing Tooth Brushing Behavior among Primary School Students ]]>
<![CDATA[Melanie Agis Marludia]]>;
<![CDATA[Masrifan Djamil]]>;
<![CDATA[Rasipin Rasipin]]>;
<![CDATA[Suharyo Hadisaputro]]>;
<![CDATA[Bedjo Santoso]]>
<![CDATA[ International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 6 (2020): International Journal of Nursing and Health Services (IJNHS) ]]>
Publisher : <![CDATA[Alta Dharma Publisher ]]>
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DOI: 10.35654/ijnhs.v3i6.355
<![CDATA[Dental and oral health problems in primary school students are in the high category. This is because efforts to improve the dental health behavior of school children are still not optimal. One effective prevention of these problems through the act of brushing your teeth diligently, thoroughly, and regularly. Proper dental health education is given to primary school students in the form of media packaged by learning while playing. Media promotion explosion teeth box is expected to change the behavior of brushing your child's teeth. The study aimed to develop the suitable and to examine the effect explosion teeth box promotion-based-media model to improve tooth brushing among primary school students. Research and Development (R&D) and product/model trials (quasi-experimental pre-test and post-test design-was applied in this study). The subjects of class III primary school students such as the intervention group and the control group. Experts validated the results of the model design. The results found that the average validation of explosion teeth box experts was 86.66 (very feasible) as a medium for promoting dental health in primary school students shown by the p-value (0.001). This model effectively increased tooth brushing (p=0.001) and decreased the index debris score (p=0.001) compared to the control group. The application of an explosion teeth box, which was carried out for ten days, effectively improved brushing teeth in primary school students compared to the control group ]]>
<![CDATA[Buteyko Breathing Techniques and Asthma Gymnastics on Improving Oxygen Saturation and Eosynophile Levels among Asma Patients ]]>
<![CDATA[Niya Fittarsih Fittarsih]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Rr. Sri Endang Pujiastuti]]>;
<![CDATA[Bedjo Santoso]]>
<![CDATA[ International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 2 (2021): International Journal of Nursing and Health Services (IJHNS) ]]>
Publisher : <![CDATA[Alta Dharma Publisher ]]>
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DOI: 10.35654/ijnhs.v4i2.433
<![CDATA[Asthma is a chronic disease of the respiratory system that causes respiratory symptoms, such as wheezing, shortness of breath and coughing, so that one of the non-pharmacological therapies can be used to help increase oxygen saturation, eosinophil levels and prevent recurrence independently by using the buteyko breathing technique and asthma gymnastics. This study aims to analyze the effectiveness of the buteyko breathing technique and asthma gymnastics on the improvement of oxygen saturation values ??and eosinophil levels. The study quasi experiment used a pre-test – post-test design with a control group design involving 36 asthma patients. Selected through a non- probability sampling technique with a purposive sampling method which is divided into 3 groups, namely 12 respondents in intervention group 1 who were given buteyko breathing technique treatment, 12 respondents in intervention group 2 who were given treatment in the form of buteyko breathing technique and asthma gymnastics, while 12 respondents in a control group that was only given asthma gymnastics. Measurements of oxygen saturation and eosinophil levels were carried out on the 1th, 7th to 14th day with 3 measurements, then the data were analyzed using the General Lineal Model (GLM) test. Repeated ANOVA test showed that there was a difference in the mean value of oxygen saturation (spo2) and eosinophil levels with a value of p = 0.000 which indicated that there was a significant difference between groups with the highest increase in oxygen saturation value in the intervention group 2 (Buteyko and asthma gymnastics) that is 1.83, followed by intervention group 1 (Buteyko breathing technique) that is 0.50 and the smallest decrease in the value of SpO2 was in the control group (asthma exercise) of 0.42. The highest decrease in eosinophil levels was in the intervention group 2 that is -21.66, followed by the control group that is -18.67 and the smallest decrease in eosinophil value was in the intervention group 1 at -7.66. Research conclusions buteyko breathing technique and asthma gymnastics effectiveness on value improvements oxygen saturation and eosinophil levels.]]>
<![CDATA[BREAST MILK AS AN ALTERNATIVE FOR POSTPARTUM PERINEAL CARE ]]>
<![CDATA[Yuli Admasari]]>;
<![CDATA[Bedjo Santoso]]>;
<![CDATA[Titi Suherni]]>;
<![CDATA[Imam Djamaluddin Mashoedi]]>;
<![CDATA[Mardiyono Mardiyono]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.101
<![CDATA[Background: Perineal laceration during childbirth is very common among mothers; however, some of them may suffer from its complication if not treated properly. Objective: To prove the effectiveness of breast milk as an alternative topical ingredient in the treatment of perineal wound in postpartum mothers. Methods: This was a quasi-experimental study with non-equivalent control group posttest only design. There were 30 respondents selected in this study, with 15 assigned in an intervention group and a control group. Accidental sampling was used to select the samples with the criteria that the respondents had perineal laceration in level 1 and 2. Data were analyzed using Mann Whitney test. Results: Effective wound healing process can be seen in the intervention group from 80% of poor category in 6-10 hours (1st period) of postpartum became 86.7% of good category in 7 days of postpartum (4th period). Different from the control group that showed the slow progress of wound healing, which was 86.7% of poor category in the 1st period to only 33.3% of good category in the 4th period. Mann Whitney test showed that there was a significant mean difference of the perineal wound healing process between the intervention group (11.23) and the control group (19.77) with p-value 0.002 (<0.05). Conclusion: Breast milk was more effective than povidone iodine in the treatment of perineal wound. It is suggested to health workers, especially midwife to apply this intervention to accelerate the healing of perineal wound in midwifery care.]]>
<![CDATA[EFFECT OF COMBINATION OF BREAST CARE AND OXYTOCIN MASSAGE ON BREAST MILK SECRETION IN POSTPARTUM MOTHERS ]]>
<![CDATA[Kadek Yuli Hesti]]>;
<![CDATA[Noor Pramono]]>;
<![CDATA[Sri Wahyuni]]>;
<![CDATA[Melyana Nurul Widyawati]]>;
<![CDATA[Bedjo Santoso]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.293
<![CDATA[Background: Optimal nutrition from an early age can be achieved through exclusive breastfeeding. Lack of milk production is one reason why mothers decide to give formula milk to their babies. In fact, 60% of mothers were unable to breastfeed optimally, thus, breast care and oxytocin massage are proposed to increase milk secretion in postpartum mothers. Objective: To examine the effect of combination of breast care and oxytocin massage on breast milk secretion in postpartum mothers. Methods: This was a quasi-experimental study with non-randomized control trial with pretest-posttest control group, conducted in the working area of the Community Health Center of Batealit of Jepara Indonesia from December 5, 2016 to January 15, 2017. There were 44 postpartum mothers recruited in this study using purposive sampling, which 22 assigned in the experiment and control group. Data were analyzed using dependent t-test and Mann Whitney test. Results: There was a significant increase of breast milk secretion in the experiment and control group with p-value 0.000 (<0.05). In the experiment group, there was an increase of breast milk secretion from 17.09 to 220.91 cc, and in the control group there was also an increase from 17.09 to 72.00 cc. The mean difference of breast milk secretion between pretest and posttest in the experiment group was 203.82 and in the control group was 54.90 with p-value 0.000 (<0.05) Conclusion: There was a significant increase of breast milk secretion in postpartum mothers after given the combination of oxytocin massage and breast care in the experiment group compared with the education and counseling about breast care in the control group. Thus, this result can be used as an evidence to perform oxytocin massage and breast care to increase the secretion of breast milk in postpartum mothers.]]>
<![CDATA[COMPARISON OF THE EFFECTIVENESS OF TWO LEVELS OF SUCTION PRESSURE ON OXYGEN SATURATION IN PATIENTS WITH ENDOTRACHEAL TUBE ]]>
<![CDATA[Muhaji Muhaji]]>;
<![CDATA[Bedjo Santoso]]>;
<![CDATA[Putrono Putrono]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.300
<![CDATA[Background: Endotracheal suctioning is one of the common supportive measures in intensive care units (ICU), which may be related to complications such as hypoxia. However, a questionable efficacy is still identified to choose suctioning pressure between 130 mmHg and 140 mmHg that is effective for patients with endotracheal tube.Objective: To compare the effectiveness of 130 mmHg and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube.Methods: This research used a quasi-experimental design with pretest and posttest group. The study was conducted from 31 January to 1 March 2017 in the Hospital of Panti Wilasa Citarum and Hospital of Roemani Muhammadiyah Semarang Indonesia. There were 30 samples recruited using consecutive sampling, with 15 assigned in the 130 mmHg and 140 mmHg suctioning pressure group. Pulse oximetry was used to measure oxygen saturation. Paired t-test and Independent t-test were used for data analysis.Results: Findings showed that there was a statistically significant effect of 130 and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube with p-value <0.05. There was a significant mean difference of oxygen saturation between 130 mmHg and 140 mmHg suctioning pressure group with p-value 0.004 (<0.05). The mean difference of oxygen saturation between both groups was 13.157.Conclusion: The 140-mmHg suctioning pressure is more effective compared with 130 mmHg suctioning pressure in increasing oxygen saturation in patients with endotracheal tube.]]>
<![CDATA[EFFECT OF PSYCHOEDUCATION ON ANXIETY IN PATIENTS WITH CORONARY HEART DISEASE ]]>
<![CDATA[Yuli Sulistiyo]]>;
<![CDATA[Bedjo Santoso]]>;
<![CDATA[Shobirun Shobirun]]>;
<![CDATA[Soeharyo Hadisaputro]]>;
<![CDATA[Leni Latifah]]>;
<![CDATA[Rr Sri Endang Pujiastuti]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.303
<![CDATA[Background: Cardiovascular heart disease still remains high in Indonesia. Various interventions have been implemented as an effort to deal with cardiovascular disease. However, little is known about intervention to reduce anxiety in patients with cardiovascular disease although anxiety is related to angina attack in this patient. Psychoeducation is considered effective in decreasing anxiety. Objective: To examine the effect of psychoeducation in decreasing anxiety in patients with coronary heart disease (CHD) at the General Hospital of Semarang, Indonesia Methods: This was a quasi-experimental design with pretest posttest control group design. The study was conducted in the inpatient wards of the General Hospital of Semarang on 17 January until 8 March 2017. Fifty-six respondents were recruited using consecutive sampling, with 28 assigned in the experiment and control group. Hamilton Anxiety Rating Scale (HARS) was used to measure anxiety levels. Paired t-test and Independent t-test were used for data analysis. Results: Paired test showed that there was a statistically significant effect of psychoeducation on anxiety level in the experiment group with p-value 0.001 (<0.05), and significant effect of given a brochure of CHD on the anxiety level in the control group with p-value 0.001 (<0.05). Independent t-test showed a statistically significant difference of anxiety level after intervention in the experiment and control group with p-value 0.001 (<0.05). The mean anxiety level in the experiment group (22.46) was lower than the mean anxiety level in the control group (41.54). Conclusion: Psychoeducation is effective in reducing anxiety levels in patients with CHD. It is suggested that psychoeducation can be used as one of nursing intervention in an effort to reduce anxiety in patients with CHD.]]>
