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Understanding Differences In Emotional Experiences Among Caregivers In Caring For Children Under Five Exposed To HIV Happy Hayati; Dessie Wanda; Nani Nurhaeni; Nuraidah Nuraidah
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS4.3853

Abstract

An increase in HIV cases in housewives is at risk of increasing the population of children exposed to HIV. Caregivers of children exposed to HIV are at risk of having problems caring for children exposed to HIV. The difficulties experienced by caregivers can be affected by the condition of the child, who may or may not be infected with HIV. This study aims to get an n overview of the emotional experience of caregivers in caring for children underfive who are exposed to HIV. Methods: The research design uses a qualitative method with a phenomenology approach. Data collection was carried out using snowball sampling techniques and obtained from ten participants domiciled in Jakarta and its surroundings. The participants recruited in this study are caregiver of HIV-exposed children. Data collection was carried out using in-depth interview techniques. Data analysis uses thematic analysis using the Colaizzi method. This study obtained ten participants consisting of seven biological mothers, two children’s relatives and one foster parent. There were seven children with HIV-negative and five children with HIV-positive. Two caregivers in this study cared for more than one child exposed to HIV, namely one child with HIV-positive and one child with HIV-negative. The study found three themes: easy versus complex; grace and entrustment; and love and pity. This study concluded the that there are differences in emotional experiences among caregivers in caring for children underfive exposed to HIV influenced by the child’s HIV status. Positive affirmations and emotional support from health professionals adjusted to the values and socio-cultural condition of caregivers will benefit caregivers in providing adequate care for children.
Mothers’ Experiences in Caring for Children Diagnosed with Covid-19: A Phenomenological Study Wanda, Dessie; Yayah, Yayah; Hayati, Happy; Nurhaeni, Nani
Jurnal Keperawatan Soedirman Vol 19 No 2 (2024): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2024.19.2.9891

Abstract

Mothers, as the primary caregivers are most likely affected when children are exposed to the COVID-19 pandemic. A few studies in Eastern countries, particularly in Indonesia, explored how mothers were affected by their children’s hospitalization due to COVID-19. Indonesia and most eastern countries applied collectivism, which is essential for togetherness. This study aimed to identify mothers’ experiences caring for children diagnosed with COVID-19. A phenomenological approach was used, and the data were collected through in-depth interviews with 15 mothers recruited using a purposive sampling technique. Thematic analysis was performed to analyze the data by compiling mothers’ experiences caring for children diagnosed with COVID-19 at home and in hospitals. Five themes were revealed: (1) feeling guilty when the child was confirmed positive for COVID-19, (2) feeling worried about the health of the child but thinking positively and becoming stronger, (3) feeling grateful to be able to do the isolation together with the child, (4) making an effort to help the child become cured of COVID-19 and (5) feeling relieved when their children had relatively mild symptoms during isolation. Mothers faced psychological problems including feeling guilty about their child’s condition, but then happy when they were hospitalized and recovering together.
Penggunaan Teknologi Sistem Informasi dan Manajemen sebagai Tehnik untuk Menurunkan Nyeri dan Ansietas pada Pasien Anak Faruq Ainul Yaqin; Allenidekania Allenidekania; Happy Hayati
Jurnal Keperawatan Silampari Vol 6 No 1 (2022): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (208.533 KB) | DOI: 10.31539/jks.v6i1.3836

Abstract

This study aims to synthesize evidence/literature on the use of information system technology in applying active and passive distraction techniques to reduce pain scores in pediatric patients. The research method used in this study is a literature review. The research results based on the search for articles using the PICOT framework in the database Google Scholar were limited to the range of the last ten years, 2010-2020, which obtained five journals. The results showed that active and passive distraction techniques reduced pain scores in pediatric patients. In conclusion, active and passive distraction techniques can be used as non-pharmacological therapy that nurses can do to score pain in pediatric patients. Keywords: Distraction, Pain, Pediatric Patients
Implementasi Konsep Perawatan Berpusat pada Keluarga Siti Wahyuni; Dessie Wanda; Happy Hayati
Jurnal Keperawatan Silampari Vol 6 No 2 (2023): Jurnal Keperawatan Silampari
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.462 KB) | DOI: 10.31539/jks.v6i2.5556

Abstract

This study aims to explore Family Centered Care (FCC) and its impact on the psychological well-being of children and parents in the non-intensive pediatric care area. The method used is a systematic review by searching the literature from several online databases. The results showed that parents' perceptions of knowledge about FCC were respect and dignity, collaboration, communication and sharing of information, involvement in care, and influencing factors. The impact of the FCC on the psychological well-being of children and parents is to reduce the anxiety of children and parents and increase parental satisfaction. In conclusion, these findings provide strong evidence for understanding what is most important to parents and the impact of the FCC on positive psychological well-being for children and parents in non-intensive pediatric care areas. Keywords: Implementation, Psychological Well-being, Family-Centered Care
EFIKASI DIRI PERAWAT TERHADAP PENERAPAN ASUHAN PERKEMBANGAN (DEVELOPMENTAL CARE) Armina Armina; Happy Hayati; Nani Nurhaeni
Jurnal Akademika Baiturrahim Jambi Vol. 7 No. 1 (2018): Maret
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jab.v7i1.66

Abstract

The neonatal nursing room in several hospitals in Indonesia has been widely disseminated about the application of developmental care but there are still many nurses who have not applied due to lack of nurse confidence (self efficacy is lacking). This study aims to identify the relationship between self efficacy factors and the application of developmental care by nurses in the neonate care unit. This study used cross sectional study design with 82 samples of nurses in neonate level I, II, III at two hospitals in RSAB Harapan Kita and RSPAD GatotSubroto. The instrument used is self-efficacy questionnaire and Indonesian translation instrument Universe develomental care (UDC). The data of this study were analyzed using bivariate analysis with independent T test. The result of bivariate analysis showed that there was a relationship between the application of developmental care with self efficacy of neonate nurse with p = 0,017. The researcher suggests the institution of nursing services to be able to facilitate the provision of funds and training for increase skill and confidence self nurses in the neonate room.
Pengaruh edukasi motivational interviewing terhadap efikasi, pengetahuan, perubahan perilaku pada masalah kesehatan anak: Tinjauan sistematik Setiawati, Atik; Rahmadhani, Dewi Astika; Rustina, Yeni; Hayati, Happy; Huda, Mega Hasanul
Holistik Jurnal Kesehatan Vol. 18 No. 11 (2025): Volume 18 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i11.634

Abstract

 Background: The implementation of child care education will be different from adult care education. This is because children are not miniature adults. However, the role of child care cannot be separated from the involvement of parents or families. Motivational interviewing (MI) educational interventions have been suggested to improve efficacy, knowledge, and health behavior change in pediatric patients. Psychological approaches such as Motivational Interviewing (MI) have emerged as a promising alternative to overcome these limitations, with the aim of creating more sustainable behavior change in the context of health. Purpose: To evaluate the impact of Motivational Interviewing (MI)-based education on efficacy, knowledge, and behavioral change in children. Method: A systematic literature review study using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the PICOS approach. The keywords used were, "motivation" OR "self-efficacy" OR "knowledge" OR "behavior change" AND "pediatric" OR "pediatrics" AND "motivational interviewing" OR "directive counseling". Identified 6 articles related to the impact of motivational interviewing (MI)-based education on efficacy, knowledge, and behavioral change in children. Results: Showed that MI intervention has a positive impact on self-efficacy, increased knowledge, and behavioral change in children with various health conditions, such as obesity, asthma, dental caries, and alcohol dependence. Conclusion: Although the results showed significant improvements in various parameters, differences in the level of effectiveness between studies indicate the need for a more specific approach to the target population and certain health problems. Suggestion: Further research with a more targeted and specific focus is needed to provide more comprehensive results and support the development of future MI-based interventions.   Keywords: Children; Education; Efficacy; Knowledge; Motivational Interviewing (MI).   Pendahuluan: Pelaksanaan edukasi perawatan anak akan berbeda dengan edukasi perawatan dewasa. Hal ini dikarenakan anak-anak bukanlah miniatur orang dewasa. Meskipun demikian, peran perawatan anak tidak lepas dari keterlibatan orang tua atau keluarga. Intervensi edukasi wawancara motivasi (MI) telah disarankan untuk meningkatkan efikasi, pengetahuan, dan perubahan perilaku kesehatan pada pasien anak. Pendekatan psikologis seperti Motivational Interviewing (MI) telah muncul sebagai alternatif yang menjanjikan untuk mengatasi keterbatasn ini, dengan tujuan menciptakan perubahan perilaku yang lebih berkelanjutan dalam konteks kesehatan. Tujuan: Untuk mengevaluasi dampak edukasi berbasis Motivational Interviewing (MI) terhadap efikasi, pengetahuan, dan perubahan perilaku pada anak. Metode: Penelitian sistematik literature review menggunakan panduan Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) dan pendekatan PICOS. Kata kunci yang digunakan yakni, “motivation” OR “self efficacy” OR “knowledge” OR “behavior change” AND “pediatric” OR “pediatrics” AND “motivational interviewing” OR “directive counselling”. Mengidentifikasi 6 artikel yang berkaitan dengan dampak edukasi berbasis motivational interviewing (MI) terhadap efikasi, pengetahuan, dan perubahan perilaku pada anak. Hasil: Menunjukkan bahwa intervensi MI memberikan dampak positif terhadap efikasi diri, peningkatan pengetahuan, dan perubahan perilaku pada anak-anak dengan berbagai kondisi kesehatan, seperti obesitas, asma, karies gigi, dan ketergantungan alkohol. Simpulan: Meskipun hasil menunjukkan adanya peningkatan signifikan dalam berbagai parameter, perbedaan tingkat efektivitas antara penelitian mencerminkan perlunya pendekatan yang lebih spesifik terhadap populasi target dan masalah kesehatan tertentu. Saran: Penelitian lebih lanjut dengan fokus yang lebih terarah dan spesifik diperlukan untuk memberikan hasil yang lebih komprehensif dan mendukung pengembangan intervensi berbasis MI di masa depan.   Kata Kunci: Anak; Edukasi; Efikasi; Motivational Interviewing (MI); Pengetahuan.
Pelatihan Kapabilitas Kader Kesehatan Dalam Mendampingi Keluarga Balita Stunting di Kabupaten Tegal Dessie Wanda; Happy Hayati; Suryane Sulistiana Susanti; Robiyatul Adawiyah; Astuti Astuti; Hazrina Adelia; Windi Nur Emiria; Afifah Ayu Syaiful; Endang Ayu Puspitasari
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2024): Edisi Juli 2024
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v4i2.835

Abstract

Stunting merupakan kondisi dimana pertumbuhan anak terhambat akibat malnutrisi jangka panjang yang berakibat perkembangan yang lebih lambat dari anak seusianya. Intervensi pada anak stunting dilakukan secara komprehensif mulai dari tatanan keluarga. Dimana posisi petugas kesehatan terdekat dengan lingkungan keluarga adalah para petugas puskesmas. Dalam pelaksanaan pendekatan keluarga, petugas puskesmas dibantu oleh kader-kader kesehatan. Masalahnya, seringkali kader kesehatan masih ditemukan belum begitu dalam dan komprehensif pengetahuannya untuk mendampingi keluarga maupun balita stunting. Salah satu daerah di Indonesia yang angka stuntingnya masih tinggi adalah Kabupaten Tegal. Berdasarkan uraian-uraian diatas, solusi program yang dapat dilakukan adalah membekali kader kesehatan untuk mendampingi keluarga yang memiliki balita stunting di daerah Tegal. Program yang diberikan adalah pemberian edukasi ke kader kesehatan terkait stunting dan cara mendampingi para keluarganya, mendamping kader kesehatan melakukan pengukuran antropometri di posyandu, dan memberikan penyuluhan tentang pencegahan stunting kepada para ibu hamil. Acara diadakan selama dua hari dengan hari pertama penyampaian materi dan hari kedua praktik di posyandu. Jumlah peserta adalah sebanyak 20 kader kesehatan. Adanya rangkaian program ini diharapkan dapat memandu kader posyandu dan para calon ibu untuk dapat mencegah stunting serta mengurangi angka stunting di wilayah tersebut.
The Effect of Emollient Oils in Preterm Infants: A Systematic Review and Meta-Analysis Rita Wahyuni; Happy Hayati; Mega Hasanul Huda
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6179

Abstract

Premature infants have distinct physiological differences in their skin compared to full-term infants, characterized by thinner skin and subcutaneous tissue due to an underdeveloped stratum corneum. Several non-pharmacological therapies are implemented to improve the skin integrity of premature infants. However, the effectiveness of these therapies needs to be explored further to establish their role in enhancing skin care and overall health outcomes in this vulnerable population. Objective to identify the effectiveness of non-pharmacological interventions on the skin condition and health outcomes of preterm infants, and to determine which intervention is most effective in improving skin condition and health outcomes. In this meta-analysis, randomized controlled trials (RCTs) of emollient oil administration interventions were systematically searched across four databases including Pubmed, Science Direct, Oxford Academic, and Cochrane. The studies that met the eligibility criteria were independently assessed for methodological quality, and data extraction was performed by two investigators. A total of 8 trials were identified, encompassing 3637 participants. To analyze the data, a random-effects model was employed, along with subgroup analysis and meta-regression analysis to explore the effects of different intervention components. Coconut oil and sunflower seed oil were evaluated for their effects on skin condition using the NSCS. The results indicated that sunflower seed oil was significantly more effective in reducing the NSCS score, with a p-value of 0.001 (95% CI = 1.426 to -0.364). Liquid Vaseline in the control group also showed significant results, with a p-value of 0.001 (95% CI = -1.426 to -0.364). In terms of weight gain and the incidence of hypothermia, there were no significant differences between the two oils and the control group. Administration of the oils once a day for a longer duration proved to be more effective in improving the infants' skin condition. Evidence suggests that the use of coconut oil and sunflower seed oil is effective in increasing body weight and reducing the incidence of hypothermia and sepsis. Furthermore, sunflower seed oil appears to be more effective than coconut oil in improving skin condition. Based on these findings, it is recommended that policymakers and healthcare professionals consider incorporating coconut oil or sunflower seed oil emollients into the routine care of premature infants.
Empowering parents through early kangaroo mother care a holistic approach to neonatal health: A systematic review Endah Dessirya; Kusnul Hasanah; Yeni Rustina; Happy Hayati; Mega Hasanul Huda
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 3 (2025): Volume 8 Number 3
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i3.869

Abstract

Background: The transition of premature infants from the intrauterine to the extrauterine environment is a complex and challenging adaptation process for infants and their mother. Empowering parents through education and support is crucial in navigating these challenges. Propose: To review parental empowerment through early kangaroo care a holistic approach to neonatal health. Method: Systematic review research according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. This literature research uses seven electronic databases, namely PubMed, Proquest, Sciencedirect, Wiley Online, Emerald insight, Sage Journals, and JSTOR. The data search began on September 30, 2024, using the keywords "parent" or "mother" or "maternal" and "infant" or "preterm" and "early" or "immediately" and "skin-to-skin" or "kangaroo-mother-care". The literature criteria used were full texts that discussed prematurity (newborns with a gestational age of <37 weeks), mothers who performed early KMC, parents who performed early KMC, the outcomes measured in this study were infant outcomes (morbidity, mortality, physiological status, weight, and length of stay) and maternal outcomes (exclusive breastfeeding, maternal mental health), and this study used a randomized control design. This study is registered with PROSPERO (CRD42025633170). Results: The search process identified 318 articles. Further screening resulted in a final sample of 7 articles. The review results showed that early KMC has benefits for both mothers and infants. Benefits of early KMC for mothers include increased exclusive breastfeeding, reduced depression, and increased maternal self-satisfaction in caring for preterm infants. Furthermore, in preterm infants, early KMC has been shown to improve physiological stability, weight gain, reduce mortality, morbidity, infections, weight gain, and reduce length of hospitalization. Conclusion: Early implementation of KMC not only provides clinical benefits for preterm infants, but also contributes to improved maternal mental health. These findings support the promotion of KMC as a standard intervention in neonatal intensive care units to optimize short- and long-term outcomes for mothers and preterm infants.
Local Wisdom Enriching Complementary Feeding Practices during Disaster Situations in Indonesia Astuti, Astuti; Hayati, Happy; Waluyanti, Fajar Tri; Wanda, Dessie
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This study aimed to analyze complementary food fulfillment during disaster situations in Indonesia since it frequently experiences natural disasters and young children face unique challenges related to their feeding needs in disaster situations. This qualitative case study based on the Mount Merapi eruption and Sumedang landslide in 2021 collected data using observations, forum group discussions, and in-depth interviews; then, a thematic analysis was conducted. This study involved 17 participants, including Non-governmental Organizations (NGO) activists, health workers, residents involved in making complementary foods, and primary caregivers of children aged 6–24 months. This study found that there were five themes generated from the data analysis; 1) the donation of home-based complementary foods based on local wisdom, 2) inadequate complementary feeding, 3) limited resources to manage the complementary feeding, 4) clean versus dirty conditions, and 5) mothers’ endeavour in complementary feeding practices. This study concluded that the complementary feeding practices during a disaster in Indonesia were supported by NGOs, residents, and nearby healthcare workers and thus represent a form of mutual cooperation among the Indonesian people.