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Ikeu Nurhidayah

Fakultas Keperawatan Universitas Padjadjaran

Author-ID : 334912

Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Upaya Pencegahan Penularan TB dari Dewasa terhadap Anak Eni Noviyani; Sari Fatimah; Ikeu Nurhidayah; Fanny Adistie
Jurnal Keperawatan Padjadjaran Vol. 3 No. 2 (2015): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

TB (TB) pada anak mencerminkan transmisi TB yang terus berlangsung di populasi. Laju penularan TB pada anak tidak terlepas dari penderita TB dewasa Basil Tahan Asam(BTA) positif yang tinggal disekitarnya sebagai sumber penularan utama. Perilaku penderita TB dewasa sangat berpengaruh besar terhadap jumlah penderita TB anak yang semakin meningkat, karena TB merupakan penyakit yang mudah ditularkan melalui udara. Tujuan penelitian ini adalah untuk mengetahui gambaran pencegahan penularan TB dari dewasa terhadap anak di wilayah puskesmas DTP Rancaekek. Penelitian menggunakan metode deskriptif kuantitatif dengan responden 54 orang dan menggunakan teknik total sampling. Teknik pengumpulan data dengan menyebarkan kuesioner yang dikembangkan dari teori J. Gordon mengenai pencegahan penularan TB yang meliputi lingkungan, kepatuhan pengobatan, memutus transmisi serta status nutrisi dengan menggunakan skala guttman. Analisis data yang digunakan adalah dengan analisis deskriptif kuantitatif melalui distribusi frekuensi. Penelitian dilakukan di Puskesmas DTP Rancaekek. Berdasarkan hasil penelitian, diperoleh hasil bahwa pencegahan penularan TB dari dewasa terhadap anak di wilayah Puskesmas DTP Rancaekek seluruh responden 54 orang (100%) tidak mendukung pencegahan penularan TB. Sebelumnya telah ada penyuluhan yang dilakukan oleh puskesmas DTP Rancaekek. Saran peneliti adalah mengevaluasi penyuluhan yang telah dilakukan agar memperoleh metode penyuluhan yang tepat dan menjalankan strategi DOTS.Kata kunci: Pencegahan, penularan, TB, TB anak.Prevention of Tuberculosis Transmission from Adults to Children AbstractTuberculosis (TB) in children reflects the continuing TB transmission in the population. The transmission rate of TB in children cannot be separated from adult TB patients who live near the children and are a major source of transmission. The behavior of adult patients has a big influence on the increasing number of pediatric TB patients because TB is a disease that is easily transmitted through air. The purpose of this study was to describe the prevention of TB transmission from adults to children in the area around Puskesmas (Primay Health Clinic) DTP Rancaekek. This research used quantitative descriptive method with 54 respondents collected using total sampling technique. Data were collected by distributing questionnaires developed from J. Gordon theory which contained matters concerning the environment, treatment compliance, preventing transmission, and nutritional status using Guttman scale. Data were analysed with descriptive quantitative method using the frequency distribution. The study was conducted at the region of Puskesmas DTP Rancaekek. The results of the study showed that all 54 respondents (100%) did not support the prevention of tuberculosis transmission from adults to children around the region of Puskesmas DTP Rancaekek. Previously there have been health education sessions carried out by the Puskesmas DTP Rancaekek. However, researchers suggest evaluating the methods of health education in order to find the right TB prevention techniques and effectively implement DOTS strategy.Key words: Transmission prevention, tuberculosis, tuberculosis children.

Kualitas Hidup pada Anak dengan Kanker Ikeu Nurhidayah; Sri Hendrawati; Henny S. Mediani; Fanny Adistie
Jurnal Keperawatan Padjadjaran Vol. 4 No. 1 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Kanker anak merupakan penyakit yang memerlukan pengobatan dan perawatan berkelanjutan. Pengobatan kemoterapi yang berkelanjutan pada anak dengan kanker, selain memiliki efek terapeutik juga menyebabkan berbagai efek samping. Hal ini dapat berdampak terhadap kualitas hidup anak, meliputi fungsi fisik, emosi, sosial, psikologis, sekolah, dan kognitif. Tujuan penelitian ini untuk mengidentifikasi kualitas hidup pada anak dengan kanker. Penelitian ini menggunakan mixed method dengan strategi eksplanatoris sekuensial. Sampel penelitian kuantitatif dengan 60 responden. Kualitas hidup pada anak diukur dengan menggunakan instrumen PedsQoL Generic 4.0 dan PedsQoL Cancer Module 3.0. Analisis data dilakukan menggunakan nilai mean. Penelitian kualitatif menggunakan 10 partisipan dan pengumpulan data dengan pedoman wawancara. Analisis data menerapkan teknik analysis interactive model dengan tahapan pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Penelitian ini dilaksanakan di RSUP Dr. Hasan Sadikin Bandung. Hasil penelitian menunjukkan 32 orang (53,3%) anak kanker memiliki kualitas hidup buruk, dengan nilai terendah pada fungsi sekolah dan kekhawatiran anak dalam menghadapi pengobatan dan penyakit.Kualitas hidup yang buruk ini berpengaruh terhadap fungsi fisik, emosi, sosial, psikologis, sekolah, dan kognitif sehingga tumbuh kembang anakpun terganggu. Salah satu upaya untuk meningkatkan kualitas hidup pada anak dengan menyediakan kesempatan bagi anak untuk tetap belajar dan saling berinteraksi dan dukungan dari perawat.Kata kunci: Anak, kanker, kualitas hidup. Quality of Life of Children Living with CancerAbstractCancer in children is an illness that needs continuous medication and treatment so that it has to be managed with high quality care. Continuous chemotherapy treatment in children with cancer, besides giving therapeutic effect, it also causes various side effects. These side effects could have negative effect for quality of life of the children, including physical, emotional, social, psychological, school, and cognitive functions. The aim of this study was to identify quality of life of children living with cancer. This study used mixed method design with sequential explanatory strategy. The quantitative study recruited 60 samples of children living with cancer. The quality of life of the children was measured using PedsQol Generic 4.0 and PedsQoL Cancer Module 3.0. Data were analyzed using mean score. The qualitative study recruited 10 participants and the data were collected using semi-structured interview. Qualitative data analysis used interactive analysis model which consisted data collection, data reduction, data presentation, and conclusion phases. Both of the studies were conducted at Dr. Hasan Sadikin Hospital Bandung. The results showed that based on PedsQol Generic 4.0, most of the children (53.3%) has low quality of life, with the school function as the lowest score. Based on PedQoL Cancer Module 3.0, most of children (61.7%) also has low quality of life, particularly in children’s worriedness aspect when dealing with treatment and their illness which has lowest score. This low quality of life would have negative impact towards children’s physical, emotional, social, psychological, school and cognitive function, so that it disturbed the children’s growth and development. One of efforts that can be done is to provide opportunities for children to continue studying and interaction in hospital, as well as an additional schedule for psychology therapies to help children overcome the negative emotion during their treatment.Keywords: Cancer, children, quality of life.

Kajian Kebutuhan Family Centered Care dalam Perawatan Bayi Sakit Kritis di Neonatal Intensive Care Unit Sri Hendrawati; Sari Fatimah; Siti Yuyun Rahayu Fitri; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 5 No. 2 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Sistem perawatan bayi di NICU memberikan dampak negatif bagi bayi dan orang tua. Upaya yang dapat dikembangkan untuk meminimalkan dampak tersebut yaitu dengan mengaplikasikan family centered care (FCC). Langkah pertama upaya tersebut adalah mengidentifikasi kebutuhan orang tua. Dalam penelitian sebelumnya, kebutuhan orang tua sangat bervariasi. Penelitian bertujuan mengidentifikasi kebutuhan FCC dalam perawatan bayi sakit kritis di NICU. Metode penelitian menggunakan mixed method dengan strategi eksplanatoris sekuensial. Penelitian kuantitatif dilakukan terhadap 45 responden dan menggunakan kuesioner NICU Family Need Inventory. Analisis data dilakukan dengan mean. Penelitian kualitatif dilakukan terhadap 7 partisipan dengan menggunakan pedoman wawancara. Analisis data menerapkan teknik content analysis. Penelitian dilaksanakan di NICU Rumah Sakit Pemerintah Wilayah Bandung Raya. Orang tua memiliki urutan prioritas kebutuhan terhadap kepastian (M = 3,90), informasi (M = 3,82), kedekatan (M = 3,76), dukungan (M = 3,49), dan kenyamanan (M = 3,37). Pada penelitian kualitatif didapatkan, orang tua lebih membutuhkan kepastian terkait jaminan bayinya mendapatkan perawatan terbaik; kebutuhan terhadap informasi jujur, jelas, dan rutin mengenai kondisi, perkembangan, dan tindakan yang dilakukan terhadap bayi; dan kebutuhan terhadap kedekatan untuk selalu dekat dan melakukan kontak dengan bayi. Kebutuhan orang tua lebih berfokus pada kesejahteraan bayi. Dalam melakukan asuhan keperawatan, selain meningkatkan pelayanan terhadap bayi, perawat harus memerhatikan kebutuhan orang tua terkait jaminan kepastian bayinya mendapatkan perawatan terbaik, penyampaian informasi dengan komunikasi terbuka, dan menjalin kontak dengan bayi. Dengan mengidentifikasi kebutuhan orang tua, dapat menuntun perawat mengintegrasikan kebutuhan orang tua kedalam FCC sehingga orang tua dapat memenuhi kebutuhannya, mendapatkan kepuasan, dan meningkatkan kualitas hidup bayi.Kata kunci: Bayi sakit kritis, kebutuhan orang tua, perawatan berpusat pada keluarga. Study of Family Centered Care Needs in Critically Ill Infants Care in the Neonatal Intensive Care UnitAbstractInfants hospitalization in the NICU adversely affect for infants and parents. Efforts can be developed to minimize this impact is by applying family centered care (FCC). The first step is identify needs of parents. In previous study examined the differences needs of parents. This study aimed to identify the FCC needs in critically ill infants care in the NICU. The research method was mixed method design with sequential explanatory strategy. The samples in quantitative research were 45 respondents and using questionnaires NICU Family Need Inventory. Data analysis was done by mean. Qualitative research using 7 participants and using interview guidelines. Data analysis used analysis content technique. This research has been carried out in the NICU Government Hospital of Bandung Raya. The quantitative result indicated that parents with critically ill infants in the NICU need assurance most (M = 3.90), followed by information (M = 3.82), proximity (M = 3.76), support (M = 3.49), and comfort (M = 3.37). The main themes from qualitative analysis demonstrated needs of parents in assurance associated with assured the best care possible is being given to infants; information is honest, clear, and routine regarding condition, prognosis, and procedures that performed to infants; and proximity to always close and make contact with the infants. Needs of parents are focused on the wellbeing of their infants. In doing nursing care, beside improving care to the infants, the nurses should pay attention to needs of parents related the assurance their infants get the best care, open communication, and close contact with their infants. By identifying the needs of parents in the NICU, it can allow nurses to integrate the needs of parents into FCC so that parents can meet these needs, get satisfaction, and can improve the quality of life infants.Keywords: Critically ill infants, family centered care, needs of parents.

Perspektif Mahasiswa mengenai Problem-Based Learning (PBL) Mutiara Mutiara; Suryani Suryani; Ikeu Nurhidayah; Sri Hendrawati
Jurnal Keperawatan Padjadjaran Vol. 5 No. 3 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Pendidikan keperawatan dituntut untuk menghasilkan sumber daya manusia perawat yang kompeten, baik secara akademik maupun dalam tataran praktik. Berbagai penelitian merekomendasikan pendekatan student centered learning dengan metode Problem-Based Learning (PBL) sebagai metode yang efektif memfasilitasi pencapaian kompetensi perawat. Metode ini akan memberikan pengalaman bagi mahasiswa untuk menghadapi real-world problem solving. Meski demikian, bagi mahasiswa program sarjana (undergraduate), pembelajaran PBL merupakan pengalaman baru. Selain itu, literatur juga menunjukkan mahasiswa yang justru frustasi saat menjalankan metode ini. Dengan demikian mengidentifikasi persepsi mahasiswa terhadap metode pembelajaran ini merupakan hal penting. Penelitian ini bertujuan untuk mengidentifikasi perspektif mahasiswa tingkat akhir mengenai pembelajaran dengan menggunakan metode PBL. Penelitian deskriptif kuantitatif ini menggunakan total sampling dengan melibatkan 159 mahasiswa tingkat akhir di salah satu institusi pendidikan tinggi keperawatan di Bandung. Data dikumpulkan menggunakan Course Experience Quesionnaire yang dikembangkan oleh David Caroll (2013). Data dianalisis secara deskriptif. Hasil penelitian secara umum menunjukkan 46,94% responden mempunyai perspektif netral; 42,86% responden mempunyai perspektif positif; dan 6,20% responden memiliki perspektif negatif. Dilihat berdasarkan dimensinya, 50% mahasiswa memiliki persepsi netral terhadap kualitas pembelajaran (good teaching scale); 83,3% persepsi positif dalam keterampilan umum (good skills scale); 100% persepsi netral dalam kepuasan mahasiswa (overal satisfaction); 80% persepsi netral terhadap kejelasan tujuan dan standar pembelajaran (clear goals and standars); 75% persepsi netral terhadap tingkat penugasan (appropriate workload scale); dan 33,3% persepsi positif terhadap evaluasi pembelajaran (appropriate assessment scale). Hal ini menunjukan mahasiswa tidak secara tegas menilai pelaksanaan PBL baik atau tidak baik. Hal tersebut dikarenakan di satu sisi mereka merasakan ada hal yang positif dari pelaksanaan PBL tetapi disisi lain ada hal yang negatif yang mereka alami.Kata kunci: Evaluasi, mahasiswa, metode, persepsi, problem-based learning. AbstractNursing education was demanded to form human resources that fulfill qualification such as academic potential and practice that are good in order to form a professional and competent nurse. Various studies recommend student centered learning approach with problem-based learning method as an effective method for the achievement of nurse competence, because it provides experience for students to face real-world problem solving. However, for undergraduate students, PBL learning is a new experience that is different from that obtained during high school, in addition some studies also show students who are frustrated in class, so the evaluation of how students’ perceptions of this learning method is important. The research aimed to identify final grade student’s perspective on learning using problem-based learning method. The research method was using descriptive qualitative, and instruments used Course Experience Quesionnaire developed by David Caroll (2013). The sample in this research is the final grade students at nursing higher education institution in Bandung with total 159 people and taken data by using total sampling technique. Data analyzed by frequency distribution. Results of research showed 46.96% of a neutral perspective respondent, 42.86% of a positive perspective respondent, and 6.20% of negative perspective respondent. Judging by its dimensions, 50% of students have neutral perceptions of the quality of learning (good teaching scale); 83.3% positive perceptions in general skills (good skills scale); 100% neutral perception in student satisfaction (overal satisfaction); 80% neutral perceptions of clarity of objectives and learning standards (clear goals and standars); 75% neutral perception of the workload (appropriate workload scale); and 33.3% positive perceptions of the learning assessment (appropriate assessment scale). The result shows that students do not explicitly assess the implementation of PBL as good or bad, due to they experienced positive and negative thing from the implementation of PBL.Keywords: Evaluation, method, problem based learning, student.

Pengaruh Field Massage sebagai Terapi Adjuvan terhadap Kadar Bilirubin Serum Bayi Hiperbilirubinemia Novi Novianti; Henny Suzana Mediani; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 5 No. 3 (2017): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Hiperbilirubinemia merupakan komplikasi yang sering terjadi pada masa neonatal. Terapi modalitas dibutuhkan karena fototerapi sebagai prosedur penatalaksanaan hiperbilirubinemia di rumah sakit berpotensi menimbulkan efek samping. Field massage sebagai terapi adjuvan, diduga dapat meningkatkan ekskresi bilirubin selama bayi mendapat fototerapi. Namun, penelitian field massage sebelumnya baru melaporkan penurunan kadar bilirubin diduga seiring meningkatnya frekuensi buang air besar sebagai efek massage. Tujuan penelitian untuk mengetahui pengaruh field massage sebagai adjuvan terhadap kadar bilirubin serum bayi hiperbilirubinemia yang menjalani fototerapi. Desain penelitian menggunakan kuasi eksperimen dengan non equivalen pre test-post test design with control group.Sampel diambil secara consecutive terbagi menjadi kelompok intervensi (16 responden) dan kelompok kontrol (16 responden). Data dianalisis menggunakan Dependen T-Test, Independen T-Test, dan Analysis of Covarians. Hasil menunjukkan rata-rata kadar bilirubin serum setelah intervensi pada kelompok intervensi (8,09+1,21) sedangkan kelompok kontrol (10,05+2,17). Penurunan rata-rata kadar bilirubin serum kelompok intervensi (7,20+1,59), sedangkan kelompok kontrol (4,64+1,25), antara kedua kelompok terdapat perbedaan penurunan yang bermakna (p=0,001). Kontribusi variabel confounding tidak berpengaruh terhadap penurunan rata-rata kadar bilirubin serum, setelah dikontrol variabel confounding pada kelompok intervensi memiliki nilai bersih (7,23+0,37), kelompok kontrol memiliki nilai bersih (4,61+0,37). Kesimpulan didapatkan field massage sebagai terapi adjuvan dapat menurunkan kadar bilirubin serum secara efektif. Berdasarkan hasil penelitian Field massage bisa menjadi salah satu alternatif intervensi keperawatan yang dapat digunakan dalam penatalaksanaan bayi hiperbilirubinemia di rumah sakit.Kata kunci: Field massage, fototerapi, hiperbilirubinemia, neonatal. Effect of Field Massage as Adjuvant Therapy on Serum Bilirubin Levels Neonatal HyperbilirubinemiaAbstract Hyperbilirubinemia is the common complication that occurs in neonatal period. Therapeutic modality is needed since phototherapy as a standard procedure for hiperbilirubinemia in hospital is often give side effects. Field massage is an adjuvant therapy might increases the excretion of infant bilirubin serum in procedure of phototherapy. However, previous research used field massage noticed that decreased levels of bilirubin allegedly increased with the frequency of defecation as massage effect. The purpose of this study was to determine effect of field massage as adjuvant to level of bilirubin serum in neonatal with phototherapy.The research design used quasi experiments with non equivalent pre test-post test design. The sample was recruited by consecutive sampling of 16 respondents in intervention group and 16 respondents in control group. Data were analyzed by using Dependent T-Test, Independent T-Test, and Analysis Covarians. Results showed that the mean serum bilirubin level after intervention in intervention group showed (8.09+1.21), while the control group were about 10.05+2.17. Decreasing mean serum bilirubin level in the intervention group (7.20+1.59) and the control group (4.64+1.25), between two groups showed that there had significant decrease (p=0.001). Contribution of confounding variables did not affect to the decreased mean serum bilirubin level, whereas after controlled confounding variables in the intervention group showed had net value (7.23+0.37), and for the control group (4.61+0.37). It can be concluded that field massage is effective and useful in decreasing bilirubin serum levels. Results of this study can be used as one of alternative nursing interventions in managing neonatal hyperbilirubinemia in hospitals.Keywords: Field massage, hyperbilirubinemia, neonatal, phototherapy.

pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah Triliana Purwadesi Yuliar; Susi Susanah; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Salah satu pengobatan penyakit kanker pada anak adalah kemoterapi yang memiliki efek samping mual muntah. Mual muntah pada penyandang kanker anak usia sekolah dapat mengakibatkan gangguan nutrisi, emosional, bermain dan fungsi sekolah. Hal ini dapat menurunkan kualitas hidup anak. Salah satu terapi adjuvan yang dapat menurunkan mual muntah setelah pemberian kemoterapi adalah akupresur yang bersifat non invasif dan tidak membahayakan. Akupresur titik Nei guan menggunakan metode penekanan pada pergelangan tangan. Penelitian ini dilakukan untuk mengetahui pengaruh pemberian akupresur Nei Guan terhadap mual muntah kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah. Desain penelitian adalah kuasi eksperimen melalui pendekatan pre-post test design study with control dengan single blind. Responden terbagi atas kelompok kontrol dan kelompok intervensi yang masing-masing berjumlah 15 orang. Kedua kelompok mendapatkan antiemetik yang sama. Pengukuran mual dilakukan 3 kali pada pagi dan malam hari menggunakan instrumen Pediatric Nausea Assessment Tools (PeNAT), sedangkan interval muntah didokumentasikan setiap muntah dan retching. Data dianalisis dengan uji Mann Whitney dan uji t independent. Hasil analisis pada kelompok kontrol menunjukkan rerata nilai mual cenderung mengalami kenaikan dan interval muntah yang lebih cepat dibandingkan dengan kelompok intervensi. Hasil kesimpulannya adalah secara klinis terdapat pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah meskipun secara statistik belum bermakna (nilai p>0,05). Perawat diharapkan dapat melakukan monitoring mual muntah berkelanjutan dan akupresur dapat dipertimbangkan sebagai terapi adjuvan selain pemberian terapi farmakologi untuk menurunkan mual muntah.

Mucositis Effect on Quality of Life of Hospitalized Children with Cancer Who Received Chemotherapy Sri Hendrawati; Ikeu Nurhidayah; Henny Suzana Mediani; Ai Mardhiyah; Nenden Nur Asriyani Maryam
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Mucositis is very common in children with cancer who received chemotherapy. Mucositis in children renders other health problems such as pain, eating problems, insomnia, and emotional problems that directly determine children’s quality of life. The purpose of this research was to identify how the effects of mucositis on quality of life in children with cancer who received chemotherapy. The method used in this research is correlative descriptive analytic with cross-sectional design. Samples taken in this research utilized consecutive sampling technique. The children with cancer who met the inclusion criteria were approached to participate in this research. Sixty children with cancer hospitalized in Dr. Hasan Sadikin Hospital Bandung recruited in this research. Mucositis identification utilized Oral Assessment Guide (OAG). Data quality of life (QoL) would be assessed with PedsQoL Cancer Module 3.0. Data were analyzed by Chi-square correlation test. There are 53 children (88.3%) who experienced mucositis. In contrast, there are only 7 children who didn’t experience mucositis (11.7%). Based on this survey, there are 37 children (61.7%) have bad quality of life. Otherwise, 23 children (38.3%) have good quality of life. This research found that there is a significant relationship between mucositis and QoL of children with cancer. Accordingly, the relationship between mucositis cases and QoL of children with cancer valued at 0.006 (p<0.05). Mucositis cause low QoL in children with cancer compared to them without mucositis. Nurse should increase nursing care for children with mucositis as the side effect of chemotherapy. Suggested efforts are to prevent mucositis complication that will impact QoL, such as giving oral care with honey, keeping humid oral mucosa, and preventing infection

Analysis of Factor Affecting Nutrition Status on Children Laili Rahayuwati; Ikeu Nurhidayah; Nur Oktavia Hidayati; Sri Hendrawati; Habsyah Saparidah Agustina; Rindang Ekawati
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

The problem of malnutrition remains overlooked in Indonesia, especially on children, caused by various factors. Indonesia is the 17th country with 3 nutrition problems, including stunting (short body), wasting (skinny body), and overweight (obesity). This research aims to analyze factors affecting nutrition status on children in the area of West Java Province, including the mother’s and the child’s socio-demographics factor, and the child’s health status. The research method was descriptive quantitative with cross-sectional approach. The number of samples is 810. The research was conducted in 6 districts that support Family Planning (KB), including Bandung District, Bandung City, West Bandung District, Subang District, Sumedang District, and Garut District. The quantitative analysis consisted of univariates using percentage and frequency distribution, as well as bivariate analysis using chi square test. The result of the research shows that nearly all toddlers have good nutrition status as much as 87.9%, and toddlers with malnutrition as much as 10.6%. The analysis factor shows that there is a relationship between the mother’s age (p = 0.048; OR = 1.583), family income (p = 0.010; OR = 1.803), delivery complications (p = 0.008; OR = 2.091), provision of exclusive breastfed milk (ASI) at the age of 0 - 6 years old (p = 0.000; OR = 2.321), provision of exclusive breast milk and complementary feeding given to babies before 6 months old (MPASI) at the age of 6 months to 2 years old (p = 0.002; OR = 2.037), and the child’s history of hospitalization (p = 0.008; OR = 2.055), while other factors are considered irrelevant. This research suggests that healthcare staff collaborate in providing knowledge to mothers on the provision of exclusive breast milk and complementary feeding as well as the prevention of illness on their children.

Determinant Factors of Depression in Patients with Coronary Heart Disease Aan Nur'aeni; Ristina Mirwanti; Anastasia Anna; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Depression has been related to poor quality of life and recurrence in CHD patients. It is important to explore factors associated with the depression to prevent problems and to assist with appropriate intervention. Furthermore, the determinants of depression in CHD patients in Indonesia are still unknown. This study aimed to identify the determinants of depression in CHD patients in Indonesia. This study was a quantitative study with a cross-sectional approach. Samples were recruited from outpatient care in a referral hospital in Bandung using a consecutive sampling technique for a-2 month period (n=101). Data were collected using a questionnaire package consisting of a demographic questionnaire, Beck Depression Index [BDI] (II), Zung Self-rating Anxiety Scale, Seattle Angina Questionnaire, and Spirituality Index of Well-Being. Data were analyzed using mean, frequency distribution, chi-square and logistic regression analysis. In terms of its association with depression in CHD patients, low spiritual well-being had the highest odds ratio [OR] (OR = 9.3, 95% CI = 2.968 - 29.451, p <0.01); non-anxious state and medication history had low ORs (sequentially OR = 0.2, 95% CI = 0.067 - 0.644, p < 0.01; OR=0.2 95% CI = 0.062 - 0.772, p < 0.01); PCI (percutaneous coronary intervention) with medication had the lowest OR value (OR = 0.02, 95% CI = 0.002 - 0.278, p <0.01). On the other hand, unmarried status and male gender were identified as confounding variables. Low spiritual well-being was a major predictor of depression in CHD patients, whereas no anxiety, and history of medication, consist of CHD medication and reperfusion therapy contributed to a lower risk of depression. It is recommended to include strategies in improving spiritual well being and managing anxiety to reduce the risk of depression among CHD patients.

Determinant Factors of Fertility in Reproductive Age Women Rindang Ekawati; Laili Rahayuwati; Ikeu Nurhidayah; Habsyah Saparidah Agustina; Endah Rahayu
Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

The target of the 2015 Medium-Term National Development Plan is the fertility rate of 2.1 children. However, based on The Indonesian National Demographic and Health Survey 2017, the fertility rate of West Java Province is similar to the national, which is 2.4 children. West Java is a barometer of the national fertility rate since one-fifth of Indonesia's population is in West Java. This study aims to analyze the factors that influence fertility (number of children ever born). The design of this study was cross-sectional. Data derived from the 2018 Survey of Accountability Programs Performance covered 12,350 women aged 15-49 years. The sample was 9,814 woman who had been married. Data analysis used univariate, bivariate and multivariate analyses with a confidence level of 0.05. Bivariate results found that five variables that affected fertility were the age of first marriage, frequency of marriage, use of contraceptive, ideal family size, and wealth index, while the area of residence was not related to fertility. Indeed there are three most dominant factors that have been related to fertility were the age of first marriage, frequency of marriage, and the use of contraceptives. The conclusion was that women who marry at an older age and use contraception have lower fertility rates. This study can be considered in population control policies, especially to improve health promotion programs regarding the ideal marriage age for women and the use of contraception as an effort to control the population rate. This study can be considered in population policies.

Co-Authors Aan Nuraeni Aan Nuraeni Aan Nuraeni Aat Sriati Achadiyanti, Destia Adelse Prima Mulya Adistie, Fanny Ahmad Yamin Ai Mardhiyah Ai Mardhiyah Ai Mardhiyah AI MARDHIYAH, AI Ajeng Andini Sutisnu Allenidekania Allenidekania Amelia, Vira Anastasia Anna Anggoro Susan Anggraeni Anggraeni, Anggoro Susan Anisa Saraswati Annisa Nurbaiti Rahmah Annisa R Hanifah Asti Oktovianti Atlastieka Praptiwi Atmadiyanti, Ayu Lita Ayu Lita Atmadiyanti Cabanes, Ria C Citra Windani Mambang Sari Depi Lukitasari Desy Indra Yani Dewi Gayatri Dewi, Syafira Dian Palupi Kusuma Dyah Setyorini Dyah Setyorini Eka Puspita Endah Rahayu Eni Noviyani Eva Nurlaela Fadilah, Tria Nurhayyu Fanny Adistie Fanny Adistie Fanny Adistie Fatimah, Sari Gadis Pratiwi Priyono Gusgus Ghraha Ramdhanie Guztap Jabarul Haq Habsyah Saparidah Agustina Hamidah Nurhalimah Harvien Amellia Hardanti Hendrawati Hendrawati Henny S Mediani Henny S. Mediani Henny Suzana Mediani Hidayati, Nuroktavia Iceu Amira Ihda Al Adawiyah Mz Imas Rafiyah Indah Benita Tiwery Indriana, Vivi Vitriani Isna Hanifah Ita Vusfita Iwan Suhendar Jakariya Gilang Ramadhan Julvia Nurvitasari Kana Wadu, Novita Marcelina Karti Nur Aryanti Khaedar, Mochamad Kusman Ibrahim Laili Rahayuwati Ligina, Neng Lani Lilis Lusiani Lukitasari, Depi M. Haerul Anwar M. Randi Gentamandika Putra, M. Randi Gentamandika Mamat Lukman Maria komariah Maziyya, Nur Mediani , Henny Suzana Mega Tamara Mentari, Vanessa Zian Milah Kamilah Mira Trisyani Koeryaman Mufaj, Elda Nurfadila Mutiara Mutiara Nani Nurhaeni Nenden Nur Asriyani Maryam Neng Lani Ligina Nisa Lailatun Noor Ambya Novi Novianti Nur Oktavia Hidayati Nur Oktavia Hidayati Nur Oktavia Hidayati Nur Oktavia Hidayati Nur Oktavia Hidayati Nur Oktavia Hidayati Nurjanah, Lilis Siti Nuroktavia Hidayati Nurvitasari, Julvia Nur’aeni, Aan Poddar, Sandeep Pratama, Oktarian Pratiwi, Yayu Prawesti, Sabrina Junieta Rahmawati R Ramdhona, Dinyatul Arba Ratih Kusuma Dewi Regita, Yasmina Dwi Rhamelani, Putri Rindang Ekawati Rindang Ekawati Ristina Mirwanti Ristina Mirwanti Saraswati, Anisa Sari Fatimah Sari Fatimah Sari Lestari Sheizi Prista Sari Siti Yuyun Rahayu Fitri Sri Hendrawati Sri Hendrawati Suryani Suryani Susi Susanah Sutini, Tititn Teti Sholehati Titin Sutini Triliana Purwadesi Yuliar Wafa Fida Az-zahra Waluya, Jajang Ganjar Wiwi Mardiah Yani, Pebri Yanti Herawati Yayu Eka Kartika Yuli Anggia Yusi Desriyani

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