Wiwin Lismidiati
Departemen Keperawatan Anak Dan Maternitas Program Studi Ilmu Keperawatan Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada

Published : 56 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Pengaruh Mobile Application for Mother’s Adaptation (MAMA) terhadap Pengetahuan dan Stres Ibu Hamil Sarah Nikki Najah; Wiwin Lismidiati; Widyawati Widyawati
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 6, No 2 (2022)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.73654

Abstract

Background: Pregnancy stress can occur if mother fails to adapt to changes during pregnancy. Stress can occur in individuals with low levels of knowledge due to lack of information acquisition, hence health education creates opportunities to increase knowledge. Mobile Application for Mother’s Adaptation (MAMA) is expected to deliver health education to avoid stress of pregnancy among mothers.Objective: To determine the effect of health education through the use of MAMA application toward knowledge and stress during pregnancy.Method: The study used a quasi-pretest-posttest nonequivalent control group experimental design. The study was conducted on 78 pregnant women at the Puskesmas Sleman and Ngaglik I. Inclusion criteria included pregnant mother in third trimester, had android phone, and agreed to be respondent. Knowledge questionnaire and pregnancy stress scale were distributed among respondents. Data was analysed using Independent t-test, Unpaired t-test, Wilcoxon, and Mann Whitney test.Result: For knowledge mesurement, comparison test scores for pretest and posttest in the intervention group were 0,000 (p<0,5) and in the control group were 0,056 (p>0,05). For stress measurement, comparison test scores for pretest and posttest in the intervention group were 0,039 (p<0,05) and in the control group were 0.033 (p<0,05). The comparison test results of the knowledge scores between the intervention and control groups showed a significant difference (p=0,029). The comparison test results of the stress scores between two groups showed no significant difference (p=0,791).Conclusion: MAMA application, as health education mean, affects knowledge score improvement. While, for stress score, the use of MAMA application has not contributed toward stress reduction of pregnant woman. ABSTRAKLatar belakang: Stres kehamilan dapat terjadi apabila ibu gagal beradaptasi terhadap perubahan selama kehamilan. Stres dapat terjadi pada individu dengan tingkat pengetahuan rendah karena kurangnya memperoleh informasi. Pendidikan kesehatan menciptakan peluang untuk meningkatkan pengetahuan. Aplikasi Mobile Application for Mother’s Adaptation (MAMA) diharapkan dapat menjadi media pendidikan kesehatan untuk meningkatkan pengetahuan, sehingga ibu terhindar dari stres kehamilan.Tujuan: Mengetahui pengaruh pendidikan kesehatan melalui penggunaan aplikasi MAMA terhadap pengetahuan dan stres kehamilan.Metode: Penelitian menggunakan kuasi eksperimen dengan rancangan pre-test – post-test nonequivalent control group. Penelitian dilakukan pada 78 ibu hamil di Puskesmas Sleman dan Ngaglik I. Kriteria inklusi: ibu hamil trimester 3, memiliki handphone android, bersedia menjadi responden. Instrumen menggunakan kuesioner pengetahuan dan skala stres kehamilan. Analisis data menggunakan uji statistik Independent T-Test, Unpaired T-Test, Wilcoxon, dan Mann Whitney Test.Hasil: Untuk pengukuran pengetahuan, nilai uji beda untuk pre-test dan post-test pada kelompok intervensi adalah 0,000 (p<0,5) dan pada kelompok kontrol adalah 0,056 (p>0,05). Untuk pengukuran stres, nilai uji beda pre-test dan post-test pada kelompok intervensi 0,039 (p<0,05) dan pada kelompok kontrol 0,033 (p<0,05). Hasil uji beda skor pengetahuan antara kelompok intervensi dan kontrol menunjukkan perbedaan yang signifikan (p=0,029). Hasil uji beda skor stres kedua kelompok menunjukkan bahwa tidak ada perbedaan yang signifikan (p=0,791).Simpulan: Penerapan MAMA sebagai sarana pendidikan kesehatan, berpengaruh terhadap peningkatan skor pengetahuan. Sedangkan untuk skor stres, penggunaan aplikasi MAMA belum memberikan kontribusi terhadap penurunan stres ibu hamil.
Gambaran Kepuasan Pengguna Mobile Application Cancer Cervix Caution (Cavixaution) Untuk Pengetahuan Tentang Pencegahan Kanker Serviks Rusyda Anshari; Wiwin Lismidiati; Ayyu Sandhi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 1 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.80902

Abstract

Background: Mobile application Cavixaution is a health education media to improve knowledge about cervical cancer prevention. End User Computing Satisfaction (EUCS) which consists of content, format, accuracy, ease of use, and timeliness as its dimensions, becomes a measurement to determine the success of the implementation of an information system.Objective: To evaluate the user satisfaction in using mobile application Cancer Cervix Caution (Cavixaution) as health education media for knowledge about cancer cervix prevention.Method: The study was held in November – December 2019 in the Jagalan Village Bantul. The design of this study was descriptive and cross sectional approach. The data were collected using propotional and purposive sampling that involved 76 women aged 30 – 49 years who were using the mobile application Cavixaution and never done Visual Inspection of Acetic Acid (IVA).Result: Overall users were satisfied with the mobile application Cavixaution with an average rate of 3,16. The average rate for each EUCS dimensions were as follow: ease of use dimension 3,24 (satisfied), content dimension 3,14 (satisfied), format dimension 3,15 (satisfied), timeliness dimension 3,19 (satisfied) and accuracy dimension 3,10 (satisfied).Conclusion: Users are satisfied using mobile application Cavixaution. All dimensions have reached satisfaction level, with ease of use dimension had the highest value, while the accuracy dimension had the lowest satisfaction. This study shows that the mobile application Cavixaution can be used as health education media for knowledge about cervical cancer prevention and the application has fulfilled respondent expectation.ABSTRAKLatar belakang: Mobile application Cavixaution merupakan media pendidikan kesehatan dengan tujuan untuk meningkatkan pengetahuan mengenai pencegahan kanker serviks. Kepuasan pengguna menjadi suatu pengukuran untuk mengetahui keberhasilan dalam penerapan suatu sistem informasi. End User Computing Satisfaction (EUCS) yang terdiri dari lima dimensi, yaitu substansi, tampilan, akurasi, kemudahan dalam penggunaan, dan ketepatan waktu, menjadi salah satu metode untuk mengukur kepuasan pengguna terhadap produk yang berhubungan dengan teknologi informasi dan komunikasi (TIK).Tujuan: Mengetahui gambaran kepuasan pengguna dalam menggunakan aplikasi mobile application Cancer Cervix Caution (Cavixaution) sebagai media pendidikan untuk pengetahuan tentang pencegahan kanker serviks.Metode: Penelitian dilaksanakan pada bulan November – Desember 2019 di Kelurahan Jagalan, Bantul. Jenis penelitian kuantitatif deskriptif dengan rancangan cross sectional. Pemilihan sampel dengan teknik proportional dan purposive sampling dengan melibatkan subjek 76 wanita usia subur, berusia 30 – 49 tahun, yang telah menggunakan mobile application Cavixaution, serta belum pernah melakukan tes Inspeksi Visual Asetat (IVA).Hasil: Secara keseluruhan pengguna merasa puas terhadap penggunaan mobile application Cavixaution dengan nilai rata-rata 3,16. Nilai kepuasan untuk setiap dimensi adalah dimensi ease of use 3,24 (puas), dimensi content 3,14 (puas), dimensi format 3,15 (puas), dimensi timeliness 3,19 (puas), dan dimensi accuracy 3,10 (puas).Simpulan: Pengguna merasa puas dalam menggunakan mobile application Cavixaution. Pada dimensi kemudahan dalam penggunaan, memiliki nilai rata-rata kepuasan tertinggi, sedangkan dimensi akurasi mendapatkan nilai kepuasan paling rendah. Penelitian ini menunjukkan bahwa Mobile Application Cavixaution dapat digunakan sebagai media pendidikan kesehatan tentang kanker serviks, dengan rancangan aplikasi yang telah memenuhi harapan atau keinginan para pengguna.
Faktor yang Memengaruhi Peran Suami dalam Pengambilan Keputusan Pemilihan Alat Kontrasepsi pada Pernikahan Usia Muda Dwi Marlinawati; Wiwin Lismidiati; Sinta Khrisnamurti
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 3, No 2 (2019)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.44252

Abstract

Background: The use of contraceptive aims for controlling excessive labor and overcoming maternal mortality rate among early marriage. The role of husband as motivator, facilitator, and educator is associated with contraceptive use in wife.Objective: To scrutinize influencing factors for husband’s role in contraceptive decision making among early marriage in Sukoharjo Community Health Center’s working area.Method: This study was a quantitative study, with a cross-sectional design. This research was conducted on March-April 2017 and involved by 50 respondents who were husbands of early marriages which was taken using purposive sampling. This study used questionnaire on husband’s role and knowledge about contraception. Data analysis was using chi square test.Result: Percentage of husband’s role as motivator and facilitator was high (64% and 86%), and as educator was low (44%). Chi square test showed that there was significant correlation between family income (p=0,033), husband’s knowledge (p=0,015), and media exposure (p=0,013) with husband’s role in contraceptive use decision making.Conclusion: Factors that influence the husband’s role in making decisions on the choice of contraceptives are family income and husband’s knowledge. Knowledge also affects the husband’s role as a motivator, while media exposure affects the husband’s role as an educator.ABSTRAKLatar belakang: Penggunaan alat kontrasepsi merupakan salah satu upaya untuk mengatasi tingginya angka kelahiran dan kematian ibu pada pasangan yang menikah di usia muda. Salah satu faktor yang berpengaruh terhadap penggunaan kontrasepsi pada istri adalah peran suami, baik peran sebagai motivator, fasilitator, dan edukator.Tujuan: Untuk mengetahui faktor-faktor yang memengaruhi peran suami dalam pengambilan keputusan pemilihan alat kontrasepsi pada pasangan yang menikah muda, di wilayah kerja Pusksmas I Sukoharjo, Wonosobo.Metode: Jenis penelitian kuantitatif non eksperimen, survei analitik, dengan rancangan cross-sectional. Penelitian ini dilaksanakan pada bulan Maret-April 2017, dengan sampel sebanyak 50 orang suami yang menikah di usia muda sebagai responden. Teknik sampling yang digunakan adalah purposive sampling. Penelitian ini menggunakan kuesioner peran suami dan pengetahuan suami tentang kontrasepsi. Analisis data menggunakan chi square.Hasil: Peran suami sebagai motivator dan fasilitator berada dalam kategori baik (64% dan 86%). Sementara peran suami sebagai edukator berada dalam kategori kurang (44%). Terdapat hubungan yang signifikan antara pendapatan keluarga (p=0,033), pengetahuan suami (p=0,015), dan paparan media (p=0,013) dengan peran suami dalam pengambilan keputusan pemilihan alat kontrasepsi.Kesimpulan: Faktor yang memengaruhi peran suami dalam pengambilan keputusan pemilihan alat kontrasepsi adalah pendapatan keluarga dan pengetahuan suami. Pengetahuan juga memengaruhi peran suami sebagai motivator, sedangkan paparan media memengaruhi peran suami sebagai edukator.
Gambaran Pengetahuan, Sikap, dan Penerimaan Orang Tua terhadap Vaksinasi HPV di SMP Kota Yogyakarta Arina Zulfa; Wiwin Lismidiati; Anita Kustanti
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 7, No 2 (2023)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.71832

Abstract

Background: One of Cervical cancer etiology is Human Papillomavirus (HPV) infection which is transmitted through sexual activity. The main prevention of cervical cancer from WHO is through HPV vaccination in girls aged 9-14 years old who have not been sexually active. Factors related to parental acceptance of HPV vaccination are knowledge, attitude, and parental consent.Objective: To describe student parents’ knowledge, attitude, and acceptance of HPV vaccination in junior high schools of Yogyakarta City.Method: This descriptive study used a cross sectional design. The research was conducted at several  junior high schools in Yogyakarta city which involving 332 parents of grade VII and VIII students. Data collection was carried out online because it coincided with the Covid-19 pandemic. Knowledge, attitude, and acceptance questionnaires were prepared and tested for validity and reliability. Chi-square data analysis and fisher test were used to test bivariate aspect.Results: There were 59.3% of respondents who had a high level of knowledge, 57.2% of respondents who had positive attitude regarding this, and 92.5% allowed their children if they were given the HPV vaccination. The level of knowledge was related to the level of education (p=0.000) and information exposure about cervical cancer (p<0.05). Attitude was significantly related to parental income (p=0.014) and level of education (p=0.016). Parents' acceptance of the HPV vaccine was associated with parents' education level (p=0.013).Conclusion: Parents of junior high school students in Yogyakarta City have a high level of knowledge, a positive attitude, and good acceptance of HPV vaccination.ABSTRAKLatar belakang: Salah satu etiologi kanker serviks adalah Infeksi Human Papillomavirus (HPV) yang ditularkan melalui aktivitas seksual. Pencegahan utama kanker serviks dari WHO melalui vaksinasi HPV pada anak perempuan berusia 9-14 tahun yang belum aktif melakukan hubungan seksual. Faktor yang berhubungan dengan penerimaan orang tua terhadap vaksinasi HPV adalah pengetahuan, sikap, dan persetujuan orang tua.Tujuan: Mendapatkan gambaran tentang pengetahuan, sikap, dan penerimaan orang tua terhadap vaksinasi HPV di SMP Kota Yogyakarta.Metode: Penelitian deskriptif ini menggunakan rancangan cross sectional. Penelitian dilaksanakan di beberapa SMP di Kota Yogyakarta yang melibatkan 332 orang tua siswi SMP kelas VII dan VIII. Pengambilan data dilakukan secara daring karena bersamaan dengan pandemi Covid-19. Kuesioner pengetahuan, sikap, dan penerimaan disusun serta sudah dilakukan uji validitas dan reliabilitas. Uji Chi Square dan Fisher Test digunakan dalam analisis bivariat pada penelitian ini.Hasil: Sebanyak 59,3% responden mempunyai tingkat pengetahuan tinggi dan 57,2% responden memiliki sikap positif terkait vaksinasi HPV, serta 92,5% bersedia jika anaknya diberikan vaksinasi HPV. Tingkat pengetahuan berhubungan dengan tingkat pendidikan (p=0,000) dan pengalaman mendengar/paparan terhadap informasi kanker serviks (p<0,05). Sikap memiliki hubungan signifikan dengan pendapatan orang tua (p=0,014) dan tingkat pendidikan (p=0,016). Penerimaan orang tua terhadap vaksin HPV berhubungan dengan tingkat pendidikan orang tua (p=0,013).Simpulan: Orang tua siswi SMP Kota Yogyakarta memiliki tingkat pengetahuan yang tinggi, sikap yang positif, dan penerimaan yang baik  terhadap vaksinasi HPV.
Primagravida Application Usability And User Satisfaction As A Digital Health Initiative For Pregnancy Educational Media And Remote Rural Monitoring Wiwin Lismidiati; Dimas Sumunar; Happy Indah Kusumawati; Mia Purnama
Journal of Community Empowerment for Health Vol 6, No 3 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.81646

Abstract

Introduction: Nutritional status during pregnancy is one of the critical factors in determining maternal and fetal development, affecting birth weight, perinatal mortality, and infant growth. Regular monitoring of pregnant women’s health is crucial as preventive measures and promotive approaches for both mother and fetus. Primagravida, a web-based system, was developed to assist pregnant women in rural areas in monitoring their health, especially during the COVID-19 pandemic. This study aimed to evaluate usability and user satisfaction in using Primagravida. Method: Quantitative descriptive research with a cross-sectional design was employed. The study was conducted in the Kalibawang Primary Health Center (PHC) service area between June - October 2021. Seventy-nine pregnant women participated in this study. Pregnant women were registered and observed for their pregnancy profile through a web-based service integrated with PHC maternal and child health care. In evaluating the system usability, the current study utilized System Usability Scale (SUS), while a modified users’ satisfaction questionnaire was employed to capture participants’ perceptions. Results: Results indicated that most participants were satisfied with the benefits, information relevance, content adequacy and clarity, platform availability, and up-to-the-minute curated knowledge provided by the system. Utilization of this system reduced the number of visits to PHC since health monitoring could be performed virtually. Regarding system usability, respondents reported a score of 70, and the average score of respondents was 66. Conclusion: Pregnant women have adopted the Primagravida application to monitor their health and fetal status in Kalibawang District, Kulon Progo. Feature development is required to accommodate the upcoming demands of holistic maternal and perinatal care.
Psychological Distress, Uncertainty Intolerance, and Quality of Life of Patients with Cancer and Their Caregivers: A Comparative Study Rahma, Ainur; Effendy, Christantie; Lismidiati, Wiwin
Indonesian Journal of Cancer Vol 19, No 2 (2025): June
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v19i2.1300

Abstract

Background: Psychological distress and uncertainty intolerance in cancer patients are linked to various physical consequences and negative psychological impacts, such as increased symptom severity, disruption in daily life, and reduced quality of life. These issues also affect family caregivers of cancer patients. This study aims to describe the psychological distress, uncertainty intolerance, and quality of life in cancer patients and their family caregivers. Methods: This was a cross-sectional study with 57 cancer patients and 57 caregivers at Dr. Sardjito Hospital, Yogyakarta-Indonesia, in July-August 2023. Psychological distress was measured by using the Kessler Scale (K-10), uncertainty using the Intolerance Uncertainty Scale (IUS-12), and quality of life using the EORTC QLQ-C30 and SF-36. Data were analyzed using Mann-Whitney and Kruskal-Wallis tests. Results: Significant differences were found in uncertainty intolerance between patients and caregivers (p=0.001) and caregivers’ marital status (p=0.045). Quality of life varied among patients based on age, gender, marital status, cancer type, and treatment (p0.05). Caregivers’ quality of life differed by age in physical and emotional roles (p≤0.005). Conclusions: There is a significant difference between the intolerance uncertainty of cancer patients and family caregivers. Meanwhile, the quality of life of cancer patients and the quality of life of family caregivers have differences in each scale and domain in several of their demographic characteristics. Longitudinal studies are needed to understand the trajectory of psychological distress and uncertainty intolerance over time.
The Effect of Hydrotherapy (Warm Water Feet Soaks) on Blood Pressure in Hypertension Patients Librianty, Rina; Lismidiati, Wiwin; Pangastuti, Heny Suseani
Journal of Nursing Care Vol 8, No 2 (2025): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v8i2.63378

Abstract

Hypertension, if not treated immediately, can cause various complications. One non-pharmacological therapy that can lower blood pressure is hydrotherapy (soaking the feet in warm water). Hydrotherapy (warm water foot soak) is a water therapy that can dilate blood vessels so that it can improve blood circulation and reduce blood pressure. The intervention was given 6 times in a row using warm water with a temperature of 38°C- 40°C, duration 15-20 minutes, water height 25 cm from the soles of the feet to above the ankles without using footwear, to maintain the stability of the water temperature using aluminum foil which was covered over the surface of the basin. The sample in this study were 30 hypertensive patients in the intervention group and 30 in the control group. Data analysis used an independent T-test .There was an effect of hydrotherapy (warm water foot soak) on blood pressure in the intervention group, the results were obtained (p = 0.001). Hypertension if not treated immediately can cause various complications. One of the non-pharmacological therapies that can lower blood pressure is hydrotherapy (warm water foot soak). Hydrotherapy (warm water foot soak) is a water therapy that can dilate blood vessels so that it can smooth blood circulation and lower blood pressure. The intervention was given 6 times in a row using warm water with a temperature of 38 ° C- 40 ° C, a duration of 15-20 minutes, a water height of 25 cm from the soles of the feet to above the ankles without using footwear. The sample in this study were 30 hypertensive patients in the intervention group and 30 in the control group. Data analysis used an independent T-test. There was an effect of hydrotherapy (warm water foot soak) on blood pressure in the intervention group, the results were obtained (p = 0.001)
Integrated education through lectures, case scenarios, and peer groups enhances health cadres’ knowledge and attitudes Akhmadi; Lismidiati, Wiwin; Anita, Ayu; Nur, Muhammad; Amir, Fadjrianty Fadhilah; Zakaria, Muhamad Abi
BKM Public Health and Community Medicine Vol 41 No 06 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i06.21317

Abstract

Purpose: Stunting is a serious global issue characterized by children's height not being proportional to their age. The high prevalence of stunting is caused by factors such as chronic malnutrition, recurrent infections, and a lack of psychosocial stimulation during the first 1,000 days of life. This study aims to evaluate the effectiveness of integrated education in improving health cadres' knowledge and attitudes regarding stunting prevention in Panggungharjo Village. Methods: The method used was quantitative with a quasi-experimental design without a control group, involving 14 health cadres for toddlers as the sample. Data were analyzed using a paired t-test. Results: The results showed a significant improvement in knowledge between the pre-test and post-test (p < 0.05). However, the attitude assessment results indicated a p-value of 0.087, suggesting that the attitude improvement from the pre-test to the post-test was not statistically significant (p > 0.05). Conclusion: This study concludes that integrated education involving lectures, case scenarios, and peer group methods is efficacious in improving health cadres' knowledge about stunting prevention. However, it has not yet proven effective in enhancing cadres' attitudes. Therefore, additional strategies are needed to improve the attitudes of health cadres. The implementation of similar educational methods in other communities is expected to contribute to a sustainable reduction in stunting prevalence.
Effect of using the SICARE Application on Knowledge about Chronic Energy Deficiency and the Dietary Patterns of Adolescent Girls Helieniastuti, Riris Chintya; Lismidiati, Wiwin; Hapsari, Elsi Dwi
Jurnal Keperawatan Soedirman Vol 20 No 2 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.2.13736

Abstract

The high prevalence of chronic energy deficiency (CED) among adolescent girls may be due to a lack of knowledge and unhealthy dietary practices. This study aimed to evaluate the effect of the SICARE application in improving healthy dietary knowledge among adolescent girls. This study employed a quasi-experimental design with a non-equivalent control group comprising 59 participants in each group. The study was conducted at a high school. The researchers used a knowledge questionnaire and the Food Frequency Questionnaire (FFQ) as measurement tools. The results showed a significant improvement in CED knowledge in the intervention group after using the application, from 12.68 ± 2.35 to 20.85 ± 1.37 (p < 0.05). The participants’ eating habits also improved over the two weeks, with increased consumption of rice as a staple food, eggs as the primary source of animal protein, and tempeh and tofu as plant protein sources. Water spinach and papaya were the most frequently consumed vegetables and fruits. The findings suggest that the SICARE app is an effective educational tool for increasing knowledge about CED and promoting healthier eating habits among adolescent girls. Thus, the app can be used to address the high prevalence of CED in this population.
Tradisi dan Lingkungan Sosial Memengaruhi Dukungan Menyusui pada Bayi Berat Badan Lahir Rendah di Kota Malang Choiriyah, Muladefi; Hapsari, Elsi Dwi; Lismidiati, Wiwin
Kesmas Vol. 10, No. 1
Publisher : UI Scholars Hub

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

Abstract

Berat badan lahir rendah (BBLR) merupakan salah satu penyebab utama kematian bayi di dunia. World Health Organization tahun 2003 telah merekomendasikan menyusui sebagai salah satu penanganan BBLR. Namun, ibu yang memiliki bayi BBLR mengalami kesulitan di awal persalinan. Selain itu, menyusui di Indonesia juga dipengaruhi oleh sosial dan budaya yang dipercayai sehingga memengaruhi keputusan ibu untuk memilih tetap menyusui atau tidak sama sekali di periode awal postpartum. Tujuan penelitian ini untuk mengeksplorasi makna pengalaman ibu untuk tetap menyusui bayi dengan BBLR. Penelitian kualitatif ini dengan pendekatan fenomenologi. Tujuh orang partisipan adalah ibu yang pernah menyusui bayi BBLR. Pengumpulan data dilakukan dengan wawancara mendalam semiterstruktur, observasi, dan data sekunder pada bulan Mei – Juni 2015. Analisis data menggunakan metode Colaizzi tahun 1978. Ditemukan empat tema, yaitu pengenalan menyusui sejak dini untuk bayi BBLR, pemberian makanan pendamping air susu ibu dini sebagai alternatif dalam mengatasi kesulitan menyusui, tradisi yang dipercayai, dan lingkungan sosial memengaruhi dukungan bagi ibu menyusui serta menerima menyusui sebagai bagian dari kodrat seorang perempuan. Menyusui bayi BBLR memiliki tingkat kesulitan yang tinggi serta adanya tradisi yang dipercayai keluarga dan pengaruh lingkungan sosial sangat memengaruhi dukungan yang diberikan kepada ibu dalam menyusui. Low birthweight (LBW) is one of main causes of infant mortality in the world. World Health Organization in 2003 had recommended breastfeeding for LBW handling. However, LBW mothers face many difficulties during early postpartum period. Moreover, breastfeeding in Indonesia is also influenced by social and cultural belief, so it may influence mothers’ decision whether remain breastfeeding or not in early postpartum period. This study aimed to explore the meaning of the experience of mothers to remain breastfeeding their LBW infants. This qualitative study was conducted using phenomenological approach. Seven participants were mothers ever breastfeeding their LBW infants. Data were collected through semi-structured in-depth interview, observation and secondary data on May – June 2015. Data analysis used Colaizzi method (1978). There were four themes found namely introduction of breastfeeding since early for LBW infants, granting of early complementary feeding as an alternative to overcome breastfeeding problem, cultural belief and social environment influencing support for breastfeeding mothers as well as accepting breastfeeding as the very nature of woman. Breastfeeding LBW infants has higher difficulty le-vel, also any tradition family believe and social environment really affect support given to mothers in breastfeeding.
Co-Authors Agung Subakti Nuzulullail Ainur Rahma, Ainur Akhmadi Amalia Khasanah Ima Dudini Amir, Fadjrianty Fadhilah Ana Permatasari Anik Rustiyaningsih Anis Widyasari Anis Widyasari Anisa, Diah Nur Anita, Ayu Anya Bunga Fakhriyah Apriyati Dwi Rahayu Arif Annurrahman Arina Zulfa Aulia Diah Rahayu Avantika Puspa Imelda Wensi Ayyu Sandhi Christantie Effendy Detty S Nurdiati Detty S Nurdiati Detty Siti Nurdiati Dhiana Ayu Novitasari Dias Putri Kusumastuti Dimas Sumunar Dita Aditia Mamonto Dwi Agustiana Sari, Dwi Agustiana Dwi Marlinawati Dwina Oktavia Deli Eka Rora Suci Wisudawati Elsi Dwi Hapsari Ema Madyaningrum Evi Ratnasari Farida Widayati Halfie Zaqiyah Gusti Puspitasari Handitya Daniswari Happy Indah Kusumawati Haryani Heny Suseani Pangastuti Hesti Widuri Hidayah . Hikmahtika Wulaning Akbar Ika Arif Lidiyana Ika Parmawati Ika Parmawati Ika Parmawati Intansari Nurjannah Itsna Luthfi Kholisa Jati, Puspa Silvia Kustanti, Anita Lia Dewi, Vivian Nanny Librianty, Rina Lisa Rizky Amalia Lutfan Lazuardi Made Satya Nugraha Gautama Magdalena Rindawati Mar’atun Ulaa Maulida Rahmawati Emha Maulida, Mutia Nadra Melcyanus Patut, Melcyanus Mia Purnama Mohammad Hakimi Muhammad Nur Mukaromah Mukaromah Muladefi Choiriyah Neni Fidya Santi Nika Susanti Ningsih, Dini Cristia Noer Saudah Noer Saudah, Noer Novela Eka Candra Nuring Pangastuti Nurkhasanah Nurkhasanah Nyoman Kertia Ova Emilia Parmawati, Ika Prisa Tifa Azizah Purnama, Mia Rafita Ramdan Nurul Fuadah Rahmawati, Nadia Retno Koeswandari Retty Nirmala Santiasari . Rina Dewi Anggraeni Riris Chintya Helieniastuti Riyati Riyati Rizky Junitasari Rusyda Anshari S Nurdiati, Detty Samutri, Erni Sarah Nikki Najah Sari, Okky Nurlita Sinta Khrisnamurti Sri Mulyani Sri Mulyani Sri Mulyani Sri Warsini Srinalesti Mahanani, Srinalesti Sudadi Sumarni DW Sumekar, Lintang Ayu Sumunar, Dimas Suryani, Saltsa Rahmalia Totok Harjanto Ulaa, Mar’atun Veronica Silalahi Wa Ode Umi Kalsum Wenny Artanty Nisman, Wenny Artanty Widyawati Widyawati Widyawati Widyawati Widyawati Widyawati Widyawati Widyawati Zakaria, Muhamad Abi Zulfa, Azizah Tiara