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Journal : Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)

Early Warning Scores as a Predictor of Mortality in Non Comorbid COVID-19 Patient Rahmawati, Anita; Nurmawati, Thatit; Arsa, Sandi Alfa Wiga; Fata, Ulfa Husnul; Murti, Rahma
Journal of Ners and Midwifery Vol 11 No 2 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i2.ART.p153-159

Abstract

There are several non-comorbid COVID-19 patients lead to mortality, but the risk factors that affect it have not been widely discussed in research. Treatment of COVID-19 patients focuses more on patients with comorbidities. This study aimed to check the effectiveness of Early Warning Scores (EWS) assessment to predict the mortality of non-comorbid COVID-19 patients. The method of the study was a case study research with a retrospective approach using secondary data, namely the patient's medical record status. This study took medical record data from 262 patients confirmed positive for non-comorbid COVID-19 who were hospitalized at Ngudi Waluyo Wlingi Hospital from July to September 2021. The multivariate data analysis used multiple linear regression tests to simultaneously test the relationship of the independent variables (age, gender, and Early warning score) to the dependent variable (mortality). The statistical analysis result showed the correlation between gender, age, and assessment with mortality, each of which has a p-value of 0.000, meaning that each of these variables has a relationship with mortality. If a simultaneous test (F test) is carried out, the p-value is 0.000, meaning that gender, age, and EWS simultaneously affect mortality. The coefficient of determination or R square of 0.773 means that gender, age, and EWS simultaneously influence mortality by 77.3%. Early Warning Scores (EWS) assessment influenced the mortality of non-comorbid COVID-19 patients. The highest contribution affecting mortality was the EWS assessment. The contribution of influence on sex and age is relatively the same.
The Analysis of Factors in Children’s Dietary Patterns That Affect Physical Fitness Nurmawati, Thatit; Rahmawati, Anita; Sari, Yeni Kartika; Lestari , Oni Puji
Journal of Ners and Midwifery Vol 11 No 3 (2024)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v11i3.ART.p294-300

Abstract

Fitness for children is related to optimal physical condition. Fitness influences mental and social development, especially children's concentration and learning abilities. Fitness must be maintained to support activities. Diet is a supporting factor for children's physical fitness. Diet is the foundation for long-term health. The research aimed to determine factors related to eating patterns that influence children's physical fitness. The research design was cross-sectional. The research population was school children aged 10-12 years totaling 96 students in 2023 using the total sampling method. The independent variables were BMI (Body Massa Index), physical activity, and rest, and the dependent variable was the child's physical fitness. The instrument used the Physical Activity Questionnaire to measure activity, eating patterns using Food Frequency, rest using The Pittsburgh Sleep Quality Index, and physical fitness, calculated using the Technical Guidelines for Health Screening and Periodic Examination of School-Age Children and Adolescents in 2018. The analysis test used linear regression (P<0.05) to determine the relationship between factors related to eating patterns and influencing children's physical fitness. The results of the study showed that there was no relationship between BMI (p 0.661), physical activity (0.783), and rest (p 0.756) on eating patterns. An eating pattern is a significant mediator for physical activity and rest but not for BMI (p 0.733) on children's physical fitness. Rest (p 0.000) and physical activity (p 0.004) influence children's physical fitness. BMI does not measure the position and location of fat, so people with the same BMI have different fitness levels.
The Duration of Suffering from Diabetes Mellitus did not Correlate with the Occurrence of Cataract Fata, Ulfa Husnul; Wulandari, Shinta; Rahmawati, Anita; Wibisono, Wahyu
Journal of Ners and Midwifery Vol 12 No 1 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i1.ART.p090-097

Abstract

People with diabetes mellitus are five times more likely to develop cataracts. High blood sugar levels over a long period of time can be one of the complications of cataracts. This was a correlational study with the purpose to determine the correlation between the duration of diabetes mellitus and the occurrence of cataracts in patients with diabetes mellitus at the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The population in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The sample in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital within a period of 2 weeks, totaling 56 people. The sampling used an accidental sampling technique. The statistical test used was chi-square. The results of this study showed that the p-value was 0.449, which meant that there was no correlation between the duration of diabetes mellitus and the incidence of cataracts. Several actions that can be taken to prevent cataracts are controlling blood glucose levels by obediently taking medication and following a diet. In addition, routine eye checks are useful in preventing cataracts in people with diabetes mellitus.
Optimalisasi Peran Ayah ASI (Breastfeeding Father) Melalui Pemberian Edukasi Ayah Prenatal Rahmawati, Anita
Journal of Ners and Midwifery Vol 3 No 2 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i2.ART.p101-106

Abstract

Peran ayah mempunyai pengaruh kuat terhadap kesuksesan proses menyusui atau pemberian air susu ibu (ASI), tetapi pada kenyataannya banyak ayah yang masih belum menerapkan perannya dalam proses menyusui (peran ayah ASI) karena pengetahuan ayah yang masih kurang dan asumsi bahwa menyusui hanya menjadi tanggungjawab ibu. Tujuan penelitian ini adalah menganalisis pengaruh edukasi ayah prenatal terhadap peran ayah ASI. Penelitian ini menggunakan rancangan post test only control group design. 30 orang sampel diambil dengan purposive sampling selanjutnya dibagi dua menjadi kelompok kontrol dan perlakuan dengan simple random. Peran ayah ASI diukur menggunakan kuesioner dan data dianalisa dengan independent t test. Hasil penelitian menunjukkan nilai rata-rata peran ayah ASI pada kelompok perlakuan 15,40 dan standar deviasi 2,558 sedangkan pada kelompok kontrol 9,80 dan standar deviasi 4,212. Uji beda kelompok perlakuan dan kontrol diperoleh nilai p=0,000 yang berarti ada pengaruh edukasi ayah yang signifikan terhadap peran ayah ASI antara kelompok perlakuan dan kelompok kontrol. Perawat direkomendasikan untuk memberikan edukasi prenatal di kelas ibu hamil yang ditujukan kepada ayah (suami) sebagai alternatif solusi dalam meningkatkan keberhasilan program pemberian ASI eksklusif.
Edukasi Prenatal dalam Upaya Peningkatan Brestfeeding Self Efficacy Fata, Ulfa Husnul; Rahmawati, Anita
Journal of Ners and Midwifery Vol 3 No 2 (2016)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v3i2.ART.p136-141

Abstract

The percentage of exclusive breastfeeding will be decreased in line with the raise of baby’s age. The primary factors that make mothers do not give or stopped exclusive breastfeeding are the lack of breastfeeding self efficacy so that mothers feel that they do not have enough breastfeed for their baby. The aim of the research was to find out the effectiveness of ASI prenatal education toward breastfeeding self efficacy. The research design was post test only control group design. The population was all pregnant women in the third trimester of Puskesmas Kepanjen Kidul Kota Blitar. The sample was 40 taken by purposive sampling and divided into treatment group and control group by simple random sampling. The treatment group was given education on ASI and lactation on pregnancy period. Education was completed by presenting mothers who had been succeed in giving exclusive breastfeeding (giving testimonial) to share their experience in giving breastfeed. After that, all respondents breastfeeding self efficacy level were measured with BSES-SF in between the second day until 2 weeks of postpartum. The result showed that the average score of breastfeeding self efficacy of treatment group was 61,15±5,566 and the control group was 49,85±9,438. The data analysis by independent t test showed that there was an effect of prenatal education toward breastfeeding self efficacy(p=0,000, <0,05). It was expected that prenatal education on lactation which presented the breastfeeding testimonial were given during the pregnancy period in order to enhance mothers’ breastfeeding self efficacy.
The Efect of Breastfeeding Father to Breastmilk Production of Postpartum Mother Sari, Yeni Kartika; Rahmawati, Anita
Journal of Ners and Midwifery Vol 1 No 3 (2014)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v1i3.ART.p205-211

Abstract

Many postpartum mothers in Indonesia can not be exclusively breastfed their babies because the breast milk could not be produced smoothly. This is due to postpartum mothers often having experience emotional disturbances which inhibit the release of oxytocin and milk. Breasfeeding father is an active role and involvement of the husband to give moral and emotional support in breastfeeding to release chemical reflexes to produce milk. This research aims to find out the effect of the application of breastfeeding-father to breast milk production. This research was one group time series design. The population of this research was all of normal deliveries of postpartum mothers in puerperal room in Mardi Waluyo Blitar Hospital. The samples selected based on writers for 30 amount people that will be measured their milk production,  breastfeeding  and  the  application  of  breastfeeding  Father,  then  was  given counseling about breastfeeding father and asked to implement it. The data was analized using chi-square test to figure out the difference of breastmilk production between groups applying breastfeeding father and the group did not. The results showed there was differences of breast milk production between groups that applying breastfeeding father and the group did not. So the breastfeeding father could apply the breastfeeding postpartum mothers to increase the breast milk production.
Analisis Faktor yang Mempengaruhi Produksi Air Susu Ibu (ASI) pada Ibu Menyusui yang Bekerja Rahmawati, Anita; Prayogi, Bisepta
Journal of Ners and Midwifery Vol 4 No 2 (2017)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v4i2.ART.p134-140

Abstract

Working mom's busyness affects the physical and psychological condition of the mother inhibiting the smoothness of milk production. The application of hypnobreastfeeding makes the mother relaxation so as to increase the hormone prolactin and oxytocin for smooth milk production. The procedure of hypnobreastfeeding by giving a positive suggestion/affirmation sentence in the mother's unconscious mind can increase the mother's confidence in the breastfeeding process. The purpose of this study was to explain the effect of hypnobreastfeeding on breast milk production on breastfeeding working mothers. This study used one group pretest posttest design. 25 breastfeeding working mothers were taken by consecutive samping. Hypnobreastfeeding is done independently after being given 1x workshop and performed every day at least 2x a day before breastfeeding. Breastmilk production is measured for 7 days before and after hypnobreastfeeding using a measuring cup based on the volume of dairy milk in a day. The average milk production before treatment 210 ml / day and after treatment to 255 ml / day. Data analysis using paired t-test with significant value α = 0,05 got p value = 0.000 indicating hypnobreastfeeding effect to milk production in working breastfeeding mother. Nurses or other health workers may recommend hypnobreastfeeding as one of the lactation management methods to increase breastfeeding production, especially in working breastfeeding mothers.
Faktor yang Berhubungan dengan Pengetahuan Orang Tua tentang Stunting pada Balita Rahmawati, Anita; Nurmawati, Thatit; Permata Sari, Liliani
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p389-395

Abstract

Stunting masih menjadi masalah gizi anak yang utama yang dapat menimbulkan dampak besar, namun masyarakat khususnya orangtua banyak yang belum memahami stunting dengan benar. Tujuan penelitian ini adalah menganalisis faktor yang berhubungan dan yang mempunyai pengaruh paling dominan terhadap pengetahuan orang tua tentang stunting pada balita. Penelitian ini menggunakan desain crosssectional dengan populasi yaitu orangtua yang memiliki anak balita usia 0-3 tahun di Posyandu Dusun Plosoarang, Sanankulon, Kabupaten Blitar. Sampel diambil dengan purposive sampling sebanyak 20 orang dengan kriteria inklusi orang tua yang mengantar ke posyandu dan minimal berpendidikan SMP. Pengukuran data menggunakan kuesioner meliputi data pengetahuan, usia, pendidikan terakhir, pekerjaan, dan informasi yang pernah diperoleh. Analisis bivariat menggunakan koefisien kontingensi. Analisis multivariat menggunakan uji regresi logistik ganda dengan nilai signifikan α=0,05. Hasil penelitian menunjukkan faktor yang berhubungan dengan pengetahuan tentang stunting yaitu usia (p=0,017), pendidikan (p=0,043), informasi (p=0,002). Analisis uji regresi logistik menunjukkan informasi menjadi faktor yang paling dominan terhadap pengetahuan (p=0,025). Faktor yang tidak berhubungan yaitu pekerjaan (p=0,078) dan pengalaman (p=0,822). Petugas posyandu agar memberikan informasi tentang stunting saat kegiatan posyandu misalnya melalui penyuluhan atau konseling. Orang tua diharapkan agar meningkatkan pengetahuan tentang stunting dengan mencari informasi melalui berbagai media yang ada. Stunting is still a major child nutrition problem that can have a big impact. But many people especially parents do not understand about stunting correctly. The aim of this study was to analyze the factors that are related and which have the most dominant influence on parental knowledge about stunting in toddler. This study uses cross sectional design with a population that is parents who have children aged 0-3 years old at Posyandu of Plosoarang village, Sanankulon, Blitar. Sampel were taken bu purposive sampling of 20 people with the inclusion criteria of parent who took to posyandu and at least junior high school education. Data measurement using a questionnaire includes data on knowledge, age, education, employment, and information ever obtained. Bivariate analysis uses contingency coefficients. Multivariate analysis using multiple logistic regression test. The Result showed factors related to knowledge about stunting are age (p=0,017), education (p=0,043), information (p=0,002). Logistic regression analysis showed that information was the most dominant factor in knowledge (p=0,0025). Unrelated factors were work (p=0,078) and experience (p=0,822). Posyandu officers are expectedto provide information about stunting during posyandu activities and parents are expected to increase knowledge about stunting by finding information through various media.
Factor Analysis of Caesarean Section at Panti Waluya Hospital, Malang Perwiraningtyas, Pertiwi; Rahmawati, Anita
Journal of Ners and Midwifery Vol 8 No 3 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i3.ART.p276-283

Abstract

The incidence of caesarean section in Indonesia has increased every year. Caesarean section is an alternative to delivery when vaginal delivery cannot be done. The problems studied are the factors that influence the action of cesarean section delivery. The purpose of the study was to analyze the factors of delivery by caesarean section at Panti Waluya Hospital, Malang. The design of the study used cross sectional. The population in this study was all parturition mothers who were in the medical records of Panti Waluya Hospital Malang in January-May 2021. The sampling technique in this study used Simple Radom sampling, obtained 55 samples that met the inclusion criteria (ie data in the medical record). The study was carried out at the Panti Waluya Hospital in Malang in May 2021. The instrument used observation sheet. The data taken came from secondary data, namely the patient's medical record. The independent variables of the study were maternal age, gestational age, employment status, parity, disease history, income, insurance, education, delivery distance. The dependent variable of the study was caesarean section. The data analysis used Fisher exact test and logistic regression test. The results showed that history of disease and delivery interval had a significant correlation with delivery, and the variable that was the determinant of CS delivery was history of disease (p=0.012; OR=8.463). It is necessary to carry out routine ANC for pregnant women, in order to avoid risk factors for childbirth by caesarean section.
Monitoring Mean Arterial Preasur (MAP) in Traumatic Brain Injury Patients during The Initial 60 Minutes of Manitol 20% Arsa, Sandi Alfa Wiga; Rahmawati, Anita; Nurmawati, Thatit; Rohmawati, Heni
Journal of Ners and Midwifery Vol 10 No 2 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i2.ART.p217-224

Abstract

The effect of manitol 20% on changes in blood pressure after traumatic brain injury is unknown. The purpose of this study was to analyze the differences in blood pressure before and after the administration of 20% mannitol in traumatic brain injury patients at the Intensive Care Unit. This study is a quasi experimental research which uses a pre-post test without control one group design, a method used in observational analytic techniques. The population of this study were all traumatic brain injury patients who were given a manitol infusion of 20% 100ml, with consecutive sampling technique, obtained 12 samples. With a significance threshold of p 0.05, the test was performed using the Paired T test on systolic and MAP data and the post hoc Wilcoxon test on diastolic data.   paired t-test systolic p=0.000, MAP p=0,000. Wilcoxon test diastolic p=0,002. Decreasing blood pressure 15 minutes after administration of 20% mannitol occurs because half live mannitol which lowers blood pressure and responds to decreased blood pressure autoregulation, at 30 minutes resulting in decreased intra-cranial pressure, improves cerebral perfusion and brain autoregulation that affects systemic blood pressure 60 changes in blood pressure may be due to diuresis effects. During the administration of mannitol there is a change in blood pressure that needs to be monitored
Co-Authors Abbassyakhrin, Abbassyakhrin Adly, Emil Afifah, Nur Asiyah Agrippina Wiraningtyas, Agrippina Alhanas, Mohamad Sigit Alindra, Afridha Laily Amalia, Reva Amin, Nur Syariful Anang Bakhtiar Andy Muharry Anggarini, Dwi Wahyuning Anita Widianti Anita Wijayanti Annisa Andriyani Annisa, Farida Ulfah APRILIA, REZA Apriliani, Delia Aptaningrum, Ilma Arianti, Aprila AS, Emilda Asyi Zamilah, Apipah Rohadatul Aulia, Mediana Aziz, Aurizal Ahmad Bakri, M. Jamal Al Bertha Yonata BIDIN, CICI RIYANTI K Bisepta Prayogi, Bisepta Damayanti, Sintia Darsini . . Dian Eksana Wibowo Dwi Ariyanti, Tika Eko Noerhayati Elfida Elfida Elizabeth Rini, Elizabeth ERNI SURYANI, ERNI Faqih, Abdillah Fatimah, Ratih Fauziyah, Nisa Nur Fauzy, M Rifaldi Fazrin, Dinda Nurainun Febriana, Lutvi FEBRIANI, ANISA Fitria Azizah, Cica Herlina, Pani Hernayanti, Munica Rita Hesty Widyasih Ida Parwati Indrawan Indrawan Indrawati, Ucik Intan Permatasari Isti Untari, Sri Istia, Maria Nino Ita Suhermin Ingsih Jamhari Jamhari Jauza, Rafila Kalfaria, Fitri Kartini, Oda Apriliani Khusnah, Nurlailatul KOMALASARI, RINI Kurniati, Ana Laily Prima Monica, Laily Prima Lenggani SM, Kinanti Lestari , Oni Puji Lisna Zahrotun Lubis, Adella Silvany Lukitaningrum, Kristin Maharani, Davinda Mahira, Happy Imanisa Margono Margono Maria Ulfa Maryanah, Siti Maryani, Tri Maryati Maryati Maunaturrohmah, Agustina Muarrofah Muarrofah Muarrofah, Muarrofah Muh. Nasir Muhammad Akhyar Muhammad Basri Mukhlis Mukhlis Mulyono Mulyono Murti, Rahma Murtiningrum, Fajar Heni Mutmainnah, Putri Ayu Nabil H., Qurasun Shieldhan Nabilah, Khairun Nanik Setiyawati, Nanik Nataria Wahyuning Subayani Nawang Wulandari, Nawang Neneng Sri Wulan Nicholas, Kevin Nikmah, Hastika Ulfatu Nikman Azmin Nikman Azmin Nining Wiyati Novitasari, Azizah Nur lina Nurbaedah, Nurbaedah NURDIN, DJAYANI Nurfaoziah, Khaerani Nurfathurrahmah Nurfathurrahmah, Nurfathurrahmah Nurhikmah, Juliana Nurhuda, Alisa Aulia Nurpratiwi, Rahma Oktafrina, Andhini Oktaviani, Ersya Sri Palevi, Muhammad Raynaldi Reza Pangestu, M. Ivan Mareza Pearla Lasut Pemiliani, Kamelia Permata Sari, Liliani Perwiraningtyas, Pertiwi Prasetyaningati, Dwi Pratiwi , Ratih Puspita, Ratna Mega Putri, Nosa Eka Putri, Raden Roro Dewi Rahmawaty Aktyani Putri, Valentina Febri Dwi Rahma Nur Praptiwi Rahmawati, Hanny REFINALDO, A MUH RIDHO Reny Wiyatasari Retno Setyowati, Retno Rohmawati, Heni Rosmana, Primanita Sholihah Rumatoras, Moh.Fathur Khairat Rusman, Kharisma Nurul Fazrianti Ruswan, Acep Salma, Ninda Salsabila , Nazwa Salsabila, Analisa Sandi, Ahmad Sanjaya, Himawan Wahyu Saphira, Alma Aulia Sarizaen, Fiksi Kirana Selvi Sri Rahayu, Neng Setiawan, Dian M Setiawan, Iwan Bagus Setyowati, Erika Shinta Wulandari, Shinta Soebandono, Bagus Soleliza Jones, Anna Hendri Sri Mulyani Sri Utami Sugiandika, Tri Retno Sugiono Sugiono Suhada, Alif Muhammad Suhariati, Hindyah suherni Suherni Suherni, Suherni Sukmawati, Vika Andria Sundi, Svastika Ariana Surya Hazani, Dinar Ayu Sutindi, Geri Syaiful M Syarifuddin Syarifuddin Thatit Nurmawati, Thatit Theresia, Endah Marianingsih Tiranda, Meysa tri wahyuni Tuti Nuryani Ulfa Husnul Fata Ulfatuni'mah, Ulfatuni'mah Ulya, Hamilatul Ulya, Innarotul Utaminingsih Linarti, Utaminingsih Veithzal Rivai Zainal WAHYU WIBISONO Wahyu Widodo Wahyudin, Nur’azmi Syahla wahyuni wahyuni WARSITO - Widyastuti, Yani Wiga, Sandi Alfa Windianti, Septiani Tri Yanuar, Dita Yeni Kartika Sari, Yeni Kartika Yuliandani, Euis Tiara Yuliasti Eka Purnamaningrum Yuniati, Anisa Zahirah, Ghefira Zahra, Maldena Zahra, Vanny Nurulita Zalfain, Muhammad Zulkifli Zulkifli