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All Journal International Journal of Public Health Science (IJPHS) Majalah Keperawatan Unpad Jurnal Psikologi Indonesian Journal of Cancer Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini Jurnal Surya Medika Jurnal Keperawatan Padjadjaran Belitung Nursing Journal Holistic Nursing and Health Science Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Holistik Jurnal Kesehatan Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Journal of Nursing Care Jurnal Ilmu Keperawatan Anak Media Karya Kesehatan Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Pengabdian Harapan Ibu (JPHI) Adi Husada Nursing Journal Jurnal Surya Muda: Ilmu Keperawatan dan Ilmu Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Peduli Masyarakat Indonesian Journal of Global Health research Poltekita: Jurnal Pengabdian Masyarakat MAHESA : Malahayati Health Student Journal JOSING: Journal of Nursing and Health Indonesian Journal of Cancer Jurnal Keperawatan BSI SENTRI: Jurnal Riset Ilmiah Journal of Nursing Science Update Jurnal Pengabdian Harapan Ibu (JPHI) Jurnal Riset Ilmiah Journal of Nursing Culture and Technology Jurnal Multidisiplin Holistik Jurnal Kesehatan Borneo Nursing Journal
Windy Rakhmawati
Fakultas Keperawatan Universitas Padjadjaran
Aerospace Engineering Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education 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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Parental barriers in preventing recurrent thalassemia in children: A qualitative study Mardhiyah, Ai; Yosep, Iyus; Rakhmawati, Windy; Fitri, Siti Yuyun Rahayu; Shalahuddin, Iwan
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2630

Abstract

Thalassemia is a genetic blood disorder that can cause a heavy burden on families, especially parents whose children suffer from this condition. Parental involvement in preventing thalassemia in children is key, but there are many challenges to be faced. The aim of this study was to explore parental barriers in preventing recurrent thalassemia in children. This research uses a qualitative design with a phenomenological approach. Researchers conducted interviews and focus group discussions with 15 parents of children with thalassemia at a hospital in West Java Province. Data was collected and then analyzed using a phenomenological approach to identify main themes. The results of the study show that the barrier for parents in preventing recurrent thalassemia is the belief that my bloodline is clean, because there are no plans to have more children, so lazy to do screening, busy time, fear, expensive cost, and desire to have another child . This study found that there are various psychosocial and economic factors that influence parents' decisions in preventing thalassemia in their children. Increased education and financial support can help reduce the barriers parents face. More inclusive health policies and social support programs designed to target these factors could improve thalassemia prevention efforts.
Description Level of Nomophobia Tendency in Adolescent Children at Junior High School in Bandung Apriliani, Annisa; Rakhmawati, Windy; Kosim, Kosim
Indonesian Journal of Global Health Research Vol 6 No 5 (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.v6i5.3509

Abstract

The development of technology such as smartphones is growing rapidly which can facilitate teenagers activities to be easier. The convenience provided can increase a sense of dependence and cause adolescents to tend to nomophobia. Nomophobia (No Mobile Phone Phobia) is a modern phobia characterized by fear and anxiety due to not being with a smartphone. This study aims to determine how the level of nomophobia tendency in adolescent children in Bandung middle school. The study used descriptive quantitative method with cross sectional design. The population in this study were students of SMPN Bandung grades VII, VIII, and IX totaling 928 students. The sampling technique used was proportional stratified random sampling with a sample of 99. Determination of the sample from each class will be done randomly using the wheels of names application through the absentee number. Data were obtained through a questionnaire in the form of google forms distributed online. The instrument used is Nomophobia Questionnaire (NMP-Q) made by (Yildirim & Correia, 2015) consisting of 20 questions with the results of the validity test r count of 0.468 – 0.754 (r table = 0.195 ) and Cronbach’s alpha results of 0.945. Univariate analysis was used in this study with frequency distribution and percentage. The results showed that most of the respondents 62 people (62.6%) showed moderate nomophobia tendencies, 36 people (36.4%) showed mild nomophobia tendencies and 1 person (1%) did not experience nomophobia tendencies. There were no respondents who showed severe nomophobia tendencies. Most of the respondents belonged to the moderate nomophobia tendency category. Therefore, it is hoped that nurses can make efforts to deal with nomophobia in the form of health education, REBT self management techniques, and KEKINIAN family.
TERAPI BERMAIN: DONGENG DALAM MENURUNKAN NYERI PADA PASIEN ANAK DENGAN FISTULA REKTOVESTIBULAR Khofifah, Intan Nurul; Rakhmawati, Windy; Hendrawati, Sri
SENTRI: Jurnal Riset Ilmiah Vol. 3 No. 2 (2024): SENTRI : Jurnal Riset Ilmiah, February 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/sentri.v3i2.2312

Abstract

Fistula rektovestibular merupakan salah satu jenis malformasi anorektal pada perempuan dimana terjadi kegagalan pemisahan antara septum urorektal hingga kloaka. Penatalaksanaan pada fistula jenis ini diantaranya tindakan kolostomi. Tindakan kolostomi menimbulkan rasa nyeri pada anak. Tujuan dari studi kasus ini adalah untuk mengidentifikasi efektivitas intervensi terapi bermain dengan menceritakan dongeng terhadap nyeri post kolostomi yang dirasakan anak. Penelitian ini menggunakan metode case report. Subjek dalam penelitian adalah pasien An. R (perempuan) usia 3 tahun 4 bulan dengan diagnosis medis fistula rektovestibular. Pengukuran skala nyeri dilakukan menggunakan skala Wong Baker Faces Pain Scale (skala 0-10). Hasil studi kasus ini menunjukkan skala nyeri post kolostomi pada pasien sebelum diberikan intervensi sebesar 9 (0-10) dan turun menjadi skala 4 (0-10) setelah diberikan intervensi terapi bermain dengan menceritakan dongeng selama 3 kali pertemuan. Kesimpulan studi kasus ini intervensi terapi bermain dengan menceritakan dongeng atau cerita khayalan terhadap nyeri akut post kolostomi pada pasien anak dengan fistula rektovestibular efektif untuk menurunkan nyeri. Diperlukan penelitian lebih lanjut dengan menentukan terlebih dahulu cerita-cerita atau dongeng yang mampu mengubah nilai emosional anak sehingga mampu mempengaruhi fisiologis tubuh anak terhadap penurunan rasa nyeri pada anak.
Physical Exercise Intervention for Children Undergoing Cancer Treatment: A Scoping Review Mardhiyah, Ai; Safitri, Dian Dinnar Eka; Maryam, Nenden; Rakhmawati, Windy; Hendrawati, Sri
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 10 No. 1 (2024): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v10i1.653

Abstract

Aims: This research aimed to explore articles regarding physical exercise for children undergoing cancer treatment. Method: The research method used is scoping review. The process of doing a scoping review involves several steps, including developing research questions, establishing criteria for inclusion, a comprehensive search strategy, literature screening and selection, organizing data, and compiling, summarizing, and presenting the findings. The inclusion criteria encompassed full-text papers, namely randomized controlled trials or quasi-experimental research, published in English during the past decade (2014–2023). Pubmed, CINAHL, Scopus, and Proquest are used as search engines and database searches. Selected articles were extracted into charting data, analyzed with descriptive approaches, and the results reported. Results: The results found 14 articles, which were then categorized into three physical exercise programs, such as integrated physical exercise, technology-based physical exercise, and multimodal exercise. Outcomes obtained are cardiorespiratory fitness, motor performance, cancer-related fatigue, and quality of life. Conclusion: The side effects of cancer treatment in children may be mitigated through the implementation of physical exercise programs. This scoping review can be a consideration for optimizing pediatric nursing services by adding physical exercise interventions to the rehabilitation protocol as a supportive treatment for children who are currently undergoing cancer treatment.
Gambaran Masalah Psikososial pada Anak Usia Sekolah dengan Kanker di Yayasan Rumah Pejuang Kanker Ambu Ratnawati, Ai Siti; Rakhmawati, Windy; Ermiati, Ermiati; Mediani, Henny Suzana; Hendrawati, Hendrawati
MAHESA : Malahayati Health Student Journal Vol 4, No 5 (2024): Volume 4 Nomor 5 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i5.14462

Abstract

ABSTRACT Cancer and its treatment affect physical, cognitive, psychological and social functioning. Psychosocial problems in school-aged children with cancer can have a negative impact on psychosocial development and increase the risk of depression, social isolation and academic difficulties. This study aims to describe psychosocial problems in school-aged children with cancer at Yayasan Rumah Pejuang Kanker Ambu. This research uses a quantitative descriptive research design. The population in this study were 41 parents who had school-aged children with cancer at the Ambu Cancer Fighters Home Foundation based on visit data from the last three months. The sampling technique uses total sampling so that the number of samples is the same as the population of 41 people. The research instrument used the standard Pediatric Symptoms Checklist-17 questionnaire by Jellinek with the dimensions of internalization, externalization, and attention. Data analyzed using frequency distribution and percentages. The research results showed that the majority (56.1%) of children had psychosocial problems. Based on the dimensions of psychosocial problems, the majority (53.7%) of children had internal problems and a minority (7.3%) of children had external and attention problems. It can be concluded that school-aged children with cancer have average psychosocial functioning with a tendency to had psychosocial problems. Therefore, nurses play a role in minimizing the impact of cancer by follow up the children who had psychosocial problems and providing care interventions according to the internal, external, or attentional dimensions that indicate problems. Keywords: School Age Children, Psychosocial Problems, Cancer  ABSTRAK Kanker dan pengobatannya berpengaruh terhadap fungsi fisik, kognitif, psikologis, dan sosial. Masalah psikososial pada anak usia sekolah dengan kanker dapat berdampak negatif terhadap perkembangan psikososial dan meningkatkan resiko terjadinya depresi, isolasi sosial dan kesulitan akademis. Penelitian ini bertujuan menggambarkan masalah psikososial pada anak usia sekolah dengan kanker di Yayasan Rumah Pejuang Kanker Ambu. Penelitian ini menggunakan rancangan penelitian deskriptif kuantitatif. Populasi pada penelitian ini adalah 41 orang tua yang memiliki anak usia sekolah dengan kanker di Yayasan Rumah Pejuang Kanker Ambu berdasarkan data kunjungan tiga bulan terakhir. Teknik pengambilan sampel menggunakan total sampling sehingga jumlah sampel sama dengan jumlah populasi yaitu 41 orang. Instrumen penelitian menggunakan kuesioner baku Pediatric Symptoms Checklist-17 oleh Jellinek dengan dimensi internalisasi, eksternalisasi, dan perhatian. Data dianalisis menggunakan distribusi frekuensi dan persentase. Hasil penelitian didapatkan bahwa sebagian besar (56,1%) anak mengalami masalah psikososial. Berdasarkan dimensi masalah psikososial, sebagian besar (53,7%) anak mengalami masalah internal dan sebagian kecil (7,3%) anak mengalami masalah eksternal dan perhatian. Dapat disimpulkan bahwa anak usia sekolah dengan kanker memiliki fungsi psikososial rata-rata dengan kecenderungan mengalami masalah psikososial. Oleh karena itu, perawat berperan dalam meminimalkan dampak dari kanker dengan menindaklanjuti anak yang mengalami masalah psikososial dan memberikan intervensi keperawatan sesuai dimensi internal, eksternal, atau perhatian yang terindikasi mengalami masalah. Kata Kunci: Masalah Psikososial, Kanker, Anak Usia Sekolah
Pencegahan Kekerasan Seksual Anak Usia Sekolah (6-12 Tahun): Prevention of Sexual Violence in School-Aged Children (6-12 Years) Hendrawati, Sri; Maryam, Nenden Nur Asriyani; Rakhmawati, Windy; Abas, Latifa Hidayani; Amita, Dzira Fitria; Risminda, Nestia
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2023): Juli-September
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v4i3.1844

Abstract

Currently, violence against children has increased significantly, including sexual violence. Sexual violence can cause psychological, physical and social disorders. This case, if not handled immediately, will undoubtedly have a broad impact on children. So, it is necessary to prevent sexual violence in children early on. This health education activity aims to teach children aged 6-12 years about sexual violence and how to prevent it. The health education method is carried out with lectures, discussions, and questions and answers using teaching video media regarding the prevention of sexual violence in children. This activity was carried out during the COVID-19 pandemic, so it was done online through the Zoom Meeting platform. The activity was held on Sunday, October 24, 2021, by 54 children aged 6-12 years whom their parents accompanied from various regions in Indonesia. The activity increased children's knowledge about sexual violence and how to prevent it. The assessment was carried out using pre-test and post-test questionnaires via Google Forms. The pre-test results showed that most children (63%) had good knowledge, and the post-test showed that all children had good knowledge (100%). The results showed that health education effectively increased children's knowledge (p-value = 0.000). Thus, there needs to be an effort from the school in collaboration with health workers, especially nurses, to increase health education programs in schools, especially elementary schools, regarding preventing sexual violence in children.
Program Pendampingan Kader dalam Monitoring Pertumbuhan Balita 0-5 Tahun dengan Berbasis Aplikasi di Desa Jelegong Kabupaten Bandung Mardhiyah, Ai; Eriyani, Theresia; Rakhmawati, Windy; Maryam, Nenden Nur Asriyani; Mediani, Henny Suzana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 6 (2025): Volume 8 No 6 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i6.20605

Abstract

ABSTRAK Pemanfaatan teknologi untuk memantau kesehatan balita berdampak besar dalam meningkatkan keterlibatan orang tua dalam proses pemantauan tumbuh kembang anak. Dengan teknologi  memungkinkan para ibu untuk berinteraksi dengan petugas kesehatan tentang perkembangan anak-anak mereka dengan lebih cepat dan mudah, sehingga meminimalkan kemungkinan keterlambatan dalam mendeteksi masalah Kesehatan. Penelitian ini bertujuan untuk meningkatkan pengetahuan kader terkait pencegahan stunting pada balita, meningkatkan pengetahuan kader terkait cara melakukan pencatatan dan pelaporan pertumbuhan anak melalui SIP online sehingga dapat mengoptimalkan monitoring pertumbuhan balita berbasis teknologi. Metode yang digunakan adalah penyuluhan dan wawancara kepada kader Kesehatan terkait pemanfaatan SIP Online di wilayah tersebut. Sebagian besar kader kesehatan di Desa Jelegong sudah mengetahui pemanfaatan teknologi dalam monitoring pertumbuhan balita dengan menggunakan SIP Online. Perlu dilakukan evaluasi rutin terhadap kapasitas kader dalam memanfaatkan aplikasi SIP daring, serta pemahaman ibu tentang cara memantau pertumbuhan bayi secara digital. Kata Kunci: Balita, Kader Kesehatan, Monitoring, Pertumbuhan, Teknologi ABSTRACT The use of technology to monitor toddler health has a major impact on increasing parental involvement in the process of monitoring child growth and development. Technology allows mothers to interact with health workers about their children's development more quickly and easily, thereby minimizing the possibility of delays in detecting health problems. This study aims to improve the knowledge of cadres regarding the prevention of stunting in toddlers, improve the knowledge of cadres regarding how to record and report child growth through online SIP so that they can optimize technology-based toddler growth monitoring. The method used is counseling and interviews with health cadres regarding the use of Online SIP in the area. Most health cadres in Jelegong Village already know the use of technology in monitoring toddler growth using Online SIP. Routine evaluation of the cadre's capacity in utilizing the online SIP application, as well as mothers' understanding of how to monitor infant growth digitally, is needed. Keywords: Toddlers, Health Cadres, Monitoring, Growth, Technology
Implementation of a 30° Head up Position on Respiratory Distress in an Infant with Bronchopneumonia Eriska Nur Handayani; Windy Rakhmawati; Ai Mardhiyah
Jurnal Multidisiplin Vol. 2 No. 4 (2026): Juni
Publisher : CV. Utami

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70963/jm.v2i4.715

Abstract

Bronchopneumonia is one of the leading causes of mortality in children under five years old and, if not managed properly, may progress to Acute Respiratory Distress Syndrome or severe hypoxia. Respiratory distress is one of the most common clinical symptoms observed. The head-up 30° position can reduce the work of breathing, facilitate mucus clearance, and prevent secretion accumulation. This study aimed to describe the response of an infant with bronchopneumonia to the head-up 30° intervention based on changes in respiratory distress indicators. This case report involved one infant with bronchopneumonia who received the head-up 30° position for four days. Parameters measured included respiratory rate, oxygen saturation, and chest retraction before and after the intervention. The results showed an improvement in respiratory parameters following the head-up 30° position; on the second day, when oxygen was reduced to 1 L/min, the respiratory rate decreased from 48 breath/min to 38 breath/min, chest retraction decreased, and oxygen saturation increased from 95% to 100%. The head-up 30° position was effective in improving respiratory distress in an infant with bronchopneumonia.
Hambatan Dalam Deteksi dan Pengobatan Tuberkulosis Pada Anak: Sebuah Narrative Review Nina Nahdriah; Windy Rakhmawati; Ema Arum Rukmasari
MAHESA : Malahayati Health Student Journal Vol 6, No 4 (2026): Volume 6 Nomor 4 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i4.18938

Abstract

ABSTRACT Tuberculosis (TB) in children is a significant global health issue, with numerous challenges in detection and treatment. The inability to obtain diagnostic samples, such as sputum, in children, along with the limited availability of diagnostic tests, exacerbates the problem of detection. Other barriers include a lack of knowledge among healthcare professionals and the community about TB in children. To explore various barriers in the detection and treatment of tuberculosis in children. This study employed a narrative review design, following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) procedure for article selection. Inclusion criteria encompassed articles discussing barriers in the detection and treatment of TB in children, published within the last ten years, and written in English. Data analysis was conducted by identifying key themes related to detection and treatment barriers. Analysis of the articles revealed seven studies discussing the barriers in detecting and treating tuberculosis in children. The primary barriers to TB detection in children include difficulties in obtaining adequate diagnostic samples, limited knowledge of healthcare professionals regarding TB diagnosis in children, and low community awareness of the disease’s symptoms. In treatment, barriers include patient non-adherence to treatment regimens, limited access to appropriate medications, and previously undetected side effects. A holistic approach is needed to enhance healthcare professional training, improve diagnostic technology, and strengthen community awareness to address these challenges and increase the effectiveness of TB treatment in children. Keywords: Detection, Barriers, Treatment, Tuberculosis.ABSTRAK Tuberkulosis (TB) pada anak merupakan masalah kesehatan global yang signifikan, dengan banyak tantangan dalam deteksi dan pengobatan. Ketidakmampuan untuk memperoleh sampel diagnostik, seperti sputum, pada anak-anak, serta keterbatasan tes diagnostik yang tersedia, memperburuk masalah deteksi. Hambatan lainnya mencakup kurangnya pengetahuan di kalangan tenaga medis dan masyarakat mengenai TB pada anak.  Untuk mengeksplorasi berbagai hambatan dalam deteksi dan pengobatan tuberkulosis pada anak. Penelitian ini menggunakan desain narrative review yang mengikuti prosedur PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) untuk seleksi artikel. Kriteria inklusi mencakup artikel yang membahas hambatan dalam deteksi dan pengobatan TB pada anak, dipublikasikan dalam sepuluh tahun terakhir, dan menggunakan bahasa inggris. Analisis data dilakukan dengan mengidentifikasi tema-tema utama terkait hambatan deteksi dan pengobatan. Hasil dari analisis artikel menunjukkan terdapat 7 artikel yang membahas tentang hambatan dalam deteksi dan pengobatan tuberkulosis pada anak. Hambatan utama dalam deteksi TB pada anak adalah kesulitan dalam memperoleh sampel diagnostik yang cukup, kurangnya pengetahuan tenaga medis tentang diagnosis TB pada anak, serta rendahnya kesadaran masyarakat mengenai gejala penyakit. Untuk pengobatan, hambatan meliputi masalah kepatuhan pasien terhadap regimen pengobatan, keterbatasan akses ke obat yang tepat, serta efek samping yang tidak terdeteksi sebelumnya. Perlunya pendekatan holistik untuk meningkatkan pelatihan tenaga medis, memperbaiki teknologi diagnostik, serta memperkuat kesadaran masyarakat untuk mengatasi tantangan ini dan meningkatkan efektivitas pengobatan TB pada anak. Diperlukan strategi yang menyeluruh, seperti peningkatan kapasitas tenaga kesehatan dalam diagnosis TB anak serta edukasi berkelanjutan kepada keluarga dan masyarakat untuk meningkatkan kepatuhan terhadap pengobatan dan mempercepat deteksi dini pada penyakit tuberkulosis. Kata Kunci: Deteksi, Hambatan, Pengobatan, Tuberculosis.
Pengaruh Pendidikan Kesehatan tentang Toilet Training pada Anak Toddler Berdasarkan the American Academy of Pediatrics Guide Terhadap Self-Efficacy pada Caregiver di Puspa Daycare Kurnia Meishinta Dewi; Windy Rakhmawati; Ai Mardhiyah
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15693

Abstract

ABSTRACT Diaper dermatitis is a condition that children are prone to. The prevalence of diaper dermatitis tends to decrease when children stop using diapers and receive toilet training. Toilet training is a developmental task that must be achieved by toddlers, if it is not achieved, it will have an impact on the child’s physiology and psychology, such as urinary track infection, feelings of inferiority, and maladaptive socialization. The inisiation of toilet training in children is carried out by the caregiver, especially mother at home, but the current phenomenon is that many parents work so children are left in daycare. So, in the condition of children in daycare, the inisiation of toilet training in children is carried out either by the mother who entrusts her child to daycare or by the caregiver at the daycare. The success of toilet training is influenced by caregiver self-efficacy which can be improved through health education about toilet training for children based on effective guidelines. This study aims to analyze the effect of health education about toilet training for toddlers based on The American Academy of Pediatrics Guide on caregiver self-efficacy in Puspa Daycare. This research used a quasi experimental design with one group pre-test and post-test. Sampling used total sampling, obtained 33 participants. The self-efficacy instrument was adapted from the General Self-Efficacy Scale (GSES). Data analysis used the Wilcoxon test. The results of the analysis showed that there is a significant difference between self-efficacy before and after providing health education (p =0,000). The conclusion of this research is that health education about toilet training for toddlers based on The American Academy of Pediatrcs Guide had an effect on increased the self-efficacy of caregivers at Puspa Daycare. This health education can be an intervention for pediatric nurses in provided nursing services to caregivers regarding toilet training for toddler in daycare. Keywords: Caregiver, Daycare, Health Education, Self-Efficacy, The American Academy of Pediatrics Guide  ABSTRAK Diaper dermatitis merupakan kondisi yang rentan terjadi pada anak. Prevalensi diaper dermatitis cenderung berkurang saat anak berhenti menggunakan diapers dan mendapatkan toilet training. Toilet training merupakan tugas perkembangan yang harus dicapai oleh anak toddler, jika tidak dicapai maka akan berdampak pada fisiologis hingga psikologis anak, seperti infeksi saluran kemih, perasaan rendah diri, dan sosialisasi tidak adaptif. Inisiasi toilet training pada anak dilakukan oleh caregiver terutama orang tua di rumah, namun fenomena saat ini banyak orang tua bekerja sehingga anak dititipkan di daycare. Maka, pada kondisi anak di daycare, inisiasi toilet training pada anak toddler dilakukan baik oleh ibu yang menitipkan anaknya di daycare maupun oleh pengasuh di daycare. Keberhasilan toilet training dipengaruhi oleh self-efficacy pada caregiver yang dapat ditingkatkan melalui pendidikan kesehatan tentang toilet training pada anak toddler berdasarkan panduan yang efektif. Penelitian ini bertujuan untuk menganalisis pengaruh pendidikan kesehatan tentang toilet training pada anak toddler berdasarkan The American Academy of Pediatrics Guide terhadap self-efficacy pada caregiver di Puspa Daycare. Penelitian ini menggunakan desain quasi experimental dengan one group pre-test and post-test. Pengambilan sampel menggunakan total sampling, didapatkan 33 partisipan. Instrumen self-efficacy diadaptasi dari General Self-Efficacy Scale (GSES). Analisa data menggunakan uji Wilcoxon. Hasil analisis menunjukkan terdapat perbedaan yang signifikan antara self-efficacy sebelum dan sesudah pemberian pendidikan kesehatan (p = 0,000). Simpulan pada penelitian ini adalah pendidikan kesehatan tentang toilet training pada anak toddler berdasarkan The American Academy of Pediatrics Guide berpengaruh terhadap peningkatan self-efficacy pada caregiver di Puspa Daycare. Pendidikan kesehatan tentang toilet training ini dapat menjadi intervensi bagi perawat anak dalam memberikan pelayanan keperawatan kepada caregiver tentang toilet training pada anak toddler di daycare. Kata Kunci: Caregiver, Daycare, Pendidikan Kesehatan, Self-Efficacy, The American Academy of Pediatrics Guide
Co-Authors Aat Sriati Abas, Latifa Hidayani Adistie, Fanny Ai Mardhiyah Ai Mardhiyah AI MARDHIYAH, AI Amalia, Pandu Rifqi Amita, Dzikra Fitria Amita, Dzira Fitria Ammi Salamah Anggeriyane, Esme Annita Olo Apriliani, Annisa Arief Khoerul Ummah Azalia Melati Bambang Priadi BANGUN SIMANGUNSONG BANGUN SIMANGUNSONG, BANGUN Citra Windani Mambang Sari Desi Apriani Desy Indra Yani Diandini, Reza Dzikra Fitria Amita Efris Kartika Sari Ema Arum Rukmasari Eriska Nur Handayani Ermiati Ermiati Fanny Adistie Fanny Adistie Farah Nibras Almira Faridah binti Mohd Said Fitri Fadhila Grashiva Putri Karina Gusgus Ghraha Ramdhanie Hendrawati Hendrawati Henny Suzana Mediani Hilaliyah, Nurul Iin Inayah, Iin Ike Sri Redjeki Ilham Taufik Nurilhami Indah Permata Artamia Intan Nurul Khofifah Iwan Shalahuddin Iyus Yosep Kartika Rahayuningtyas Kharissa Permata Junita Khofifah, Intan Nurul Khotimah, Diah Khusnul Kodchakon Piasai Kosim Kosim Kunta Taqiyya Ramadhanti Rahayu Kurnia Meishinta Dewi Laili Rahayuwati Latifa Hidayani Abas Linlin Lindayani Lisa Noviana Savitri Marthalisa Wirahandayani Marthalisa Wirahandayani Maryam, Nenden Meita Dhamayanti Meri Anggryni Mufida Mufida Mufida, Mufida Muhammad Reza Saputra MURDINI UMIATI MURDINI UMIATI, MURDINI Murtiningsih Murtiningsih Nabilah, Nurul Azmi Nara Raihani Nenden Nur Asriyani Nenden Nur Asriyani Maryam Nenden Nur Asriyani Maryam Nenden Nur Asriyani Maryam Nestia Risminda Neti Juniarti Nina Nahdriah Nisha Nambiar Nita Fitria Nurul Azmi Nabilah Obara, Septa Pandu Rifqi Amalia PRILIANA GAMAYANTI PRILIANA GAMAYANTI, PRILIANA Puput Fitriliani KH Purwono P Purwono P. p Putri Rhamelani Putri, Azalia Melati Putri, Widya Enita Raden Mohamad Herdian Bhakti Ratnawati, Ai Siti Rausanfikra, Syiffa Salsabila Risminda, Nestia Saepudin, Aceng Safitri, Dian Dinnar Eka Septa Obara Setiawan Setiawan Setiawan, Shafanissa Aulia Siti Rahmawati Ismuhu Siti Yuyun Rahayu Fitri Sri Hastuti, Tuti Sri Hendrawati Sri Hendrawati Sri Hendrawati Sri Hendrawati Suryani Suryani Syahratul Janah Theresia Eriyani Theresia Eriyani Tika Asri Titin Rohmatin Tuti Pahria Ummah, Arief Khoerul Wini Hadiyani Wirahandayani, Marthalisa Witdiawati, Witdiawati Wiwi Mardiah Yanti Hermayanti Yuli Rahmawati Utami