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All Journal Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal Ilmu dan Teknologi Kesehatan Indonesian Journal of Global Health research Jurnal of Community Health Development (JCHD) Holistik Jurnal Kesehatan Holistik Jurnal Kesehatan Journal Of Bionursing
Dian Ramawati
Jurusan Keperawatan FKIK UNSOED
Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Veterinary

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PENGGUNAAN PERANGKAT TEKNOLOGI INFORMASI PADA PELAYANAN KESEHATAN ANAK DAN REMAJA ramawati, dian
Jurnal Ilmu dan Teknologi Kesehatan Vol 2, No 1 (2011)
Publisher : STIKES Widya Husada Semarang

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

Abstract

Kebutuhan akan penggunaan teknologi informasi menjadi sangat penting dalam bidangkesehatan khususnya keperawatan karena teknologi dapat menciptakan lingkungan yang amanuntuk praktik keperawatan dengan mengurangi dampak negative dari risiko dan tanggung jawabpekerjaan yang selama ini menakutkan bagi sebagian besar perawat anak. Bahkan teknologiinformasi juga dapat membantu perawat anak dalam merencanakan, melakukan danmengevaluasi tindakan keperawatan pada anak dan remaja serta keluarga. Berbagai softwareteknologi informasi berbasis computer telah dirancang untuk memudahkan peran perawat dalampemberian asuhan keperawatan, edukator dan advokat bagi anak dan remaja. Efisiensi danefektifitas waktu serta tenaga yang dapat dihemat oleh penggunaan teknologi informasi menjadisangat bermanfaat bagi perawat anak sehingga dapat lebih berkonsentrasi pada kualitas asuhanyang diberikan. Dan menjadi tantangan tersendiri bagi perawat anak agar selalumengembangkan kemampuan dan pengetahuan terkait penggunaan teknologi informasi yangterkini sehingga dapat lebih mudah dalam menjalin hubungan atau interaksi dengan klien anakdan remaja serta keluarga yang berbasis teknologi ini dimana dan kapan saja.Kata kunci: teknologi informasi, perawat anak, anak, remaja, asuhan keperawatan
Hubungan Antara Pola Asuh Dengan Status Gizi Pada Bayi Aswin,; Saryono,; Ramawati, Dian
Jurnal Keperawatan Soedirman Vol. 03 No. 2 (2008)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2008.3.2.187

Abstract

The childbearing pattern of baby’s mother towards to a baby is really important to the development and growth of baby it self : however there are still many mothers who provide childbearing pattern, namely the exclusive breast milk that’s less complete six months, giving stimulant food of the breast milk before six months and many babies still do not have their complete immunization accordance with their age. The objective of this research is to know the relationship between the childbearing pattern and the state of the baby’s nutrition.The research carried out in the Village of Wangon, Wangon District, Banyumas Regency in the year of 2007. The type of research is analytic with the approach of cross sectional study. The respondents amount to forty mothers at the twelve integrated health services center in the village of Wangon with inclusive criteria having baby’s in the age of six months up to twelve months. The data analysis used was the Fisher's exact test.The result of the research indicated that the sum of 70 percent of the babies got exclusive breast feeding, completed food of breast feeding accordance with their age. Based on the fisher exact research, it was gotten the score P = 0,021 < alpha (a = 0,05 ) that indicated that there was the relationship between the childbearing pattern and the nutrition status of the babies. The conclusion of the research is that the good childbearing pattern will  improve the baby’s nutrition  status.  
Future Living Arrangement for Aging Parents and Its Associated Factors Setiyani, Rahmi; Sumarwati, Made; Ramawati, Dian
Jurnal Keperawatan Soedirman Vol 14, No 3 (2019)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2019.14.3.1196

Abstract

Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in living arrangement of older people. Objectives: The purpose of this study is to examine adult children’s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. Descriptive statistics, Chi-Square and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) preferred parents to live at home, in multi-generational household with children and/or grandchildren (84.5%) in their old age. The choice was significantly influenced by children gender, marital status of parent, and family type (p=0.00; p=0.05, and p=0.05 respectively). Conclusions: In certain circumstances, living in multigenerational household still became a favorable option of living arrangement for elderly parents. Children gender, parent’s marital status and family type were likely to influence the choice. Further researches are needed to investigate which best living arrangement that support older people well-being.
Perbedaan Kadar Kolesterol Darah pada Pekerja Kantoran dan Pekerja Kasar di Desa Majasari, Bukateja, Kabupaten Purbalingga Sandi, Christian; Saryono,; Ramawati, Dian
Jurnal Keperawatan Soedirman Vol. 03 No. 3 (2008)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2008.3.3.200

Abstract

Coronary hearth disease being the major killer people in the world, that caused by cholesterol. The incidence varying between in type of occupation. This research aimed to know the difference of blood cholesterol between civil worker and labour in desa Majasari, Kecamatan Bukateja, Kabupaten Purbalingga.Analitic method with cross sectional approach used to know the difference of blood cholesterol  between civil worker and labour.This research undertaken in Desa Majasari, Kecamatan Bukateja, Kabupaten Purbalingga. The population were all of civil worker and labour in Desa Majasari, that account about 105 people. Inclusion criteria were 35-60 years old, hawe being work for 10 years, male civil worker are civil servant and the labour are becak driver and “kuli panggul pasar”. The exclusion criteria are diabetes melitus patient and severe infection. Sampling method used purposive sampling. The total participant was 60 people consist of 30 civil worker and 30 labour. Blood cholesterol measured by accutrend cholesterol digital (Roche TM) with mg/dl. The data collection tested with independent T-test to compare means of blood cholesterol between that groups.result.The result of this research showed that means of blood cholesterol in civil worker and labour group are 176,4 and 163,6 respectively. Independent t-test showed t = -2.511 (p=0,016), that means there is a difference of blood cholesterol between civil worker  and labour group significantly.The blood cholesterol in civil worker group was higher than labour group in desa Majasari, Kecamatan Bukateja, Kabupaten Purbalingga.
Faktor-Faktor yang Mempengaruhi Kepatuha Ibu Hamil dalam Mengkonsumsi Tablet Besi di Desa Sokaraja Tengah, Kecamatan Sokaraja, Kabupaten Banyumas Ramawati, Dian; Mursiyam,; Sejati, Waluyo
Jurnal Keperawatan Soedirman Vol. 03 No. 3 (2008)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2008.3.3.198

Abstract

Introduction: Nowadays, maternal and perinatal mortality were still high because of anemia during pregnancy. An obedience of iron suplement consumption was very important, particulary in pregnant women. This study was undertaken to investigate factors associated with the obedience of iron supplement consumption among pregnant women during their pregnancy in Sokaraja Tengah, Sokarja District, Banyumas.A qualitative study was carried out inCenterSokarajaVillageregion of Sokaraja district using in depth interviews in five pregnant women. Purposive selection ensured that the sample’s demographic characteristics were broadly representative of pregnant women in Banyumas. Predisposition, reinforcing and supporting factor associated with obedience of iron suplement consumption would be examined.This study showed that the obedience of iron suplement consumption was high. Respondent consumed prescribed iron suplement. As a predisposition factor, knowledge and attitude factor played out an important role in increase obedience of iron suplement consumption as well as family support as a reinforcing factor did. Health care provider’s attitude, who are tent to be giving incomplete information about iron suplement, had no effect toward respondent’s obedience. Supporting factor that influence obedience were both the availability of health care facilities (e.g. physician, midwife, and health care center) and availability of iron suplement.Knowledge was the most dominant factor that influenced the obedience of iron supplement consumptions in pregnant women in Sokaraja Tengah, Sokaraja, Banyumas. 
Upaya Peningkatan Kemampuan Stimulasi Tumbuh Kembang Melalui Pelatihan Kader Posyandu Balita Upoyo, Arif Setyo; Ramawati, Dian; Purnawan, Iwan
Jurnal of Community Health Development Vol 1 No 01 (2020): Journal Of Community Health Development terbitan bulan Juli 2020
Publisher : Universitas Jenderal Soedirman, Jurusan Keperawatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1279.963 KB) | DOI: 10.20884/1.jchd.2020.1.01.2709

Abstract

Posyandu merupakan bentuk pemberdayaan masyarakat yang sangat penting dalam meningkatkan kesehatan masyarakat khususnya Balita. Kelompok Kader Posyandu Balita di Desa Purwokerto Kidul Kecamatan Purwokerto Selatan, Banyumas didirikan dalam rangka meningkatkan partisipasi dan kemandirian masyarakat untuk meningkatkan kesehatan Balita. Permasalahan yang dihadapi oleh kelompok kader Posyandu Balita RW 5 dan RW 7 Purwokerto Selatan antara lain: pelaksananan posyandu belum sesuai standar pelaksanaan dan adiministrasi Posyandu, masih dijumpai Balita dengan status gizi kurang, kemampuan kader dalam menilai status tumbuh kembang balita masih rendah, Ketrampilan kader dalam melakukan stimulasi pertumbuhan dan perkembangan balita masih rendah serta masih rendahnya kemampuan kader dalam penatalaksanaan awal masalah kesehatan yang sering dijumpai pada balita. Kegiatan yang dilaksanakan untuk mengatasi permasalah mitra, yaitu Pelatihan tentang: manajemen posyandu, pengukuran status gizi balita, Penilaian perkembangan anak, Pelatihan tentang Stimulasi tumbuh kembang Balita, Pelatihan Penatalaksanaan awal masalah kesehatan yang sering terjadi pada balita, Pelatihan Pemberian Makanan Tambahan (PMT) Balita, Monitoring pelaksanaan dan evaluasi Posyandu. Hasil penilaian rata-rata pengetahuan kader sebelum pelatihan 65 (cukup), setelah pelatihan 83 (baik). 100% kader meningkat pengetahuanya, Kader juga dapat mendemonstrasikan pembuatan PMT Balita.
Manajemen nyeri non farmakologis dalam pengurangan nyeri pada bayi berat badan lahir rendah (BBLR): A systematic review Setyaningsih, Wahyu; Ramawati, Dian
Holistik Jurnal Kesehatan Vol. 18 No. 4 (2024): Volume 18 Nomor 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i4.155

Abstract

Background: Pain management for LBW undergoing treatment in hospital is crucial. LBW often receive invasive procedures, so both pharmacological and non-pharmacological pain management is needed. Therefore, non-pharmacological pain management is needed which not only reduces pain but can stimulate the baby's growth and development. Purpose: To analyze the success of pain management using non-pharmacological methods during intravenous insertion procedures, blood sampling, and to assess the effect on pain reduction by measuring using the Premature Infant Pain Profile (PIPP) score. Method: Review of research articles obtained from the ProQuest, Science Direct, PubMed, Oxford, and SAGE Journal databases. The inclusion criteria for this study were articles with a randomized control trial (RCT) research design published between 2017-2023. The keywords used in the PICO search process were "Neonate, pain assessment, reduced pain, invasive procedures. The search identified 938 studies that were relevant, and seven studies met the inclusion criteria. Article quality evaluation was carried out through the Joanna Briggs Institute (JBI) to assess the quality of research articles, and thematic analysis was used as a data analysis method. Results: A review of seven articles shows that various effective non-pharmacological pain management in premature and full-term babies are oral stimulation using sweet solutions, audio stimulation, kangaroo mother care (KMC), crochet octopus, HSTT and baby swaddling. A combination of several interventions Non-pharmacological pain management is more effective than one type of intervention. Conclusion: A combination of several non-pharmacological pain management interventions can effectively reduce pain in LBW. Suggestion: Neonatal nurses are expected to be able to utilize the KMC method, use of octopus crochet, baby positioning, and swaddling techniques to reduce pain response, increase comfort, and growth and development in low birth weight (LBW) babies.   Keywords: Decreased Pain; Invasive Action; Neonate; Non Pharmacological; Pain Management.   Pendahuluan: Manajemen nyeri untuk BBLR yang menjalani perawatan di RS menjadi krusial. BBLR seringkali menerima prosedur tindakan invasif, sehingga diperlukan manajemen nyeri baik farmakologi maupun non-farmakologi. Oleh karena itu, diperlukan manajemen nyeri non-farmakologi yang tidak hanya mengurangi nyeri tetapi dapat menstimulasi tumbuh kembang bayi. Tujuan: Untuk menganalisis keberhasilan manajemen nyeri dengan metode non farmakologi selama prosedur tindakan insersi intravena, blood sampling, dan untuk menilai efek terhadap pengurangan nyeri dengan pengukuran menggunakan skor premature infant pain profile (PIPP). Metode: Review artikel penelitian yang diperoleh dari database ProQuest, Science Direct, PubMed, Oxford, dan SAGE Journal. Kriteria inklusi pada penelitian ini adalah artikel desain penelitian randomized control trial (RCT) yang diterbitkan antara tahun 2017-2023. Kata kunci yang digunakan dalam proses pencarian PICO yaitu "Neonate, pain assessment, reduced pain, dan invasive prosedur. Pencarian mengidentifikasi 938 studi yang relevan dan tujuh studi memenuhi kriteria inklusi. Evaluasi kualitas artikel dilakukan melalui Joanna Briggs Institute (JBI) untuk menilai kualitas artikel penelitian, dan analisis tematik digunakan sebagai metode analisis data. Hasil: Review pada tujuh artikel menunjukkan bahwa berbagai manajemen nyeri non-farmakologis yang efektif pada bayi prematur dan cukup bulan adalah stimulasi oral menggunakan larutan manis, stimulasi audio, kangaroo mother care (KMC), crochet octopus, HSTT dan baby swaddling Kombinasi dari beberapa intervensi manajemen nyeri non-farmakologi lebih efektif daripada satu jenis intervensi. Simpulan: Kombinasi beberapa intervensi manajemen nyeri non farmakologi dapat secara efektif menurunkan nyeri pada BBLR. Saran: Bagi Perawat neonatal diharapkan dapat memanfaatkan metode KMC, penggunaan crochet octopus, posisi bayi, dan teknik pembedongan untuk mengurangi respon nyeri, meningkatkan kenyamanan, dan tumbuh kembang pada bayi berat badan lahir rendah (BBLR).   Kata Kunci: Manajemen Nyeri; Neonatus; Non Farmakologis; Penurunan Nyeri; Tindakan Invasif.
Deteksi dini gangguan pertumbuhan pada bayi risiko tinggi melalui monitoring berat badan: A systematic review Kurniasih, Dwi Uji; Ramawati, Dian
Holistik Jurnal Kesehatan Vol. 18 No. 5 (2024): Volume 18 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i5.326

Abstract

Background: Detection of growth disorders in high-risk infants is done by monitoring weight, length, and head circumference. It is important to monitor newborn weight as a first step in detecting growth disorders in both healthy and sick infants, as well as high-risk infants. Purpose: To detect early detection of disorders in high-risk infants through weight monitoring. Method:  Systematic literature review research uses the PICO approach, namely P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), and O (outcome). Writing literature with keywords “early detection AND growth disorders”, “monitoring AND high risk infants AND weight”, “monitoring weight AND high risk infants”. Identifying 11 articles and then filtering according to the topic of discussion, there were 5 articles related to early detection of disorders in high-risk infants through weight monitoring. Results: Based on the 5 articles reviewed, it shows that monitoring can be applied with several methods, including using WHO growth charts for full-term neonates and Fenton charts for less-term neonates. Conclusion: With early detection by electronic weight method, it becomes easier to manage the failure of weight gain. Suggestion: Neonatal Intensive Care Unit (NICU) nurses can apply the use of daily weight monitoring charts to neonates, especially high risk neonates.   Keywords: Baby's Weight; Early Detection; High Risk Infants; Low Weight Babies (LBW); Monitoring; Growth.   Pendahuluan: Deteksi gangguan pertumbuhan pada bayi yang berisiko tinggi dilakukan dengan memantau berat badan, panjang badan, dan lingkar kepala. Pentingnya memantau berat badan bayi baru lahir sebagai langkah awal dalam mendeteksi gangguan pertumbuhan, baik pada bayi yang sehat maupun yang sakit, serta bayi berisiko tinggi. Tujuan: Untuk melakukan deteksi dini gangguan pada bayi berisiko tinggi melalui monitoring berat badan. Metode: Penelitian sistematik literature review menggunakan pendekatan PICO yaitu P (problem, patient, or population), I (intervention, prognostic factor, or exposure), C (comparison or control), dan O (outcome). Penulisan literature dengan kata kunci “deteksi dini AND gangguan pertumbuhan”, “monitoring AND high risk infants AND weight”,”monitoring weight AND high risk infants”. Mengidentifikasi 11 artikel selanjutnya dilakukan penyaringan sesuai dengan topik bahasan mendapatkan 5 artikel yang terkait mengenai deteksi dini gangguan pada bayi berisiko tinggi melalui monitoring berat badan. Hasil: Berdasarkan 5 artikel yang dikaji menunjukan bahwa, monitoring tersebut dapat diaplikasikan dengan beberapa metode antara lain, menggunakan grafik pertumbuhan WHO untuk neonatus cukup bulan dan grafik Fenton untuk neonatus kurang bulan. Simpulan: Adanya deteksi dini dengan metode berat badan elektronik, kegagalan peningkatan berat badan akan lebih mudah untuk dilakukan tatalaksana. Saran: Perawat ruang Neonatal Intensive Care Unit (NICU) agar dapat menerapkan penggunaan grafik monitoring berat badan harian pada neonatus, khususnya neonatus risiko tinggi.   Kata Kunci: Berat Badan Bayi; Bayi Risiko Tinggi; Bayi dengan Berat Badan Rendah (BBLR); Deteksi Dini; Monitoring; Pertumbuhan.
Application of Education and Paper Quilling to Stimulate Fine Motor Ability in Down Syndrome Children: a Case Study Rahmawati, Helda Budi; Ramawati, Dian; Rahmawati, Eni
Journal of Bionursing Vol 6 No 2 (2024): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2024.6.2.13155

Abstract

Latar belakang. Down syndrome merupakan kelainan kromosom yang dapat menyebabkan gangguan motorik halus yang ditandai dengan buruknya koordinasi tangan-mata dan gangguan ketegangan otot. Penilaian terhadap 4 orang tua yang memiliki anak down syndrome menyatakan bahwa mereka belum mengetahui aktivitas yang dapat merangsang motorik halus anaknya. Pendidikan dirancang untuk mengubah pengetahuan orang tua menjadi lebih baik. Penelitian ini bertujuan untuk mengetahui pengetahuan orang tua dan penerapan paper quilling untuk merangsang motorik halus anak down syndrome Metode. Penelitian ini berbentuk studi kasus terhadap 2 responden yang dilakukan selama 6 hari berturut-turut selama 30-60 menit setiap pertemuan. Intervensi edukasi terapi pretest dan paper quilling dilakukan dalam waktu 3 hari. Paper quilling diaplikasikan pada orang tua dan anak down syndrome selama 3 hari. Hasil. Hasil posttest pengetahuan orang tua mengenai terapi paper quilling meningkat setelah intervensi dengan rata-rata pretest 57,5 ​​​​menjadi 85. Hasil observasi motorik halus anak rata-rata pretest 0 meningkat setelah intervensi menjadi rata-rata 50 pada posttest . Kesimpulan. Pemberian intervensi edukasi paper quilling dapat meningkatkan pengetahuan orang tua mengenai paper quilling. Penerapan intervensi paper quilling dapat meningkatkan kemampuan motorik halus anak down syndrome.
Studi Kasus Pemberian Edukasi Feeding Rules terhadap Peningkatan Pengetahuan Ibu dengan Anak Stunting di Desa Banteran Hasna, Tsabitah; Ramawati, Dian
Journal of Bionursing Vol 6 No 3 (2024): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2024.6.3.15019

Abstract

Background: Stunting is a growth and development disorder experienced by children due to poor nutrition, recurrent infections and inadequate psychosocial stimulation. One of the important factors that influences the nutritional status of children under five is the mother's knowledge about nutrition in children under five. Mothers' knowledge regarding toddler nutrition can be increased through health education. One health education that can be given to mothers with stunting toddlers is the implementation of feeding Methods: This research is a type of qualitative research with a case study approach. The first stage carried out in this research was conducting an assessment and providing implementation based on the articles found, namely providing education on feeding rules. Pre and post-test evaluations are carried out to measure increased knowledge. Results: Implementing feeding rules education can increase mothers' knowledge of stunting toddlers. This is proven by an increase in mother An's knowledge. A during the pre-test the results were 53.3% (poor) to 100% (good). The same thing happened to Mrs. An. D experienced an increase in knowledge from 46.6% (poor) to 100% (good). Conclusion: Education on feeding rules can increase knowledge among mothers of stunted toddlers
Co-Authors Afianti, Sefi Rachma Aprilianingsih, Nur Ariani, Ida Arif Setyo Upoyo Aswin, Atikah Proverawati, Atikah Christian Sandi Endang Triyanto Eni Rahmawati Gunawan Gunawan Hasna, Tsabitah Heni Ekawati Iwan Purnawan Kurniasih, Dwi Uji Lutfatul Latifah MJW, Endrian Mursiyam, Rahmawati, Helda Budi rusana, rusana Salam, Wulan Anugrah Pauji Saryono, Setiyani, Rahmi Subandi, Ahmad Sumarwati, Made Wahyu Setyaningsih Waluyo Sejati Yunita Sari