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Journal : Jurnal NERS

Model Family Centered Maternity Care sebagai Strategi Optimalisasi Competent Mothering Asmuji Asmuji; Diyan Indriyani
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (428.86 KB) | DOI: 10.20473/jn.v11i1.1905

Abstract

Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents.Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00.Conclusion:  This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively.
The Integrated Maternity Management Model Through Promoting and Preventive Encouragement in the Attempts of Lowering the Maternal and Infant Mortality Rates Diyan Indriyani; Asmuji Asmuji
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (628.399 KB) | DOI: 10.20473/jn.v9i2.2533

Abstract

Introduction: Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain the major indicator in assessing the level of certain country’s health quality. Both of Indonesia’s MMR and IMR levels are high enough compared to other ASEAN countries. To address this problem, a synergic cooperation among the cross-linked authorities is of prime important. One possible alternate option is building the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies whose knowledge is relatively lower than the ones in urban areas.Methods: This research is conducted in Mumbulsari and Sukorambi Sub-Districts. The data collection techniques used in this research are survey/observation, interview, FGD, in-depth interview and, PRA conducted both to societies (local figures, people at risk, female teenagers, under-aged pregnant mother and young mothers) and local institutions and authorities.Result: This research has been able to formulate the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies in the attempts of lowering the MMR and IIMR. This model has undergone trial, although the trial is simple in nature, by using the module medias of (1) teenager’s reproductive health which generated the average perception of the teenagers shown by the figure of 58,67 regarding their reproductive health prior to the intervention with minimum score of 30 and maximum score of 85. Meanwhile, upon applying the intervention, the average showed the figure of 81,33 with minimum score of 60 and maximum score of 95. The margin between the pre-test and post-test values reaches the figure of 22,36. This means that the supply of information regarding the module (1) which discusses the health reproductive issue generates better knowledge of those female teenagers concerning the respective issue.Discussion: Therefore, it is suggested that the implementation of the Integrated Maternity Management model through promoting and preventive encouragement put into action by initiating a comprehensive trial in order to generate the most suitable model, respectively.
Family-Based Maternal Sensitivity Model as a Strategy to Optimize Family Perception on the Role of Parents and the Growth of Infants Diyan Indriyani; Susi Wahyuning Asih
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (524.075 KB) | DOI: 10.20473/jn.v13i1.5690

Abstract

Introduction: Family perceptions on the role of parents and the growth of infants must be seriously considered by healthcare workers since they can affect the role of family development in taking care of the babies. A family that has optimally understood the role of their development as a parent will be able to give the appropriate care for the babies.Methods: The study aimed to find out the effects of a family-based Maternal Sensitivity Models (MSM) strategy for family perception optimization on the role of parents and the growth of infants. It used a quasi-experimental design with the samples of 50 families. The samples were obtained using purposive sampling technique. The data were analyzed using dependent t-test.Results: It confirmed that the Family-Based Maternal Sensitivity Models (MSM) strategy significantly affects family perceptions on the role of parents with t-value 5.915 and p-value 0.000. MSM also significantly affects family perceptions on the growth infants with the t-value -11.257 and p-value 0.000.Conclusions: Maternal Sensitivity Models (MSM) can be well applied as one of the health models provided by healthcare workers to optimize parents’ perceptions and infants’ growth as well as to develop a competent family in giving care for their babies.