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All Journal JURNAL ILMIAH KESEHATAN KEPERAWATAN Majalah Kedokteran Bandung Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Reproduksi The Indonesian Journal of Public Health Sari Pediatri Paediatrica Indonesiana Belitung Nursing Journal Jurnal Gizi Klinik Indonesia Jurnal Kesehatan Reproduksi Media Ilmu Kesehatan Journal of Community Empowerment for Health Jurnal Aisyah : Jurnal Ilmu Kesehatan Berita Kedokteran Masyarakat Jurnal Kebidanan dan Keperawatan Aisyiyah Academic Hospital Journal Jurnal Ilmiah Kesehatan Keperawatan Indonesian Journal of Pharmacology and Therapy
Mei Neni Sitaresmi
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : Belitung Nursing Journal

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Effect of care for child development training on cadres’ knowledge, attitude, and efficacy in Yogyakarta, Indonesia Akhmadi, Akhmadi; Sunartini, Sunartini; Haryanti, Fitri; Madyaningrum, Ema; Sitaresmi, Mei Neni
Belitung Nursing Journal Vol. 7 No. 4 (2021): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1521

Abstract

Background: Stunting is a common malnutrition problem among children in the world. The Care for Children Development (CCD) intervention is a strategy to reduce stunting. Objective: This study aimed to identify the effect of culturally modified CCD training on the knowledge, attitude, and efficacy (KAE) of cadres about stunting in the community.Methods: We conducted a community-based study with a quasi-experimental research design using a comparison group. The study was conducted from March 2018 to February 2019 at three Public Health Centers in Yogyakarta, Indonesia. The total participants were 69 in the intervention group and 53 in the comparison group. Cadres in the intervention group received two days of training on a culturally modified CCD guideline. In contrast, cadres in the comparison group received a brief explanation (a one-day training) on that program. The nurses from three public health centers were facilitators in this training. Knowledge and self-efficacy were assessed using a modified Caregiver Knowledge of Child Development Inventory and General Self-efficacy Scale, respectively. Data were analyzed using Mann-Whitney U and Wilcoxon tests.Results: All 122 cadres completed the training. In the intervention group, CCD training significantly increased cadres’ knowledge (median score 14 vs. 11), attitude (58 vs. 55), and efficacy (30 vs. 28), all with p <0.001. In the comparison group, the short explanation of CCD significantly improved cadres’ knowledge (median score 12 vs. 10) and efficacy (29 vs. 27) but not their attitude. The delta or change in score before and after CCD training for cadres’ attitude in the intervention group was significantly higher than that of the comparison group (3.78 vs. 0.72; p = 0.050). Conclusion: A culturally modified CCD training significantly improves cadres’ KAE in the intervention group and cadres’ knowledge in the comparison group. The learning delivery methods with demonstrations and role-plays significantly improved the cadres’ attitudes as health educators for stunted mothers in the community. For sustainability, community health nurses should regularly collaborate with cadres to improve the nutritional status of children in their area.
Acupressure intervention for children: A scoping review Ramdaniati, Sri; Sitaresmi, Mei Neni; Haryanti, Fitri; Iman, Arief Tarmansyah
Belitung Nursing Journal Vol. 11 No. 1 (2025): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3524

Abstract

Background: Acupressure is a popular form of complementary nursing among adults. It stimulates the body’s self-healing processes by enhancing energy flow, or “chi,” along meridian channels. Acupressure can address many health issues and is also used on children because it is painless and straightforward. Although acupressure has existed for centuries, research on its applications for children remains limited. Objective: This review aimed to categorize and synthesize the research conducted over 30 years on acupressure in children. Design: A scoping review Data Source: The databases searched were PubMed, ProQuest, Scopus, ScienceDirect, Wiley, Medline EBSCO, and Google Scholar. The inclusion criteria were original peer-reviewed articles in English or Indonesian that used acupressure as an intervention for children in any setting from 1991 until March 2022 and were updated until March 2024. Review Methods: This review followed the Joanna Briggs Institute Manual Methodologies. Subsequently, the retrieved articles were imported into the EndNote program version 20. Based on the identification results, 2924 articles were obtained, and 76 articles were retained. The review decision process was depicted in a PRISMA flow diagram. Results: Of the 76 articles, 72% came from the Asian continent, 66% were published within the past ten years, and 59% were randomized controlled trials. Acupressure was most used (48%) by school-age children (7-12 years), with commonly targeted points being Neiguan (P6), Zusanli (ST36), Hegu (LI4), Yintang (Extra1), and auricular acupoints. Acupressure on children can be administered by acupuncturists, nurses, doctors, caregivers, and parents, offering six main benefits: alleviating nausea and vomiting, relieving pain, decreasing anxiety, relieving fatigue, increasing visual function, and increasing weight and height. Conclusion: Acupressure offers numerous advantages for children with various conditions. Healthcare and nursing professionals should consider using it as a complementary intervention to address issues and problems in healthy and sick children. However, further studies are needed to evaluate its effectiveness.
Prevalence and associated factors of emotional and behavioral problems in Indonesian early adolescents: A cross-sectional study Sundari, Ririn Isma; Sitaresmi, Mei Neni; Lusmilasari, Lely
Belitung Nursing Journal Vol. 11 No. 4 (2025): July - August
Publisher : Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3990

Abstract

Background: Emotional and behavioral problems (EBPs) in early adolescence are a growing public health concern, particularly in low- and middle-income countries like Indonesia. The COVID-19 pandemic has further disrupted adolescent development, highlighting the need to identify both internal and external contributing factors to these issues. Objective: This study aimed to assess the prevalence of emotional and behavioral problems among early adolescents in Central Java, Indonesia, and to identify internal and external factors associated with these problems during the post-pandemic transition from hybrid to offline learning. Methods: A cross-sectional study was conducted from May to June 2023 involving 256 adolescents aged 10–14 years in Central Java. Emotional and behavioral problems were measured using the Strengths and Difficulties Questionnaire – Self-Report (SDQ-SR). Internal factors were assessed using the Reduced Morningness–Eveningness Questionnaire (rMEQ) and the Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA). External factors were measured through sociodemographic questionnaires and the Revised Family Communication Pattern (rFCP) Scale. Descriptive statistics were used to characterize the sample. Associations were analyzed using multiple logistic regression, and model fit was assessed using the Hosmer–Lemeshow test and Nagelkerke R². Results: The prevalence of adolescents with abnormal total difficulties scores was 15.6%. Among SDQ subscales, emotional problems showed the highest abnormal prevalence (30.1%), followed by peer problems (10.9%), conduct problems (10.5%), and hyperactivity-inattention (4.3%). Multivariate logistic regression analysis revealed that adolescents with an eveningness chronotype were significantly more likely to experience EBPs (OR = 21.11, 95% CI: 5.82–76.63, p <0.001). Similarly, low emotional regulation increased the risk (OR = 5.08, 95% CI: 2.18–11.80, p <0.001). Among external factors, low maternal education (OR = 1.34, 95% CI: 1.12–1.94, p = 0.015) and low intrafamilial communication (OR = 3.35, 95% CI: 1.45–7.74, p = 0.004) were also significant predictors. The model showed good fit (Hosmer–Lemeshow χ² = 6.050, p = 0.642) and explained 40.6% of the variance in EBPs (Nagelkerke R² = 0.406). Conclusion: Emotional and behavioral problems remain a concern among Indonesian early adolescents in the post-pandemic, with emotional symptoms being the most prevalent. Internal risk factors, such as eveningness chronotype and low emotional regulation, as well as external factors like maternal education level and intrafamilial communication, were significantly associated with these issues. These findings suggest a need for early mental health screening and targeted interventions. For nursing practice, this highlights the role of nurses in school and community settings in promoting emotional regulation, strengthening family communication, and delivering health education tailored to familial and developmental contexts.
Co-Authors Abdul Wahab Ade Febrina Lestari Afrilia Intan Pratiwi Agung Triono Agung Triono, Agung Akhmadi Akhmadi Albaaza Nuady Albayani, Melati Inayati Albayani, Melati Inayati Alifah Anggraini, Alifah Anggraeni Budi Lestari Anita E. Heywood Anjarsari Haspitaningrum Arhana, Arhana Ari Prayitno, Ari Arief Tarmansyah Iman Aries Suparmiati Azwar Aruf Barida, Iram Budi Santosa Chandini Raina MacIntyre Cissy B. Kartasasmita Cissy B. Kartasasmita Damroni, Rais Aliffandy Dewi Mutiati Ratnasari Dina Rismawati Diyah Rakanita Undang Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djauhar Ismail Djelantik, I.G.G. Dominicus Husada Dwi Prasetyo Dwi Prasetyo Elisabeth Siti Herini Elsa Maimon Ema Madyaningrum Endah Mayang Sari Faisal Husien Ferry Andian Sumirat Firda Ridhayani Fithia Dyah Puspitasari Fithia Dyah Puspitasari, Fithia Dyah Fitri Haryanti Gatot Irawan Sarosa Gatot Irawan Sarosa, Gatot Irawan Hanifah Oswari Hari Wahyu Nugroho Hartono Gunardi Haspitaningrum, Anjarsari Hindra Irawan Satari Holly Seale I Gusti Agung Trisna Windiani Indria Laksmi Gamayanti Indria Laksmi Gamayanti Iram Barida Iskandar, Kristy Ismoedijanto Jamil, Muhammad Dawam Jarir Atthobari Julitasari Sundoro Kartika Handayani Kartika Handayani Kurniasari, Yulinda Kurniasari, Yulinda Kurniawati Arifah Kusnandi Rusmil Kusuma Ayu Rachmasari Laksono, Bima Adi Lely Lusmilasari, Lely Lestari, Ade Febrina Luh Putu Rihayani Budi Madarina Julia Maddepunggeng, Martira Mayae Hugo Mayae Hugo Medina Permatawati Mohammad Juffrie Mohammad Juffrie Mohammad Juffrie, Mohammad Mooiindie, Khansadhia Hasmaradana Muhammad Dawam Jamil N Nurlaila Nastiti Kaswandani Nenny Sri Mulyani Neti Nurani Novilia Sjafri Bachtiar Nugrahanto, Andika Priamas Nurlaila, N Ova Emilia Paramastuti, Avianti Pradipta, Afradilla Hanum Prasetyo, Ashadi Puji Lestari PUJI LESTARI Purwanta Purwanta Rachmasari, Kusuma Ayu Raihan Raihan, Raihan Ramdaniati, Sri Ratih Wulandari Ratih Wulandari Ratni Indrawanti Retna Siwi Padmawati Ridhayanti, Firda Rini Mulia Sari Risalia Reni Arisanti Roni Naning Rosana, Elvira Sari, Endah Mayang Sari, Shinta Kusumalarna Setyo Handryastuti Shinta Kusumalarna Sari Shyrien Amalina Sigit Prastyanto Siti Helmyati Soedjatmiko Soedjatmiko Soedjatmiko Soeroyo Machfudz Sri Rezeki Hadinegoro, Sri Rezeki Sri Rezeki S. Hadinegoro Sri Rezeki S. Hadinegoro, Sri Rezeki S. Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih Sulistyaningsih, Sulistyaningsih - Sumadiono Sumadiono Sunartini Sunartini, Sunartini Sundari, Ririn Isma Supriyati Susetyowati Syafriyal Syafriyal, Syafriyal Syahperlan Wendi Simangunsong Syawitri P. Siregar Syifa Armenda Timoti, Joshua Tony Arjuna Tunjung Wibowo Tunjung Wibowo Wahyu Damayanti Wibowo, Anton Sony Widyaningrum, Rahmah Yati Soenarto Zakiuddin Munasir Zakiudin Munasir Zulala, Nuli Nuryanti