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Cross-Culture Adaptation and Validation of the Indonesian Version of the Feeding Cues Follow-up Form (FCF-UF) on NICU Nurses Dewi Irianti; Dessie Wanda; Fajar Tri Waluyanti; Mega Hasanul Huda
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.650

Abstract

Background: Premature infants often experience difficulties in oral feeding due to neurological immaturity and poor coordination of sucking, swallowing, and breathing. These challenges may delay the transition to full oral feeding and prolong hospitalization in neonatal intensive care units (NICUs). The Feeding Cues Follow-Up Form (FCF-UF) is designed to objectively assess feeding cues in premature infants; however, it has not been adapted for use in the Indonesian context. Methods: This cross-sectional study aimed to adapt and evaluate the psychometric properties of the Indonesian version of the FCF-UF. Data were collected from 266 NICU nurses working in several hospitals in Indonesia between June and August 2025. The cross-cultural adaptation process followed seven stages. Internal consistency was assessed using Cronbach’s alpha, and test-retest reliability was evaluated using the Intraclass Correlation Coefficient (ICC). Construct validity was examined through Confirmatory Factor Analysis (CFA), and known-group comparisons were conducted to explore differences in instrument scores across respondent characteristics. Result: The Indonesian version of the FCF-UF demonstrated excellent internal consistency (Cronbach’s alpha = 0.922) and high test-retest reliability (ICC = 0.99). CFA supported a one-factor structure with very good model fit (χ²/df = 0.87; RMSEA = 0.000; CFI = 1.000; TLI = 1.001), with strong factor loadings across all items. Known-group comparison showed that pediatric nurse specialists scored significantly higher than nurses with a bachelor’s degree (p= 0.001). Conclusion: The findings indicate that the Indonesian version of the FCF-UF is a reliable and valid instrument for assessing feeding cues in premature infants. This tool may assist NICU nurses in implementing cue-based care and supporting the transition to oral feeding.
Prevalence of Motor Impairments in Children with Acute Lymphoblastic Leukemia during Chemotherapy: A Systematic Review Desti Elza Muslimah; Mega Hasanul Huda; Allenidekania Allenidekania; Ayu Widya Lestari
Nursing Information Journal Vol. 5 No. 2 (2026): Nursing Information Journal
Publisher : Pusat Penelitian dan Pengabdian Masyarakat STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/nij.v5i2.1366

Abstract

Motor impairments are a frequent and disabling consequence of vincristine‑based chemotherapy in children with acute lymphoblastic leukemia (ALL). These deficits can compromise daily functioning and long‑term quality of life. This systematic review aimed to synthesize evidence on the prevalence and characteristics of motor impairments among pediatric ALL patients undergoing chemotherapy.  A comprehensive search was conducted across PubMed, ScienceDirect, Scopus, ClinicalKey, and ClinicalKey Nursing, supplemented by citation tracking. Observational studies published up to May 2025 were screened using the PEOS framework. Ten eligible studies involving 580 children were included. Outcomes assessed encompassed fine motor precision, manual dexterity, coordination, balance, agility, and strength. Motor impairments were consistently reported across all studies, with prevalence varying by treatment phase and country. During induction, prevalence ranged from 48% (USA) to 62.5% (Netherlands). In consolidation, rates reached 75.5% (Colombia). The highest prevalence was observed in the maintenance phase, with Turkey reporting 83.9% overall impairment and specific deficits in fine motor integration (70.6%), strength (74.4%), and upper‑limb coordination (61.1%). Finland showed the lowest overall prevalence (31.8%). Motor impairments are common and persistent in children with ALL receiving vincristine‑based chemotherapy, particularly during the maintenance phase. These findings underscore the need for standardized monitoring protocols, early detection, and timely rehabilitation strategies to mitigate long‑term functional decline and optimize quality of life in pediatric oncology care.
Educational interventions for diabetes prevention knowledge and behavior in children: a systematic review and meta-analysis Mariana Ulfa; Okki Dhona Laksmita; Nur Agustini; Happy Hayati; Imamah Indah Cahyani; Mega Hasanul Huda
Berita Kedokteran Masyarakat Vol 42 No 06 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i06.29453

Abstract

Purpose: This systematic review and meta-analysis evaluated educational interventions for improving type 2 diabetes prevention knowledge and preventive behaviors among children. Methods: A systematic search was conducted in PubMed, ScienceDirect, SAGE Journals, Scopus, ProQuest, MEDLINE, and the Cochrane Library for studies published between 2015 and 2025. Eligible studies were RCTs, cluster RCTs, and quasi-experimental studies evaluating diabetes prevention education among children aged approximately 6–18 years without diabetes and reporting knowledge or preventive behavior outcomes. Risk of bias was assessed using RoB 2 and ROBINS-I. Random-effects meta-analyses calculated standardized mean differences (SMDs) with 95% confidence intervals (CIs). Results: Thirteen studies were included; six were eligible for knowledge meta-analysis and four for preventive behavior meta-analysis, while the remaining studies were summarized narratively. Pooled analyses suggested that educational interventions were associated with improvements in diabetes prevention knowledge (SMD = 1.597; 95% CI: 0.796–2.398; p < 0.001) and preventive behaviors (SMD = 0.625; 95% CI: 0.162–1.089; p = 0.008). Interventions with more than four sessions and cluster RCTs appeared to show stronger effects. Substantial heterogeneity was observed, likely reflecting differences in study design, intervention duration, delivery methods, and outcome measures. Conclusion: Educational interventions appear to be associated with improved knowledge of type 2 diabetes prevention and may support preventive behaviors among children, but findings should be interpreted with caution given heterogeneity and methodological limitations. Multi-session school-based interventions, particularly those with more than four sessions, may be more promising. More rigorous studies with longer follow-up are needed.
Effectiveness of Agent Disinfectant Prior to Intravenous Catheter Placement on Infection and Potential Adverse Effects Among Neonates: A Systematic Review Ina Islamia; Yeni Rustina; Mega Hasanul Huda; Robiyatul Adawiyah
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): 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.v7i4.5410

Abstract

Several disinfection agents have been proven to have controversial issues with neonates. These agents continue to be used to disinfect prior to the insertion of intravenous catheters, both peripheral and central venous catheters in neonatal care rooms. Objective to identify the effectiveness of disinfection agents used prior to intravenous catheter placement among neonates and the possible adverse events. A systematic review was conducted. Databases including Pubmed, Science Direct, Proquest, Ebscohost, Clinical Key Nursing, and Wiley were searched from inception to October 2024. The eligibility criteria were neonates who needed intravenous catheter placement (peripheral or central), with experimental research design, and articles written in English. The quality of studies was assessed depending on the study design. Our study is registered on PROSPERO number CRD42024618924. 1119 articles were found. After the screening processes, we finally included 7 articles. Disinfection agents frequently used in neonatal settings in the included studies were chlorhexidine (with varying concentrations), aqueous and alcohol-based, and povidone-iodine 10%. The disinfectant used prior to the insertion of the intravenous catheter was effective in reducing pathogen colonization on the skin and preventing bloodstream infection. Even so, there were some concerns regarding the adverse effects of the disinfectant agent used. The disinfection prior to invasive procedures in neonatal care is a debated topic. Despite this, inadequate disinfection poses more life-threatening due to the risk of bloodstream infection. Key factors to consider when choosing an appropriate topical agent disinfectant prior to intravenous catheter placement in neonates include gestational age, birth weight, and skin condition.
The Determinant Factor of Paternal Breastfeeding Self-Efficacy after Hospital Discharge: A Cross Sectional Study Novia Pratiwi; Siti Chodidjah; Mega Hasanul Huda
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6130

Abstract

Breast milk is essential for infant health, providing vital nutrients and supporting immune development. Despite improvements in exclusive breastfeeding rates in Indonesia, challenges persist, particularly in the early days postpartum. Paternal involvement is crucial for successful breastfeeding, yet many fathers express a lack of confidence in their ability to support this process. This study aims to examine the determinants of paternal breastfeeding self-efficacy (PBSE) following hospital discharge, focusing on factors such as delivery type, paternal education, and mental health. A cross-sectional design was employed, targeting fathers whose partners delivered at public hospitals in Jakarta. Data was collected on paternal characteristics and their influence on PBSE, utilizing multiple linear regression analysis to identify significant associations. The analysis revealed that fathers whose partners had vaginal deliveries exhibited significantly higher PBSE (unstandardized B coefficient of 5.2, p < 0.001). Fathers with a high school education or below showed a positive association with PBSE (unstandardized B of 3.4, p = 0.015). Additionally, anxiety and depression negatively impacted PBSE, with unstandardized B coefficients of -0.2 (p = 0.038) and -0.3 (p = 0.021), respectively. Enhancing paternal confidence through targeted educational interventions and addressing mental health concerns is essential for improving breastfeeding practices. These findings underscore the importance of involving fathers in breastfeeding, contributing to better health outcomes for both mothers and infants.
The Effect of Emollient Oils in Preterm Infants: A Systematic Review and Meta-Analysis Rita Wahyuni; Happy Hayati; Mega Hasanul Huda
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6179

Abstract

Premature infants have distinct physiological differences in their skin compared to full-term infants, characterized by thinner skin and subcutaneous tissue due to an underdeveloped stratum corneum. Several non-pharmacological therapies are implemented to improve the skin integrity of premature infants. However, the effectiveness of these therapies needs to be explored further to establish their role in enhancing skin care and overall health outcomes in this vulnerable population. Objective to identify the effectiveness of non-pharmacological interventions on the skin condition and health outcomes of preterm infants, and to determine which intervention is most effective in improving skin condition and health outcomes. In this meta-analysis, randomized controlled trials (RCTs) of emollient oil administration interventions were systematically searched across four databases including Pubmed, Science Direct, Oxford Academic, and Cochrane. The studies that met the eligibility criteria were independently assessed for methodological quality, and data extraction was performed by two investigators. A total of 8 trials were identified, encompassing 3637 participants. To analyze the data, a random-effects model was employed, along with subgroup analysis and meta-regression analysis to explore the effects of different intervention components. Coconut oil and sunflower seed oil were evaluated for their effects on skin condition using the NSCS. The results indicated that sunflower seed oil was significantly more effective in reducing the NSCS score, with a p-value of 0.001 (95% CI = 1.426 to -0.364). Liquid Vaseline in the control group also showed significant results, with a p-value of 0.001 (95% CI = -1.426 to -0.364). In terms of weight gain and the incidence of hypothermia, there were no significant differences between the two oils and the control group. Administration of the oils once a day for a longer duration proved to be more effective in improving the infants' skin condition. Evidence suggests that the use of coconut oil and sunflower seed oil is effective in increasing body weight and reducing the incidence of hypothermia and sepsis. Furthermore, sunflower seed oil appears to be more effective than coconut oil in improving skin condition. Based on these findings, it is recommended that policymakers and healthcare professionals consider incorporating coconut oil or sunflower seed oil emollients into the routine care of premature infants.
Effectiveness Infant Massage Provided by Mother on Weight Gain Among Premature Infants: A Systematic Review Kusnul Hasanah; Endah Dessirya; Yeni Rustina; Robiyatul Adawiyah; Mega Hasanul Huda
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6213

Abstract

Premature birth poses significant health challenges with implications of low birth weight in infants. Infant massage intervention by mothers shows potential in enhancing weight gain in premature infants and improving their neurological and emotional development. This study aims to evaluate the effectiveness of such interventions in promoting holistic growth in premature infants.Objective: This article aims to investigate the effectiveness of infant massage intervention involving mothers in enhancing weight gain in premature infants.Methods: This study employed a systematic review method. A search in the PubMed, Science Direct, Sage Journals, Scopus, Taylor & Francis, Proquest, Clinical Key to retrieve randomized controlled trial of premature infants receiving massage therapy by mother impact of weight gain on infant premature. The registration number was CRD42024622719.Results: Of 883 record article retrieved, 5 RCTs with 406 participans were included. Literature studies indicate that infant massage involving mothers has beneficial effects on premature infants, such as calorie intake, head circumference, body length, nerve development, length of stay (LOS), and sepsis incidence in premature infants. Massage therapy by the baby's mother also did not have any side effects or cause complaints, and no secondary effects were found.Conclusion: Infant massage by mothers is an effective intervention in enhancing weight gain in premature infants. Involving parents in the care of premature infants through interventions like this can provide significant benefits for the well-being and development of premature infants.
Diagnostic Accuracy of Delirium Assessment Tools Among Critically Ill Infant : A Systematic Review Dewi Astika Rahmadhani; Risna Ningsih; Atik Setiawati; Siti Chodidjah; Nur Agustini; Mega Hasanul Huda
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): 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.v7i3.6214

Abstract

Delirium is an acute change in neurologic function that can potentially lead to longterm impacts on children’s cognitive development and the quality of life. Infants under 12 months are particularly vulnerable because their cognitive and language abilities are not fully developed. Therefore, healthcare professionals need to enhance their knowledge of delirium symptoms, child development stages, and how to identify it in this age group to better detection and management. This study aims to evaluate the diagnostic accuracy of delirium assessment tools, namely the Cornell Assessment of Pediatric Delirium (CAPD), the Preschool Confusion Assessment Method for the ICU (psCAM-ICU), and the Sophia Observation Withdrawal Symptoms Pediatric Delirium (SOSPD), in detecting delirium in critically ill infants. This systematic review follows the PRISMA 2020 guidelines and includes a literature search in PubMed, Scopus, ProQuest, ScienceDirect, and Taylor & Francis from 2013 to 2023. Inclusion criteria consist of observational studies involving infants aged 0-11 months in ICU settings that utilized CAPD, psCAM-ICU, or SOSPD for delirium detection. The quality of the studies was assessed using the JBI Critical Appraisal Checklist for Studies Reporting Diagnostic Test Accuracy. Result : The analysis indicates that the SOSPD tool has a sensitivity ranging from 76.9% to 96.8% and specificity between 92% and 96.4%. The CAPD shows sensitivity from 87% to 94.1% and specificity from 88% to 98%. The psCAM exhibits sensitivity from 75% to 95% and specificity from 81% to 91%. The results demonstrate variability in accuracy depending on the age group and clinical condition of the children. Based on the research findings, psCAM is recommended as the most effective tool for detecting delirium in the infant population due to its ease of use and high accuracy. Early detection of delirium is crucial for enhancing clinical management and improving outcomes in critically ill infants.
Instrument for Assessing Respiratory Disorders in Children: A Systematic Review Lhesmi Tri Yana Putri S; Mega Hasanul Huda; Astuti Astuti; Alfin Nugroho; Dessie Wanda
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): 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.v8i1.588

Abstract

Respiratory disorders remain the most common cause of morbidity and mortality in children under 5 years of age worldwide. Pneumonia and asthma are part of this. To reduce pediatric mortality, valid and reliable instruments are needed to guide the further treatment process appropriately. This systematic review aimed to identify the sensitivity and specificity of the Respiratory Index of Severity in Children (RISC) and Test for Respiratory and Asthma Control in Kids (TRACK) instruments in children with pneumonia and asthma. The study was conducted by searching articles from the online databases PubMed, Scopus, JSTOR, ProQuest, Science Direct, and EBSCOhost from 2015 to 2025. Two reviewers independently assessed the study quality using QUADAS-2. Of the 969 articles found, 6 articles were selected for  analysis. The RISC instrument obtained various sensitivity values with a cut-off ≥3, namely 21.3% to 94.1% and specificity values of 73.6% to 89.51%. In the TRACK instrument, the sensitivity values ranged from 75.6% to 81.4% and the specificity values ranged from 70.9% to 80.0% using a cut-off of 80. Both instruments can be used to assess the severity and mortality risk of childhood pneumonia and the assessment of asthma symptoms and control in children.
Feeding cues: a concept analysis Dewi Irianti; Dessie Wanda; Fajar Tri Waluyanti; Mega Hasanul Huda
Pediomaternal Nursing Journal Vol. 12 No. 1 (2026): VOLUME 12 NO 1 MARCH 2026
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/pmnj.v12i1.68524

Abstract

Introduction: Premature infants often experience delays in developing oral feeding skills essential for their growth. This may be due to immature motor development and physiological instability. Inconsistent definitions of feeding cues can also affect the quality of care provided. Therefore, a concept analysis of feeding cues in premature infants is necessary to clarify definition and improve the accuracy of care to meet their needs. This study aimed to clarify the concept of feeding cues in premature infants.Methods: The Walker and Avant concept analysis method was used. A literature search was also conducted from five databases: PubMed, ProQuest, ScienceDirect, Scopus, and Google Scholar for 2000 and later.Results: The literature search obtained 20 articles on feeding cues from various disciplines. Eight attributes were developed from the concept analysis, including (1) behavioral and physiological signs, (2) readiness to feed, (3) transition and awareness ability, (4) hand and mouth movements, (5) effective sucking and swallowing, (6) self-regulation, (7) behavioural changes, and (8) facial expression. Antecedents to feeding cues include infant physiology, infant’s level of consciousness changes, infant motor and reflex development, respiratory stability and health status, and availability of feeding resources. Consequences include timely and appropriate feeding according to infant’s needs, infant’s self-regulation, infant’s comfort and stability, development of a positive caregiver-infant relationship, and balance of energy intake and growths.Conclusion: The concept analysis provides eight comprehensive attributes and their antecedents and consequences, emphasising the importance of understanding feeding cues in premature infants. This understanding can guide nursing care, enhance early feeding interventions, and support the growth and development of premature infants to enhance the quality of nursing care in this group.Keywords: concept analysis; feeding cues; premature infants
Co-Authors Abram Babakal Adawiyah, Robiyatul Ade Handayani Ade Silvia Handayani Alfah Ratna Wati Alfanira Setiawan Alfin Nugroho Alfin Nugroho Allendekania Allendekania Allenidekania Allenidekania Anisah Fadhilah Argarini, Diah Astuti Astuti Astuti Astuti Astuti Yuni Nursasi Atik Setiawati Atik Setiawati Atun Roudatul Ma’rifah Avliya Quratul Marjan Ayu Widya Lestari Ayu Widya Lestari Ayuni Rizka Utami Azizah Nurrohmah Azizah, Latifah Fajri Nur Azkiyati, Ade Maya Azwar Azwar Christanty Christanty Defi Efendi Dessie Wanda Desti Elza Muslimah Desy Rasmiyani Dewi Astika Rahmadhani Dewi Astika Rahmadhani Dewi Astika Ramadhani Dewi Hayati Dewi Irianti Dewi Irianti Dina Setya Rahmah Kelrey Dwi Cahya Rahmadiyah Elisa Islami Putri Endah Dessirya Endah Dessirya Ening Wahyuni Fajar Listya Ayuningtyas Fajar Tri Waluyanti Fajar Tri Waluyanti Fajar Tri Waluyanti Ganar Rajni Fathariq Gita Sari Aryani Gustika Arnils Hafizs Nasirun Happy Hayati Happy Hayati Hermin Mardiana Herry Susanto Hertani Indah Lestari Hertanti Indah Lestari Husni, Nyayu Latifah Ibnu Ziad, Ibnu Imamah Indah Cahyani Ina Islamia Ina Islamia Intan Asri Nurani Juli Widiyanto Kherunnisa Kherunnisa Khodijah Alkaff Kusnul Hasanah Kusnul Hasanah Lhesmi Tri Yana Putri S Lhesmi Tri Yana Putri Simanjuntak Linda Setyowati Linda Wati Luluk Khusnul Dwihestie M. Abdul Hamid Zubair1 M. Zakuan Agung Maria Margarita Oratmangun Mariam Efendi Mariana Ulfa Marita, Zadam Mieska Despitasari Moh. Heri Kurniawan Mohammad Heri Kurniawan Mohammad Heri Kurniawan Muhammad Fauzi Rahman Muhammad Fauzi Rahman Mutiara Amanda Nani Nurhaeni Nina Dwi Putri Novia Pratiwi Nur Agustini Nurani, Intan Asri Nursanti Christianingsih Nyayu Latifah Husni Okinarum, Giyawati Yulilania Okki Dhona Laksmita Pande Lilik Lestari Pricilia Mais Putra, Hasriza Eka R. Rr Maria Dyah Kurniasari Rahmasari, Syifa Widya Rahmatika Alimuddin Raudha Ilmi Farid Reni Yustina Risna Ningsih Riswal Hanafi Siregar Rita Wahyuni Robiyatul Adawiyah Robiyatul Adawiyah Roselyn Chipojola Rudy, Rudy SANTOSO SANTOSO Shahylannanda Tito Yuwono Siti Chodidjah Sri Agustin Tabara Sri Chodidjah Surwaningsih Suryani Hartati Syaiful, Afifah Ayu Syifa Widya Rahmasari Titik Ambar Asmarini Wanda , Dessie Widhiastuti, Erma Yeni Rustina Yeni Rustina Yeni Yarnita Yogi Prawira Yohanes Andy Rias Yuhendri Putra