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The Effect of Tactile – Kinesthetic Stimulation on Bone Mineralization, Osteocalcin Levels and Body Height Among Stunting Children Aged 6-11 Months Sutarmi, Sutarmi; Susanto, Hardhono; Mexitalia, Maria; Medise, Bernie
Jurnal Pendidikan Keperawatan Indonesia Vol 10, No 1 (2024): Volume 10, Nomor 1, Juni 2024
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.17509/jpki.v10i1.71210

Abstract

Introduction: Stunting is growth faltering caused by as poor nutrition, recurrent infections, a lack of psychosocial stimulation. Growth faltering is associated to bone growth disorder.  In order to prevent and overcome stunting not only nutrition but also an adequate stimulation is needed. Objective: This study looked at the effects of tactile–kinesthetic stimulation on bone mineralization, osteocalcin levels and body height among stunting children. Methods: Eighty (80) stunting children (mean of age 8 ± 1,71) were randomly assigned into two groups. Tactile–Kinesthetic Stimulation (TKS) was administrated by trained parents twice daily for three months in the intervention group. The control group was given a routine care of stunting program from public health center. The bone mineralization (osteocalcin serum) and length of body in both groups were measured at enrollment and after week twelve. Results: During three (3) months TKS period, the intervention group had a significant increment in length and osteocalcin serum compared to control group (p 0.005) at 3.17 cm and 11.5 ng/ml respectively. Moreover, this study also showed that providing TKS demonstrated a strong correlation in a positive direction to length. The TKS treatment could increase the body height of stunting children by 86.5%. There was a positive correlation among osteocalcin levels, intake of vitamin A, protein and calcium on improving length (p0.05). Conclusion: TKS was significantly effective in promoting bone mineralization particularly osteocalcin levels and length among stunting children. There was also a strong correlation that TKS could elevate the length of 0.865-times. 
Pengembangan Desa Berdaya Bebas Covid-19 melalui Pendekatan Holistic Sutarmi Sutarmi; Tavip Indrayana; Marlynda Happy Nurmalita Sari
Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat Vol. 2 No. 1 (2021): Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat
Publisher : LPPM Akbid Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37402/abdimaship.vol2.iss1.127

Abstract

The spread of Covid-19 cannot be stopped, but people must start adapting to new life habits or “New Normal Life”. This activity aims to increase knowledge and empower the community in adapting to a new life during the Covid-19 pandemic. Target residents of Temurejo Village, Blora. Methods include preparation, organizing, education and training, self-empowerment and integration, implementation and termination. The activity begins with coordination, preparation, determining the territory and schedule of activities. Followed by organizing, coordinating with the head of Temurejo Village, community representatives and the Covid -19 cluster. Education and training to increase public knowledge and understanding of health protocols and self-empowerment during a pandemic. Empowerment and integration by exploring the potential of the community which is integrated with the urgent need in the pandemic era, namely the manufacture of handwashing with the stepping method. Implementation by handing over hand-washing tools and disinfectants, demonstrations of washing hands and spraying public places. The final stage is monitoring evaluation and activity reporting. Activities carried out in accordance with the targets and activity plans. The potential of adequate human resources in receiving science and technology, health protocol procedures and assistance in making hand washing equipment using the stepping method can be developed into a productive effort to become a UMKM in the era of new normal life.It is hoped that there will be similar activities that are regularly scheduled to maintain a healthy lifestyle and develop community potential-based UMKM formation activities.
Effectivenes Of Puzzle Play Therapy To Reduce Anxiety, Case Study In Pre-School Age Children Who Undergo Chemotherapy At Rsup Dr. Kariadi Semarang Sutarmi Sutarmi; Siti Musyarofah; Warijan Warijan; Tavip Indrayana; Joni Siswanto
Jurnal Studi Keperawatan Vol 4 No 2 (2023): SEPTEMBER 2023
Publisher : Program Studi Keperawatan Blora, Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/j-sikep.v4i2.10323

Abstract

Background: Children with cancer will undergo various treatments and the most common is chemotherapy. Chemotherapy and repeated hospitalization make children uncooperative with health workers and anxious. One of the cooperative and collaborative efforts that can be done to overcome children's anxiety is by playing puzzle therapy. Purpose: Knowing the effect of the application of puzzle play therapy on reducing anxiety in preschool children (3-6 years) undergoing chemotherapy during hospitalization. Methods: Case study design based on inclusion and exclusion criteria. The number of respondents was 3 clients. Observation using the instrument of measuring the level of anxiety Preschool Anxiety Scale Revised (PASR). The intervention was carried out for 10-15 minutes 1 hour before chemotherapy. Discussion: There were 3 respondents aged 3-6 years, most of them were women who did not receive chemotherapy for the first time. 2 out of 3 clients experienced severe anxiety and 1 client experienced moderate anxiety, the child seemed to cry, was silent, avoided eye contact, looked tense. After the puzzle play therapy intervention, 2 clients experienced moderate anxiety and 1 client experienced mild anxiety, the three clients seemed calm, didn’t cry, tensed less. Recommendation: In this case study the application of puzzle play therapy can reduce the anxiety level of preschool children undergoing chemotherapy with hospitalization. It is hoped that by carrying out this case study, it can add insight, references, and innovations in non-pharmacological actions for preschool children who are undergoing chemotherapy with anxiety. Keywords: anxiety level; pre-school; chemotherapy; hospitalization; puzzle play therapy.