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Mother’s experience in caring for children with severe malnutrition Setiyowati, Erni; Waluyanti, Fajar Tri; Rachmawati, Imami Nur
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 5, No 1: June 2020
Publisher : Universitas Aisyah Pringsewu

It is a challenge for mothers to meet the need of children on nutrition. Failure in meeting this need causes malnutrition in children. This research is aimed to explore a mother’s experience in caring for children with severe malnutrition. A qualitative design was applied using a descriptive phenomenology approach. The total of participants involved were eight persons selected purposively. Data were collected through in-depth interview. This research found that mothers did not realize that their children experience malnutrition, causing malnutrition condition is not their main priority. Aside from that, mothers got bad treatment from the health workers during the consultation. Mothers need to be supported and empowered, handling and preventing their children from malnutrition. Health workers need to change their attitude towards patients and develop their communication and counseling skills.Pengalaman Ibu Merawat Anak dengan Gizi BurukAbstrakMerupakan tantangan bagi para ibu untuk memenuhi kebutuhan anak-anak akan nutrisi. Kegagalan dalam memenuhi kebutuhan ini menyebabkan kekurangan gizi pada anak-anak. Penelitian ini bertujuan untuk mengeksplorasi pengalaman seorang ibu dalam merawat anak-anak dengan gizi buruk. Desain kualitatif diterapkan menggunakan pendekatan fenomenologi deskriptif. Total peserta yang terlibat adalah delapan orang yang dipilih secara purposive. Data dikumpulkan melalui wawancara mendalam. Penelitian ini menemukan bahwa para ibu tidak menyadari bahwa anak-anak mereka mengalami kekurangan gizi, menyebabkan kondisi gizi buruk bukan prioritas utama mereka. Selain itu, para ibu mendapat perlakuan buruk dari petugas kesehatan selama konsultasi. Para ibu perlu didukung dan diberdayakan, menangani dan mencegah anak-anak mereka kekurangan gizi. Petugas kesehatan perlu mengubah sikap mereka terhadap pasien dan mengembangkan keterampilan komunikasi dan konseling mereka.

Sumber Tenaga, Komunikasi, Usia, Lama Kerja Dan Pelatihan Perawat Dapat Meningkatkan Pelaksanaan Perawatan Bayi Prematur Di Ruang Perinatologi Erna Julianti; Fajar Tri Waluyanti; Alleni dekania
Citra Delima Scientific journal of Citra Internasional Institute Vol 4 No 2 (2021): Citra Delima Scientific journal of Citra Internasional Institute
Publisher : Ilmiah Institut Citra Internasional

Complexity of intensive care of premature babies causes some routine nursing cares are overlooked which may lead to extension of length of stay, risk of rehospitalization, additional disease’ complications, and decrease of parents’ satisfaction. This cross-sectional study aimed to identify factors related to the implementation of preterm infant care. the consecutive sampling technique was used to select 59 nurses caring for premature babies in the Perinatology Room at the Jakarta Hospital. The analysis was carried out univariately, and bivariately. The statistical test used is the Pearson test and linear regression. The results of the analysis found that there is a significant relationship between the source of nurses, communication, age, length of service of nurses, and training with the implementation of preterm baby care with p Value 0.014, 0.004, <0.001, <0.001, <0.001. Nursing care should be evaluated to improve the performance of nurses and the quality of care of premature babies

The effectiveness of maternal voice in critically ill children undergoing suctioning with acute pain Astuti Astuti; Nani Nurhaeni; Fajar Tri Waluyanti; Efa Apriyanti; Juanda Mutifa; Ni Bodro Ardi
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 3 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(3).297-310

Background: Acute pain during suction in pediatric patients in the intensive care unit is unavoidable. However, it is necessary to provide non-pharmacological interventions that nurses can guide. One of the interventions that can applied in that situation is maternal voice. That intervention giving the opportunity to the children hearing the voice of their mother via voice recorder.Objective: This study was conducted to determine the effect of maternal voice on acute pain experienced by critically ill children during suctioning procedure.Methods: The research method used was quasi experiment pretest posttest without control group design. The study was conducted in May-June 2022 in the PICU in one of the hospitals in Jakarta. The research sample was selected by purposive sampling, 21 respondents assessed at the time of pretest and post-test (5 minutes before suctioning procedure, during procedure, and 5 minutes after procedure). The pain of the critically ill children was observed by FLACC (Face, Leg, Activity, Cry, Consolability) Scale.Results: The Saphiro Wilk test of normality data was carried out for all the data, either pretest or post-test data. Bivariate tests were analysed using Wilcoxon Signed Rank Test (for the abnormal data) and Paired T-Test (for the normal data) with the results of pain scores before and after being given maternal voice (when starting suction, p value = 0.001; after starting suction, p value = 0.001; 5 minutes after suction, p value = 0.002).Conclusions: PICU nurses should practice maternal voice along with suction to reduce the pain sensation received by children.

Digital-Based and Direct Education to Enhance Complementary Feeding Knowledge and Practices: A Systematic Review Nurati, Okti Eko; Allenidekania, Allenidekania; Waluyanti, Fajar Tri; Rizany, Ichsan
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.21431

Background: The practice of infant and young children still does not meet the WHO guidelines, although different types of education have been carried out to increase mothers' knowledge of infant and young children's feeding practices.Objective: To identify the effectiveness of digital education and direct education in increasing the knowledge and practice of infants and children aged 6-23 months.Method: The research design is a systematic review using PRISMA flow. The databases used to search for articles in English published in the period 2013 to 2023 are Pubmed, ScienceDirect, Scopus, and MEDLINE using the search keywords ‘Mother OR maternal’, ‘Children OR infants’, ‘Digital based AND health education method’, and ‘Complementary feeding’. A total of 461 articles were obtained using RCT, quasi-experiment, and combined RCT-cohort research designs. Researchers use the Covidence tool for the data selection process through the extraction. Risk of bias assessment uses the JBI instrument to evaluate articles.Results: Four articles detail the efficacy of digital-based education (utilizing smartphone applications, WeChat, WhatsApp, and digital job aid education), while five articles delve into the effectiveness of direct education approaches (peer counseling, personalized counseling, and home visits). Another article examines the effectiveness of both home visits and interactive voice calls. The research spanned multiple countries, including Indonesia, Bangladesh, India, China, Cambodia, Iran, and Brazil, encompassing a participant pool ranging from 110 to 1885 research subjects. Findings indicate that digital education enhances mothers’ understanding of nutrition, essential knowledge, practices in providing complementary feeding in line with IYCF guidelines, and mother’s confidence in preparing complementary foods. Moreover, direct education increased compliance with suggested feeding practices, encompassing dietary variety, intake of animal protein, and the consumption of iron-rich foods.Conclusion: Nurses can enhance knowledge and practice of complementary feeding by embracing digital education as a potential solution and concurrently promoting cultural sensitivity and tailored education.

Digital-Based and Direct Education to Enhance Complementary Feeding Knowledge and Practices: A Systematic Review Nurati, Okti Eko; Allenidekania, Allenidekania; Waluyanti, Fajar Tri; Rizany, Ichsan
IJNP (Indonesian Journal of Nursing Practices) Vol. 8 No. 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.21431

Background: The practice of infant and young children still does not meet the WHO guidelines, although different types of education have been carried out to increase mothers' knowledge of infant and young children's feeding practices.Objective: To identify the effectiveness of digital education and direct education in increasing the knowledge and practice of infants and children aged 6-23 months.Method: The research design is a systematic review using PRISMA flow. The databases used to search for articles in English published in the period 2013 to 2023 are Pubmed, ScienceDirect, Scopus, and MEDLINE using the search keywords ‘Mother OR maternal’, ‘Children OR infants’, ‘Digital based AND health education method’, and ‘Complementary feeding’. A total of 461 articles were obtained using RCT, quasi-experiment, and combined RCT-cohort research designs. Researchers use the Covidence tool for the data selection process through the extraction. Risk of bias assessment uses the JBI instrument to evaluate articles.Results: Four articles detail the efficacy of digital-based education (utilizing smartphone applications, WeChat, WhatsApp, and digital job aid education), while five articles delve into the effectiveness of direct education approaches (peer counseling, personalized counseling, and home visits). Another article examines the effectiveness of both home visits and interactive voice calls. The research spanned multiple countries, including Indonesia, Bangladesh, India, China, Cambodia, Iran, and Brazil, encompassing a participant pool ranging from 110 to 1885 research subjects. Findings indicate that digital education enhances mothers’ understanding of nutrition, essential knowledge, practices in providing complementary feeding in line with IYCF guidelines, and mother’s confidence in preparing complementary foods. Moreover, direct education increased compliance with suggested feeding practices, encompassing dietary variety, intake of animal protein, and the consumption of iron-rich foods.Conclusion: Nurses can enhance knowledge and practice of complementary feeding by embracing digital education as a potential solution and concurrently promoting cultural sensitivity and tailored education.

KEPERCAYAAN DIRI MENJADI IBU BERHUBUNGAN DENGAN STATUS GIZI ANAK USIA 0-12 BULAN Khodijah Khodijah; Waluyanti Fajar Tri; Wanda Dessie
Bhamada: Jurnal Ilmu dan Teknologi Kesehatan (E-Journal) Vol 8 No 2 (2017)
Publisher : UNIVERSITAS BHAMADA SLAWI

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Pemenuhan kebutuhan dasar yang penting untuk pertumbuhan dan perkembangan anak, salah satunya adalah pemenuhan kebutuhan nutrisi, yang sangat tergantung pada orangtua terutama ibu. Apabila kebutuhan nutrisi anak tidak sesuai dengan gizi seimbang dan kebutuhan anak, maka akan terjadi gizi kurang, sehingga diperlukan kepercayaan diri ibu yang tinggi dalam praktik pemenuhan kebutuhan makan anak. Tujuan penelitian ini untuk mengidentifikasi hubungan kepercayaan diri menjadi ibu dengan status gizi anak usia 0-12 bulan. Metode penelitian yang digunakan deskriptif analisis dengan pendekatan cross sectional. Jumlah sampel 101 ibu dengan anak usia 0-12 bulan yang diambil secara stratified random sampling. Analisis menggunakan Kolmogorov-Smirnov. Terdapat hubungan kepercayaan diri menjadi ibu dengan status gizi anak usia 0-12 bulan (p=0,013). Peningkatan status gizi anak memerlukan kepercayaan diri yang tinggi menjadi seorang ibu.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN REAKSI NYERI AKIBAT TINDAKAN INVASIF PADA ANAK YANG DIRAWAT Metha Kemala Rahayu, Fajar Tri Waluyanti,Happy Hayati
JURNAL ILMIAH KEPERAWATAN ALTRUISTIK Vol 2 No 2 (2019): Jurnal Ilmiah Keperawatan Altruistik
Publisher : Institut Kesehatan Hermina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48079/Vol2.Iss2.37

Invasive treatments to the children during the period of hospitalization cause pain reactions. The nurses need to know the factors related to pain reactions. The study aims to identify the factors related with pain reactions related to invasive treatments. The design of this study is observational research with cross sectional approach by using non probability sampling method through consecutive sampling with the amount of 90 children respondents. Multivariate data analysis use multinomial regression statistic test. The result of the analysis indicated that there was a significant relationship between fear and pain reaction (p value = 0,018). The emergence of pain reaction “avoidance” from the children who are in fear is as much 5 times greater than children who are not in fear. Nurses need to conduct nursing interventions that can reduce fear in the children behavior in order to minimize pain reaction in form of avoidance.

Effectiveness of discharge planning in reducing readmissions in children with chronic diseases: A systematic review Wati, Alfah Ratna; Huda, Mega Hasanul; Waluyanti, Fajar Tri; Nurhaeni, Nani
Holistik Jurnal Kesehatan Vol. 19 No. 1 (2025): Volume 19 Nomor 1
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i1.767

Background: Discharge planning is an important process to ensure continuity of care after discharge from the hospital. This process helps reduce readmission rates, especially in children with chronic illnesses. Discharge planning can be a strategic approach to preventing readmissions by ensuring a smooth transition of care from the hospital to home. Purpose: To determine the effect of discharge planning in reducing readmissions in children with chronic diseases. Method: This study uses a systematic review approach with reference to the PRISMA guidelines. The articles analyzed came from the PubMed, SAGE, and ScienceDirect databases with a Randomized Controlled Trial (RCT) research design. A total of 4 (four) articles were selected based on inclusion criteria, discharge planning topics, focus on children with chronic diseases, and publications in the last 5 (five) years (2020-2024). Results: Comprehensive discharge planning significantly reduces readmission rates in children with chronic illness. Findings include that structured family education improves parental readiness to care for children and that social factors, such as parental literacy and household resource availability, influence discharge planning success. Case management provides superior outcomes in reducing readmission rates and improving patient quality of life. An as-needed follow-up approach is highly efficacious without compromising intervention effectiveness. Conclusion: Discharge planning is an effective intervention in reducing readmission rates and improving the quality of home care for children with chronic illness. Successful implementation requires integrated family education, social support, and case management. Adapting the intervention to account for social and cultural factors is also important to improve success across contexts. Keyword: Children With Chronic Illness; Discharge Planning; Readmission. Pendahuluan: Discharge planning adalah proses penting untuk memastikan kelanjutan perawatan pasien setelah keluar dari rumah sakit. Proses ini membantu mengurangi angka readmisi, terutama pada anak dengan penyakit kronis. Discharge planning dapat menjadi pendekatan strategis untuk mencegah readmisi dengan memastikan transisi perawatan yang lancar dari rumah sakit ke rumah. Tujuan: Untuk mengetahui efektivitas discharge planning dalam mengurangi readmisi pada anak dengan penyakit kronis. Metode: Penelitian systematic review mengacu pada panduan PRISMA. Artikel yang dianalisis berasal dari database PubMed, SAGE, dan ScienceDirect dengan desain penelitian Randomized Controlled Trial (RCT). Sebanyak 4 artikel dipilih berdasarkan kriteria inklusi, topik discharge planning, fokus pada anak dengan penyakit kronis, dan publikasi dalam 5 tahun terakhir (2020-2024). Hasil: Discharge planning yang komprehensif secara signifikan menurunkan angka readmisi pada anak dengan penyakit kronis. Temuan mencakup edukasi keluarga terstruktur meningkatkan kesiapan orang tua dalam merawat anak dan faktor sosial, seperti literasi orang tua dan ketersediaan sumber daya rumah tangga memengaruhi keberhasilan discharge planning. Manajemen kasus memberikan hasil superior dalam menurunkan angka rawat inap ulang dan meningkatkan kualitas hidup pasien. Pendekatan follow-up berbasis kebutuhan (as-needed) memiliki efisiensi tinggi tanpa mengurangi efektivitas intervensi. Simpulan: Discharge planning efektif dalam mengurangi angka readmisi dan meningkatkan kualitas perawatan di rumah bagi anak dengan penyakit kronis. Keberhasilan intervensi ini membutuhkan edukasi keluarga, dukungan sosial, dan manajemen kasus yang terintegrasi. Penyesuaian intervensi dengan mempertimbangkan faktor sosial dan kultural juga penting untuk meningkatkan keberhasilan di berbagai konteks. Kata Kunci: Anak-Anak dengan Penyakit Kronis; Readmisi; Rencana Pemulangan Pasien.

Local Wisdom Enriching Complementary Feeding Practices during Disaster Situations in Indonesia Astuti, Astuti; Hayati, Happy; Waluyanti, Fajar Tri; Wanda, Dessie
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

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This study aimed to analyze complementary food fulfillment during disaster situations in Indonesia since it frequently experiences natural disasters and young children face unique challenges related to their feeding needs in disaster situations. This qualitative case study based on the Mount Merapi eruption and Sumedang landslide in 2021 collected data using observations, forum group discussions, and in-depth interviews; then, a thematic analysis was conducted. This study involved 17 participants, including Non-governmental Organizations (NGO) activists, health workers, residents involved in making complementary foods, and primary caregivers of children aged 6–24 months. This study found that there were five themes generated from the data analysis; 1) the donation of home-based complementary foods based on local wisdom, 2) inadequate complementary feeding, 3) limited resources to manage the complementary feeding, 4) clean versus dirty conditions, and 5) mothers’ endeavour in complementary feeding practices. This study concluded that the complementary feeding practices during a disaster in Indonesia were supported by NGOs, residents, and nearby healthcare workers and thus represent a form of mutual cooperation among the Indonesian people.

Stres Mempengaruhi Efikasi Diri Ibu Menyusui Neonatus Sakit yang Dirawat di Ruang Perawatan Neonatus Sulupadang, Prishilla; Waluyanti, Fajar Tri; Allenidekania, Allenidekania
Health Information : Jurnal Penelitian Vol 14 No 2 (2022): Juli-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v14i2.477

Breastfeeding is still an obstacle for some mothers who have sick neonates who are receiving treatment at the hospital. Breastfeeding self-efficacy is related to the duration of breastfeeding which has an impact on the mother's success in breastfeeding at least exclusively. The purpose of this study was to identify factors related to breastfeeding self-efficacy in mothers of sick neonatal care room. This study used a cross-sectional design, 88 respondents were recruited using a consecutive sampling method, using a questionnaire that had been tested for validity first, namely the Breastfeeding self-efficacy scale short form (BSE-SF) and Edinburgh Postnatal Depression Scale (EPDS) questionnaires, husband's support, family support, and friend support. The results of the Chi square analysis showed that there was no relationship between breastfeeding self-efficacy in mothers with maternal age, mother's education, family income, experience of breastfeeding mothers, experiences of others breastfeeding their babies, health education support, husband support, family support, and friend support with p value > 0.05, but it was found that stress factors were associated with breastfeeding self-efficacy in mothers with sick neonates (p=<0.01). Stress is a factor associated with breastfeeding self-efficacy in mothers with sick neonates.

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