Fitri Haryanti
Departemen Keperawatan Anak Dan Maternitas, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada

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Upaya Peningkatan Status Gizi Balita Malnutrisi Akut Berat Melalui Program Home Care Huriah, Titih; Trisnantoro, Laksono; Haryanti, Fitri; Julia, Madarina
Kesmas Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Malnutrisi pada balita masih merupakan permasalahan di Indonesia termasuk di Daerah Istimewa Yogyakarta. Berdasarkan indikator berat badan menurut tinggi badan, 2,6% balita mengalami malnutrisi akut berat. Pada beberapa dekade terakhir, telah terjadi pergeseran paradigma dalam penanganan balita malnutrisi, yang sebelumnya berbasis pendekatan fasilitas kesehatan bergeser menjadi pendekatan berbasis komunitas. Tujuan penelitian ini adalah untuk menganalisis pengaruh program home care terhadap peningkatan status gizi balita malnutrisi pada anak usia 6-60 bulan. Penelitian menggunakan desain kuasi eksperimen dengan pretest dan posttest control group melalui tiga tahap pendampingan yaitu intensif, mandiri, dan penguatan dengan pendekatan asuhan keperawatan. Sampel adalah 56 balita malnutrisi akut di dua wilayah, yaitu 33 balita di Kota Yogyakarta (eksperimen) dan 23 balita di Kabupaten Sleman (kontrol) dengan teknik pengambilan sampel yaitu purposive sampling. Intervensi home care diberikan selama tiga 3 bulan (Januari sampai Maret 2013). Hasil penelitian menunjukkan setelah program home care, terjadi peningkatan yang signifikan pada status gizi balita (p < 0,05). Pada akhir intervensi, terjadi penurunan kejadian malnutrisi akut berat dari 100% menjadi 56,7% (p < 0,05). Children undernutrition is still an issue in Indonesia, including in the Special Region of Yogyakarta. Based on weight for height indicator, 2.6% children experience severe acute malnutrition. In the last few decades, there has been a paradigm shift in the management of acute malnutrition from a facility- based to community-centered approach. The purpose of this study was to analyze the effect of home care intervention on the improvement of nutritional status of severe acute malnutrition children aged 6-60 months. This study was designed with quasi-experimental and pretest-posttest control group design, conducted in three phases; intensive, strengthening and independent with nursing approach (January until March 2013). Samples were 56 children with severe and moderate acute malnutrition for both study sites, 33 children in Yogyakarta city (experiment) and 23 children in Sleman district (control), selected using purposive sampling. Home care intervention is given for three months (January until March 2014). Results findings show there were significant increase in nutritional status (p < 0.05) after home care intervention. At end line evaluation, the proportion of severe acute malnutrition in the experimental groups reduced significantly from 100% to 56,7% (p < 0.05).
Mother’s parenting attitude and self-efficacy following care for child development program: A follow-up study Pradipta, Afradilla Hanum; Haryanti, Fitri; Akhmadi, Akhmadi; Purwanta, Purwanta; Sitaresmi, Mei Neni
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 1 (2024): March 2024
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i1.2649

Abstract

Guidance by cadres to mothers on childcare within the CCD training was conducted in 2018. At that time, mothers exhibited positive attitudes and self-efficacy. However, two years later, the Covid-19 pandemic emerged, leading to a shift in circumstances and the discontinuation of the mentoring program. These changes could potentially alter the attitudes and self-efficacy that mothers possessed in caring for their children. This follow-up study aimed to examine the attitude and self efficacy of mother who participated in CCD training in Yogyakarta in 2018, comparing their status in 2022. This was a cross-sectional study. The respondents are mothers with children aged 4-6 years who have participated in mentoring by cadres during CCD training, totaling 57 individuals. The study employs attitude and GSES questionnaires adapted from Akhmadi's research (2021). Descriptive statistics are used to illustrate the findings, presenting data in terms of frequency, percentage, and mean. The mean score for maternal attitudes is (29.19), with (57.89%) categorized as less favorable and (42.10%) as favorable attitudes. The mean score for maternal self-efficacy is (30.38), with (68.42%) classified as low self-efficacy and (31.57%) as high self-efficacy. The research findings indicate a decline in maternal attitudes and self-efficacy in childcare post-CCD training in 2018.
Pengembangan Model Instrumen Penilaian Sikap Bersahabat pada Pembelajaran PPKN di SMP Negeri di Kecamatan Dukun Haryanti, Fitri
SUKMA: Jurnal Pendidikan Vol. 6 No. 1 (2022)
Publisher : Yayasan Sukma

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32533/06106.2022

Abstract

The purpose of this study was to find out how teachers measure the value of togetherness, determine the form of the instrument to measure the value of togetherness, and determine the tendency of the value of the student’s friendly attitude. This type of research is research and development with a research sample of class IX students of SMP Negeri in Dukun District. Interview and observation techniques are used to find out how teachers measure the value of friendly attitude. The instrument development procedures are: a hypothetical model; Expert validation using Delphi technique, revision I, readability test, revision II, somewhat extensive experiment, revision III, extensive experiment, final instrument and final instrument implementation. The analysis includes: item validity using product moment correlation analysis, reliability testing using Cronbach’s Alpha formula, content validity, concurrent validity, and construct validity using factor analysis. The results of the study: the teacher used a journal to measure the value of students’ togetherness, the instrument of togetherness value was valid and reliable with 2 indicators containing 16 statement items, and the tendency for the value of friendly attitudes at SMP Negeri SMA in Dukun District was included in the very high category.Tujuan penelitian ini adalah untuk mengetahui bagaimana guru mengukur nilai kebersamaan, menentukan bentuk instrumen untuk mengukur nilai kebersamaan, dan mengetahui kecenderungan nilai sikap bersahabat siswa. Jenis penelitian ini adalah penelitian dan pengembangan dengan sampel penelitian siswa kelas IX SMP Negeri di Kecamatan Dukun. Teknik wawancara dan observasi digunakan untuk mengetahui bagaimana guru mengukur nilai sikap bersahabat. Prosedur pengembangan instrumen adalah: model hipotetis; validasi ahli menggunakan teknik Delphi, revisi I, tes keterbacaan, revisi II, percobaan yang agak ekstensif, revisi III, percobaan ekstensif, instrumen akhir dan implementasi instrumen akhir. Analisis yang dilakukan meliputi: validitas item menggunakan analisis korelasi product moment, uji reliabilitas menggunakan rumus Alpha Cronbach, validitas isi, validitas bersamaan, dan validitas konstruk menggunakan analisis faktor. Hasil penelitian: guru menggunakan jurnal dalam mengukur nilai kebersamaan siswa, instrumen nilai kebersamaan valid dan reliabel dengan 2 indikator berisi 16 item pernyataan, dan kecenderungan nilai sikap bersahabat di SMP Negeri SMA di Kecamatan Dukun termasuk dalam kategori sangat tinggi.
Association between nurturing care practices and weight gain among acutely ill children aged 6–24 months: a cross-sectional study Putri, Cechillia Icha; Haryanti, Fitri; Sandhi, Ayyu; Akhmadi, Akhmadi
MEDISAINS: Jurnal Ilmiah Ilmu-Ilmu Kesehatan Vol. 24 No. 1 (2026)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v24i1.28473

Abstract

Background: The period between 6 and 24 months represents a critical window for child growth, during which vulnerability to acute illness is high. Acute illness may disrupt normal growth trajectories; however, evidence on the role of nurturing care practices in supporting weight gain during illness remains limited. Objective: This study aimed to examine the association between maternal nurturing care practices and weight gain among acutely ill children aged 6–24 months. Method: A cross-sectional study was conducted at Banguntapan II Primary Health Center, Bantul District, Indonesia. A total of 58 mother–child dyads were recruited using consecutive sampling. Maternal nurturing care practices were assessed using a modified Knowledge, Attitude, and Practice questionnaire based on the World Health Organization nurturing care framework. Child weight gain was evaluated using World Health Organization growth standards. Associations were analyzed using chi-square tests and odds ratios with 95% confidence intervals. Results: No statistically significant association was observed between nurturing care practices and weight gain (p = 0.069; OR = 0.371; 95% CI: 0.126–1.091). However, a higher proportion of children receiving good nurturing care achieved normal weight gain (70.0%) compared with those receiving poor care (46.4%), indicating a potential protective trend. Maternal education and family income were not significantly associated with nurturing care practices or child weight gain. Conclusion: Although no statistically significant association was identified, nurturing care practices showed a potential protective trend in supporting weight gain during acute illness. These findings highlight the importance of integrating nurturing care into sick-child management and underscore the need for longitudinal studies to better understand growth recovery following illness episodes.
NURTURING CARE PRACTICES AND SOCIAL-EMOTIONAL DEVELOPMENT IN ACUTELY ILL TODDLERS: A CROSS-SECTIONAL STUDY IN INDONESIA Izati, Tri Muslikhah Nurul; Haryanti, Fitri; Rahmat, Ibrahim; Akhmadi, Akhmadi
NurseLine Journal Vol. 11 No. 1 (2026): May 2026
Publisher : Program Studi Ilmu Keperawatan Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v11i1.60055

Abstract

Background: The toddler period represents a critical window for social-emotional development, which serves as the foundation for social interaction and emotional expression. Nurturing care practices are recognized as essential contributors to optimal child development. However, evidence regarding the relationship between nurturing care and social-emotional outcomes in acutely ill children remains limited. Objective: This study examined nurturing care practices and social-emotional development in acutely ill toddlers, explored their relationship, and assessed potential confounding factors. Methods: A descriptive-analytical cross-sectional study was conducted from November 2024 to January 2025 at Banguntapan II Health Center, Bantul Regency, Indonesia. Sixty-four mother-child dyads were recruited through consecutive sampling. Mothers of acutely ill toddlers (aged 15-39 months) completed validated questionnaires assessing nurturing care practices and child social-emotional development using the Ages and Stages Questionnaire: Social-Emotional (ASQ:SE). Chi-square tests examined associations between variables. Results: Among participating mothers, 57.8% demonstrated good nurturing care practices. Social-emotional development screening revealed that 59.4% of children were not at risk for developmental concerns. A significant association was found between nurturing care practices and children's social-emotional development (p=0.038; OR=0.338, 95% CI: 0.120-0.954). Maternal physical health was significantly associated with nurturing care practices (p=0.018), while maternal depression, education, and family income showed no significant associations with either nurturing care practices (p=0.180-0.395) or social-emotional development (p=0.115-0.705). Conclusion: Good nurturing care practices were significantly associated with reduced risk of social-emotional developmental concerns in acutely ill toddlers. Maternal physical health emerged as a significant factor influencing caregiving practices. These findings underscore the importance of supporting maternal health and promoting comprehensive nurturing care strategies, even during episodes of acute childhood illness, to optimize social-emotional development outcomes.
Maternal perceptions and preventive behaviors in school-age children during the pandemic Lut Fika Daru Azmi; Fitri Haryanti; Lely Lusmilasari
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.1973

Abstract

Background: Although COVID-19 is no longer at its peak, its influence on preventive practices remains relevant, especially for families with school-age children. In children, the incident is not as high as in adults, but is increasing all the same. The preventive behaviour of children is strongly linked to that of the mother. Cognitive reinforcement (perception) is a factor that influences behaviour. In this case, the recognition is divided into four parts: perceived susceptibility, severity, benefits, and barriers. Purpose: To elucidate the relationship between perception and the behavior of mothers who have school-age children related to COVID-19 prevention. Method: We adopted a cross-sectional design with a sample of 110 mothers who have school-age children (8–11 years) using the consecutive sampling technique. Moreover, we questionnaire to measure the perceptions of these mothers in COVID-19 prevention, the result of a modified ARI-Questionnaire and a questionnaire on Mother's Behavior in Prevention of COVID-19. Data analysis was performed using Spearman Rho'. Results: There was a relationship between the perception and behavior of mothers related to COVID-19 prevention as evidenced by a p = 0.001 with a close relationship (r) of 0.194. Other factors that influenced the behavior of mothers in COVID-19 prevention included the educational level of the mother, and the number of the childrens. Conclusion: Changes in mothers’ behavior is influenced by several factors: perception, number of children, income and highest educational level of the mother, and the gender of the child. COVID-19 prevention will be more optimal if the perception of the mother is good, and the mother has a low perception of barriers.
Improvement of Prolactin Hormone Levels on Postpartum Mothers Taken by The Oketani Massage and Pressure in GB-21 Point Machmudah, Machmudah; Khayati, Nikmatul; Widodo, Sri; Hapsari, Elsi Dwi; Haryanti, Fitri
IJNP (Indonesian Journal of Nursing Practices) Vol. 4 No. 1 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.41101

Abstract

Background: Breastfeeding will provide a wide range of benefits for both mother and baby. Breastfeeding is one of the physical adaptations and processes of changing maternal roles in postpartum mothers. Not all mothers can go through this process correctly. A small amount of milk production on the first day of postpartum is one of the complaints that is often felt by mothers. The hormone prolactin is one of the factors that influence milk production. One way to stimulate the production of the hormone prolactin is by breast treatment. Breast care will affect hypopise to release the hormone progesterone, estrogen, prolactin, and oxytocin more. Objective: The purpose of this study was to identify the effect of pressure on the Jianjing GB-21 acupressure point and Oketani massage on the level of the hormone prolactin.Method: The type of this research is a quasi-experiment with the design used is a pre-post-test design with the control group. Prolactin hormone levels were examined before the intervention (on the first day) and on a ninth day. The examination was carried out using the ELISA (Enzym Linked Immunosorbent Assay) technique. Data obtained was analyzed using an independent sample T-test.Result: The study showed that there was an increase in mean values of maternal prolactin levels after oketani massage intervention and pressure on GB-21 acupressure points. The administration of a combination of interventions, namely Oketani massage and pressure at the GB-21 point, can increase the highest levels of the hormone prolactin, which is 3.41. Whereas in the control group that did not get any intervention, had the lowest levels of the hormone prolactin that is equal to 2,925Conclusion: it can be concluded that oketani massage and applying pressure at the GB-21 point can increase the levels of the hormone prolactin, respectively.
Co-Authors A.A. Ketut Agung Cahyawan W Akhmadi Akhmadi Akhmadi Akhmadi Akhmadi Amiatun, Anisa Nurul Anak Agung Gede Sugianthara Anang Anang Andarwati, Fitriana Andodo, Candra Andreasta Meliala Andri Kenti Gayatina Anik Rustiyaningsih Arief Tarmansyah Iman Arofiati, Fitri Atik Aryani Ayyu Sandhi Budi Wahyuni Cahyani, Redyta Dwi Detty Siti Nurdiati Dewi Listyorini, Dewi Dewi Marianthi Dirayati Sharfina Dwi Ambarwati, Dwi Dwi Aprilina Andriani Elisabeth Siti Herini Elsi Dwi Hapsari Ema Madyaningrum Emi Wuri Wuryaningsih Erlando, Robby Prihadi Aulia Erviana Dewi Muslikhah Evita Dwi Nastiti Frederika N.M. Lossu Hari Kusnanto Hasanah, Nisa Nur Hasanah, Puji Nurfauziatul Heru Subekti Ibrahim Rahmat Indah Prawesti Indria L. Gamayanti Indria Laksmi Gamayanti Intansari Nurjannah Irwan Supriyanto Itsna Lutfi Kholisa, Itsna Lutfi Itsna Luthfi Kholisa Izati, Tri Muslikhah Nurul K, Novi Aprilia Kusumawati, Ananda Sekar Laksono Trisnantoro Lely Lusmilasari, Lely Lorrien G. Runtu Lut Fika Daru Azmi Lutfan Lazuardi Lutfiyati, Afi Machmudah, Machmudah Machmudah, Machmudah Madarina Julia Mei Neni Sitaresmi Meisyarah, Yogi Hasna Mohammad Hakimi Muhammad Hadi Mungkasip Mungkasip Musta ida Musyafa, Faiz Indra Nanik Wijayanti Nikmatul Khayati Novi Cahyaningrum Irawati, Novi Cahyaningrum Nugroho, Tri Adi Nur Dian Rakhmawati Nurhannifah Rizky Tampubolon Nurhidayat , Erwan Nursalam Nursalam Nursanti, Irna Parmawati, Ika Prabawati, Dewi Pradipta, Afradilla Hanum Pratiwi , Alissa Nur Pratiwi, Alissa Nur Priyatin Sulistyowati Purwanta Purwanta Purwati, Nyimas Heny Putri, Cechillia Icha Ramdaniati, Sri Ratnaningrum Ratnaningrum, Ratnaningrum Risnawati, Hani Rizki Muthia Putri Saifudin, I Made Moh. Yanuar Sandhi, Ayyu Santi Wahyuningsih, Santi Sholaita, Khana Sri Hartini Sri Hartini Sri Supar Yati Soenarto Sri Supar Yati Soenarto Sri Warsini Sri Widodo Sunartini Hapsara Sunartini Sunartini, Sunartini T. Baning Rahayujati Tintin Sukartini Sukartini, Tintin Sukartini Titih Huriah Titih Huriah Tri Arini, Tri Tri Kurniasih, Amara TRI PRABOWO Tunjung Wibowo Tunjung Wibowo Tuti Nuraini Uki Noviana Ulfa Azizah Umi Solikhah Wahyu Hidayati Wahyuni, Budi Widayawati Widayawati Widyandana Widyandana Widyawati Widyawati Wijaya, Andra Saferi Wirda Hayati Wulan S, A.A. Hesti Yanny Trisyani Yati Soenarto Yati Sunarto Yayi S Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yulis Hati Yundari, Yundari Yustina Anindyawati, Yustina