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RELATIONSHIP OF ADHERENCE, SELF EFFICACY, SOCIAL SUPPORT, QUALITY OF HEALTH CARE, AND PSYCHOLOGICAL RESPONSE OF PARENS TOWARDS QUALITY OF LIFE OF CHILDREN WITH TUBERCULOSIS IN YOGYAKARTA, INDONESIA Lely Lusmilasari; Akhmadi Akhmadi; Rochma Dwi Rahayu; Jeki Rahmawati; Ardhy Khartika; Sefti Rukmana
Belitung Nursing Journal Vol. 3 No. 1 (2017): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.576 KB) | DOI: 10.33546/bnj.51

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Background: Quality of life includes the aspects of physical, emotional, social function, welfare and perceptions about life. Quality of life of children with tuberculosis is considered lower than the quality of life of healthy children. Little is known about the factors related to the quality of life of children with tuberculosis, especially in Yogyakarta, Indonesia. Objective: This study aims to examine the relationships of adherence, social support, quality of healthcare, self-efficacy, and psychological response of parents towards quality of life of children with tuberculosis in Yogyakarta, Indonesia. Methods: This study employed a cross-sectional correlation design, which was conducted from April to November 2016, and involved 41 caregivers and children with tuberculosis according to research criteria. A consecutive sampling was applied to determine sample size. Data were analyzed by bivariate and multivariate analysis using SPSS with significant level p=0.05 and confidence interval = 95%. Results: Findings showed significant relationships between social support, psychosocial response, mainly anxiety and stress (p<0.05) with quality of life. While adherence, self-efficacy, and quality of healthcare did not have significant relationship (p>0.05) with quality of life. The results of multivariate analysis showed significant relationships between social support with r =0.305 (CI95%:0.134-0.188; p=0.026), psychosocial response of caregiver, mainly level of stress with r= 0.425 (CI95%:-1.369-0.126; p=0.007) and anxiety with r= 0.378 (CI95%: -0.107-1.692; p=0.03) and quality of children life (R square=0.278). The strongest variable related to quality of children life was psychosocial response (anxiety) of parents (r=0.425). Conclusions: Quality of life in children with tuberculosis is related to social support and psychosocial response of parents. The dominant factor is psychosocial responses of anxiety.
PATIENT SATISFACTION AND ITS RELATIONSHIP WITH THE QUALITY OF COMPREHENSIVE EMERGENCY OBSTETRIC AND NEONATAL CARE (CEmONC) IN THE GENERAL HOSPITAL OF PANEMBAHAN SENOPATI BANTUL Fitri Dian Kurniati; Lely Lusmilasari; Sri Mulatsih
Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (207.492 KB) | DOI: 10.33546/bnj.106

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Background: Patient satisfaction has emerged as an increasingly important health outcome and is currently used to evaluate the quality of care. Objective: To describe the level of satisfaction of mothers after caesarean section and examine its relationship with the quality of Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). Methods: This was an analytic descriptive study using cross-sectional design. The study was conducted in Alamanda ward in the General Hospital (RSUD) of Panembahan Senopati Bantul Indonesia during September until November 2016. There were 55 respondents selected using purposive sampling. The instruments included The Scale for Measuring Maternal Satisfaction (SMMS) – caesarean birth and the Quality of CEmONC questionnaires. Spearman’s rho and logistic regression were performed for data analysis. Result: Results showed that 47.3% respondents rated the quality of CEmONC in high category and 56.4% were satisfied. The correlation value between quality of CEmONC and patient satisfaction was 0.285 (p = 0.035; OR = 1.96). Conclusion: Level of satisfaction of mothers after caesarean section was associated with the quality of CEmONC in the General Hospital of Panembahan Senopati Bantul Indonesia.
RELATIONSHIP BETWEEN NURSE SUPPORTS AND FEARS OF HOSPITALIZED SCHOOL AGE CHILDREN IN PKU MUHAMMADIYAH HOSPITAL, YOGYAKARTA, INDONESIA Istinengtiyas Tirta Suminar; Indria Laksmi Gamayanti; Lely Lusmilasari
Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.66 KB) | DOI: 10.33546/bnj.111

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Background: Being hospitalized is usually related to the fear, especially for children. Nurse supports should be able to help the children to deal with the fears related to nurse and medical services. Objective: This study aims to examine the relationship between nurse support and the fear of school-age children being treated in the PKU Muhammadiyah hospital, Yogyakarta. Methods: This study employed a cross sectional correlation design, which was conducted from October to December 2016 in PKU Muhammadiyah Hospital, Indonesia. The samples of the study were 49 mothers and school-aged children who were admitted to the children ward. A consecutive sampling was applied to determine sample size. The instruments used in this study were nurse support and CMFS-R (Child Medical Fear Survey-Revised) questionnaires. Chi square test was performed with significance level p = 0.05 and level of trust = 95% for data analysis. Results: Findings showed 42.9% of respondents had medical fear and 36.7% of them had medical fear related-behavior responses. The nurse support was in a high category (73.5%). Chi square test showed p-value 0.038 (>0.05), which indicated that there was statistically no significant relationship between nurse support and children fear. There was only age of the children had a significant relationship with fear with p-value 0.035 (<0.05). Conclusions: There was no significant association between nurse support and fear of school-age children.
ASSOCIATION BETWEEN EMOTIONAL DEVELOPMENT AND BULLYING BEHAVIOR IN CHILDREN AT THE ELEMENTARY SCHOOL NO 7, BANYUASIN, PRAJIN, PALEMBANG Sri Tirtayanti; Intansari Nurjannah; Lely Lusmilasari
Belitung Nursing Journal Vol. 3 No. 5 (2017): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.801 KB) | DOI: 10.33546/bnj.115

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Background: Bullying is a form of repetitive persecution both on physical and emotional aggressions and potentially causing mental and physical disorders on perpetrators and victims. There are various factors that may affect a child to behave as bullies. These are important factors to be identified as one of prevention effort to stop bullying behavior on children. Objective: This research aims to identify the association between emotional development and bullying behavior in children at the Elementary School No 7, Banyuasin Prajin, Palembang, Indonesia. Methods: This was a correlation descriptive using a cross sectional design. This research has been conducted on November 21, until December 1, 2016 involving 85 children as respondents. The instruments used for this research were Bar-On Emotional Quotient Inventory: Youth Version, school-bullying questionnaire, parenting style questionnaire and peer influence questionnaire. Chi-square test was used for bivariate data analysis and logistic regression test for multivariate analysis. Results: Results from chi-square test showed a significant association between emotional developments and parenting with bullying behavior (ρ<0.05), but no significant correlation between peer influence and bullying behavior (ρ>0.05). Logistic regression test showed a significant relationship between parenting and bullying behavior (OR) 4.655 (95% CI: 1.292-16.774), which indicated that the uninvolved parenting potentially makes bullying behavior have a chance to increase 4.655 times higher. Conclusion: There is a significant association between emotional development and parenting with children bullying behavior.
EFFECT OF HEALTH EDUCATION USING VIDEO AND BROCHURE ON MATERNAL HEALTH LITERACY Indah Prawesti; Fitri Haryanti; Lely Lusmilasari
Belitung Nursing Journal Vol. 4 No. 6 (2018): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (708.146 KB) | DOI: 10.33546/bnj.176

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Background: Fever is manifestation of acute disease on children and contributes to incidence of severe malnutrition and morbidity and the most common reason for parents to deliver children on hospital. Currently, parents still lack knowledge of determination and proper management of fever although intervention of health education has been widely practiced. One obstacle to widespread success of educational intervention is inadequacy of health literacy. Utilization of media with simple and completed information with picture can be developed in communities with low levels of health literacy. Objective: To understanding the effect of health education using video and brochure on maternal health literacy in the working area of Saptosari Public Health Center, Gunungkidul Yogyakarta, Indonesia. Methods: This was a quasi-experimental study with pretest and posttest nonequivalent control group design conducted on 15 – 27 May 2017. The questionnaire used was HLS-Asia Q which had been modified. Health education intervention was done using a five minute-duration video about fever management in children preceded by discussion about the content of the video. Cluster sampling technique was applied with mothers who have under five children as the respondent involving 45 respondents for intervention group and 42 respondents in control group. Data analysis used independent sample t-test. Results: There was an increase in average maternal health literacy provided with video and brochure media compared to the maternal health literacy given with standard treatment. Intervention group mean difference value was 6.6444 ± 9.6086 and value of difference of control group mean equals to -2.4762 ± 12.0674 (p value <0.001). Conclusion: Health education intervention using video has a higher impact in the development of maternal health literacy compared with the standard intervention using brochure.
SCHOOL HEALTH PROMOTION: A QUASI-EXPERIMENTAL STUDY ON CLEAN AND HEALTHY LIVING BEHAVIOR AMONG ELEMENTARY STUDENTS IN JAYAPURA, PAPUA, INDONESIA Ellen Rosawita Veronica Purba; Lely Lusmilasari; Janatin Hastuti
Belitung Nursing Journal Vol. 6 No. 6 (2020): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.781

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Background: The Indonesian government has launched a clean and healthy living behavior program as one of the efforts for school health promotion. However, the healthy behaviors of the elementary students remain low. Objectives: This study aimed to examine the effect of audiovisual-based education on the knowledge and attitudes of clean and healthy behavior in elementary students. Methods: This was a quasi-experimental study with a pretest-posttest comparison group design conducted from 1 October to 17 October 2018. A total sample of 272 students was selected using purposive sampling, with 136 assigned in an experimental group (audiovisual group) and a comparison group (poster only group). Knowledge and attitudes of clean and healthy living behavior were measured using validated questionnaires. Data were analyzed using a paired t-test and independent t-test. Results: There was a significant effect of the interventions given in the experimental and comparison group on knowledge and attitude of clean and healthy living behavior (p<0.05). However, the experimental group showed a higher mean score compared to the comparison group in knowledge and attitudes, which indicated that the use of audiovisual-based education was more effective than the use of poster alone in improving the knowledge and attitudes of clean and healthy living behavior. Conclusion: The students who received audiovisual-based education had higher knowledge and attitudes of clean and healthy living behavior than those who only received poster-based education. This study provides input for pediatric and community nurses to provide better health education for the community, specifically for school health promotion.
NURSING RESEARCH PRIORITIES IN INDONESIA AS PERCEIVED BY NURSES Lely Lusmilasari; Yupin Aungsuroch; Widyawati Widyawati; Sunisa Sukratul; Joko Gunawan; Melyza Perdana
Belitung Nursing Journal Vol. 6 No. 2 (2020): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (638.178 KB) | DOI: 10.33546/bnj.1055

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Background: To promote excellence in nursing research, setting research priorities is needed to meet the need of community aligned with the national context. Unfortunately, limited number of studies has examined nursing research priorities in Indonesia. Objective: To identify nursing research priorities in Indonesia from the perspectives of nursing experts. Methods: This was a descriptive qualitative study. Focus group discussion was conducted among participants who were purposively selected (n = 13). Data were analyzed using a consensus-based method. Results: The top ten research priority lists were identified. The priorities were nurse competence, quality of nursing care in nursing services, nursing policy, nurse work environment, nurse mobility, interprofessional education and collaboration, teaching learning evaluation, nursing career, complementary therapy in nursing, and technology and informatics in nursing. Conclusion: Findings of this study could be used as the basis of direction for development of future research in Indonesia.
Perilaku orang tua dalam pemberian makan dan status gizi anak usia 2-5 tahun Ni Luh Agustini Purnama; Lely Lusmilasari; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 11, No 3 (2015): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.19281

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Background: The issue of child nutrition is still a problem in developing countries, including Indonesia. Nowadays, there is double burden related to child nutrition, due to lack of nutrition that has not been resolved and at the same time, there is an increasing problem of excess nutrients. Parents are responsible for the care of children, including fulfilling a balanced nutritional intake.Objective: To identify the relationship between parent’s behavior in feeding and nutritional status of children aged 2-5 years.Method: Design used in this study was observational with the cross-sectional study was conducted 153 parents with children aged 2-5 years who fit the inclusion and exclusion criteria in the region of Integrated Health Center Catholic Hospital St. Vincentius a Paulo Surabaya. Parent’s behavior in feeding was assessed using the Comprehensive Feeding Practices Questionnaire (CFPQ) which consists of 49 questions and 12 behavioral aspects. The nutritional status of children assessed by weight indicator according to height (weight/height) were compared with z-score WHO 2006 standard. Data were analyzed using the Spearman correlation.Results: The average nutritional status of children aged 2-5 years based on the weight/height z-score indicator was 0.17 indicating that is in normal condition. Parent’s behavior that involves children in the planning and preparation of meals, positively associated with nutritional status of children in all conditions of nutritional status of children who are very thin to obese (ρ=0.43; p=0.001). Pressure, when children eat, was negatively associated with nutritional status of children aged 2-5 years in normal nutritional status to obese (ρ=-0.34; p=0.001). Restriction of food intake to control body weight was positively associated with nutritional status of children aged 2-5 years in all conditions of nutritional status of children who are very thin to obese (ρ=0.29; p=0.001).Conclusion: Parent’s behavior in feeding the children associated with nutritional status of children aged 2-5 years.
Perbedaan Dependent Care Agency terhadap Status Gizi Anak Toddler Zulia Putri Perdani; Toto Sudargo; Lely Lusmilasari
Jurnal Keperawatan Karya Bhakti Vol. 3 No. 1 (2017)
Publisher : Akademi Keperawatan Karya Bhakti Nusantara, Magelang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (168.432 KB)

Abstract

Pendahuluan: Asupan nutrisi yang adekuat dapat mempengaruhi pertumbuhan dan perkembangan anak. Orang tua mrmpunyau peran dan bertanggung jawab dalam memenuhi kebutuhan anaknya yang masih dalam pengasuhan termasuk dalam upaya pemenuhan nutrisi. Kemampuan orang tua untuk melakukan praktik (Dependent Care Agency) akan mempengaruhi praktik pemberian makan pada anak. Penelitian ini bertujuan untuk membedakan DCA orang tua terhadap status gizi anak toddler. Metode: penelitian deskriptif analitik dengan rancangan Cross sectional. Penelitian ini dilakukan di Puskesmas Sukasari Kota Tangerang dengan jumlah sampel 198 sampel. Pemilihan sampel dilakukan dengan cluster random sampling dengan unit posyandu kemudian dilanjutkan dengan teknik purposive sampling untuk orang tua anak yang berada di wilayah posyandu terpilih. Data dianalisa dengan Kruskall Wallis test. Hasil: Hasil penelitian ini menunjukkan bahwa DCA pada orang tua tidak menunjukkan perbedaan yang signifikan pada kelompok status gizi anak kurus, normal dan gemuk (p>0,05). Diskusi: kemampuan orang tua anak yg gemuk cenderung kurang optimal pada aspek menyediakan makanan yang seimbang, menyediakan lingkungan makan dan meningkatkan perilaku makan anak. Penelitian selanjutnya dapat mengindetifikasi factor lain yang mempengaruhi status gizi pada anak.
Analisis Pelaksanaan Trias Usaha Kesehatan Sekolah (UKS) dan Perilaku Hidup Bersih dan Sehat (PHBS) di SLB C di Bantul Rahmah Widyaningrum; Mei Neni Sitaresmi; Lely Lusmilasari
Berita Kedokteran Masyarakat (BKM) Vol 32, No 9 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (405.787 KB) | DOI: 10.22146/bkm.8579

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Evaluation of triage programs school health unit and clean and health living behavior in school for children with special educational needs BantulPurposeThis study aimed to get an overview of school health unit and implementation of clean and health living behavior in school for children with special educational needs. MethodsThis research used qualitative methods with a case study approach. Participants of the study included the principal, the teacher, students and public health center staff, the senior managers of the school, and the Yogyakarta provincial youth and sports education department. Qualitative data were obtained through in-depth interviews, observations, and documentation studies. ResultsThe implementation of trias school health unit program was in the good category. Some clean and health living indicators were still in low category. The obstacles of the school health unit and clean and health living behavior program implementation were limited understanding of students, low coverage of teacher and school training, economic conditions and parental attitudes, school readiness, and involvement of relevant agencies. Factors affecting school health unit implementation included curriculum, school organization, and partnership. ConclusionThe implementation of school health unit and clean and health can be enhanced through partnership optimization with community health centers, related offices, non-governmental organizations, and education and health universities.
Co-Authors A.A. Ketut Agung Cahyawan W Abdillah, Ina Laela Ade Muhammad Cahyadi Agustina Dwi Rahmawati Aizizha Syeilla Noverlis Akhmadi Akhmadi Akhmadi Akhmadi Akhmadi Amiatun, Anisa Nurul Andarwati, Fitriana Anik Rustiyaningsih Anik Rustiyaningsih Anik Rustiyaningsih Ardhy Khartika Asrijal Bakri Atikah Iffah Syakirah Aulia Ulfi Ardani Ayyu Sandhi Cahyani, Redyta Dwi Dewi Purnasiwi, Dewi Dirgantari Pademme Ellen Rosawita Veronica Purba Elly Junalia, Elly Elmiana Bongga Linggi Elsi Dwi Hapsari Ema Madyaningrum Emi Wuri Wuryaningsih Emy Huriyati Erlando, Robby Prihadi Aulia Fitri Dian Kurniati Fitri Haryanti Fitria Endang Pratiwi Hasanah, Nisa Nur Hasanah, Puji Nurfauziatul Hery Ernawati Ika Parmawati Indah Dwi Nura Indah Prawesti Indria Laksmi Gamayanti Intansari Nurjannah Itsna Lutfi Kholisa, Itsna Lutfi Itsna Luthfi Kholisa Janatin Hastuti Jeki Rahmawati Joko Gunawan Kusumaningtyas, Khariza Kusumawati, Ananda Sekar Lutfiyati, Afi Madarina Julia Madarina Julia Madarina Julia Made Ermayani, Made Madu, Yunita Gabriela Matilda M. Paseno Mei Neni Sitaresmi Melyza Perdana Mery Solon Mia Purnama Mubasysyir Hasanbasri N Nurlaila Ningrum, Ema W. Nurlaila, N Nurul Kholifah, Nurul Parmawati, Ika Paulinus Deny Krisnanto Pratiwi , Alissa Nur Pratiwi, Alissa Nur Pujiati Purwoningsih, Pujiati Purnama, Ni Luh Agustini Ratri W, Ratri Retno Sutomo Risnawati, Hani Rochma Dwi Rahayu Sefti Rukmana Shinta Pramartasari, Shinta Sholaita, Khana Sri Hartini Sri Hartini Sri Mulatsih Sri Tirtayanti Sri Warsini Suminar, Istinengtiyas Tirta Sunartini Hapsara Sundari, Ririn Isma Sunisa Sukratul Suyami - Tiara Marthias Toto Sudargo Toto Sudargo TRI PRABOWO Tri Sumarni Umbu Nggiku Njakatara Utami Pratiwi, Utami Wahyudi Istiono Wahyuni, Budi Wenny Artanty Nisman, Wenny Artanty Widyaningrum, Rahmah Widyawati Widyawati Widyawati Widyawati Wirmando, Wirmando Yuliatil Adawiyah Harahap Yupin Aungsuroch Zulia Putri Perdani, Zulia Putri