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Improving maternal health literacy among low-income pregnant women: A systematic review Ningrum, Ema W.; Lusmilasari, Lely; Huriyati, Emy; Marthias, Tiara; Hasanbasri, Mubasysyir
Narra J Vol. 4 No. 2 (2024): August 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i2.886

Abstract

Previous studies on maternal health have highlighted the need to improve health literacy, particularly among women from lower socioeconomic backgrounds. Some crucial factors for improving maternal health literacy are midwife capacity and systems support that can help ensure women's ability and motivation to access timely health services. However, the extent of roles midwives need and the system that must be developed require further elaboration. The aim of this systematic review was to investigate approaches for enhancing maternal health literacy in low-income pregnant women. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the systematic search was conducted on two databases: PubMed and ScienceDirect. All English articles published from 2011 to 2023 were searched using the keywords pregnant, antenatal, prenatal, perinatal, midwife, health literacy, midwife-led care, helpline, and photo novel. Of the 1539 articles, 15 were included for final assessment. The results suggest that improving maternal health literacy among low-income pregnant women is related to empowering these women, midwives as frontline care providers engaging with them, and the health care system as a health literacy organization. In conclusion, improving the healthcare system and strengthening midwives' leadership as proximal caregivers is crucial for improving maternal health literacy among low-income pregnant mothers. These efforts could be realized with support from government roles, educational institutions, and professional associations.
Components of basic feeding rule for infants aged 6-24 months: a scoping review Haryanti, Fitri; Andarwati, Fitriana; Risnawati, Hani; Lusmilasari, Lely; Hartini, Sri
International Journal of Public Health Science (IJPHS) Vol 13, No 4: December 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i4.24304

Abstract

Introducing complementary foods at six months helps supplement nutrients and address potential eating challenges in infants. Childhood eating difficulties can contribute to growth issues. This scoping review aimed to identify the components of feeding rules for infants aged 6-24 months. A systematic search of three electronic databases yielded 5,174 abstracts, with 18 complete articles assessed for eligibility. After eliminating 8 articles, 10 met the criteria. The feeding rules comprise three main components: schedule, environment, and procedure. Adhering to these basic rules can enhance a child's growth rate and reduce the risk of failure to thrive. Responsive feeding is closely linked to these rules, categorized based on feeding schedule, procedures, and environment. Hence, it is crucial for healthcare professionals to provide counseling on the fundamental principles of complementary feeding.
Maternal knowledge on nutritional-focused nurturing care and associated factors among women with stunted children aged 6-23 months in Yogyakarta, Indonesia: A cross-sectional study Haryanti, Fitri; Hartini, Sri; Akhmadi; Andarwati, Fitriana; Risnawati, Hani; Pratiwi , Alissa Nur; Kusumawati, Ananda Sekar; Cahyani, Redyta Dwi; Lusmilasari, Lely
Belitung Nursing Journal Vol. 10 No. 4 (2024): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3481

Abstract

Background: Childhood stunting poses serious long-term risks to cognitive development, education, and adult productivity. While research has explored stunting’s causes and effects, there is a lack of focus on maternal knowledge of nutrition-focused nurturing care for stunted children. This gap limits the ability to design effective interventions that target improved caregiving practices. Objective: This study aimed to assess maternal knowledge of nutrition-focused nurturing care and explore associated factors, including child gender, maternal age, education, income, and prior exposure to nurturing care information, among mothers of stunted children aged 6-23 months in Indonesia. Methods: A cross-sectional study was conducted with 73 mothers in Kulon Progo, Yogyakarta. Data were collected from February to March 2024 using a validated self-assessment questionnaire covering four domains: responsive caregiving, early learning opportunities, safety and security, and supportive caregiver well-being. Statistical analyses, including t-tests and one-way ANOVA, were performed. Results: Overall maternal knowledge of nurturing care was high, with a mean score of 25.15 (SD = 4.72). Factors significantly associated with higher knowledge included having male children (p = 0.017), being aged 30-34 years (p = 0.035), possessing higher education levels (p = 0.002), and prior exposure to nurturing care information (p <0.001). Family income significantly influenced knowledge in the domain of early learning opportunities (p = 0.006), though not in other areas. Conclusion: Maternal knowledge of nutrition-focused nurturing care was influenced by child gender, maternal age, education, income, and prior exposure to nurturing care information. These findings emphasize the importance of focused educational interventions in nursing practice to enhance maternal knowledge. Addressing these factors can help align nursing strategies better to support the healthy growth and development of children.
Enhancing maternal toddler parenting competence through nurturing care videos Haryanti, Fitri; Lusmilasari, Lely; Madyaningrum, Ema; Hasanah, Nisa Nur; Amiatun, Anisa Nurul
MEDISAINS Vol 21, No 3 (2023)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v21i3.18723

Abstract

Background: Despite increased global attention to early childhood development, children under 5 in low- and middle-income countries face heightened risks of poor developmental outcomes. In Indonesia, where innovative approaches to nurturing care are needed, video-based interventions show promise.Purpose: This study aimed to elevate maternal competence in parenting and contribute to the holistic development of children aged 0-3 years through video-based nurturing care education.Method: Non-equivalent quasi-experimental design with pre-post-test control groups was employed. This study used a consecutive sampling technique on 89 mothers with children 0-3 years old (intervention group = 40 and control group = 49). The intervention group was given health education using videos via a WhatsApp link, and the control group was given leaflets directly. Data was collected from May to August 2022, four weeks before the intervention (pre-test) and two weeks after the video and leaflets were given (post-test). The instrument was modified from the Knowledge, Attitude, and Practice (KAP) questionnaire developed by UNICEF. The effect of education was analyzed using Wilcoxon and independent t-test.Results: The group that received the intervention showed a notable and positive influence on their knowledge, attitudes, and practices (KAP levels) in contrast to the control group. This suggests the video-based intervention effectively enhanced participants' understanding, attitudes, and caregiving practices.Conclusion: The research emphasizes the positive outcomes of video-based nurturing care intervention for mothers with children aged 0-3 years. The intervention significantly improved maternal attitudes toward parenting, caregiving behaviors, and overall child development. These results emphasize the significance of employing video interventions to encourage effective nurturing care practices.
Pengelolaan Pasien Stroke Hemoragik dengan Aritmia di Instalasi Gawat Darurat: Studi Kasus Sholaita, Khana; Lusmilasari, Lely; Haryanti, Fitri
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 8, No 3 (2024)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.93185

Abstract

Background: Preschool age is at risk of experiencing psychosocial behavior problems which, if not treated immediately, will have an impact on development. The closeness of mother and child is basic in emotional development and social relationships. Objective: Knowing the relationship between mother and child closeness and the psychosocial behavior of preschool childrenMethod: This research is a descriptive analytical research with a research design cross sectional which will be carried out in April – June 2022 in Sleman Regency, Yogyakarta. The research involved 118 respondents taken through the method consecutive sampling. Instrument Child Parent Relationship Scale (C-PRS) is used to measure the closeness of mother and child and Preschool Pediatric Symptom Checklist (PPSC) to measure children's psychosocial behavior. Data were analyzed using correlation tests Spearman.Results: 78% of preschool children's psychosocial behavior is normal, and 22% are at risk of experiencing psychosocial problems. The most common psychosocial problems are internalization and attention problems. Mark mean The warm dimension of closeness between mother and child is higher than the conflict dimension. The warm dimension was negatively correlated with the risk of psychosocial behavior problems (r = -0,190; p = 0,039) while the conflict dimension is positively correlated with the risk of psychosocial problems (r = 0,410; p = 0,000). Conclusion: There is a relationship between the closeness of mother and child and the psychosocial behavior of preschool children. Warm mother-child closeness reduces the risk of psychosocial behavior problems. The closeness between mother and child that tends to be negative (conflict) increases the risk of psychosocial behavior problems.INTISARILatar belakang: Usia prasekolah berisiko mengalami masalah perilaku psikososial yang apabila tidak segera ditangani akan berdampak pada perkembangan. Kedekatan ibu dan anak menjadi hal dasar dalam perkembangan emosional dan hubungan sosial.  Tujuan: Mengetahui hubungan antara kedekatan ibu dan anak dengan perilaku psikososial anak prasekolahMetode: Penelitian ini merupakan penelitian deskriptif analitik dengan rancangan penelitian cross sectional yang dilakukan pada April – Juni 2022 di Kabupaten Sleman, Yogyakarta. Penelitian melibatkan 118 responden diambil melalui metode consecutive sampling. Instrumen Child Parent Relationship Scale (C-PRS) dipakai untuk mengukur kedekatan ibu dan anak dan Preschool Pediatric Symtomp Checklist (PPSC) untuk mengukur perilaku psikososial anak. Data dianalisis dengan uji korelasi Spearman.Hasil: Perilaku psikososial anak prasekolah 78% normal, dan 22% berisiko mengalami masalah psikososial. Masalah psikososial yang paling banyak adalah internalisasi dan masalah perhatian. Nilai mean kedekatan ibu dan anak dimensi hangat lebih tinggi dari pada dimensi konflik. Dimensi hangat berkorelasi negatif dengan risiko masalah perilaku psikososial (r = -0,190; p=0,039) sedangkan dimensi konflik berkorelasi positif dengan risiko masalah psikososial (r = 0,410; p = 0,000). Simpulan: Terdapat hubungan antara kedekatan ibu dan anak dengan perilaku psikososial anak prasekolah. Kedekatan ibu dan anak yang hangat menurunkan risiko masalah perilaku psikososial. Kedekatan ibu dan anak yang cenderung negatif (konflik) meningkatkan risiko masalah perilaku psikososial.
GANGGUAN MENTAL EMOSIONAL REMAJA SEKOLAH MENENGAH PERTAMA DI ERA MEDIA SOSIAL Wuryaningsih, Emi Wuri; Lusmilasari, Lely; Haryanti, Fitri; Wahyuni, Budi; Erlando, Robby Prihadi Aulia
Jurnal Ilmiah Kesehatan Keperawatan Vol 20, No 2 (2024): JURNAL ILMIAH KESEHATAN KEPERAWATAN
Publisher : LPPM UNIVERSITAS MUHAMMADIYAH GOMBONG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26753/jikk.v20i2.1468

Abstract

Adolescence is a transition period from childhood to adulthood. The post-Covid-19 pandemic has brought significant changes to the lifestyle of adolescents in Indonesia, especially in the use of social media. New habits of adolescents include playing online games and communicating through social media. This study aimed to identify emotional and mental problems in adolescents amidst the massive use of social media among adolescents. The design of this study was cross-sectional. The participants involved were 417 junior high school students aged (12-15) years. SDQ was used to identify students' emotional mentality. Participants who filled out the SDQ were 45.3% female and 54.7% male students with an average age of 13.64 years; ±0.17. Almost all students use social media, such as WhatsApp (98.8%), TikTok (92.6%), and Instagram (79.1%). Emotional problems (22.1%), conduct problems (62.4%), peer problems (27.3%), and hyperactivity (9.6%) showed abnormal categories. This finding aligns with the abnormal prosocial ability of (54.4%). Overall, participants in the normal category were 32.4%. The screening results showed that the emotional and mental well-being of junior high school adolescents was quite concerning and required follow-up to improve students' prosocial abilities. Assessments with other instruments are needed for comparison.
Impact of nurturing care educational videos focusing on children with nutritional problems aged 6-23 months on mothers' knowledge and child growth Haryanti, Fitri; Lusmilasari, Lely; Hartini, Sri; Sandhi, Ayyu; Parmawati, Ika; Akhmadi, Akhmadi; Hasanah, Nisa Nur; Andarwati, Fitriana; Risnawati, Hani; Pratiwi, Alissa Nur; Kusumawati, Ananda Sekar; Cahyani, Redyta Dwi
MEDISAINS Vol 22, No 3 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i3.22812

Abstract

Background: The first 1,000 days are crucial for a child's development. Indonesia has limited research on responsive caregiving and early learning opportunities, especially for children with nutritional challenges. While studies have addressed general child nutrition, few have explored comprehensive nurturing care interventions. This gap underscores the need for further research. Educational videos, particularly animated ones, effectively capture attention and improve understanding, making them valuable for enhancing maternal knowledge and child growth.Purpose: This study aimed to assess the impact of nurturing care educational videos on mothers' knowledge and child growth in children aged 6-23 months with nutritional challenges.Methods: A quasi-experimental design with non-equivalent and untreated control groups was employed. Seventy-three mothers and their children aged 6-23 months, facing nutritional challenges, were recruited through consecutive sampling. The intervention group received nurturing care educational videos. Statistical analyses included dependent t-tests, independent t-tests, and repeated measures ANOVA.Results: The intervention group showed significant improvements in nurturing care knowledge (p = 0.012), responsive caregiving (p = 0.018), and safety and security (p = 0.006). A significant difference in safety and security was observed between groups at posttest 1 (p = 0.020). Both groups exhibited significant increases in children's body weight and height: the intervention group (body weight, p = 0.005; body height, p < 0.001) and the control group (body weight, p < 0.001; body height, p < 0.001).Conclusion: Nurturing care educational videos had a significant positive impact on enhancing mothers' knowledge and promoting child growth. Notable improvements were observed in nurturing care knowledge, responsive caregiving practices, and safety and security measures among caregivers exposed to the intervention.
The Indonesian Self-Efficacy Questionnaire for Children: Translation, Cross-Cultural Adaptation, and Psychometric Evaluation Wuryaningsih, Emi Wuri; Lusmilasari, Lely; Haryanti, Fitri; Wahyuni, Budi
Jurnal Ners Vol. 20 No. 1 (2025): VOLUME 20 ISSUE 1 FEBRUARY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i1.64114

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Introduction: This study aimed to translate and validate the Self-Efficacy Questionnaire (SEQ-C) and its subscale for Indonesian adolescents, which has potential implications for bullying prevention. Methods: Cross-cultural adaptation was carried out using the Beaton guidelines. An assessment of psychometric testing was carried out during January and February 2024. The eligibility criteria for participants were students aged 13 to 15. Students who declined to participate were excluded. The research involved 120 children. Testing the questionnaire's structural factors used Confirmatory Factor Analysis (CFA). IBM SPSS 25 and AMOS 29 were used for the analysis. Results: Following the criteria established for CFA, two items (ASE10 and SSE18) were eliminated due to their low factor loadings. This resulted in a refined SEQ-C structure of 22 items distributed across three factors. The alpha reliability coefficients showed robust internal consistency for the entire scale at first test and retest (α=0.884; α =0.911) and for each of the three subscales (all >0.80). The model fit indices indicated satisfactory values for the Comparative Fit Index (CFI)=0.906; Root Mean Square Error of Approximation (RMSEA)=0.063; and the Minimum Discrepancy Function by Degrees of Freedom divided (CMIN/DF)=1.474). Conclusion: The SEQ-C emerges as a trustworthy and valid tool for evaluating self-efficacy across three key components: intellectual, social, and emotional. It can assess adolescent self-efficacy for research, education, and nursing interventions, as part of enhancing the life skills of adolescents.
Psychometric evaluation of the Indonesian Version of the Empathy Questionnaire for Children and Adolescents (EmQue-CA) Wuryaningsih, Emi Wuri; Lusmilasari, Lely; Haryanti, Fitri; Wahyuni, Budi
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3861

Abstract

Background: Assessing empathy in adolescents is essential for developing effective school bullying prevention programs. However, no validated instrument for evaluating empathy in Indonesian adolescents was previously available. Objective: This study aimed to evaluate the validity and reliability of the Indonesian version of the EmQue-CA and its subscales, providing a tool for assessing empathy in adolescents in Indonesia. Methods: Psychometric testing was conducted in January and February 2024 following the translation and cross-cultural adaptation of the EmQue-CA into Indonesian. A total of 140 junior high school students aged 13 to 15 were selected through multistage sampling. Exploratory Factor Analysis (EFA) was performed to determine the factor structure, while reliability was assessed using Cronbach’s alpha and test-retest reliability. Results: EFA supported a three-factor structure—affective empathy (3 items), cognitive empathy (3 items), and intention to comfort (4 items)—consisting of 10 items in total, which accounted for 65.97% of the variance. The instrument showed strong internal consistency (Cronbach’s alpha = 0.96) and excellent test-retest reliability (r = 0.96, 95% CI: 0.94–0.97). Conclusion: The 10-item Indonesian version of the EmQue-CA is a valid and reliable tool for assessing empathy in adolescents. It can be used by school nurses, healthcare professionals, and educators to support the development of empathy-based interventions in school settings.
Hubungan Pengetahuan Pola Asuh Berbasis Budaya dengan Efikasi Diri Ibu dalam Pencegahan Stunting pada Anak Usia 6-59 Bulan Kusumaningtyas, Khariza; Lusmilasari, Lely; Hapsari, Elsi Dwi
Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Vol 9, No 2 (2025)
Publisher : PSIK FKKMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkkk.104920

Abstract

Background: The first five years of life are critical for achieving optimal growth and development. The main risk factor for growth failure in children is stunting. One cause of stunting is parenting patterns, particularly that of mother, who is often the primary caregiver. Therefore, maternal self-efficacy is essential for positive parenting. Maternal self-efficacy in parenting begins with knowledge of stunting prevention.Objective: To determine the correlation between cultural-based parenting knowledge and maternal self-efficacy to prevent stunting among children aged 6-59 months.Method: This quantitative cross-sectional study involved 82 respondents, selected using consecutive sampling. Data were collected in November 2023 in Candibinangun Village, Sleman, Yogyakarta. Spearman’s rank correlation analysis was used for the analysis.Results: Fifty-seven percent of mothers had good knowledge and 50% had good self-efficacy, as indicated by scores equal to or greater than the median value for each variable. The p-value was 0,007 indicating a positive correlation between the two variables, with a correlation coefficient (r) of 0,298.Conclusion: There is a significant positive correlation between mothers’ knowledge of cultural-based parenting and self-efficacy in stunting prevention in children aged 6-5 months. Therefore, mothers are encouraged to continuously improve their knowledge and self-efficacy by seeking information related to stunting and practicing positive parenting to reduce the risk of stunting.INTISARILatar belakang: Lima tahun pertama kehidupan merupakan masa kritis bagi anak untuk dapat mencapai tumbuh kembang yang optimal. Faktor risiko utama kegagalan tumbuh kembang anak disebabkan oleh stunting. Salah satu penyebab stunting adalah pola asuh yang diberikan, terutama oleh ibu yang kerap menjadi pengasuh utama. Oleh karena itu, efikasi diri ibu diperlukan untuk dapat memberikan pengasuhan yang positif. Efikasi diri ibu dalam memberikan pengasuhan dimulai dari proses kognitif terhadap pengetahuan dalam pencegahan stunting.Tujuan: Mengetahui hubungan antara pengetahuan pola asuh berbasis budaya dan efikasi diri ibu dalam pencegahan stunting pada anak usia 6-59 bulan.Metode: Penelitian ini menggunakan metode kuantitatif cross-sectional yang melibatkan 82 responden dengan pemilihan sampel menggunakan teknik consecutive sampling. Pengumpulan data dilakukan pada November 2023 di Kalurahan Candibinangun, Sleman, Yogyakarta. Data dianalisis menggunakan analisis korelasi Spearman’s Rank.Hasil: Sebanyak 57,3% ibu memiliki pengetahuan yang baik, serta 50% ibu memiliki efikasi diri baik ditandai dengan skor ≥ nilai tengah pada tiap variabel. Sementara itu, hasil nilai p-value adalah 0,007 yang menunjukkan dua variabel terdapat hubungan dengan arah positif dengan nilai r adalah 0,298. Simpulan: Terdapat hubungan positif signifikan antara pengetahuan pola asuh berbasis budaya dan efikasi diri ibu dalam pencegahan stunting pada anak usia 6-59 bulan. Oleh karena itu, ibu diharapkan senantiasa meningkatkan pengetahuan dan efikasi diri sehingga dapat menurunkan risiko stunting dengan cara mencari tahu informasi terkait stunting serta mempraktikkan dalam pengasuhan positif. 
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