Belitung Nursing Journal
BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based clinical application papers, original research, systematic review, case studies, perspectives, commentaries, letter to editor and guest editorial on a variety of clinical and professional topics.
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<![CDATA[EFFECTIVENESS OF BREASTFEEDING AND NON-NUTRITIVE SUCKING ON PAIN RELIEF IN INFANT IMMUNIZATION ]]>
<![CDATA[Etri Probowati]]>;
<![CDATA[Ariawan Soejoenoes]]>;
<![CDATA[Sri Wahyuni M]]>;
<![CDATA[Donny Kristanto Mulyantoro]]>;
<![CDATA[Melyana Nurul Widyawati]]>;
<![CDATA[Diyah Fatmasari]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.70
<![CDATA[Background: Immunization in infants is an action that can cause trauma due to injection of the immunization that can cause pain. Breastfeeding and non-nutritive sucking are considered non-pharmacologic strategies of pain management. Objective: This study aims to investigate the effectiveness of breastfeeding and non-nutritive sucking on pain relief in infant immunization. Methods: This was a quasi-experimental study with posttest only control group. This study was conducted on 26 October till 30 November 2016 at three Community Health Centers (Puskesmas), namely Puskesmas Cilacap Utara I, Puskesmas Cilacap Tengah, and Puskesmas Cilacap Selatan I. The population was infants aged 2-4 months who got immunization of DPT-HB-Hib 1. Samples were recruited using a consecutive sampling technique. There were 69 samples in this study, which were divided into three groups: 1) The group given a breastfeeding intervention (23 respondents), 2) The second group given a non-nutritive sucking intervention (23 respondents), and 3) The control group (23 respondents). Data were analyzed using ANOVA. Results: The average of pain response of the three groups was 2.74 in the breastfeeding group, 1.87 in the non-nutritive sucking group, and 3.26 in the control group. There was a significant difference between non-nutritive sucking and control group with p-value = 0.000, and also a significant difference between breastfeeding and non-nutritive sucking with p-value = 0.016. However, there was no difference between breastfeeding and control group with p-value = 0.142. Conclusion: Breastfeeding and non-nutritive sucking were effective in reducing pain during infant immunization. It is suggested that midwives could administer these interventions to reduce pain in infant immunization, and it could be applied as non-pharmacological strategy in pain management in the community health center in Indonesia.]]>
<![CDATA[TEACHER-CENTERED LEARNING AND STUDENT-CENTERED LEARNING APPROACHES IN NURSING SCHOOL: WHICH ONE IS BETTER? ]]>
<![CDATA[Intansari Nurjannah]]>;
<![CDATA[Fatihatul Husniyah]]>;
<![CDATA[Totok Harjanto]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.59
<![CDATA[Background: Student academic achievement is influenced by learning instruments such as: teaching staff, facility and infrastructure as well as the curricular component. Teacher-Centered Learning (TCL) or Student-Centered Learning (SCL) will also contributes to student’s outcomes as an approach to apply a curricular component. Objective: To compare students’ academic achievement levels between undergraduate students who follow TCL and SCL approaches in nursing school. Methods: This was a quantitative research with a descriptive analytic method comparative study. The entire undergraduate student population in one of nursing school in Indonesia from 1999 to 2011 was included in this research. The relevant data in this study was GPA score and length of study. A total sampling method was performed to select 918 subjects involved in the study. The data were analyzed using Mann-Whitney test. Results: Academic achievement was assessed from GPA score and length of study. The average GPA of students who followed a TCL approach was 3.28, while the score for those who followed a SCL approach was 3.54 with p-value of 0.00. The average length of study of students who followed a TCL approach was 4 years 3 months; while those with a SCL approach was 4 years 1 month with p-value of 0.279. Conclusions: There was a significant difference on GPA score and no significant differences on the length of study between the undergraduate students who followed a TCL versus a SCL approaches.]]>
<![CDATA[THE IMPACT OF HONEY ON CHANGE IN NUTRITIONAL STATUS IN CHILDREN WITH POOR NUTRITION ]]>
<![CDATA[Harmiyati Harmiyati]]>;
<![CDATA[Ariawan Soejoenoes]]>;
<![CDATA[Sri Wahyuni M]]>;
<![CDATA[Kun Aristiati]]>;
<![CDATA[Soeharyo Hadisaputro]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.71
<![CDATA[Background: Toddlers are vulnerable groups to malnutrition. Thus, to maintain their nutritional status is needed. Honey is considered having health benefits that may increase the nutritional status in children. However, little is known about the impact of honey on nutritional change in Sumbawa, Indonesia. Objectives: The aim of this study is to analyze the effect of honey on changes in nutritional status in children with poor nutrition in the area of the Health Center of Lopok, Sumbawa, Indonesia Methods: This study employed a quasi-experiment design with pretest-posttest with control group. The total sample in this study were 60 children recruited by simple random sampling, divided into 2 groups, namely 30 children in an intervention group and 30 children in a control group. The sampling technique used a simple random sampling. Data were analyzed using Mann Whitney and linear regression test. Results: Findings showed that there were significant mean differences between the intervention and control group in term of weight (intervention 1.316; control 0.903), height (intervention 1.586; control 1.030), weight-for-height (W/H) z-score (intervention 0.713; control 0.595), weight-for-age (W/A) z-score (intervention 0.717; control 0.531), and height-for-age (H/A) z-score (intervention 0.847; control 0.423) with p-value < 0.05. Conclusion: There was a significant effect of honey on changes in nutritional status in children with poor nutrition. It is suggested that health providers may use honey to take care of children under nutrition to increase their appetite and change their nutritional status.]]>
<![CDATA[THE DEVELOPMENT OF E-PARTOGRAPH MODULE AS A LEARNING PLATFORM FOR MIDWIFERY STUDENTS: THE ADDIE MODEL ]]>
<![CDATA[Selasih Putri Isnawati Hadi]]>;
<![CDATA[Tjahjono Kuntjoro]]>;
<![CDATA[Sri Sumarni]]>;
<![CDATA[Muh.Choiroel Anwar]]>;
<![CDATA[Melyana Nurul Widyawati]]>;
<![CDATA[Rr.Sri Endang Pujiastuti]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.77
<![CDATA[To enhance the competencies of midwifery students, one must design a learning instruction in such a manner that it will optimize the learning. The learning materials designed based on technology will facilitate the learners to achieve the desired outcome. In this study, e-partograph was developed using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instruction model. The module of e-partograph was followed the structural guideline of Department of National Education of Indonesia consisted of: self-instruction, self-contained, stand alone, adaptive, and user friendly. The evaluation showed that e-partograph was feasible (99.3) in the material subject, very feasible (195) in terms of media, feasible (101.6) in the try-out, and feasible for the students (users) (104.18). It is suggested that e-partograph could be applied in the teaching learning system, and it is expected to contribute positively to the increase in skill and competence of midwifery students who will be able to carry out its role both academic and practice.]]>
<![CDATA[“IT’S A NATURAL PROCESS AND WE SHOULD ACCEPT IT AS OUR DESTINY”: INDONESIAN WOMEN PERCEPTION TO MENOPAUSE ]]>
<![CDATA[Farida Kartini]]>;
<![CDATA[Hikmah Hikmah]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.40
<![CDATA[Background: The changes in menstrual cycle are commonly followed by symptoms such as hot flushes, palpitations, sleep disorders, depression, irritability, headaches and low sexual drive in women. Women’s knowledge and perception to their menopause cyclic changes are important in their adaptation to menopause symptoms. Objective: This study aims to assess women’s perception toward menopause. Methods: This study employed a qualitative research design with phenomenology approach. Nine married women aged 45-55, residing in Ngestiharjo, Bantul district, Daerah Istimewa Yogyakarta, Indonesia participated in this research. Results: Respondents perceived menopause as a natural event for every woman above 45 years old and therefore it should be accepted as it is. Participants of the study defining menopause as a period when ovaries naturally end producing sexual hormone resulting with no menstrual periods for 12 consecutive months without other identified biological or physiological causes. The participants understand the basic knowledge of menopause and remarked their menopause period with muscular pain and irregular flows. In practice, as well as other menopausal women, respondents also experienced vaginal pains during coitus. Conclusion: Women of the study acknowledged that menopause as the end of their reproductive period. It is believed as a natural event and will be experienced by every woman. Nevertheless, women’s misconception and belief to menopause myths alarms the need for an adequate information related healthy menopause. Women preparedness is expected to reduce the symptoms and disorders following menopause.]]>
<![CDATA[SWEET POTATO (IPMOEA BATATAS L.) LEAF: ITS EFFECT ON PROLACTIN AND PRODUCTION OF BREAST MILK IN POSTPARTUM MOTHERS ]]>
<![CDATA[Ima Candra Kusuma]]>;
<![CDATA[Onny Setiani]]>;
<![CDATA[Umaroh Umaroh]]>;
<![CDATA[Noor Pramono]]>;
<![CDATA[Melyana Nurul Widyawati]]>;
<![CDATA[Suryati Kumorowulan]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.72
<![CDATA[Background: Sweet potato leaf is assumed to be one of alternative herbs that can increase breast milk production. However, there were no studies found in the literature that examine the sweet potato leaves to increase the levels of prolactin and milk production. Objective: To examine the effect of sweet potato (Ipomoea batatas L.) leaf on the level of prolactin and milk production in postpartum mothers. Methods: This was a quasi-experimental study with pretest-posttest design with control group, conducted on November 2016 to December 2016 in the Health Center (Puskesmas) of Boyolali I. Thirty respondents were selected using consecutive sampling, which were divided to be 15 respondents in intervention group and 15 respondents in control group. Enzyme-linked immunosorbent assay (ELISA) was used to measure prolactin levels, while breast milk production was measured based on the volume of breast milk and baby’s weight. Data were analyzed using Independent t-test and paired t-test. Results: Finding showed that there was a significant difference in prolactin levels between the intervention (270.43) and control group (156.28) after intervention with p-value 0.000, and a significant difference in breast milk production in terms of breast milk volume (intervention group 136.33; and control group 119) with p-value 0.028; and baby’s weight (intervention group 3030.3; and control group 2787.33) with p-value 0.000. Conclusion: There was a significant effect of sweet potato (Ipomoea batatas L.) leaf on the levels of prolactin and breast milk production. Thus, it could be suggested that sweet potato leaves should be considered to be one of alternative treatments for health care providers, especially for midwives to help breastfeeding mothers in increasing their breast milk production and prolactin levels. Further research is needed to examine all factors affecting breast milk production.]]>
<![CDATA[HYPNOANXIETY AS AN ALTERNATIVE THERAPY TO REDUCE ANXIETY IN PRIMIGRAVIDA MOTHERS ]]>
<![CDATA[Nurul Jannah]]>;
<![CDATA[Hadi Hadi]]>;
<![CDATA[Sri Rahayu]]>;
<![CDATA[Soeharyo Hadisaputro]]>;
<![CDATA[Diyah Fatmasari]]>;
<![CDATA[Imam Djamaluddin Mashoedi]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.68
<![CDATA[Background: Anxiety among primigravida mothers should be handled to avoid the risks during pregnancy. Hypnotherapy is considered to be a solution; however, there are limited studies to determine its effect on anxiety, especially in primipara mothers. Objective: To examine the effect of hypnoanxiety on the level of anxiety in primigravida. Methods: This was a Randomized Controlled Trials (RCTs) with pretest-posttest design, conducted between September – October 2016 in the working area of the Health Center of Bergas Semarang, Indonesia. There were 40 respondents recruited using simple random sampling, which divided into intervention and control group. Hypnoanxiety was performed 8 times for 4 weeks. The Zung Self-Rating Anxiety Scale (ZSAS) was used to measure anxiety in pregnant women. Data were analyzed using Mann Whitney test and Kruskal Wallis test. Results: Findings showed that after four weeks intervention, there was a decrease of the level of anxiety in the intervention group, consisted of 25% of moderate anxiety, 40% of mild anxiety, and 35 % of respondents with no anxiety. The p-value was 0.05, which indicated that there was mean difference of anxiety level between intervention and control group. Conclusions: There was a significant effect of hypnoanxiety on the level of anxiety in pregnant women. It is suggested that hypnoanxiety could be one of the alternative therapies to reduce the anxiety among pregnant women. This could be considered to be included in the standard of midwifery care in Indonesia.]]>
<![CDATA[EFFECT OF MORINGA OLEIFERA ON LEVEL OF PROLACTIN AND BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS ]]>
<![CDATA[Yuni Sulistiawati]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Triana Sri Hardjanti]]>;
<![CDATA[Ariawan Soejoenoes]]>;
<![CDATA[M. Choiroel Anwar]]>;
<![CDATA[Kun Aristiati Susiloretni]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.75
<![CDATA[Background: Breastfeeding among postpartum mothers has been a problem due to low milk supply. As a result, mothers often decide to give formula milk or other additional foods, which may affect infant’s growth and development. Objective: This study aims to investigate the effect of moringa oliefera on the levels of prolactin and breast milk production (baby’s weight and sleep duration) in postpartum mothers. Methods: Quasi-Experimental study with non-equivalent control group design. There were 30 respondents recruited by purposive sampling, consisted of 15 respondents in intervention group and 15 respondents in the control group. This study was conducted from November until December 2016 in Four Midwives Independent Practice (BPM) in the working area of the Health Center of Tlogosari Wetan Semarang. Data were analyzed using Independent t-test. Results: Findings showed that there was a mean difference of prolactin level in the intervention group (231.72 ng / ml) and the control group (152.75 ng / ml), and a significant effect on increasing the levels of prolactin (p = 0.002). The mean of baby’s weight in the intervention group was 3783.33 grams and in the control group was 3599.00 grams. However, there was no significant effect of moringa oleifera on baby’s weight (p = 0.313> 0.05), while the mean difference on sleep duration was 128.20 minutes in the intervention group and 108.80 minutes in the control group. There was a significant effect on baby’s sleep duration (p= 0.000). Conclusion: There were significant effects of moringa oleifera on mother’s prolactin and sleep duration of the baby. However, there was no significant effect on baby’s weight. Thus, it can be suggested that moringa oleifera can be used as an alternative treatment to increase breast milk production and prolactin hormones. Midwives should promote the benefits of moringa leaves as one of alternative supplements.]]>
<![CDATA[COMPARISON STUDY OF ENERGY EXPENDITURE CALCULATION BETWEEN CONVENTIONAL METHOD AND IRETON-JONES METHOD FOR CRITICALLY ILL PATIENT ]]>
<![CDATA[Suhartini Ismail]]>;
<![CDATA[Rizqi Nursasmita]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.45
<![CDATA[Background: The critically ill patients are having nutrition problems in dealing with the critical condition. The problem of nutrition is demanding on the severity of illness. Therefore, the ICU nurses should understand how nutrition can support the patients’ recovery. Objective: This study’s aim was to compare the result of energy expenditure calculation of conventional method with Ireton-Jones method for critically ill patients in the intensive care unit. Methods: This was a comparative and cross-sectional study which recruited 40 samples. The samples were divided into two groups, conventional group method and Ireton-Jones group method, and they met the inclusion criteria. The sample of this study was determined by convenience sampling. To answer the hypothesis, the hypothesis test used Independent sample t-test. Results: The results revealed that there is no significance difference between energy expenditure calculation conventional method and Ireton-Jones method statically. In the other word, either used the conventional method or the Ireton Jones method, the result of energy expenditure calculation has statically significant difference. Conclusion: It can be concluded that the nurse can use both methods to calculate the energy expenditure for critically ill patients to meet their nutrition need. We suggest that for further investigation will recruit many samples and do control of other factors that might be influenced in the study.]]>
<![CDATA[EFFECT OF CONSUMING PAPAYA (CARICA PAPAYA LINN.) ON THE LEVEL OF HEMOGLOBIN AND HEMATOCRIT IN PREGNANT WOMEN WITH ANEMIA ]]>
<![CDATA[Choralina Eliagita]]>;
<![CDATA[Tjahjono Kuntjoro]]>;
<![CDATA[Sri Sumarni]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Soeharyo Hadisaputro]]>;
<![CDATA[Choralisa Eliagita]]>;
<![CDATA[Donny Kristanto Mulyantoro]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.69
<![CDATA[Background: The prevalence of anemia among pregnant women is still high in Indonesia, especially in Bengkulu. Consuming papaya is considered as one of the solutions to increase hemoglobin and hematocrit level. Objective: This study aims to examine the effect of consuming papaya on the level of hemoglobin and hematocrit in pregnant women. Methods: This study employed a true experiment with randomized pretest and posttest design with control group. There were 42 respondents recruited in this study using simple random sampling. Randomization was performed to divide the samples into two groups, namely 21 respondents in a treatment group and 21 respondents in a control group. A total of 110 grams of papaya was given to the intervention group every day for 14 days. Data were analyzed using dependent t-test and independent t-test. Result: There was a significant effect of consuming papaya on the hemoglobin and hematocrit level with p-value 0.000 (< .05). The mean difference between two groups showed that hemoglobin level (control group 10.010 gr/dL; intervention group 10.838 gr/dL) and hematocrit level (control group 27.43 %; intervention group 30.10 %). Conclusion: Consuming papaya has a significant effect on changes in hemoglobin and hematocrit levels. It is suggested that consuming papaya should be one of alternative treatments for midwives to prevent anemia in pregnant women.]]>
