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[COMPARISON OF EFFECTS OF ABDOMINAL STRETCHING EXERCISE AND COLD COMPRESS THERAPY ON MENSTRUAL PAIN INTENSITY IN TEENAGE GIRLS ]]>
<![CDATA[Desta Ayu Cahya Rosyida]]>;
<![CDATA[Agus Suwandono]]>;
<![CDATA[Ida Ariyanti]]>;
<![CDATA[Suhartono Suhartono]]>;
<![CDATA[Imam Djamaluddin Mashoedi]]>;
<![CDATA[Diyah Fatmasari]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.98
<![CDATA[Background: Pain during menstruation is not uncommon, especially in young women, which has an impact on their life activities. Objective: To examine the effect of abdominal stretching exercise and cold compress therapy on decreasing intensity of menstrual pain in teenage girls. Design: A quasi-experimental study with two group comparison pretest-posttest design at SMK Bakti Indonesia Medika, Indonesia. There were 46 respondents selected in this study by consecutive sampling that consisted of 23 samples in the abdominal stretching exercise group and 23 samples in the cold compress group. The menstrual pain was measured using VAS (visual analog scale). Data were analyzed using Mann-Whitney, Chi-Square, and Wilcoxon test. Results: Findings showed that the mean of menstrual pain before intervention in the abdominal stretching exercise was 7.04 and in the cold compress therapy was 6.74 with p-value 0.211 (<0.05), which indicated that there was no mean difference of pain between both groups. However, after intervention, the menstrual pain was reduced from 7.04 to 1.91 (5.09 difference) in the abdominal stretching exercise group; and from 6.74 to 5.52 (1.22 difference) in the cold compress group with p-value 0.000 (<0.05), which indicated that there was statistically significant difference of menstrual pain before and after intervention, both abdominal stretching exercise and cold compress therapy. Conclusion: There were statistically significant effects of abdominal stretching exercise and cold compress therapy on menstrual pain in teenage girls. The abdominal stretching exercise is more effective than cold compress therapy in reducing menstrual pain intensity. Thus, it is suggested that abdominal stretching exercise can be an alternative choice of management of dysmenorrhea in teenage girls, and can be a part of subject in the education as non-pharmacological medicine.]]>
<![CDATA[EFFECT OF MUSA BALBISIANA COLLA EXTRACT ON BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS ]]>
<![CDATA[Diyan Wahyuningsih]]>;
<![CDATA[Syarief Taufik Hidayat]]>;
<![CDATA[Nur Khafidhoh]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Diyah Fatmasari]]>;
<![CDATA[Kun Aristiati Susiloretni]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.103
<![CDATA[Background: Musa balbisiana Colla, known as Jantung Pisang Klutuk or Pisang Batu, is considered as a traditional food that can increase breast milk production. Little is known about its benefit in Indonesia. Thus, to examine the impact of Musa balbisiana Colla on the production of breast milk is needed. Objective: This study aims to examine the effect of the extract of banana flower (Musa balbisiana Colla) to increase milk production of breastfeeding mothers. Methods: This was a quasi-experimental study with pretest-posttest control group design. This study was conducted in the working area of the Health Center (Puskesmas) of Pesantren II in January – February 2017. There were 16 respondents were selected by accidental sampling, divided into intervention group (8 respondents) and control group (8 respondents). Randomization was performed to select the respondent in each group. The quantity of milk production was measured based on the volume of milk production, while the quality of milk production was based on the levels of prolactin in early (pre) and late (post) using Electro Chemi-Luminescence Immunoassay (ECLIA) method. Independent t-test was used to analyze the data. Results: Findings showed that the mean of the volume of the breast milk production in the experiment group was 470.681 ml and in the control group was 364.650 ml with SD 113.502. The mean of prolactin levels in the experiment group was 35.337 nanogram and in the control group was -38.381 nanogram. There was a significant effect of consuming Musa balbisiana Colla extract on the volume of breast milk production (p-value 0.003) and prolactin levels (p-value 0.001) (<0.05). Conclusion: There was a significant effect of banana flower (Musa balbisiana Colla) extract on breast milk production and prolactin level in breastfeeding mothers. The findings of this study could be used to be alternative daily menu for postpartum mothers and a solution for midwives to deal with those who have inadequate production of breast milk and low prolactin levels.]]>
<![CDATA[PRACTICES FOR PREVENTION NEEDLESTICK AND SHARPS INJURIES AMONG NURSING STUDENTS ]]>
<![CDATA[Anh Tran Thi Quynh]]>;
<![CDATA[Katrina Einhellig]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.63
<![CDATA[Background: Needlestick and sharp injuries are a serious hazard in any health care setting for health care workers and students during clinical practice. Thus, the efforts to prevent the needlestick and sharps injuries are needed and considered a part of the routine practice.Objective: This study aimed to investigate the frequency of nursing students in doing the correct practice in prevention needlestick and sharps injuries.Methods: This cross- sectional study was conducted between 2013 and 2014 in nursing students of Tien Giang Medical College who participated in clinical practice. There were 360 students participated in the study using simple random sampling. Data were collected using the practical assessment checklist and demographic characteristics questionnaire. Data were processed using STATA 12.0, and analyzed using Chi-square and Fisher test.Results: The students who did general practice correctly accounted for 52.50%, and those who did practice incorrectly was 47.5%. The students who used gauze or wool wrap in inhaler were 59.7%, wearing gloves in practice (39.2%), do not disassemble needles from syringes after injection 50%, and removing needles into barrel after injection (65.6%). There was statistically significant relationship between time of participation in clinical practice and correct practice with p-value 0.04 (<0.05)Conclusion: The correct practice of nursing students related to the prevention of needlestick and sharps injuries remains low. There was a significant relationship between time of participation in clinical practice and correct nursing practice. It is suggested that students must be taught about the risk of infection at the beginning of clinical practice, and constantly reminded throughout the learning process, especially for injection safety awareness, knowledge and techniques about the risk of transmission of HBV, HCV and HIV by sharp objects in the healthcare facility.]]>
<![CDATA[EFFECT OF PRENATAL YOGA ON ANXIETY, BLOOD PRESSURE, AND FETAL HEART RATE IN PRIMIGRAVIDA MOTHERS ]]>
<![CDATA[Hamdiah Hamdiah]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Triana Sri Hardjanti]]>;
<![CDATA[Ariawan Soejoenoes]]>;
<![CDATA[M Choiroel Anwar]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.99
<![CDATA[Background: Pregnancy increases the risk of developing anxiety that may affect the fetus. Yoga is considered as an alternative therapy to reduce anxiety, blood pressure, and fetal heart rate. Objective: This study aimed to examine the effect of prenatal yoga on anxiety, blood pressure, and fetal heart rate in primigravida mothers. Methods: There were 39 primigravida mothers selected using purposive sampling, which divided into three groups - an experiment group with four-times prenatal yoga, an experiment group with eight-times prenatal yoga, and a control group. The Hamilton Rating Scale for Anxiety (HRSA) was used. Data were analyzed using One-way ANOVA and MANOVA. Results: There was a statistically significant difference of prenatal yoga on anxiety (p=0.005), systolic blood pressure (p=0.045), and fetal heart rate (p=0.010). However, there was no significant difference of prenatal yoga on diastolic blood pressure with p-value 0.586 (>0.05). Conclusion: There were significant effects of prenatal yoga on anxiety level, systolic blood pressure, and the fetal heart rates in primigravida mothers. The findings of this study can be an alternative treatment for midwife to deal with anxiety during pregnancy and an input for the class program of pregnant women to improve the quality of maternal and fetal health.]]>
<![CDATA[THE EFFECT OF MORINGA OLEIFERA LEAVES ON CHANGE IN BLOOD PROFILE IN POSTPARTUM MOTHERS ]]>
<![CDATA[Arum Estiyani]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Sri Rahayu]]>;
<![CDATA[Suharyo Hadisaputro]]>;
<![CDATA[Melyana Nurul Widyawati]]>;
<![CDATA[Kun Aristiati Susiloretni]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.104
<![CDATA[Background: Postpartum anemia among mothers is a health problem in Indonesia. Consuming moringa oleifera is assumed as one of the efforts to deal with anemia. However, lack of the study conducted in the working in the working area of Health Center of Tlogosari Wetan, Indonesia. Objective: This study was conducted to examine the effect of moringa oleifera on blood profile in postpartum mothers. Methods: The study was quasi-experimental study with pretest posttest control group design. The sample in this study were all postpartum mothers in the working area of the Health Center of Tlogosari Wetan. It was 30 respondents selected by purposive sampling, divided into intervention group (15 respondents) who received moringa leaf capsule and iron tablet, and control group (15 respondents) were given iron tablet. Data were analyzed using Independent t-test. Results: Findings showed a significant difference in the mean of hemoglobin level (intervention group 11.9467; control group 11.0600), hematocrit (intervention group 38.3867; control group 33.8133), thrombocyte (intervention group 3.02536; control group 2.35805), and erythrocyte (intervention group 4.30137; control group 3.78206) with p-value < 0.05. Conclusion: there was a significant effect of moringa oleifera on changes in blood profile (hemoglobin, hematocrit, erythrocyte, thrombocyte) in postpartum mothers in the working area of the Health Center of Tlogosari Wetan. Thus, it is suggested that moringa leaves could be used to prevent anemia in postpartum mothers.]]>
<![CDATA[BIRD’S NEST EXTRACT CREAM: TREATMENT FOR PERINEAL WOUND IN RATTUS NORVEGICUS ]]>
<![CDATA[Herlina Ofiwijayanti]]>;
<![CDATA[Syarief Thaufik Hidayat]]>;
<![CDATA[Nur Khafidhoh]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.100
<![CDATA[Background: Perineal rupture occurs almost in all the first labor and not infrequently in the next labor. Complex perineal wounds are at risk for non-healing and infection. Objective: This study aims to determine the effect of bird’s nest extract on perineal wound healing on rattus norvegicus. Methods: This was a randomized posttest only group design conducted in October 2016 at Animal Laboratory Unit of Diponegoro University, Semarang, Indonesia. There were 30 samples recruited in this study, divided into three groups: 1) the control group (with povidone iodine 10% solution), 2) the first treatment group with a bird’s nest 50% cream, and 3) the second treatment group with a bird’s nest 70% cream. The Redness, Edema, Ecchymosis, Discharge, Approximation (REEDA) scale was used. Data were analyzed using descriptive statistics, frequency distribution, and one-way ANOVA. Results: There were statistically significant mean differences between the three groups with p-value 0.000 (< 0.05). The time of the wound healing was 5-6 days for povidone iodine 10% group, 4-5 days for bird’s nest 50% group, and 3 days for bird’s nest 70% group. The degree of perineal wound density in the bird’s nest 70% group (0.37) was also better than the bird’s nest 50% group (0.13) and povidone iodine 10% group (0.02). Conclusion: Bird’s nest has a significant effect on wound healing process. Findings indicated that the bird’s nest 70% extract was very effective to accelerate wound healing than bird’s nest 50% extract and povidone iodine 10%.]]>
<![CDATA[USING ADDIE MODEL TO DESIGN EARLY DETECTION SYSTEM OF CHILD GROWTH AND DEVELOPMENT IN THE COMMUNITY HEALTH CENTER OF BENDOSARI, SEMARANG INDONESIA ]]>
<![CDATA[Liliana Nur Kholifah]]>;
<![CDATA[Supriyana Supriyana]]>;
<![CDATA[Bahiyatun Bahiyatun]]>;
<![CDATA[Melyana Nurul Widyawati]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.105
<![CDATA[To reduce the increase of the impaired child growth and development, early detection system is needed. The system designed based on information technology will facilitate the health personnel to achieve the desired outcome. In this study, the early detection system was developed using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instruction model. The evaluation showed that the early detection system was effective in terms of completeness (7.2), ease (13.60), timeliness (7.60), accuracy (17.10), and conformity (8.00). This innovation is expected to contribute positively for child growth and development in Indonesia]]>
<![CDATA[EFFECT OF CARICA PAPAYA L LEAF ON MENSTRUAL PAIN AND PROSTAGLANDIN LEVEL IN ADOLESCENT WITH PRIMARY DYSMENORRHEA: A TRUE EXPERIMENT ]]>
<![CDATA[Siska Nurul Abidah]]>;
<![CDATA[Soeharyo Hadisaputro]]>;
<![CDATA[Runjati Runjati]]>;
<![CDATA[Syarief Thaufik Hidayat]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Donny Kristanto Mulyantoro]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.96
<![CDATA[Background: Primary dysmenorrhea occurs because of the excessive amount of prostaglandins in the blood. Papaya leaf extract is considered to be able to reduce prostaglandin and menstrual pain. Objective: This study aims to prove that papaya leaf extract (Carica Papaya L.) can decrease the level of menstrual pain and prostaglandin levels in primary dysmenorrhea. Methods: A true experimental study with randomized pretest posttest control group design. There were 32 samples recruited using simple random sampling, with 16 each assigned to an experiment group and a control group. Numerical Rating Scale (NRS) was used to measure menstrual pain, and the level of prostaglandin was measured using the enzyme-linked immunosorbent assay (ELISA) method. Independent t-test and paired t-test were performed for data analysis. Results: There was statistically significant difference of menstrual pain and prostaglandin level before and after intervention with p-value 0.000 (<0.005), which indicated that papaya leaf extract had a significant effect on reducing menstrual pain. The decrease of menstrual pain in the experimental group was -3.375 and in the control group was -3.438; while the decrease of prostaglandin level in the experimental group was -56.971 and in the control group was -57.557. Conclusion: Provision of papaya leaf extract (Carica Papaya L.) significantly decreased the level of menstrual pain and prostaglandin levels in primary dysmenorrhea. Papaya leaf extract can be used as a safe and effective herbal medicine for primary dysmenorrhea which has almost the same efficacy as mefenamic acid.]]>
<![CDATA[FACTORS ASSOCIATED WITH POOR GLYCEMIC CONTROL AMONG TYPE 2 DIABETES MELLITUS IN INDONESIA ]]>
<![CDATA[Rian Adi Pamungkas]]>;
<![CDATA[St. Hadijah]]>;
<![CDATA[Andi Mayasari]]>;
<![CDATA[Nusdin Nusdin]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.61
<![CDATA[Background: Type 2 Diabetes mellitus becomes the public health problem worldwide. Reasons for poor glycemic control in Type 2 diabetes are complex.Objectives: To determine factors contributed to poor glycemic control among Indonesian patients with Type 2 Diabetes mellitus.Methods: This was a cross sectional regression study. There were 70 respondents selected using purposive sampling. Pre-structured questionnaires were used to measure socio demographic, clinical characteristics, self-care management behaviors, medication adherence, barriers to adherence, and family support. Data were analyzed using chi-square and binary logistic regression.Results: Poor glycemic control was defined as HbA1c ≥7% or FBG ≥200 mg/dl. Findings of this study reported that 83% patients had or FBG ≥200 mg/dl, which confirmed as poor glycemic control. Logistic regression showed that increasing duration of diabetes (> 5 years), non-adherence to dietary behaviors recommendation through selecting healthy diet, arranging a meal plan, recognizing the amount calorie needs, managing dietary behaviors challenges, medication adherence, and family support were significantly influence poor glycemic control with increased odds ratio scores.Conclusion: The proportion of patients with poor glycemic control was raised. Increasing duration of diabetes, non- adherence to medication and dietary behaviors management, and lack of family support were associated with poor glycemic control. Thus, integration of diabetes self-management program with social support is needed to deal with patients’ need to achieve the great benefits in diabetes care.]]>
