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[THE IMPACT OF COMBINATION OF ROLLING AND OKETANI MASSAGE ON PROLACTIN LEVEL AND BREAST MILK PRODUCTION IN POST-CESAREAN SECTION MOTHERS ]]>
<![CDATA[Nia Dwi Yuliati]]>;
<![CDATA[Hadi Hadi]]>;
<![CDATA[Sri Rahayu]]>;
<![CDATA[Noor Pramono]]>;
<![CDATA[Donny Kristanto Mulyantoro]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.150
<![CDATA[Background: Normal childbirth or cesarean section has an effect on the initiation of early breastfeeding. Thus, rolling massage and oketani massage are considered helpful for milk production. However, little is known about the combination of rolling and oketani massage. Objective: To examine the effect of combination of rolling and oketani massage on the levels of prolactin and milk production in post-caesarian section mothers. Methods: A quasi-experimental study with pretest-posttest control group design. Thirty-six samples were selected using consecutive sampling, with 18 each assigned to an experiment and control group. Breast milk production was measured based on the baby's weight, while prolactin levels were measured using ELISA method. Data were analyzed using univariate and bivariate analysis. Results: Results showed that there was a statistically significant difference of prolactin levels after intervention in the experiment and control group with p-value 0.035 (<0.005), and significant difference in breast milk production in both groups in posttest 1 and posttest 2 with p-value 0.000 (<0.05). Conclusion: There was statistically significant effect of the combination of rolling and oketani massage on the increase of prolactin levels and breast milk production. It is suggested that this intervention can be applied in midwifery care in post-cesarean section mothers.]]>
<![CDATA[EFFECT OF SOLUS PER AQUA (SPA) ON INFANT WEIGHT ]]>
<![CDATA[Agrystina Ryma Melati]]>;
<![CDATA[C Tjahjono Kuntjoro]]>;
<![CDATA[Sri Sumarni]]>;
<![CDATA[Kamilah Hidayati]]>;
<![CDATA[Rr. Sri Endang Pujiastuti]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.154
<![CDATA[Background: The prevalence of skinny infants in Indonesia is still high. Baby's spa is considered to be able increase infant’s weight. Objective: To determine the effect of baby spa in infant weight in in Bebengan Village, Boja Sub District, Kendal Regency, Central Java, Indonesia. Methods: This study was a quasi-experimental study with non-equivalent control group design. There were 38 infants were selected using purposive sampling, divided into three groups, namely: 1) a group received spa two times per week (12 infants), 2) a group received spa three times per week (13 infants), and 3) a control group. Baby digital scale of ARN-EBSD-04 was used to measure infant weight. Data were analyzed using paired t-test and ANOVA. Results: There was statistically significant effect of intervention in each group on the infant’s weight. However, the data showed that the intervention that had a better effect on infant weight was the intervention of spa in two times per week with mean difference before and after intervention of 603 g. Conclusions: Doing spa two times per week could significantly increase infant weight effectively. Therefore, it is recommended for midwife to apply this intervention to increase the weight gain of babies and to reduce the number of skinny infants in Indonesia.]]>
<![CDATA[EFFECT OF ACUPRESSURE ON QUALITY OF SLEEP AND PULSE RATE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION ]]>
<![CDATA[Eko Rustamaji Wiyatno]]>;
<![CDATA[Rr. Sri Endang Pujiastuti]]>;
<![CDATA[Titin Suheri]]>;
<![CDATA[Djenta Saha]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.162
<![CDATA[Background: Patients with acute myocardial infarction have a change in sleep pattern. Acupressure is identified as a therapy with the principle of healing to deal with sleep changes. Objective: To analyze the effect of acupressure on sleep quality and pulse rate in patients with acute myocardial infarction. Methods: This study employed a quasi-experiment study with non-randomized pretest-posttest with control group design. There were 50 respondents selected in this study, with 25 assigned in the intervention and control group using consecutive sampling. Quality Sleep Questionnaire and bedside monitor were used to measure sleep quality and pulse rate. Acupressure in combination of Neiguan point (PC 6), Shenmen (HT7), Sanyinjiao (SP6), Yintang (EX3) and Tay (EX5) was given as the nursing intervention in this study. Data were analyzed using paired t-test and independent t-test. Results: There was statistically a significant increase of quality of sleep and significant decrease of pulse rate in the intervention group with p-value 0.000 (<0.05). Conclusion: Acupressure has a significant effect on the increase of sleep quality and the decrease of pulse rate in patients with acute myocardial infarction. Thus, it is suggested that acupressure could be one of the nursing interventions for AMI patients to increase sleep quality and decrease of pulse rate.]]>
<![CDATA[EFFECT OF CONSUMING TAMARIND AND TURMERIC DRINK ON THE LENGTH OF PERINEAL WOUND HEALING IN POSTPARTUM MOTHERS ]]>
<![CDATA[Dewi Susanti]]>;
<![CDATA[Onny Setiani]]>;
<![CDATA[Umaroh Umaroh]]>;
<![CDATA[Kun Aristiati]]>;
<![CDATA[Imam Djamaluddin Mashoedi]]>;
<![CDATA[Mardiyono Mardiyono]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.155
<![CDATA[Background: The incidence of perineal tear is still high in Indonesia. It is therefore the intervention to accelerate wound healing is needed. The use of turmeric and tamarind is considered as the alternative treatment for wound healing. However, little is known about the effect of the combination of turmeric and tamarind. Objective: To determine the effect of consuming turmeric and tamarind on the duration of perineal wound healing. Methods: The study was a quasi-experimental study with one group post-test only design conducted in the working area of the Community Health Center of Ngesrep and Srondol, Semarang City, Central Java, Indonesia in December 2016 until January 2017. There were 28 respondents recruited using consecutive sampling, with 14 randomly assigned in each group. The REEDA scoring system was used to measure the wound healing. Data were analyzed using Independent t-test. Results: The results revealed that the average duration of wound healing in the intervention group was 6.25 days, while in the control group was 8.57 days with p-value 0.000 (<0.05), which indicated that there was statistically significant effect of tamarind turmeric drink of the duration of perineal wound healing in postpartum mothers. Conclusion: There was a significant effect of turmeric tamarinds drink on the duration of perineal wound healing in postpartum mothers. It is therefore suggested to the health providers, especially midwives, to apply this intervention the accelerate healing of perineal wound in postpartum mothers.]]>
<![CDATA[RELATIONSHIP BETWEEN DEMOGRAPHIC CHARACTERISTICS AND SPIRITUAL WELLBEING AMONG CANCER SURVIVORS ]]>
<![CDATA[Eviwindha Suara]]>;
<![CDATA[Mardiyono Mardiyono]]>;
<![CDATA[Anggorowati Anggorowati]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.74
<![CDATA[Background: Spiritual wellbeing (SWB) is an important quality-of-life dimension for cancer patients. Therefore, health professionals are demanded to improve SWB in these patients. A deeper understanding regarding the factors associated with SWB is needed. Objective: This study aims to examine the relationships of demographic characteristics of patients and spiritual wellbeing in patients with cancer. Methods: This was a cross-sectional correlational study with 60 respondents recruited using consecutive sampling. A spiritual wellbeing scale (SWBS) was used, and data were analyzed using Kendall's Tau and Spearman's rank. Results: Findings in this study showed that only age was statistically significant with spiritual wellbeing of cancer patients with p-value 0.003 (<0.05). There were no significant relationships of gender, education, occupation, long suffering, and type of cancers with spiritual wellbeing with p-value >0.05. Conclusion: There was a significant relationship between age and spiritual wellbeing in patients with cancer. This study provides the insight of knowledge regarding the factors affecting spiritual wellbeing in patients with cancer.]]>
<![CDATA[DEVELOPING A WEB-BASED INFORMATION SYSTEM IN DETECTION OF HIGH-RISK PREGNANCIES IN SEMARANG, INDONESIA: ADDIE MODEL ]]>
<![CDATA[Ihsanti Indri Fajriya]]>;
<![CDATA[Supriyana Supriyana]]>;
<![CDATA[Bahiyatun Bahiyatun]]>;
<![CDATA[Melyana Nurul Widyawati]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.160
<![CDATA[A web-based information system in this study was developed using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instruction model to facilitate the monitoring and reporting the existence of high-risk pregnancies in Semarang. The evaluation of the system revealed that web-based information system was very effective in terms of completeness, ease, timeliness, accuracy, and conformity with p-value <0.05. This innovation is expected to contribute positively to reduce maternal mortality rates in Indonesia, especially in Semarang.]]>
<![CDATA[RELATIONSHIP BETWEEN NURSE SUPPORTS AND FEARS OF HOSPITALIZED SCHOOL AGE CHILDREN IN PKU MUHAMMADIYAH HOSPITAL, YOGYAKARTA, INDONESIA ]]>
<![CDATA[Istinengtiyas Tirta Suminar]]>;
<![CDATA[Indria Laksmi Gamayanti]]>;
<![CDATA[Lely Lusmilasari]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.111
<![CDATA[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.]]>
<![CDATA[EFFECT OF CONSUMING RED SPINACH (AMARANTHUS TRICOLOR L) EXTRACT ON HEMOGLOBIN LEVEL IN POSTPARTUM MOTHERS ]]>
<![CDATA[Resty Himma Muliani]]>;
<![CDATA[Ariawan Soejoenoes]]>;
<![CDATA[Titi Suherni]]>;
<![CDATA[Soeharyo Hadisaputro]]>;
<![CDATA[Imam Djamaluddin Mashoedi]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.156
<![CDATA[Background: Postpartum mothers are susceptible to anemia, due to loss of blood count during labor. Postpartum anemia causes uterine subinvolution which causes postpartum hemorrhage, facilitates puerperium infection, decreases breastfeeding and causes mamae infection. One alternative to prevent anemia in postpartum is to consume vegetables with high iron one red spinach. Red spinach is one of the non-heme iron sources needed to synthesize hemoglobin. Objective: To determine the effect of red spinach in increasing the levels of hemoglobin in postpartum mothers. Methods: This was a quasi-experiment with pretest posttest with control group design in October-December 2017 at the Community Health Center of PONED Tarub, Tegal regency, Indonesia. Thirty postpartum mothers were included using purposive sampling, which 15 assigned in each group. Blood sampling and examination were performed in each respondent. Paired and Independent t-test were done for data analysis. Results: The results of the 14-day intervention of given red spinach extract showed that there was a significant increase of hemoglobin level (1.25 g / dL) with p-value 0.047. Conclusion: There is a significant effect of consuming red spinach extract (Amaranthus tricolor L.) on the increase of hemoglobin level in postpartum mother. It is recommended that midwives could apply this intervention and cooperate with agriculture and food processing in order to produce red spinach extract that increases hemoglobin, hematocrit and erythrocytes levels.]]>
<![CDATA[RELATIONSHIP BETWEEN NURSING AND ELDERLY CARE STUDENTS’ ATTITUDES TOWARDS AGEISM ]]>
<![CDATA[Merve Çayir Yilmaz]]>;
<![CDATA[Fatma Zehra Ince]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.83
<![CDATA[Background: Perceptions of individuals and society about the elderly are reflected in the services provided to them. These reflections might be revealed in various fields such as health care services and sufficient job opportunities, or they could be revealed in the issue of discrimination against the elderly, which is a problem emerging in advanced ages. Objective: This study aims to identify the relationship between nursing and elderly care program students’ attitudes towards ageism. Methods: This study, which is descriptive and relational method, was conducted between November and December, 2016. The participants were 220 students. The data were collected through a questionnaire, and the Ageism Attitude Scale, and were analyzed using t-test, two-way multivariate analysis of variance (MANOVA) and one-way analysis of variance (ANOVA). Findings: Results show that the students generally had positive attitudes towards ageism. Nursing department students received significantly higher scores in the Limiting the Elderly Person’s Life sub-dimension and Ageism Attitude Scale in comparison to Elderly Care Program students. 3rd year nursing department students had higher scores in the Ageism Attitudes Scale in comparison to 1st and 2nd year nursing department students and students in the Elderly Care Program. “Positive Discrimination towards the Elderly” sub-dimension and the “Ageism Attitudes Scale” total scores were found to be significantly higher in nursing department students according to the variable of desire to work in a geriatric service in the future. (p<0.05). Conclusion: This study found that students had positive attitudes towards ageism, and nursing students’ Ageism Attitudes Scale mean scores were higher than those of elderly care program students. More comprehensive studies are needed in order to improve students’ attitudes towards elderly people.]]>
<![CDATA[THE EFFECTIVENESS OF COMBINATION OF KANGAROO MOTHER CARE METHOD AND LULLABY MUSIC THERAPY ON VITAL SIGN CHANGE IN INFANTS WITH LOW BIRTH WEIGHT ]]>
<![CDATA[Nuuva Yusuf]]>;
<![CDATA[Suharyo Hadisaputro]]>;
<![CDATA[Runjati Runjati]]>;
<![CDATA[Ari Suwondo]]>;
<![CDATA[Imam D Mashoedi]]>;
<![CDATA[Supriyana Supriyana]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.161
<![CDATA[Background: Kangaroo mother care (KMC) and lullaby music methods have been considered as the alternative treatment for vital sign changes in low birth weight infants. However, little is known about the combination of the two methods. Objective: To identify effectiveness of combinations of Kangaroo mother care and Lullaby music methods on changes in vital signs in low birth weight infants. Methods: A quasi experiment with non-equivalent control group design. This study was conducted on October– December 2016 at the General Hospital of Ambarawa and General Hospital of Ungaran, Semarang, Indonesia. There were 36 samples selected using consecutive sampling divided into three groups, namely: 1) a group of low birth weight infants with the combination of KMC and lullaby music, 2) an low birth weight infant group with the lullaby music intervention, and 3) a control group given standard care in low birth weight infants by KMC method. Paired t-test and MANOVA test were used to analyzed the data. Results: Findings revealed that there were significant differences between the combination group, lullaby music group, and control group in temperature (p=0.003), pulse (p=0.001), respiration (p=0.001), and oxygen saturation (p=0.014) with significant value of <0.05, which indicated that there was a statistically significant difference in vital sign changes among the three groups. Conclusion: The combination of KMC method and lullaby music intervention was effective on vital sign changes (temperature, pulse, respiration, and oxygen saturation) compared with the lullaby music group alone and control group with KMC method in low birth weight infants. It is suggested that the combination of KMC and lullaby music methods can be used as an alternative to improve low birth weight care for mothers in the NICU and at home and to reach the stability of the baby's vital signs.]]>
