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[IDENTIFICATION OF URINARY INCONTINENCE IN PEOPLE AGED 65 AND OVER: A TURKEY SAMPLE ]]>
<![CDATA[Birsel Canan Demirbag]]>;
<![CDATA[Gulpinar Aslan]]>;
<![CDATA[Ayse Berivan Bakan]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.175
<![CDATA[Objective: This study aims to identify urinary incontinence and its prevalence in people aged 65 and over. Methods: This descriptive study was conducted between April and June, 2017. It was conducted with 1527 volunteer people aged 65 and over who applied to A Family Health Centre. Data were collected through face-to-face interviews, using Personal Identification Form and International Consultation on Incontinence Questionnaire- Short Form (ICIQ-SF). Results: Of all the participants, 50.7% were male, and 78.8% were aged between 65 and 74. Besides, 31.2% of them had urinary incontinence, and ICIQ-SF mean score was found 11.44 ± 5.01. The most prevalent incontinence type was found to be urge urinary incontinence. ICIQ-SF total scores of elderly people with urinary incontinence were higher in those who were aged 85 and over, who were illiterate, who did not have health insurance, and who had more than one chronic disease and multiple medicine use. Conclusion: Urinary incontinence is a health problem which maintains its importance in people aged 65 and over. People in this age group do not express this problem because they feel shy; therefore, their quality of life deteriorates.]]>
<![CDATA[EFFECT OF CONSUMING TOMATO (LYCOPERSIUM COMMUNE) JUICE IN LOWERING BLOOD PRESSURE IN PREGNANT MOTHERS WITH HYPERTENSION ]]>
<![CDATA[Theresia Anita]]>;
<![CDATA[Agus Suwandono]]>;
<![CDATA[Ida Ariyanti]]>;
<![CDATA[Noor Pramono]]>;
<![CDATA[Suryati Kumorowulan]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.296
<![CDATA[Background: High blood pressure during pregnancy can pose significant problems such as preeclampsia, eclampsia, and premature birth. Thus, early prevention is needed. Consuming tomato (lycopersium commune) juice is considered effective to reduce blood pressure in pregnant women. Objective: This study aims to examine the effect of tomato juice on the decrease in blood pressure of pregnant women with hypertension in pregnancy. Methods: This study was a quasi-experiment with pretest-posttest control group. This research was conducted at the working area of the Community Health Center of Magelang Indonesia in July 2016 - January 2017. The target population of this study was pregnant women in trimester I, II, and III with high blood pressure. There were 30 samples selected using consecutive sampling, with 15 assigned in the experiment and control group. Wilcoxon test was performed for data analysis. Results: There was a statistically significant difference in systolic and diastolic blood pressure before and after given tomato juice with p = 0.001 (<0.05). Conclusion: Consuming tomato juice can be one of the efforts to reduce blood pressure in pregnant women with hypertension.]]>
<![CDATA[EFFECT OF ROSELLE (HIBISCUS SABDARIFFA) ON CHANGES IN HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA TAKING IRON SUPPLEMENT ]]>
<![CDATA[Rif’atun Nisa]]>;
<![CDATA[Ariawan Soejoenoes]]>;
<![CDATA[Sri Wahyuni]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.305
<![CDATA[Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet. Methods: This study was a quasi-experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis. Results: Paired t-test obtained p-value 0.00 (<0.05) indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr/dl and in the experiment group was 1.08 gr/dl. The hemoglobin levels in the experiment group were higher than the levels in the control group. Independent t-test obtained p-value 0.000 (<0.05) indicated that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group. Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.]]>
<![CDATA[COMPARISON OF THE EFFECTIVENESS OF TWO LEVELS OF SUCTION PRESSURE ON OXYGEN SATURATION IN PATIENTS WITH ENDOTRACHEAL TUBE ]]>
<![CDATA[Muhaji Muhaji]]>;
<![CDATA[Bedjo Santoso]]>;
<![CDATA[Putrono Putrono]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.300
<![CDATA[Background: Endotracheal suctioning is one of the common supportive measures in intensive care units (ICU), which may be related to complications such as hypoxia. However, a questionable efficacy is still identified to choose suctioning pressure between 130 mmHg and 140 mmHg that is effective for patients with endotracheal tube.Objective: To compare the effectiveness of 130 mmHg and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube.Methods: This research used a quasi-experimental design with pretest and posttest group. The study was conducted from 31 January to 1 March 2017 in the Hospital of Panti Wilasa Citarum and Hospital of Roemani Muhammadiyah Semarang Indonesia. There were 30 samples recruited using consecutive sampling, with 15 assigned in the 130 mmHg and 140 mmHg suctioning pressure group. Pulse oximetry was used to measure oxygen saturation. Paired t-test and Independent t-test were used for data analysis.Results: Findings showed that there was a statistically significant effect of 130 and 140 mmHg suctioning pressure on oxygen saturation in patients with endotracheal tube with p-value <0.05. There was a significant mean difference of oxygen saturation between 130 mmHg and 140 mmHg suctioning pressure group with p-value 0.004 (<0.05). The mean difference of oxygen saturation between both groups was 13.157.Conclusion: The 140-mmHg suctioning pressure is more effective compared with 130 mmHg suctioning pressure in increasing oxygen saturation in patients with endotracheal tube.]]>
<![CDATA[CLINICAL INDICATORS OF FEEDING SELF-CARE DEFICIT BASED ON BARTHEL INDEX MEASUREMENT IN PATIENTS SUFFERING FROM STROKE ]]>
<![CDATA[Intansari Nurjannah]]>;
<![CDATA[Vini Febriyani Zulfa]]>;
<![CDATA[Dwi Harjanto]]>;
<![CDATA[Erna Fitriana]]>;
<![CDATA[Ngatini Ngatini]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.171
<![CDATA[Objective: This aim of this research is to describe clinical indicators of feeding self-care deficit based on Barthel Index measurement in patients with stroke. Methods: The research used a quantitative description study with cross-sectional design. This research was conducted in one hospital in Yogyakarta, Indonesia on March – April 2017 with total sampling technique. Instrument was developed based on clinical indicators of NANDA-I nursing diagnosis of feeding self-care deficit. Results: There were 28 respondents involved in this study, with males (60.7%) and females (39.3%) with an average age of 57 years. Respondents who suffered from non-hemorrhagic stroke were 60.7% and hemorrhagic stroke were 39.3%. Clinical indicator items for impaired ability to swallow sufficient amount of food (9.1%) was found in respondents with independency criteria on Barthel Index. Impaired ability to swallow sufficient amount of food item (25%) and impaired ability to prepare food (25%) were found in respondents with partial dependency criteria. The most items identified on respondents with severe dependency criteria were impaired ability to self-feed a complete meal item (53.8%) and impaired ability to prepare food item (53.8%). Conclusion: There were different pattern of clinical indicators items found in different level of Barthel index level criteria.]]>
<![CDATA[EFFECT OF PREGNANCY EXERCISE ON DURATION OF THE FIRST AND SECOND STAGE OF LABOR IN PRIMIGRAVIDA MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY ]]>
<![CDATA[Iin Wahyuni]]>;
<![CDATA[Noor Pramono]]>;
<![CDATA[Titi Suherni]]>;
<![CDATA[Melyana Nurul Widyawati]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.304
<![CDATA[Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar Lampung, Indonesia. Methods: This study employed a quasi-experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann Whitney and Chi Square test. Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000). Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.]]>
<![CDATA[EFFECT OF EGGSHELL FLOUR ON BLOOD CALCIUM LEVELS IN PREGNANT MICE ]]>
<![CDATA[Ida Ratna Safitri]]>;
<![CDATA[Supriyana Supriyana]]>;
<![CDATA[Bahiyatun Bahiyatun]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.299
<![CDATA[Objective: To examine the effect of eggshell flour on blood calcium levels in pregnant mice. Methods: This was a true experimental study with pretest and posttest control group design. The research was conducted at the Nutrition Laboratory of the Center for Food and Nutrition Studies, Gadjah Mada University on December 1, 2017 to December 31, 2017. There were 30 pregnant rats included using simple random sampling, which assigned in five groups. Spectrophotometer was used to measure blood calcium levels. Paired t-test and One-way ANOVA were used for data analysis. Results: There were significant differences in blood calcium levels before and after treatment with eggshell flour dose 5.4 mg/dl (p= 0.000), 10.8mg/dl (p = 0.000), and 21.6 mg/dl (p = 0.000). There was also significant difference in blood calcium levels in control group with generic tablet of calcium powder of 21.6 mg/dl (p = 0.000). Conclusion: There was a significant effect of given eggshell flour for 7 days with dose 5.4 mg/dl, 10.8 mg/dl, and 21.6 mg/l as well as generic tablet of calcium powder of 21.6 mg/dl in increasing blood calcium levels. Thus, eggshell can be used as alternative for calcium supplement.]]>
<![CDATA[CAREGIVERS’ NEEDS IN CARING FOR RELATIVES WITH SCHIZOPHRENIA IN MEDAN INDONESIA: A PHENOMENOLOGICAL STUDY ]]>
<![CDATA[Jenny Marlindawani Purba]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.192
<![CDATA[Background: A caregiver is a primary nurse and has a major role in providing care for people with schizophrenia. Caring for those with schizophrenia for a long period of time is challenging for families, especially for caregivers. Various needs ought to be studied by nurses to assist caregivers in providing optimal care for family members who experience schizophrenia. Objective: This qualitative study aims to explore the needs of caregivers in treating schizophrenia at home. Methods: This study employed a phenomenological study design. A total of 10 respondents were selected using a purposive sampling with criteria: 1) having family members diagnosed with schizophrenia, 2) directly involved in taking care of patients at home, 3) caring for patients with schizophrenia for more than one year, 4) willing to be a participant by signing an informed consent, and 4) being able to identify what is needed in treating schizophrenia. Colaizzi’s method was used to analyze the data. Results: There were four themes of the caregivers need in caring for schizophrenia patients at home, including 1) seeking information about schizophrenia, 2) sought healing through regular treatment, 3) looking for appropriate rehabilitation for relatives with schizophrenias, and 4) utilizing mental health facilities. Conclusions: It is expected that nurses have the knowledge and skills in identifying and helping the families, especially the caregivers, to meet unmet needs so they can optimize home care.]]>
<![CDATA[EFFECT OF ACUPRESSURE THERAPY POINT LI 4, SP 6, AND BL 60 ON DURATION OF THE FIRST STAGE OF LABOR IN PRIMIGRAVIDA AND NEWBORN’S APGAR SCORE ]]>
<![CDATA[Fara Imelda Theresia Patty]]>;
<![CDATA[Suhartono Suhartono]]>;
<![CDATA[Ngadiyono Ngadiyono]]>;
<![CDATA[Mardiyono Mardiyono]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.294
<![CDATA[Background: The prolonged partus is one of the causes of maternal deaths marked by the slow progress of labor. Induction of labor and caesarean section is a common procedure performed on long-term partus events to end pregnancy. The birth acupressure technique is a complementary method to activate the hormone oxytocin at a certain point to use to soften the cervix and increase contraction. Objective: To examine the effect of acupressure point LI4, SP6 and BL60 on the duration of the first stage of labor and APGAR score of newborns in primigravida. Methods: This research employed a quasi-experimental study with posttest control group design. It was conducted at the Public Health Center of Trauma and Public Health Center of Palaran Samarinda, East Kalimantan, Indonesia. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in the experiment and control group. The duration of the first stage of labor was assessed using partograph and APGAR score was assessed using APGAR score assessment sheets. Mann Whitney test was used for data analysis Results: Findings showed that the duration of the first stage of labor in the experiment group was 187 minutes and in the control group was 307 minutes. Mann Whitney test obtained p-value 0.001 (<0.05), which indicated that there was a statistically significant difference of the duration of the first stage of labor between both groups. However, Mann Whitney test for APGAR score showed p-value 0.114 (>0.05), which indicated that there was no significant difference of APGAR score in the experiment and control group. Conclusion: There was a significant effect of acupressure on the duration of the first stage of labor, but no effect of the APGAR score. Therefore, acupressure may be recommended to shorten the duration of the first stage of delivery in primigravida.]]>
<![CDATA[EFFECT OF MULTI MICRONUTRIENT SUPPLEMENTATION ON HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA ]]>
<![CDATA[Rati Purnama Sari]]>;
<![CDATA[Noor Pramono]]>;
<![CDATA[Sri Wahyuni]]>;
<![CDATA[Muchlis Achsan Udji Sofro]]>;
<![CDATA[Melyana Nurul Widyawati]]>
<![CDATA[ Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.291
<![CDATA[Background: The coverage of 90 Fe tablets in Semarang in 2015 was 26.619 of 29.490 pregnant women (97%) but the incidence of anemia in pregnant women was still quite high. One important factor which influences the levels of hemoglobin is multi micronutrient. Objective: This study aims to analyze the changes in hemoglobin levels with multi micronutrient supplementation in pregnant women with anemia. Methods: A quasi-experimental study with randomized control group pre-posttest design. The study samples were 40 pregnant women with gestational age of 20 ± 1 weeks divided into two groups, the intervention group (multi micronutrient supplementation) and the control group (Fe supplementation) for six weeks. The study was conducted from November 2016 to January 2017. The levels of hemoglobin were measured using cyanmethemoglobin. Paired t test and independent t test were used for data analyses. Results: The average of the increase in hemoglobin levels after multi micronutrient supplementation was 1.545 (1.292) g/dl, whereas the average of the increase in hemoglobin levels after Fe supplementation was 0.757 (0.742) g/dl. The difference in hemoglobin levels before and after multi micronutrient supplementation was significantly different (p=0.049). Cohen’s d effect size test showed value of 0.748. Conclusion: Multi micronutrient supplementation could improve hemoglobin levels. The increase in the levels of hemoglobin with multi micronutrient supplementation was higher than Fe supplementation.]]>
