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Joko Gunawan
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jokogunawan2015@gmail.com
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INDONESIA
Belitung Nursing Journal
ISSN : 2528181x     EISSN : 24774073     DOI : -
Core Subject : Health,
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.
Arjuna Subject : -
Articles 655 Documents
ASSOCIATION OF GOVERNMENT POLICY AND MOTHER’S PERCEPTION TO EXCLUSIVE BREASTFEEDING PRACTICE Mufdlilah Mufdlilah; Muhammad Akhyar; Endang Sutisna; Ahmad Arman Subijanto
Belitung Nursing Journal Vol. 2 No. 6 (2016): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.034 KB) | DOI: 10.33546/bnj.35

Abstract

Background: Although the Indonesian government has campaigned exclusive breastfeeding during the past decade through maternal and child program of Ministry of Health, however, its coverage in Yogyakarta province remains low. Objective: This study aims to analyze factors related to exclusive breastfeeding program, especially indicators that can explain government’s regulation and mothers’ perception to exclusive breastfeeding practice. Methods: It was a cross-sectional study involved 185 mothers who have 6-12 months infants with parity 1-3. The correspondents live in Sleman district and had normal delivery in hospital, health center or midwifery private practitioner. The association between the exogenous (government policy and mothers’ perception) and the endogenous variables (mothers’ participation to exclusive breastfeeding practice) was determined using Lisrel version 8.80. Results: Although the government policy contributed to the success of implementing breastfeeding program (33%), providing breastfeeding rooms (28%), and declaring the related government regulation (17%); however, its contribution was recorded at only 2% to human resources. Knowledge significantly encouraged mothers to breastfeed whilst infrastructure was assessed as a strong determinant of mothers’ willingness to participate in the program at the contribution of 50%. Conclusion: Although there was only a weak association between government regulation to mothers’ perception and between mothers’ perception towards exclusive breastfeeding practice, the study highlights the importance of providing adequate information to improve mothers’ knowledge on exclusive breastfeeding. By knowledge improvement, mothers will have better perception, which in turn will improve their self-efficacy and practices in exclusive breastfeeding.
ABORTION AND ITS INFLUENCING FACTORS: A QUALITATIVE STUDY IN THE DETENTION CENTER Rini Hendari; Dahlan H Ahmad; Martiningsih Martiningsih
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.177 KB) | DOI: 10.33546/bnj.351

Abstract

Objective: This study was to explore the actions and factors causing abortion, killing and disposal of babies qualitatively in the detention center of Class II B, Raba Bima, West Nusa Tenggara, Indonesia. Methods: This was a descriptive qualitative study with six respondents who were purposively selected. Content analysis was used for data analysis. Member-checking and crosscheck triangulation were performed to ensure the trustworthiness of the data. Results: Findings emerged from data, namely: factors that cause adolescent abortion, killing and disposal of baby (internal factors, family factors and partner factors), the way to do those actions (to take medicine, by the help of health workers, shaman and the nearest person), and behavior after doing abortion, killing and disposal of baby. Conclusion: Understanding the factors affecting abortion, killing and disposal of baby among adolescents and the way how they did them as well as their behavior after all of these activities might help health practitioners to find the strategies to reduce the incidence of unwanted pregnancy which lead to abortion, killing and infant disposal.
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 Fara Imelda Theresia Patty; Suhartono Suhartono; Ngadiyono Ngadiyono; Mardiyono Mardiyono
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.843 KB) | DOI: 10.33546/bnj.294

Abstract

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.
EFFECT OF COMBINATION OF HYPNOBREASTFEEDING AND ACUPRESSURE ON ANXIETY AND WOUND PAIN IN POST-CAESAREAN MOTHERS Diah Evawanna Anuhgera; Tjahjono Kuncoro; Sri Sumarni; Mardiyono Mardiyono; Ari Suwondo
Belitung Nursing Journal Vol. 3 No. 5 (2017): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.571 KB) | DOI: 10.33546/bnj.191

Abstract

Background: Post-cesarean mothers often experience anxiety and discomfort due to long-term pain. The combination of hypnobreastfeeding and acupressure is considered to be effective in reducing anxiety and pain levels. Objective: This study aims to examine the effect of combination of hypnobreastfeeding and acupressure on anxiety and pain levels in post-caesarean mothers. Methods: This study was a true experiment with pretest-posttest control group design, conducted in the Ambarawa Public Hospital Indonesia on 5 November to 9 December 2016. There were 36 participants selected using stratified random sampling, with 18 assigned in the experiment and control group. Data were analyzed using Paired t-test and Wilcoxon test. Results: There were statistically significant differences of anxiety and pain levels before and after intervention in the experiment and control group with p-value 0.001 (<0.05). Conclusion: The combination of hypnobreastfeeding and acupressure has a significant effect in reducing anxiety and pain levels in post-cesarean mothers. This intervention could be applied as an alternative therapy in treating post-caesarean mothers.
OSTEOPOROSIS HEALTH BELIEF, KNOWLEDGE LEVEL AND RISK FACTORS IN INDIVIDUALS WHOSE BONE MINERAL DENSITY WAS REQUIRED Gulpinar Aslan; Dilek Kilic
Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.331 KB) | DOI: 10.33546/bnj.67

Abstract

Aim: This descriptive-relational study aims to identify osteoporosis health belief, knowledge level and risk factors in individuals whose bone mineral density was required. Method: Target population of the study was 110 men and 126 women aged 35 and over, who applied to Atatürk University Aziziye - Yakutiye Research Hospital Nuclear Medicine Center Bone Densitometer Unit between January 2010 and October 2010. No sampling was performed, the whole target population was involved in the study. Data were collected through the Personal Information Form that included socio-demographic features, the osteoporosis health belief scale, the osteoporosis self-efficacy scale and the osteoporosis knowledge test. Results: The osteoporosis health belief score of the participants was 139.99±14.79, osteoporosis knowledge score was 10.06±4.30, and osteoporosis self-efficacy score was 742.00±213.44. Among osteoporosis health beliefs, women’s susceptibility, seriousness, barriers of exercise, and barriers of calcium mean scores were found to be higher than those of men (p<0.001). Men’s osteoporosis self-efficacy scale and sub-dimensions mean scores were found to be higher in comparison to women (p<0.001). DEXA analysis results show that 57.1% of the women and 27.3% of the men were diagnosed with osteoporosis. Conclusion: According to the Logistic regression analysis that aimed to identify the risk factors having roles in Osteoporosis diagnosis, the affecting risk factors were gender, age, and medicine use. As for women, logistic regression analysis showed that the risk factors were education level – being illiterate, medicine use, osteoporosis story in family, and 4 or more deliveries.
ANALYSIS OF FACTORS AFFECTING POST-POWER SYNDROME AND QUALITY OF LIFE IN THE ELDERLY Retno Indarwati; Nursalam Nursalam; Rachmat Hargono; Suprajitno Suprajitno; Joni Haryanto; Rista Fauziningtyas; Randy Yusuf Pratama
Belitung Nursing Journal Vol. 3 No. 5 (2017): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.943 KB) | DOI: 10.33546/bnj.92

Abstract

Background: Quality of life is the individuals’ perception of their place in life in the context of the cultural system and values in which they live, along with their goals, expectations, and worries. Retirement is an adaptable period that results in a change of role, changes in social interactions, and limited financial resources. Aim: This study aims to analyze the factors that affect post power syndrome and quality of life of the elderly. Methods: The design of this research was a correlation study with a cross-sectional approach. The population consisted of 44 retired elderly individuals. Purposive sampling was applied to the determined sample size. The independent variables were physiological stressors, psychological stressors and aging attitudes. The dependent variables were post-power syndrome and the quality of life of elderly people. The data were analyzed using Structural Equation Modeling- Partial Least Square (SEM-PLS) with a significance t statistic ≥ 1.96. Results: The findings showed all of the significant indicators measured to the variable factor. Physical stressor factors affect post-power syndrome with a t value of 2.366, and psychological stress factors affect post-power syndrome with a t value of 3.326. Aging behavior factors affects post-power syndrome with a t statistic of 5.296 and the post-power syndrome effect on the quality of life of the elderly has a t value of 7.689. Conclusion: There were significant effects in relation to physiological stressor factors, psychological stress factors, and aging attitudes towards post-power syndrome. There was an influence of post-power syndrome on the quality of elderly life.
EFFECT OF LIGHT AND MEDIUM INTENSITY BRAIN GYMNASTICS ON THE IMPROVEMENT OF COGNITIVE FUNCTION IN ELDERLY Parellangi Parellangi; Rina Loriana; Rivan Firdaus
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (190.453 KB) | DOI: 10.33546/bnj.497

Abstract

Background: Decreased brain aging is due to impaired cognitive function. One effort to inhibit cognitive decline due to aging is by doing brain gym. Objective: This study aims to examine the effect of light and medium intensity brain gymnastic on the improvement of cognitive function of elderly, and compare its result between the two intervention. Methods: This was an experimental research with pre-test and post-test group design conducted in 2016. There were 66 people included in this study, which 33 randomly assigned in the light intensity brain gymnastic group (group I) and medium intensity brain gymnastic group (group II). Mini Mental State Examination (MMSE) questionnaires was used to measure cognitive function of elderly. Data were analyzed using univariate and bivariate analysis. Bivariate analysis used paired t-test and independent sample t-test. Results: Findings of this study reveal that there was a significant effect of light and medium intensity brain gymnastic on the improvement of cognitive function of elderly (p=0.000). However, light intensity brain gymnastics (mean= 6.61) is better in improving the cognitive function of the elderly compared with medium intensity brain gymnastics (mean 2.18), with p=0.000, respectively. Conclusions: Brain gymnastic with light intensity for 10 minutes per exercise with frequency of 3 times a week is more effective in improving the cognitive function of the elderly compared with brain gymnastic with medium intensity for 15 minutes per exercise with frequency of two times a week.
THE EFFECT OF LISTENING TO MUROTTAL QUR'AN ON THE OXYGEN SATURATION LEVEL IN PRETERM INFANTS IN THE NEONATAL INTENSIVE CARE UNIT Dina Sulviana Damayanti; Djauhar Ismail; Warsiti Warsiti
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (192.217 KB) | DOI: 10.33546/bnj.365

Abstract

Background: Preterm infants are at risk for respiratory and hypothermia disorders that may affect physiologic growth and development processes that can be aggravated by treatment processes while in the neonatal intensive care unit. Treatment in the NICU can trigger stress that can affect the vital signs and healing process of preterm infants, thus requiring non-medical treatment to stimulate the condition. This research provides a different treatment of sound therapy that has never been given to preterm infants in previous studies by listening murottal Al-Qur'an. Objective: To examine the effect of listening to the murottal Qur'an on oxygen saturation in preterm infants during treatment at the neonatal intensive care unit (NICU). Method: This was a pre-experimental study with one group pretest-posttest design from September to October 2017. The samples were 30 preterm infants treated at NICU of the General Hospital of Panembahan Senopati Bantul selected using accidental sampling. The analysis used was simple linear regression. Result: There was an increase of the oxygen saturation level after given intervention of Murottal Qur'an for 3 days. The first day of oxygen saturation intervention increased by 2.07%, the second day 3.75%, and the third day 4.65% compared to the oxygen saturation level before the intervention. Conclusion: Listening to murrotal Qur'an could statistically increase oxygen saturation, but clinically there was no significant change in preterm infants, as the increase of oxygen saturation level was still within normal limits.
NEUROCOGNITIVE IMPAIRMENT IN HIV/AIDS: A CONCEPTUAL FRAMEWORK Linlin Lindayani; Anastasia Anna; Nai-Ying Ko
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.666 KB) | DOI: 10.33546/bnj.431

Abstract

HIV-associated with neurocognitive disorder (HAND) is a major interest issues worldwide, as results from introduction of Highly Active Antiretroviral Therapy (HAART) and increasing life expectancy. However, previous studies have been limited by lack of a guiding framework. The purpose of this review was to provide a conceptual framework to guide studies of neurocognitive impairment in patients with HIV/AIDS. A literature search was conducted of articles published from 1998 through December 2015 using the PubMed, Embase, Cochrane Library and Ebscohost databases on evaluating the problem of neurocognitive impairment in HIV. This search resulted in a total of 36 articles. Evidence has indicated that there are neurobiological changes and brain abnormalities among people living with HIV/AID, which may affect cognitive functioning. Being infected by HIV and increased age are independently factors on HAND. However, there is remaining unclear the effect of HAART, is protective factors or risk factors of HAND and its consequence on quality of life among patients with HIV/AIDS. Considering the major issues in above, patient with HIV/AIDS is vulnerable population for developing HAND that might have been resulted to under report. Future studies focus on exploring HAND is necessary especially from low income countries where the accessibility to HAART are limited.
EFFECT OF FRUIT DECOCTION OF PHALERIA MACROCARPA ON URIC ACID LEVELS IN ELDERLY Rostime Hermayerni Simanullang
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (171.943 KB) | DOI: 10.33546/bnj.516

Abstract

Background: The incidence of gout is rising both in the developed and developing countries not only in the elderly but also in young adults. Thus, the effort to reduce its incidence is necessary.Objective: To determine the effect of fruit decoction of phaleria macrocarpha on the levels of uric acid in the elderly.Methods:  This was a pre-experimental study with pretest and posttest design. This study was conducted at Sei Semayang Village North Sumatra from April to May 2017. There were 10 elderly selected using purposive sampling. Urid acid levels were measured using monitoring system of Easy Touch GCU.  Independent t-test  was used for data analysis.Results: Findings of this study showed that there was a significant difference in the mean value of the levels of uric acid  before and after given fruit decoction of phaleria macrocarpa (p=0.004).Conclusion: There was a significant effect of fruit decoction of phaleria macrocarpa to decrease the level of uric acid in elderly. It is suggested that fruit decoctions of  phaleria macrocarpa can be one of alternative therapies to prevent the increase of uric acid.

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