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.
Articles
655 Documents
THE DEVELOPMENT OF PHYSICAL ACTIVITY PROTOCOL IN PATIENTS WITH CONGESTIVE HEART FAILURE IN THE HOSPITAL INPATIENT WARDS
Susyanti, Deni;
Suza, Dewi Elizadiani;
Ariani, Yesi
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 (335.186 KB)
|
DOI: 10.33546/bnj.505
Background: Patients with congestive heart failure need a comprehensive rehabilitative program to restore post-attack physical ability and prevent re-attacks, therefore, it is necessary to develop physical activity protocols for these patients. Objective: This study aims to develop physical activity protocols for patients with congestive heart failure in the inpatient wards of the Level II Putri Hijau Hospital, Indonesia. Methods: This was an action research with 3 cycles consisting of four stages, namely: (1) reconnaissance, (2) planning, (3) action and observation, and (4) reflection. Data were collected quantitatively and qualitatively. Qualitative data were collected using in-depth interview, focus group discussion, and self-report, while quantitative data were collected using nursing knowledge questionnaire to 35 nurses selected using total sampling, and self-efficacy questionnaire about physical activity exercise to 9 patients with congestive heart failure selected using accidental sampling. Qualitative data were analyzed using content analysis, while quantitative data using descriptive statistical test. Results: Findings showed the completed compilation of physical activity protocols for patients with congestive heart failure. The results of observation showed a decrease in blood pressure of patients with congestive heart failure on the average of 3.12 mmHg after given physical activity protocol by nurses. Conclusion: The physical activity protocols for patients with congestive heart failure have been developed, and it has an impact on the increase of nurses' knowledge concerning physical activity exercise for CHF patients as well as the improvement of patients' self-efficacy or self-confidence in doing the physical activities.
THE CORRELATION BETWEEN KNOWLEDGE OF MARRIAGEABLE AGE, EDUCATION, MATCHMAKING AND CHILD MARRIAGE IN FEMALES IN BANJARNEGARA INDONESIA
Reni Sumanti;
Sri Handayani;
Dhesi Ari Astuti
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 (219.259 KB)
|
DOI: 10.33546/bnj.398
Background: Teenage marriage is still found in developing countries including in Indonesia. The percentage of teenage marriage in females in Indonesia in 2016 was 11.5%. Various factors related to teenage marriage are education, knowledge, economy, and culture. Impacts caused by teenage marriages include pregnancy in adolescence which results in increased maternal and infant deaths, dropouts, and poor quality of the family. The prevalence of teenage marriage in Banjarnegara in 2016 was 23% higher than the national prevalence. Objective: This study aims to determine the correlation between factors related to knowledge of marriageable age, education, matchmaking and child marriage in females in Banjarnegara Indonesia. Methods: This was a correlational cross-sectional study. There were 96 respondents selected using proportionated stratified random sampling. Chi square and logistic regression were used for data analysis. Results: Findings show that there were statistically significant correlations between knowledge of marriageable age, education and child marriage. There was no significant relationship between matchmaking and child marriage. The respondents with low knowledge were 0.5 times more likely to have child marriage compared with those with high knowledge (p = 0.001, 95% CI = 0.320-0.782). Conclusion: Knowledge of marriageable age was considered as the dominant factor affecting child marriage in Banjarnegara Indonesia. It is suggested that health care providers should continuously promote about the impact of child marriage to increase the knowledge of marriageable age.
THE ROLE OF MATERNAL SUPPORT MOTIVATORS AND EXCLUSIVE BREASTFEEDING BEHAVIOR AT THE PUBLIC HEALTH CENTER IN YOGYAKARTA: A CORRELATIONAL STUDY
Aulia Ridla Fauzi;
Purnomo Suryantoro;
Dewi Rokhanawati
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 (213.986 KB)
|
DOI: 10.33546/bnj.390
Background: The target of exclusive breastfeeding decreased to 17% at the Pakualaman Health Center in Yogyakarta due to the barriers caused by the wrong perception regarding breastfeeding and returning to work. The roles of motivators in the promotion activity and exclusive breastfeeding reinforcements are expected to exchange experience among peers who have experienced of exclusive breastfeeding at maternal group activities. Objective: To identify the correlation between the role of motivators in supporting maternal groups in providing exclusive breastfeeding and exclusive breastfeeding behavior. Methods: This was a correlational study with cross-sectional design on 55 samples selected using purposive sampling technique. This study was conducted in women who had a > 6-23-month infant at Pakualaman Health Center in Yogyakarta Indonesia in 2017. Chi-square and multiple logistic regressions were used for data analysis. Results: There was no significant correlation between the role of motivators in supporting maternal groups and exclusive breastfeeding behavior in mothers with 0-6-month infants (p= 0.631). There was a significant correlation between the variable of access to information with the behavior of exclusive breastfeeding (p = 0.019). Conclusion: The role of motivators in supporting maternal groups has no significant relationship with exclusive breastfeeding behavior. It is suggested for midwives to increase the access of information among mothers, as information access has significant association with behavior of mothers in exclusive breastfeeding.
KNOWLEDGE, ATTITUDE, AND PRACTICE OF COUGH ETIQUETTE IN PATIENTS WITH TUBERCULOSIS IN THE COMMUNITY HEALTH CENTERS
Yani, Desy Indra;
Hidayat, Yayat Fajar;
Amrullah, Afif Amir
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 (279.972 KB)
|
DOI: 10.33546/bnj.509
Background: Tuberculosis is the major global health problem. A high number of tuberculosis cases are as a result of the disease spreads through droplet nuclei which mainly through a cough. Transmission prevention of tuberculosis is important to lower the rate of new infection. Since the transmission is through a cough, therefore, one of the preventive behaviors is by implementing the good and right cough etiquette. Objectives: The aim of this study was to find out the overview of knowledge, attitude and practice of cough etiquette in patients with tuberculosis. Methods: This study was descriptive quantitative with the cross-sectional approach. The population were all patients with Acid-Fast Bacillus (AFB) and tuberculosis registered in Community Health Centers of Rancaekek, Linggar and Nanjung Mekar in Bandung, Indonesia. A total sampling was used with a total number of 52 patients. Data on knowledge, attitude, and practice were measured via validated questionnaires and observation sheets. Frequency distribution, mean and median were used for data analysis. Results: Of the total respondents, 65.4% of the respondents had good knowledge about cough etiquette (median value 83.33 and IQR 20), 50.9% had negative cough etiquette attitude (mean value 47.87 and SD 5.885), and 63.5% had bad practice in cough etiquette (median value 5 and IQR 2). Conclusions: The result of this study is expected to be an input for primary health care facilities in doing improvement in delivering health education to patients with tuberculosis and their families about the good and right cough etiquette, which focus on the affective and psychomotor aspects to prevent the spread of tuberculosis and decrease its infection. This article has been corrected. A separate erratum can be seen at https://doi.org/10.33546/bnj.1153
THE CORRELATION BETWEEN LEVEL OF HEMOGLOBIN, HEMATOCRIT, AND THROMBOCYTES OF MOTHER AND ASPHYXIA IN NEWBORN
Norwidya Priansiska;
Abkar Raden;
Dewi Rokhanawati
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 (200.706 KB)
|
DOI: 10.33546/bnj.363
Background: Infant mortality in Indonesia is at the highest level among the countries in South East Asia. Asphyxia in newborn has become the second risk factor for infant mortality. Objective: The objective of this study was to investigate the correlation between the level of hemoglobin, hematocrit, and thrombocytes of the mothers and asphyxia in the newborns at Panembahan Senopati Bantul Hospital, Indonesia. Methods: The study employed case-control method with 282 samples, which 141 assigned in the case and control group. This study used medical record of the patients as the secondary data. Chi-square, multiple logistic regression, and Odds Ratio Calculation (OR) were used for data analysis. Results: There was a meaningful correlation between the level of hemoglobin (OR=2.3, 95%CI=1.3-4), hematocrit (OR=4.3, 95%CI=1.4-13.4, and thrombocytes (OR=5.3, 95%CI=1.14-24.6) of the mothers and asphyxia in newborns. Thrombocytes was the most dominant factor related to asphyxia in newborns. Conclusion: Mothers who have hemoglobin, hematocrit and thrombocytes levels under the normal have more than two times risk of asphyxia in their newborn than mothers who have normal hemoglobin, hematocrit and thrombocytes levels.
FACTORS INFLUENCING MATERNAL LABOR COMPLICATION IN KUTAI KARTANEGARA REGION
Widya Astutik;
Djaswadi Dasuki;
Herlin Fitriani Kurniawati
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 (249.038 KB)
|
DOI: 10.33546/bnj.364
Background: To decrease maternal mortality rate until 70 per 100,000 living birth in 2030 (SDG’s) has become the health priority. In fact, the maternal mortality rate in Indonesia is still very high, and almost two-third maternal mortality is caused by maternal labor complications. Objective: The objective of the study was to investigate the factors influencing maternal labor complications in Kutai Kartanegara Region Indonesia in 2017. Methods: This was a correlational study with cross sectional design. The populations in the study were women who had labor process in the area of Kutai Kartanegara Region. There were 95 respondents selected using purposive sampling. Data were collected using questionnaires and medical records. Chi-square and logistic regression were used for data analysis. Results: Most of the respondents had maternal labor complication (53.7%). The highest complication occurred was prolonged labor (58.9%). Factors influencing maternal labor complication were antenatal care, mother’s age, education level, parity, and distance of pregnancy. Age was identified as the most dominant variable influencing maternal complication, with the value of OR was 5.837, which indicated that high-risk-age mothers have 5.837 times of labor complication than mothers with no risk age. Conclusion: Antenatal care, age, education, parity and distance of pregnancy had correlation with maternal labor complications, and its most dominant variable was age.
CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
Umi Solikhah;
Hari Kusnanto;
Fitri Haryanti;
Yayi Suryo Prabandari
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 (595.788 KB)
|
DOI: 10.33546/bnj.542
Background: One of the efforts in the health sector for programs to reduce infant and under-five mortality and morbidity rates is by the competence-based integrated management childhood illness (CB-IMCI) program. However, the program has been poorly implemented by health workers at the health center. Thus, the involvement of cadres is needed and their competency remains important to be improved. Objective: To quantitatively analyze cadre knowledge and competencies in the CB-IMCI program, and its relationship with the implementation of CB-IMCI, as well as to qualitatively explore and analyze the responses of cadres, health workers, and the community to the addition of cadre roles to the management of sick children. Methods: This was a mixed methods study with randomized controlled trials and qualitative method. For randomized controlled trials, 100 cadres were selected, which 50 randomly assigned in the intervention and control group. And for quantitative methods, informants included 10 cadres, 4 health workers, and 20 mothers. Paired t-test and independent t-test were employed for quantitative analysis, and triangulation was used for qualitative analysis. Results: The improvement of knowledge in the intervention group was better (I=14.42/C=4.44/p-value 0.00). The intervention group was more competent in the management of child illness (p-value 0.00). In addition, the cadres have additional competencies assisted by health workers to confidently detect cases earlier, and health center services reach a wider coverage in the community. Conclusion: The addition of cadres’ roles and competencies in the management of child illness in the community can be implemented in Banyumas District. It is suggested that the implementation of this program should be followed up in other health centers by the Health Department of Indonesia.
THE HEALTH BELIEF MODEL OF ASTHMA CONTROL AMONG ADULT ASTHMATIC PATIENTS IN YOGYAKARTA INDONESIA
Lisa Anita Sari
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 (207.933 KB)
|
DOI: 10.33546/bnj.462
Background : Asthma is a chronic respiratory disease which affects daily life of people. The ultimate target of health care for adult people living with asthma is to control their asthma. It is important to keep asthma under control in order to avoid impact of uncontrolled asthma. Objective : The purpose of this study was to examine factors related to asthma control among adult asthmatic patients based on the Health Belief Model (HBM). Methods : This was a descriptive study with cross-sectional design, which conducted in Pulmonary Primary Health Center (PPHC) Yogyakarta on April 2016. There were 397 participants selected using simple random sampling. Asthma control was measured using Asthma Control Questionnaire (ACQ). The Rossenstock for Health Belief Model (HBM) was used to guide this study. Descriptive statistic was performed for data analysis. Results : Findings showed that age (p >.05), gender (p >.05), sufficiency of income (p >.05), educational level (p >.05), and occupation (p >.05) were not significantly related to asthma control. There was a significant correlation among perceived susceptibility (p <.05), perceived severity (p <.05), perceived benefit (p <.05), and perceived barrier (p <.05) with asthma control. Conclusion : It is concluded that asthma control of adult asthmatic patients is influenced by their perception of control their asthma. The study suggests that nurses in the community should increase health promotion to change health perceptions to keep asthma control status in adult asthmatic patients.
THE INTERRATER RELIABILITY OF NURSING OUTCOME CLASSIFICATION (NOC): “SELF-CARE: EATING” ON MENTALLY DISABLED CHILDREN IN YOGYAKARTA
Hartini, Sri;
K, Novi Aprilia;
Nurjannah, Intansari;
Haryanti, Fitri;
Kholisa, Itsna Lutfi;
Hapsara, Sunartini
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 (266.271 KB)
|
DOI: 10.33546/bnj.506
Background: The common problems suffered by children with intellectual disability are difficulty to perform of daily activities or self-care including eating activity. NOC Self-care: eating is a measurement of client’s status regarding eating skill after provides nursing intervention. NOC was translated into Indonesian and its indicators were operationalized. The measurement of self-care: eating need to be evaluated, thus the reliability of this instrument was tested to determine whether the NOC is also reliable for use in Indonesia. Objective: The aim of this study was to investigate the interrater reliability of the NOC: Self-care: eating in the Indonesian Language in children with intellectual disability. Methods: Two raters assessed 124 children with intellectual disability using NOC: Self-care: eating. The study was conducted on December 2017 to January 2018. NOC was translated into Indonesian and each indicator was operated. Kappa and percent agreement were used for the analysis. Results: The overall kappa value of NOC: Self-care: eating was 0.55, while the percent agreement was 88. The highest kappa value and percent agreement was indicator of swallowing the food (0.8 and 99). Conclusions: The interrater reliability of NOC: Self-care: eating in Indonesian was at the level of great reliability.
ADVOCACY, SUPPORT FOR RESOURCES, AND THE ROLE OF COMMUNITY LEADER TOWARD MOTHER’S ATTITUDE ON EXCLUSIVE BREASTFEEDING PROGRAM
Mufdlilah Mufdlilah;
Achmad Arman Subijanto;
Muhammad Akhyar;
Endang Sutisna
Belitung Nursing Journal Vol. 2 No. 5 (2016): September - October
Publisher : Belitung Raya Foundation, Indonesia
Show Abstract
|
Download Original
|
Original Source
|
Check in Google Scholar
|
Full PDF (332.21 KB)
|
DOI: 10.33546/bnj.22
Background: Indonesia’s Health Law No. 36 year 2009 Section 128 states that every baby has the right to exclusively breastfed from birth for six months. The law also stipulates that during breastfeeding, the family, the government, local governments, and public should support mothers with the provision of time and special facilities. Objective: This study aims to analyze factors related to exclusive breastfeeding program, especially indicators that can explain advocacy to stakeholders, support for resources and the role of community leader toward mother’s attitude on exclusive breastfeeding program. Methods: It was a quantitative study employed a cross-sectional approach and involved 185 mothers in Sleman district who have children aged 6-12 months. Results: Written support in the form of decree significantly contributed to the formation of advocacy factors conducted by exclusive breastfeeding program manager to the village stakeholders, whilst the provision of infrastructure and village fund did not support in creating factor of advocacy. The support from resources and the role of community leader can contribute the provision of infrastructure around 54% whilst mothers’ attitudes toward exclusive breastfeeding devoted a great share to mother’s practice. Conclusion: Advocacy for exclusive breastfeeding to the village stakeholders is expected to contribute in the form of written support (decree), providing the fund from the village budget, and providing the infrastructure. The support from resources and the role of community leaders influence advocacy and attitude of mothers on exclusive breastfeeding.