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Innovation of the health monitoring system for pregnant and breastfeeding mothers through independent health applications as an effort to reduce stunting Ngadiyono Ngadiyono; Suparmi Suparmi; Ulfah Musdalifah; Izzatul Arifah
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12561

Background: Failure to grow in children or what is often called stunting is one of the focuses of global problems, including Indonesia. Globally, stunting is one of the goals Sustainable Development Goals (SDGs). Stunting is a problem of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that does not meet nutritional needs. Stunting can occur when the fetus is still in the womb and only appears when the child is two years old. Based on the results of the Indonesian Nutrition Status Survey (SSGI), the stunting prevalence rate in Indonesia fell from 24.4% in 2021 to 21.6% in 2022. This figure is still above the threshold set by the World Health Organization (WHO), namely 20%. The stunting prevalence rate in Demak Regency was ranked seventh highest in Central Java in 2019 at 50.23% and is one of 60 stunting districts. In 2019 in Demak Regency there were 4.25% or 6,129 toddlers out of a total of 97,212 toddlers who had the potential to experience stunting. This situation is a priority for the Demak Regency government to handle by determining 10 locations that will be prioritized in 2020 and 2021Purpose: To produce monitoring and promotion system application for pregnant and postpartum mothers as well as breastfeeding mothers including toddlers can detect early health problems for mothers and toddlers and is named the child stunting preventive application (ASTA).Method: This research uses research and development methods orResearch and Development (R&D). This research method is used to produce certain products and test the effectiveness of a product. This research was conducted in December 2022. The population of this study was pregnant women in Demak Regency with a sample of 24 people who were divided into two, namely 12 people as the intervention group and 12 people as the control group. The influencing variable in this study is ASTA and the influenced variable is health maintenance behavior during pregnancy, postpartum and toddlers. This research is divided into four stages, namely design, analysis, engineering and evaluation.Results: Based on the statistical test output, it is known that Asymp. Sig. (2-tailed) is worth 0.025. From this value it can be concluded that H0 rejected. This means that there are differences in the level of potential stunting in the control group respondents in terms of the pre-post treatment results. Meanwhile, it is known that in the intervention group the value of Asymp. Sig. (2-tailed) namely 0.157. This value is >0.05, so it can be concluded that H0 accepted. This means that there is no difference in the level of potential stunting between pre-post treatments in the intervention group given the ASTA application.Conclusion: There is no significant effect of using the ASTA application on the criteria for potential stunting and there is no significant difference in potential stunting data between the control and intervention groups, either before or after treatment. However, the stunting prevalence ratio is 0.7 (<1) indicating that the ASTA application is a factor that can reduce the potential for stunting.

The influence of education by using 5J pregnancy nutrition guidebook for the prevention of fetal growth restriction and maternal nutritional sufficiency Fonda Octarianingsih Shariff; Kevin Andhara Setya Prameswari; Imelda Carolia
Malahayati International Journal of Nursing and Health Science Vol 6, No 4 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i4.12820

Background: Stunting is a growth and development disorder experienced by children due to poor nutrition, recurring infections, and inadequate psychosocial stimulation. If not addressed with proper nutrition, it can lead to reduced child growth. According to the Indonesian Ministry of Health, stunting is influenced by several factors, including maternal, infant, and toddler factors, as well as social, economic, and environmental conditions. According to Global Nutrition, by 2025, it is estimated that children aged ≤ 5 years will experience stunting, with an increase of 171-314 million individuals worldwide, with 90% originating from countries in Africa and Asia. The province of Lampung has shown improvement, with a stunting prevalence of 15.2% in 2022, aiming to reach the national target of around 14%. Based on nutritional status monitoring in 2017, the prevalence of stunting was 35.20%, and according to the Indonesia Nutrition Status Study (INSS) and Community-Based Nutrition Recording and Reporting (CBNRP), the prevalence of stunting in Pesawaran in 2022 was 3.50%.Purpose: To determine the impact of using the 5J Pregnancy Nutrition Guidebook in educating pregnant mothers about preventing fetal growth restriction on the knowledge, attitudes, and behaviors of mothers in the working area of Gedong Tataan Community Health Center, Pesawaran, Lampung.Method: This quantitative research employed an analytical survey design with a quasi-experimental one-group pretest-posttest method. The dependent variables in this study were the level of knowledge, attitude, and behavior of mothers, while the independent variable was education using the 5J guidebook. The research was conducted in the Gedong Tataan Community Health Center, Pesawaran, Lampung in August 2023 with a sample size of 30 using total sampling technique, and a paired sample t-test was performed.Results: Knowledge improved by 2.37 points after receiving education, with an increase difference of 1.24, and the Wilcoxon statistical test yielded a p-value of 0.000 (<0.05). Respondents' attitudes increased by 1.93 points after receiving education, although this value was in the low range, it saw a rise with a difference of 0.9, and the p-value was 0.000 (<0.05). Behavior after receiving education increased to 1.23 with an increase difference of 0.2, and the Wilcoxon statistical test showed an improvement with a p-value of 0.000 (<0.05). The test results indicate the influence of education using the 5J guidebook on maternal knowledge, attitude, and behavior.Conclusion: Educational media using the 5J guidebook has a significant influence on maternal knowledge, attitude, and behavior regarding nutrition management in the prevention of stunting.

Depression and associated factors among children of prisoners in Bandar Lampung Prison, Indonesia Mutiara Putri Adisa; T A Larasati
Malahayati International Journal of Nursing and Health Science Vol 6, No 7 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i7.13226

Background: Depression can be caused by several factors, such as genetics, psychosocial, personality, psychodynamics, failure, and cognitive. Another factor in the occurrence of depression in children is the lack of positive reinforcement and family support.Purpose: To explain the factors that influence depression in children who are convicts at class II special penitentiary for children in Bandar Lampung.Method: Quantitative cross sectional on 75 samples selected through the technique simple random sampling. The research used a questionnaire that was given directly to respondents. Data were analyzed univariate and bivariate with chi square.Results: Statistical test with chi square between age and the occurrence of depression were obtained p-value = 0.539 (p-value > α = 0.05), for family support with the occurrence of depression obtained p-value = 0.001 (p-value < α = 0.05), with value Odds Ratio (OR) of 20,769 indicates that respondents who did not receive family support had a 20.8 times risk of experiencing mild-significant depression compared to respondents who received family support, while the length of sentence with the occurrence of depression was obtained p-value = 1.000 (p-value > α = 0.05), and mechanism coping with the occurrence of depression is obtained p value = 0.014 (p-value < α = 0.05), with value Odds Ratio (OR) of 5,000 indicates a mechanism respondent coping maladaptive have a 5 times risk of experiencing mild-significant depression compared to mechanical respondents coping it's adaptive.Conclusion: There is no relationship between age and length of sentence and the occurrence of depression and there is a relationship between family support and mechanisms coping with the occurrence of depression in convicts at class II special penitentiary for children in Bandar Lampung.

Basic life support knowledge among nurses at public health center in rural Banten Province, Indonesia Priyo Sasmito; Mikawati Mikawati; Fika Indah Prasetya; Yetti Syafridawita; Nunuk Sri Purwanti; Yuyun Tafwidhah; Mochamad Budi Santoso; Nisa Arifani
Malahayati International Journal of Nursing and Health Science Vol 6, No 6 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i6.13096

Background: Public Health Center (PHC) is one of the primary healthcare facilities that has an important role in the chain of survival of out-of-hospital cardiac arrest (OHCA) patients, especially in rural areas. Nurses are an important component of health workers in PHC. Basic Life Support (BLS) knowledgeis the basic component of building a qualified resuscitation.Purpose: To analyze the relationship between demographic characteristics of PHC’s nurses in a rural area and their knowledge about BLS.Method: An observational analytical study with a cross-sectional approach involved 32 PHC nurses with total sampling techniques. The data was analyzed with the Spearman Rho and Fisher Exact test.Results: 32 nurses were involved. Most respondents are male (18/56.25%), have a Diploma educational background (23/71.88%), and non-government employees (24/75%). The average age of respondents was 34.75 years, and the average worked for 9.25 years. The level of knowledge of BLS was mostly more than 56% (25/78.1%). The knowledge average was 74.06+ 8.93 with a median of 75 anda score range of 50-85. Gender, educational background, BLS certificate upgrades, and employment status were not related to the level of knowledge of BLS. Age and length of work variables have a significant correlation with knowledge. Calculated rs was -0.043 with a p-value of 0.008 (α 0.05) for age and rs value of -0.353 with a p-value of 0.024 (α 0.05) for length of work.Conclusion: Gender, educational background, BLS certificate upgrades, and employment status were not related to the level of knowledge of BLS.There is a sufficient and significant relationship between the age and length of workwith knowledge of BLS with the opposite direction of the relationship.The older and longer a nurseworks, the lowerthe nurse’s knowledge of BLS. Routine BLS training sessions or emergency drills in PHC both online and offline can be some solution in partnership with emergency organizations and nearby referral hospitals.

Non-adherence to anti-tuberculosis treatment and determinant factors during intensive phase treatment of pulmonary tuberculosis Saimi, Saimi; Hadi, Nursini Juiban
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i8.13399

Background: The number of Tuberculosis (TB) sufferers in various regions is still high. Efforts to reduce tuberculosis rates carried out by the health service have not produced much results. One of the factors that determines the recovery of TB patients is compliance in taking anti-tuberculosis medication. Tuberculosis sufferers who do not comply with taking intensive phase medication according to the dosage rules set by health workers can develop drug resistance or rifampicin resistance, so the chance of being cured is smaller.Purpose: To determine factors of non-adherence to anti-tuberculosis treatment during intensive phase treatment of pulmonary tuberculosisMethod: This research uses cross-sectional research. This method is used to examine the relationship between one or more dependent variables and one or more independent variables at a certain time, in this case variables related to patient compliance in the intensive phase of TB treatment. The subjects in this study were 53 patients suffering from pulmonary TB in the working area of the Aikmel Community Health Center, East Lombok. The research sample was selected using the total sampling method. Data collection uses interviews and questionnaires. Data analysis in cross-sectional research involves several steps to describe and interpret the characteristics or variables observed at a particular point in time.Results: The variables education level, attitude and age have a significant relationship with adherence to taking anti-tuberculosis drugs in the intensive phase. In the education variable, the p-value (Significance Value): 0.008, Relative Influence (PR): 5.989 and Confidence Interval (CI): 1.602 – 22.389, in the attitude variable p-value: 0.038, Relative Influence (PR): 3.473, Interval Confidence (CI): 1.074 – 11.226 and p-value: 0.039, Relative influence (PR) 3.943 and Confidence Interval (CI): 1.075 – 14.468. For the variables Gender, Occupation, Side Effects of Drugs, Role of Health Workers, and Role of Drug Swallowing Supervisor, there is no significant relationship between these variables and adherence to taking anti-TB drugs in the intensive phase.Conclusion: Based on the research findings, the conclusion that can be drawn is that low education, a supportive attitude, and older age can be significant risk factors for non-adherence to taking intensive phase anti-TB drugs in pulmonary TB patients in the Aikmel Health Center area. The variables gender, occupation, drug side effects, health worker role, and therapeutic drug monitoring (TDM) role did not have a significant relationship. Therefore, intervention strategies and public health approaches can be focused on these risk groups to increase the level of compliance in taking intensive phase anti-TB drugs.

Cervical cancer screening utilization among women aged 30-49 years in Lampung, Indonesia Johan Hadi Saputra; Lolita Sary; Nova Muhani
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12827

Background: Cervical cancer ranks second with a total of 36,633 cases or 9.2% of the total cancer cases in Indonesia. Cervical cancer patients in Indonesia have reached 23.4 per 100,000 population with an average death rate of 13.9 per 100,000 population.Purpose: To determine the relationship between perceptions of benefits, threats, and barriers to the interest in undergoing cervical cancer screening using the VIA method in women aged 30-49 years in Gedung Rejo Sakti Tulang Bawang Health Center in 2023.Method: Using a quantitative analytical method with a cross-sectional design. The total sample size was 70 people. The sampling method used was accidental sampling. Data analysis was performed using the chi-square test and multivariate analysis using multiple logistic regression.Results: There is a significant relationship between the perception of benefits and the interest in undergoing cervical cancer screening using the VIA method (P-value = 0.000; OR = 0.099), there is a significant relationship between the perception of threats and the interest in undergoing cervical cancer screening using the VIA method (P-value = 0.000; OR = 0.012), there is a significant relationship between the perception of barriers and the interest in undergoing cervical cancer screening using the VIA method (P-value = 0.000; OR = 0.108), the perception of threats is the dominant factor in determining the interest in undergoing cervical cancer screening using the VIA method (P-value = 0.000; OR = 95.782).Conclusion: All variables (perception of benefits, perception of threats, perception of barriers) are closely related to the interest in undergoing cervical cancer screening using the VIA method.Suggestion: Health center management should be more active in health promotion to increase the interest in undergoing cervical cancer screening using the VIA method in women aged 30-49 years.

Qualitative perspectives of new graduate nurses to educational preparation for patient care Vilma Ajijul Jana; Teh Halimatun Radizuan; Gemalyn S Maldisa
Malahayati International Journal of Nursing and Health Science Vol 6, No 4 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i4.12611

Background: A phenomenological qualitative study were conducted and investigated the perceptions of new Nursing graduates in relation to their educational preparation in caring for patients. Practice readiness and preparedness of new nurses continue to be a challenge in 21st century healthcare delivery system. To adapt to the rapidly varying and advancing healthcare settings; nurse educators must regularly assess and review education curricula, teaching-learning strategies and programs adopted to prepare new professional nurses. In Malaysia, Nursing Education Task Force was formed– Ministry of Higher Education (MOHE), 2010. ‘Development of Nursing Education in Malaysia towards the year 2020’. The aim of this task force is to improve and transform Nursing Education in Malaysia from Diploma to degree programmes by the year 2020, to prepare New Nurses to practice in all priority areas of nursing care.Purpose: To explore and describe the experiences of new graduate nurses working in hospitals and their perceptions in relation to educational preparation for patient care.Method: Using a Phenomenological Qualitative study, This Study focused on the lived and expressed experiences of the participants. It involved the description and interpretation of human experiences so that the experience could be better understood.Results: Seven Themes were extracted from the significant statements and formulated meanings of the ten respondents who voluntarily participated in this study. Orientation process, Value of preceptor, Solidifying concepts, Knowledge, Role transition, Doctors’ behaviour towards new staff and Staff shortage were among the needs of the new graduate Nurses that needs to be addressed.Conclusion: This study was able to provide insights into the lived experiences of ten new nurses and their perceptions in relation to educational preparations for patient care. Recommendations were also made to meet and support the new nurses’ needs. These findings, which may have important implications for nursing practice, management, education and to nursing profession as a whole, need further study in a larger scale to explore more on the lived and expressed experiences of the new nurses and to strongly support this research study.

Physical activity and the risk of falls in community-dwelling elderly in Central Java in urban and rural areas Maisaroh, Maisaroh; Komalasari, Dwi Rosella
Malahayati International Journal of Nursing and Health Science Vol 6, No 8 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i8.13298

Background: In the elderly, there is a deterioration in the physical structure of the muscles. This includes a decrease in muscle strength and contraction, entering old age, the risk of falling will increase due to additional risk factors. This study will examine the effect of physical activity on the risk of falls in the elderly.Purpose: To understand the differences and impact of physical activity on the risk of falls in the elderly population in Rural and Urban environments.Method: This study used a cross-sectional design. The research was conducted in Boyolali Regency, Central Java, which represents rural areas, and Gonilan as a representative of urban areas. The research was conducted in August 2023 involving 116 participants in each region.Results: The Mann-Whitney test results showed a p-value of 0.000 <0.05, while the Fisher's Exact test resulted in a p-value of 0.538>0.5. Regression test results showed that the coefficient of determination in urban areas was 0.063 and rural areas was 0.029.Conclusion: From the results, it is concluded that there is a difference in physical activity between rural and urban neighborhoods. However, there is no significant difference in the risk of falls in the elderly between urban and rural areas. Furthermore, it can be concluded that the physical activity variable has a 63% influence on the risk of falls in urban areas, while the rest is influenced by other factors in each region.

Pre-marital education (PME) program for marriage readiness and stunting prevention to women of childbearing age Leila Nisya Ayuanda; Nur Intan Kusuma; Amin Aji Budiman
Malahayati International Journal of Nursing and Health Science Vol 6, No 7 (2024)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i7.13178

Background: Indonesia is one of the countries with a high burden of malnutrition, including stunting. One preventive measure for stunting is the optimization of pre-pregnancy services (preconception). Preconception services, especially for prospective brides and grooms, aim to identify and modify biomedical, psychological, and social risks related to women's health and pregnancy conditions through an optimal early detection strategy. Current issues regarding stunting can indeed be prevented through optimal pregnancy and marriage planning. Therefore, a strategy is needed to develop comprehensive pre-marriage planning through premarital classes.Purpose: To determine the effectiveness of pre-marital education (PME) program for marriage readiness and stunting prevention to women of childbearing ageMethod: This research used a quantitative research design with a quasi-experimental one-group pretest-posttest approach. The instrument used a questionnaire on the physical, psychological, and social readiness of premarital individuals that had been tested for validity and reliability. The sampling method used accidental sampling, and 49 prospective brides and grooms were obtained as participants.Results: The results indicated that the "Paketin Canting" class titled "Paket Kelas Catin Cegah Stunting" had an effect on the biopsychosocial readiness of premarital individuals. In future research, the Catin class method can be further developed to enhance motivation and utilization. Additionally, further research is needed on the impact of Catin classes on reducing stunting rates in Indonesia, and statistical tests show a significant difference before and after the Paketin Canting intervention on the biopsychosocial readiness of premarital individuals (p-value = 0.000).Conclusion: There is an effect of the "Paketin Canting"- a pre-marital education program on the physical, psychological, and social readiness of premarital individuals.

Long-term effects of chemotherapy in children with cancer Lenny Gannika; Mulyadi Mulyadi; Gresty Natalia Maria Masi
Malahayati International Journal of Nursing and Health Science Vol 6, No 6 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i6.12663

Background: Cancer is a non-communicable disease that poses a health problem worldwide, including in Indonesia, affecting not only adults but also children. The most commonly used cancer therapy is chemotherapy, yet it still has effects that can impact children both physically and psychologicallyPurpose: To identify the frequently experienced impacts of chemotherapy on children based on assessments conducted by parents at the "Estella" Children's Cancer Center, Prof. Dr. Kandou Hospital.Method: This research utilized a quantitative descriptive method. The sampling technique employed was consecutive sampling, involving a total of 41 respondents. The study was conducted during the period of July-August 2023. Data was gathered using the Chemotherapy-Symptom Assessment Scale (C-SAS), comprising 23 questions. Data analysis utilized frequency distribution.Results: The research findings indicated that 80.5% of children experience alopecia (hair loss), and 80% of children considered nausea and vomiting as the most disruptive physical effects of chemotherapy, with mood swings being identified as the most disruptive psychological effect.Conclusion: Parents need to pay attention to the effects of chemotherapy to enhance the quality of life for their children during their chemotherapy treatments. It is hoped that the results of this research can be utilized by parents to manage the effects of chemotherapy on pediatric cancer patients.

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Teguh Pribadi

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INDONESIA

Abstract

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Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Teguh Pribadi

Contact Email -

Phone +6282282204653

Journal Mail Official nursing@malahayati.ac.id

Editorial Address Jl. Pramuka no 27 Kemiling Bandar Lampung, Kode Pos 35152

Location Kota bandar lampung, Lampung INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Teguh Pribadi

Contact Email
-

Phone
+6282282204653

Journal Mail Official
nursing@malahayati.ac.id

Editorial Address
Jl. Pramuka no 27 Kemiling Bandar Lampung, Kode Pos 35152

Location
Kota bandar lampung,

Lampung

INDONESIA