The Effect of Nutritional Counseling on Pregnant Women towards the Improvement of Body
Weight, Upper Arm Circumference and Fundus Utery Height
in Puskesmas Ulee Kareng Banda Aceh Year 2010
Halimatussakdiah1Nurmayani1NsHasniah1Hermansyah1
1
Lecture. Nursing Department of Health Polytechnic Aceh Province, Indonesia
Correspondence Address: atus_halimah@yahoo.com
ABSTRACT
Background Indonesia is one country that has a cause of maternal mortality (307 per 100,000 live
births) and infant (35 per 1,000 live births) is the largest in Asia. One of the problems that affect
maternal and infant mortality rate that is the problem of nutrition in pregnancy. This is because the
beliefs and taboos against some foods by pregnant women. The aims of a quasi-experimental study
was conducted to determine the effect of nutrition counseling given to pregnant women to increase
their body weight, upper arm circumference, and fundus utery height. Methods The Pre and
Posttest design study was designed to selected 24 person of pregnant women in the second and
third trimester by using accidental sampling technique and analyzed by Dependent t Test. Results
There was a difference in maternal body weight before and after counseling (p-value=0.00), there
was a difference between fundus utery height before and after counseling (p-value=0:00), and there
was difference in the size of upper arm circumference between before and after counseling (p-value
0:00). Conclusion There is influence of nutritional counseling in pregnant women to increase their
body weight, upper arm circumference, and fundus utery height. To all health workers are expected
to perform continuous extension and programmed according to the needs of clients.
Allenidekania1Alfani2
Nursing Department Faculty of Nursing Universitas IndonesiaPediatric. Depok- Indonesia
Correspondence email address: alleni@ui.ac.id
ABSTRACT
Background: Cancer related fatigue which cannot be managed in a good way will influence in
decreasing patients quality of life. In managing fatigue effectively health providers should know
the factors that contributed to cancer related fatigue. Methods quantitative design with cross
sectional approach to identify the association of sleep, anxiety problems, and hemoglobin level in
pediatric cancer with cancer related fatigue. Among 73 children with cancer who meet the criteria
children who are 3 to 18 years old, in ongoing cancer therapy, and get parents consent, filled self
report questioner for PedsQL multidimentional fatigue (=0.895), HADS of anxiety and depression
(=0.825), sleep problems (=0.706) and hemoglobin level. Parent is being a proxy for children
whom less than 7 years old. Statistic analysis are using Spearman Rank, Person and Linier
regression analysis. Results mostly girls (61.6%), age mean 10.5 years old; SD= 4.056, average
Hemoglobin level is 11.35 gr dl; SD=1.55. Sleep problems average score is 31.05 (SD=6.399);
Average anxiety level is 12.51; SD=6.406. Average fatigue score is 24.84, SD=11,357. In bivariat
analysis, anxiety problems has association with cancer related fatigue p<0.05 (p=0.006). Moreover
using multivariate analysis, variables children age, gender, sleep problems and hemoglobin level
have significant different. Variables such as sleep problems (p=0.038), hemoglobin level (p=0.021)
and anxiety problem (p= 0.011) had contributed to cancer related fatigue incident with R
square=18.5%. Conclusion: anxiety, sleep problem and hemoglobin level contribute to cancer
related fatigue in hospitalized children with cancer.
ABSTRACT
Introduction. Breast cancer is the most common type of cancer that affects women and the leading
cause of death for women in the world. Hasan Sadikin Hospital in Bandung, breast cancer is a
disease of unity for most cancers that affect women and the numbers have increased. Cigadung
Village is a village located in the District Cibeunying Kaler who is one of the areas with the highest
breast cancer cases.Methods.This study aims to gain insight about women's knowledge and
attitudes of couples of reproductive age in breast cancer prevention efforts in the Village District
Cigadung Cibeunying Kaler Bandung. This type of research is descriptive sampling techniques
used are proportionate Stratified Random Sampling with a sample of 97 people. The collection of
data obtained using a questionnaire.Results showed that almost half of respondents had less
knowledge in the prevention of breast cancer (38.14%), 32.99% had good knowledge, and 28.87%
had sufficient knowledge. For attitude, 56.70% of respondents indicate unfavorable attitudes. Only
43.30% had a supporting attitude towards breast cancer prevention.Conclusion. To foster the
behavior of breast cancer prevention is right on the women, required health education programs,
especially those associated with breast cancer. These efforts can be done by providing information
through counseling with a communicative language, simple and understandable by the people so
that people easily understand.
General versus Regional Anaesthesia for Caesarean Section on The APGAR scores of the
newborn in Rajawali Hospital Bandung
Eny Kusmiran
Lecturer. Department of Maternity Nursing, Rajawali School of Health Sciences, Bandung, West Java, Indonesia.
Correspondence address : enykusmiran@gmail.com
ABSTRACT
Background. Rates of caesarean section in many countries have increased beyond the
recommended level of World Health Organization. The caesarean delivery rate in Indonesia
increased steadly every years. Indonesia Demographic and Health Survey 2007 report rates of
caesarean section 22,8%. General and regional anaesthesia are commonly used for caesarean
section and both have advantagees and disadvantages. Moreover, caesarean delivery was associated
with high maternal and neonatal ccomplication rates and health care costs. The Apgar score was
used as determinant. The objective of this study is to identify the 1-minutes Apgar score in both
type anaesthesia for Caesarean section.Methods. A cross-sectional study was undertaken in
Rajawali hospital, data were selected from 100 cases from period 2008-2010. Type of anaesthesia,
age, haemoglobin of mother, time of anaesthesia and birth weigth and Apgar scores. Results .There
is significant relatonship between general versus regional anaesthesia for caesarean section on
Apgar scores of the newborn ( p=0,000). Type of anesthesia was the contributed factor 42,2 % and
predicted factors 49% to Apgar scores were type of anesthesia, gestation and birth weight. Regional
anaesthesia seems to be good to use for caesarean section and Apgar scores were signifivantly
better following regional anaesthesia. Conclusion Futher investigations are required to improve
result with regional anaesthesia in terms of maternal and neonatal outcomes after Caesarean
delivery.
Determinant Analysis of the Fear Incident in the Pre School and School Age
Children who have Hospitalization in Children Ward RSU BLUD Dr. Slamet
Garut
Sri Ramdaniati
Lecturer of Bandung Nursing Department of Bandung Health Polytechnicn West Java Indones
Correspondence address : sri.ramdaniati@yahoo.com
ABSTRACT
Background. Hospitalization is a hospital stay can mean new and sometimes frightening
experiences for a child. While each child is unique and reacts differently to hospitalization, helping
a child understand what to expect may help make the hospital experience less stressful. Fear of
children experiencing hospitalization is a common phenomenon Being admitted to the hospital
causes fear and anxiety in 4 to 6-year-old children and according to parents, 83% of preschool or
kindergarten-aged children suffer from different kinds of anxiety symptoms related to hospital fear
even after a minor operation in a hospital (Rossen & McKeever, 1996). Methods.This study aimed
to identify factors associated with the incidence of fear in pre-school and school age children who
experience hospitalization. The factors consist of children characteristic, family characteristic and
environmental characteristic. The design used cross-sectional with sample of 100 respondents by
purposive sampling. Results. The result revealed that the fear experienced by 53% of respondents.
Chi square and t test analysis revealed significantly relationship between children, family and
environment characteristics with incidence of fear. The study concluded that age and family
anxiety is determinant of the incidence of fear in pre-schools and school age children that have
experienced hospitalization. Conclusion The researcher suggests that pediatric nurse should give
emotionally support for family and make room situation setting that is conducive and less
frightened for children.
ABSTRACT
Background . The HIV infected pregnant women can transmit their virus to their baby when they
deliver their baby by normal delivery. Nurse need to understand the condition of pregnant women
with HIV/AIDS in order to provide holistic nursing care to the mother and her baby. Methods The
purpose of this research is to explore experiences of pregnant women with HIV infected. This
qualitative study using phenomenological approach was used to gather participants experience
with their pregnancy with HIV. 7 participants were recruited using purposive sapling technique. An
in-depth Interview were conducted to gather information regarding participants experiences
during their pregnancy. Data then analyzed using the thematic analysis. Results. Some themes
were identified : response to the pregnancy and diagnosed having HIV/AIDS, Pregnancy-related
physical changes, health efforts, support system, experiences of ARV treatment, planning give
birth by section caesarian, experiences of planning formula milk provision instead of breast feeding
and experience of health and antenatal care services. Conclusion. The pregnant women experience
of having HIV during their pregnancy is a valuable information for nurses in order to understand
what their need and how to provide a tailor-made nursing care to this population.
ABSTRACT
The Compliance of Iron Tablets Consumption in Pregnant Women after Health Education
about Anemia in Pregnancy in Subang District Hospital
ABSTRACT
Background The prevalence of anemia in pregnancy in Indonesia higher than others country in
ASEAN region. This condition can increase the maternal mortality and morbidity in Indonesia.
One cause of anemia in pregnancy is less compliance against consumption of iron tablet. This
problem occurred because of some reasons, for instance pregnant women have difficulties in
finding the source of learning. The objective of this study is to identify the compliance level of
pregnant women in iron tablet consumption after health education about anemia in pregnancy.
Methods Quasi experiment and nonequivalent control group post test-only design were applied in
this research. There were two groups of the pregnant, consist of 39 women in each group. Samples
were recruited using total sampling method. Proportion test and Chi square test were used in data
analysis. Results.This study shows that the rates of compliance in intervention group higher than
control group with 92.3 % and 71.8 % respectively. There is significant different between
intervention group and control group (p =0.04, OR =4.156). It is means that health education about
anemia in pregnancy has influenced the level of iron tablet consumption. Conclusion, nurses have
important role in health promotion and prevention of anemia in pregnancy.
The Relationship Between The Familys Caring Function and Bodyweigth of under Five year
Old Children in Ciamis.
ABSTRACT
Background Severe malnutrition among toddler is still a wide health problem. Riskesdas, 2010, in
Jawa Barat Province, prevalence of malnourished children was >32% (TB/U). In Ciamis
District,2010, there was 252 severe malnourished children under five (BB/U). For that, a strategic
intervention such as Perkesmas with Family Nursing Care is still needed. The objective of this
study is to identify family health care function as a risk factor for toddler nutritional status.
Methods this study was a case-controlled macthing study. Sample was selected by random and
divided into 60 cases group (Z-score <-3.0 SD and -3.0 SD untill <-2 SD) and 60 controls group (
Z-score -2 SD untill +2 SD) with WHO 2005 standar. Data weight and age was collected from
Form 1 BPB August 2011 and family health care function from questionare. Results from all cases,
68,3% family was lacked health care function and toddler nutritional status was influenced by
family health care function (p=0,001). Family with lacked health care function had risk 3,73 more
for had toddler with severe malnourished (OR=3,73, CI95% 1,750-7,938). Conclusion Toddler
with good family health care function was had good nutritional status than toddler who are not.
ABSTRACT
Keywords: The Lived Experience Mothers with First Born Child, Cleft Lip
Francis A. Vasquez, Aura Ydda Alyne S. Toreja, Michael Joseph Dio, Mike John M. Asis,
Jefferson C. Angeles, Nelia S. Atienza, Jillian Stephanie M. Capulong, Chelle Ann B. Chico,
Reginald James E. Lacson, Melissa Joy B. Materiales, Ma. Josephine D. Mendoza,
John Paolo B. Ong
Our lady Fatima University, The Philipine
ABSTRACT
Background. Premature infants require immediate and proper care to survive in the external
environment. With this challenge, innovative methods like incubation and kangaroo care were
adopted to address the problem in developing countries. The present study aimed to juxtaposition
the vital signs of newborn under kangaroo and incubator care. Methods. The study was conducted
in a birthing center in the Philippines using a quasi-experimental method. Thirty (30) cases were
obtained and categorized under incubator and kangaroo care. A monitoring chart as the main
research tool was employed with the guidance of the healthcare personnel assigned at the areas.
Results. Analysis of variance (F-value = 158.95, critical value = 2.35) revealed that there is a
considerable difference in terms of the effect of the two means of incubation on assessing the vital
signs and weight improvement of the premature infants. It had been observed in the study that
kangaroo care came up with a more normal cardiac rate and greater improvements in weight than in
incubator care which only stabilized the temperature of the premature infants. In terms of
respiration, both methods showed an acceptably equal normalizing effect. Conclusion. The data
provided a confirmation that kangaroo care endowed better stabilizing effect than incubator care.
Coming out of the Tunnel: The Journey of the Mothers in Raising their Children with
Attention Deficit Hyperactivity Disorder
Belfred De Leon, Roi Ivan Hernandez, Sherwin Marc Jimenez, Nerissa Anne Lara, Ma. Elisa,
Genevieve Libo-on, Elliane Mae Lumasag, Katrina Magbanua, Maxlionel Manlapaz,
Kimberly, Claire Miranda, Joan Erika Morales, Crisjustine Rempillo, Michelly Retazo
Manila Doctors College, Manila Tytana Colleges ABR Manila Doctors College
ABSTRACT
Background. The study explored the lived experiences of mothers while raising their children with
attention deficit and hyperactivity disorder. Methods. Utilizing key informant interview with aid of
note taking and audio-recording, the researchers transcribed and translated experiences of five
mothers. Bracketing, peer debriefing and member checking were done religiously during the
process. Utilizing the Colaizzi school of phenomenology, the study revealed unique experience of
the mothers in raising a child with ADHD. Results. Based on the data being gathered, the
following are the findings of the study: (1) Ambivalence of the mothers upon learning the diagnosis
of their child, (2) Stress that mothers experienced in raising their child with ADHD. (3) Adaptation
for mothers in order to cope up with the diagnosis of their child (4) Motivation are the supports
from different significant others that keep them inspired and hopeful (5) Vision, how they see their
child in the future and what mothers want for their child for their future. Conclusion. With this, the
understanding of their experiences gave us the idea that mothers of children with autism must be
given help and support from the family and the health care providers to ensure adequate and
appropriate interventions to the said special population.
Solstice and Equinox: The Interpersonal Relationship of a SPED Teacher and Children with
Autism
Mendoza, Krish Paul, A Salvatierra, Ivy D.S, Servania, Daren Queen V., Simosa, Jeraldine
V., Soller, Anne Shirley O., Sucaldito, Hanna Rose D., Tapawan, Maria Leah D., Vidal.
Brylle Aldrei T., Visaya, Patrick Mari M.
Manila Doctors College Manila Tytana Colleges
ABSTRACT
Background. This research was conducted to explore the lived experiences of teachers
while handling children with Autism. The research was conducted in St. Andrews School located
at La Huerta,Paraaque City. Methods phenomenological study as the qualitative design was used
to describe the experiences of our informants. The researchers made used of interview and Focus
Group Discussion in order to acquire every detail of the informants lived experiences. All the data
gathered were transcribed translated and analyzed together with field notes. Results. The synthesis
suggested that the relationship between nurses and patient outcome are dependent upon the
therapeutic environment, the same way with special teacher and children with Autism. For this
research the Solstice and Equinox Model was utilized as the eidetic symbol, showing the four
season of the earth as it revolves around the sun. Since there are erratic problems that may occur
during the establishment of Interpersonal Relationship to children with Autism, specification of
unpredictable weathers were given to Hibernal Phase and Estival Phase. Conclusion. This research
is highly recommended to SPED teachers in order to have a better overview on how to establish a
good Interpersonal Relationship with their beloved students.
ABSTRACT
Background. Breast is a significance feminist organ from biology side, psychology and
psychosexual side for female. Abnormalities on breast not only biology phenomenon but also
psychology, psychosexual, and psychosocial phenomenon, especially it is categorized as a cancer.
Breast cancer and its kinds of medical treatment obtain to change physical condition, body image,
and self esteem of breast cancer patient. Self esteem is someone self evaluation about her powerful,
valuable, significant, and success. Self esteem is important to tend self concept, to prevent anxiety
and depression at breast cancer patient. Methods.This research objective is to describe self esteem
breast cancer client post-mastectomy in Government General Hospital of Dr. Hasan Sadikin
Bandung.The research design used a quantitative descriptive. It also used total sampling technique.
Total of respondent is 47 women who had received mastectomy. All respondent completed
measure of self esteem with completed the self esteem closed-ended questionnaire. Data analyze
technique used quantitative descriptive and than it was described with high, moderate and low
scale. Results demonstrate that most of respondent has low self esteem (67.57%), fraction of
respondent has medium self esteem (10.81%) and another fraction of respondent has high self
esteem. Conclusion. it is wished will be an information to health practitioner to increase healthy
care especially from psychology side, such as increasing breast cancer post-mastectomy patient self
esteem and to increasing breast cancer patient quality of life.
The Effectivity of Hospital Orientatation to Parents and Cchildren Against the Anxiety
Responds as Children Facing Hospitalization in RSUD. dr Pirngadi Medan
ABSTRACT
ABSTRACT
Background. Breast milk is the only food for the newborn baby which is very rich in nutrition,
therefore newborn baby need nothing except the breast milk until 6 month age. The aim of this
research was to investigate the mothers of under five year old baby attitude toward exclusive breast
feeding provision.Methods. A descriptive quantitative study was conducted to identify the attitude.
Fourty six (46) mothers with under five year old baby were recruited using total sampling
technique. Attitude variable measured using the Likert scale based on The social action theory by
Bandura with maximum score is 4 for the positive statements and 1 for the negative statements.
Data then analyzed using score T in order to classified the data to favorable and unfavorable.
Results.It is found that more than half of the respondents ( 52.2%) have positive or favorable
attitude toward exclusive breast feeding and about 47.8% of them have negative or unfavorable
attitude toward exclusive breast feeding.Conclusion. Attitude toward exclusive breast feeding will
determine the mothers' provision of exclusive breast feeding to their under six month old baby .
Therefore, Mothers who have newborn baby should be motivated to feed only breast milk to their
baby until six month of age.
Keywords: Exclusive breast feeding, Attitude and under six month baby
The Effectiveness of Ginger Ale to Cough Severity of Children with Acute Respiratory Tract
Infection
ABSTRACT
Background : Acute respiratory tract infection is the most common infection in children between
1-5 years old. The major clinical manifestation of this infection is coughing. In children, the state
of constant coughing is a bothering symptom. One of Non- pharmacologic treatment is traditional
medicine. Ginger ale has been known to contain substances effective for soothing coughs. The aim
of this study is to investigate the effectiveness of ginger ale to cough severity of children with acute
respiratory tract infection. Methods : This quasy-experiment study was conducted in the working
area of Lima Puluh Region comunity health center Pekanbaru involving 30 children aged 1-5 years
old divided evenly into 2 groups : the experiment and control qroup. The result was measured by
using the observasion sheet adapted from Cough-Specific Quality-Of-Life Questionnaire (CQLQ).
The data was analysed by using T-Test. Results: The average score for the experiment group is
14 while the score for Control group is 20. The result shows that ginger ale contributes
significantly to the decrease cough severity in children with acute respiratory tract infection.(p =
0,000). Conclusion : This study suggests to investigate biological effects of the ginger ale.
ABSTRACT
Background: Delivery by caesarean section at the recent undergo increase almost all hospitals in
the city of Bandung. High rate of caesarean section was caused due to medical or elective reasons.
The purpose of this study was to identify the driving factors of the mother underwent of caesarean
section in city of Bandung, West Java. Methods: The design of the study was a qualitative
descriptive. Participants in this study were all mothers who have given birth to caesarean section in
the city of Bandung. The participants selected by purposive sampling using a snow ball technique.
The numbers of participants were six people. Results : From this study the driving factors of
caesarean section were: severe preeclampsia, the advice of her husband, their own decision, the
baby's umbilical cord loops, and posterm pregnancy. Conclusion : there were several driving
factors of cesarean section, either for medical reasons, the reasons for maternal factors alone
elective, or elective reasons because of the encouragement from her husband.