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Ariawan Soejoenoes

Magister Applied Midwifery, Health Ministry Polytechnic Semarang, Semarang, Indonesia

Author-ID : 3815959

Nursing

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EFFECTIVENESS OF BREASTFEEDING AND NON-NUTRITIVE SUCKING ON PAIN RELIEF IN INFANT IMMUNIZATION Etri Probowati; Ariawan Soejoenoes; Sri Wahyuni M; Donny Kristanto Mulyantoro; Melyana Nurul Widyawati; Diyah Fatmasari
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: Immunization in infants is an action that can cause trauma due to injection of the immunization that can cause pain. Breastfeeding and non-nutritive sucking are considered non-pharmacologic strategies of pain management. Objective: This study aims to investigate the effectiveness of breastfeeding and non-nutritive sucking on pain relief in infant immunization. Methods: This was a quasi-experimental study with posttest only control group. This study was conducted on 26 October till 30 November 2016 at three Community Health Centers (Puskesmas), namely Puskesmas Cilacap Utara I, Puskesmas Cilacap Tengah, and Puskesmas Cilacap Selatan I. The population was infants aged 2-4 months who got immunization of DPT-HB-Hib 1. Samples were recruited using a consecutive sampling technique. There were 69 samples in this study, which were divided into three groups: 1) The group given a breastfeeding intervention (23 respondents), 2) The second group given a non-nutritive sucking intervention (23 respondents), and 3) The control group (23 respondents). Data were analyzed using ANOVA. Results: The average of pain response of the three groups was 2.74 in the breastfeeding group, 1.87 in the non-nutritive sucking group, and 3.26 in the control group. There was a significant difference between non-nutritive sucking and control group with p-value = 0.000, and also a significant difference between breastfeeding and non-nutritive sucking with p-value = 0.016. However, there was no difference between breastfeeding and control group with p-value = 0.142. Conclusion: Breastfeeding and non-nutritive sucking were effective in reducing pain during infant immunization. It is suggested that midwives could administer these interventions to reduce pain in infant immunization, and it could be applied as non-pharmacological strategy in pain management in the community health center in Indonesia.

THE IMPACT OF HONEY ON CHANGE IN NUTRITIONAL STATUS IN CHILDREN WITH POOR NUTRITION Harmiyati Harmiyati; Ariawan Soejoenoes; Sri Wahyuni M; Kun Aristiati; Soeharyo Hadisaputro
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: Toddlers are vulnerable groups to malnutrition. Thus, to maintain their nutritional status is needed. Honey is considered having health benefits that may increase the nutritional status in children. However, little is known about the impact of honey on nutritional change in Sumbawa, Indonesia. Objectives: The aim of this study is to analyze the effect of honey on changes in nutritional status in children with poor nutrition in the area of the Health Center of Lopok, Sumbawa, Indonesia Methods: This study employed a quasi-experiment design with pretest-posttest with control group. The total sample in this study were 60 children recruited by simple random sampling, divided into 2 groups, namely 30 children in an intervention group and 30 children in a control group. The sampling technique used a simple random sampling. Data were analyzed using Mann Whitney and linear regression test. Results: Findings showed that there were significant mean differences between the intervention and control group in term of weight (intervention 1.316; control 0.903), height (intervention 1.586; control 1.030), weight-for-height (W/H) z-score (intervention 0.713; control 0.595), weight-for-age (W/A) z-score (intervention 0.717; control 0.531), and height-for-age (H/A) z-score (intervention 0.847; control 0.423) with p-value < 0.05. Conclusion: There was a significant effect of honey on changes in nutritional status in children with poor nutrition. It is suggested that health providers may use honey to take care of children under nutrition to increase their appetite and change their nutritional status.

EFFECT OF MORINGA OLEIFERA ON LEVEL OF PROLACTIN AND BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS Yuni Sulistiawati; Ari Suwondo; Triana Sri Hardjanti; Ariawan Soejoenoes; M. Choiroel Anwar; Kun Aristiati Susiloretni
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: Breastfeeding among postpartum mothers has been a problem due to low milk supply. As a result, mothers often decide to give formula milk or other additional foods, which may affect infant’s growth and development. Objective: This study aims to investigate the effect of moringa oliefera on the levels of prolactin and breast milk production (baby’s weight and sleep duration) in postpartum mothers. Methods: Quasi-Experimental study with non-equivalent control group design. There were 30 respondents recruited by purposive sampling, consisted of 15 respondents in intervention group and 15 respondents in the control group. This study was conducted from November until December 2016 in Four Midwives Independent Practice (BPM) in the working area of the Health Center of Tlogosari Wetan Semarang. Data were analyzed using Independent t-test. Results: Findings showed that there was a mean difference of prolactin level in the intervention group (231.72 ng / ml) and the control group (152.75 ng / ml), and a significant effect on increasing the levels of prolactin (p = 0.002). The mean of baby’s weight in the intervention group was 3783.33 grams and in the control group was 3599.00 grams. However, there was no significant effect of moringa oleifera on baby’s weight (p = 0.313> 0.05), while the mean difference on sleep duration was 128.20 minutes in the intervention group and 108.80 minutes in the control group. There was a significant effect on baby’s sleep duration (p= 0.000). Conclusion: There were significant effects of moringa oleifera on mother’s prolactin and sleep duration of the baby. However, there was no significant effect on baby’s weight. Thus, it can be suggested that moringa oleifera can be used as an alternative treatment to increase breast milk production and prolactin hormones. Midwives should promote the benefits of moringa leaves as one of alternative supplements.

Co-Authors Ari Suwondo Diyah Fatmasari Donny Kristanto Mulyantoro Etri Probowati Harmiyati Harmiyati Kun Aristiati Kun Aristiati Susiloretni M. Choiroel Anwar Melyana Nurul Widyawati Soeharyo Hadisaputro Sri Wahyuni M Triana Sri Hardjanti Yuni Sulistiawati

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