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All Journal Belitung Nursing Journal

Melyana Nurul Widyawati

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

Author-ID : 3815961

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 PINEAPPLE (ANANAS COMOSUS (L.) MERR.) JUICE ON FUNDAL HEIGHT IN PRIMIGRAVIDA MOTHERS DURING POSTPARTUM PERIOD Winda Yunyaty Harianja; Onny Setiani; Umaroh Umaroh; Melyana Nurul Widyawati; Imam Djamaludin Mashoedi; Sri Endang Pujiastuti
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

Background: Failure in the process of uterine involution can result in bleeding if not treated immediately. Provision of pineapple (Ananas Commosus (L). Merr) juice can be administered as a medicinal plant therapy to prevent sub involution of the uterus and is considered to speed up the recovery process of the uterine involution. Objective: This study aims to examine the effect of pineapple (Ananas Commosus (L). Merr) juice to decrease fundal height in primigravida mothers during postpartum period. Design: This was a quasi-experimental study with non-equivalent control group, conducted in the working area of the Health Center (Puskesmas) of Jekulo Kudus Indonesia on 1-30 December 2016. There were 28 respondents selected using consecutive sampling technique, consisted of 14 respondents in the intervention group and 14 respondents in the control group. Data were analyzed using independent t-test and paired t-test. Results: Findings showed that there was a mean difference of the height of the uterine fundus after given pineapple juice in the intervention group with mean score 13.80 in pretest and 5.80 in posttest, while there was also a decrease in fundal height in the control group with mean score 13.35 in pretest and 7.01 in posttest. The mean of fundal height in the intervention group was 8.15 cm and in the control group was 6.09 cm in 7 days. There was significant difference of the average of the decrease of fundal height between both groups with p-value (0.000). Conclusions: Pineapple (Ananas comosus (L.) Merr) juice had a significant effect in the decrease of fundal height. It is suggested that pineapple juice can be used as herbal or medicinal plants, which can be used during postpartum period that is processed naturally without involving the use of chemical and incorporated into the procedure standard of midwives in postnatal care.

THE DEVELOPMENT OF E-PARTOGRAPH MODULE AS A LEARNING PLATFORM FOR MIDWIFERY STUDENTS: THE ADDIE MODEL Selasih Putri Isnawati Hadi; Tjahjono Kuntjoro; Sri Sumarni; Muh.Choiroel Anwar; Melyana Nurul Widyawati; Rr.Sri Endang Pujiastuti
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

To enhance the competencies of midwifery students, one must design a learning instruction in such a manner that it will optimize the learning. The learning materials designed based on technology will facilitate the learners to achieve the desired outcome. In this study, e-partograph was developed using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instruction model. The module of e-partograph was followed the structural guideline of Department of National Education of Indonesia consisted of: self-instruction, self-contained, stand alone, adaptive, and user friendly. The evaluation showed that e-partograph was feasible (99.3) in the material subject, very feasible (195) in terms of media, feasible (101.6) in the try-out, and feasible for the students (users) (104.18). It is suggested that e-partograph could be applied in the teaching learning system, and it is expected to contribute positively to the increase in skill and competence of midwifery students who will be able to carry out its role both academic and practice.

THE EFFECT OF MORINGA OLEIFERA LEAVES ON CHANGE IN BLOOD PROFILE IN POSTPARTUM MOTHERS Arum Estiyani; Ari Suwondo; Sri Rahayu; Suharyo Hadisaputro; Melyana Nurul Widyawati; Kun Aristiati Susiloretni
Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June
Publisher : Belitung Raya Foundation, Indonesia

Background: Postpartum anemia among mothers is a health problem in Indonesia. Consuming moringa oleifera is assumed as one of the efforts to deal with anemia. However, lack of the study conducted in the working in the working area of Health Center of Tlogosari Wetan, Indonesia. Objective: This study was conducted to examine the effect of moringa oleifera on blood profile in postpartum mothers. Methods: The study was quasi-experimental study with pretest posttest control group design. The sample in this study were all postpartum mothers in the working area of the Health Center of Tlogosari Wetan. It was 30 respondents selected by purposive sampling, divided into intervention group (15 respondents) who received moringa leaf capsule and iron tablet, and control group (15 respondents) were given iron tablet. Data were analyzed using Independent t-test. Results: Findings showed a significant difference in the mean of hemoglobin level (intervention group 11.9467; control group 11.0600), hematocrit (intervention group 38.3867; control group 33.8133), thrombocyte (intervention group 3.02536; control group 2.35805), and erythrocyte (intervention group 4.30137; control group 3.78206) with p-value < 0.05. Conclusion: there was a significant effect of moringa oleifera on changes in blood profile (hemoglobin, hematocrit, erythrocyte, thrombocyte) in postpartum mothers in the working area of the Health Center of Tlogosari Wetan. Thus, it is suggested that moringa leaves could be used to prevent anemia in postpartum mothers.

USING ADDIE MODEL TO DESIGN EARLY DETECTION SYSTEM OF CHILD GROWTH AND DEVELOPMENT IN THE COMMUNITY HEALTH CENTER OF BENDOSARI, SEMARANG INDONESIA Liliana Nur Kholifah; Supriyana Supriyana; Bahiyatun Bahiyatun; Melyana Nurul Widyawati
Belitung Nursing Journal Vol. 3 No. 3 (2017): May - June
Publisher : Belitung Raya Foundation, Indonesia

To reduce the increase of the impaired child growth and development, early detection system is needed. The system designed based on information technology will facilitate the health personnel to achieve the desired outcome. In this study, the early detection system was developed using ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instruction model. The evaluation showed that the early detection system was effective in terms of completeness (7.2), ease (13.60), timeliness (7.60), accuracy (17.10), and conformity (8.00). This innovation is expected to contribute positively for child growth and development in Indonesia

Co-Authors Ari Suwondo Ariawan Soejoenoes Arum Estiyani Bahiyatun Bahiyatun Diyah Fatmasari Donny Kristanto Mulyantoro Etri Probowati Imam Djamaludin Mashoedi Kun Aristiati Susiloretni Liliana Nur Kholifah M. Choiroel Anwar Onny Setiani Rr.Sri Endang Pujiastuti Selasih Putri Isnawati Hadi Sri Endang Pujiastuti Sri Rahayu Sri Sumarni Sri Wahyuni M Suharyo Hadisaputro Supriyana Supriyana Tjahjono Kuntjoro Umaroh Umaroh Winda Yunyaty Harianja

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