Diyah Fatmasari
Jurusan Keperawatan Gigi Politeknik Kesehatan Kementerian Kesehatan Semarang

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Journal : Belitung Nursing Journal

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

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Abstract

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 to be non-pharmacologic strategy of pain management.Objective: This study aims to investigate the effectiveness of breastfeeding and non-nutritive sucking on pain relief in infant immunizationMethods: This was a quasy experimental study with posttest only control group.  This study was conducted on 26 October till 30 November 2016 at hree 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 consecutive sampling technique. There were 69 samples in this study, which were divided into three groups. 1) The group was given a breastfeeding intervention (23 respondents), 2) The second group was given a non Nutritive sucking intervention (23 respondents), and 3) The control group (23 respondents). Data were analyzed using ANOVA.Results: The pain response of the three groups was groups was 2.74 in breastfeeding group, 1.87 in non-nutritive sucking group, and 3.26 in control group. There was a significant difference between non-nutritive sucking and control group with p-value = 0,000, and also the 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.
COMPARISON OF EFFECTS OF ABDOMINAL STRETCHING EXERCISE AND COLD COMPRESS THERAPY ON MENSTRUAL PAIN INTENSITY IN TEENAGE GIRLS Cahya Rosyida, Desta Ayu; Suwandono, Agus; Ariyanti, Ida; Suhartono, Suhartono; Mashoedi, Imam Djamaluddin; Fatmasari, Diyah
Belitung Nursing Journal Vol 3, No 3 (2017): May-June 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Pain during menstruation is not uncommon, especially in young women, which has an impact on their life activities.Objective: To examine the effect of abdominal stretching exercise and cold compress therapy on decreasing intensity of menstrual pain in teenage girls at SMK Bakti Indonesia Medika.Design: A Quasy Experimental Study with two group comparison pretest-postest design. There were 46 respondents selected in this study by consecutive sampling that consisted of 23 samples in the abdominal stretching exercise group and 23 samples in the cold compress group. The menstrual pain was measured using VAS (visual analog scale). Data were analyzed using Mann-Whitney, Chi-Square, and Wilcoxon test.Results: Findings showed that the mean of menstrual pain before intervention in the abdominal stretching exercise was 7.04 and in the cold compress therapy was 6.74 with p-value 0.211 (<0.05), which indicated that there was no mean difference of pain between both groups. However, after intervention, the menstrual pain was reduced from 7.04 to 1.91 (5.09 difference) in the abdominal stretching exercise group; and from 6.74 to 5.52 (1.22 difference) in the cold compress group with p-value 0.000 (<0.05), which indicated that there was statistically significant difference of menstrual pain before and after intervention, both abdominal stretching exercise and cold compress therapy.Conclusion: There were statistically significant effects of abdominal stretching exercise and cold compress therapy on menstrual pain in teenage girls. The abdominal stretching exercise is more effective than cold compress therapy in reducing menstrual pain intensity. Thus, it is suggested that abdominal stretching exercise can be an alternative choice of management of dysmenorrhea in teenage girls, and can be a part of subject in the education as non-pharmacological medicine.
THE IMPACT OF COMBINATION OF BREASTFEEDING AND EFFLEURAGE MASSAGE IN REDUCING PAIN RESPONSE IN INFANTS INDUCED BY BLOOD SAMPLING IN C-REACTIVE PROTEIN TEST: AN OBSERVATIONAL CROSS-SECTIONAL STUDY Maziyah, Alfi; Fatmasari, Diyah; Wenten Parwati, Desak Made; Pujiastuti, Rr. Sri Endang
Belitung Nursing Journal Vol 4, No 2 (2018): March-April 2018
Publisher : Belitung Nursing Journal

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Abstract

Background: C-reactive protein test is one of clinical assessments to minimize risks of infection in infants. However, its procedure may cause pain. Pain in the infant may result in negative metabolic behavior, physiology and metabolic response. Objective: This study was to describe the infant's pain response by administering a combination of breastfeeding and an effleurage massage on the blood sampling procedure of C-reactive protein examination.         Methods: This was a descriptive observational cross-sectional study. There were 30 infants selected using consecutive sampling technique, which 15 samples assigned in an intervention group (combination of breastfeeding and effleurage massage) and a control group. Premature Infant Pain Profile (PIPP) instrument was used to measure pain. Univariate analysis was performed with the aim to describe data in mean and median.Results: The average of pain response at 1-minute observation in the combination of breastfeeding and effleurage massage group was 7.47 ± 1.356, and the average of pain response in the control group was 10.80 ± 1.897. The average pain at 5-minutes in the intervention group was 3.53 ± 1.922 and control group was 6.00 ± 1.852. Conclusions: Pain responses in the combination of breastfeeding and effleurage massage group were lower than the pain response in the control group.
HYPNOANXIETY AS AN ALTERNATIVE THERAPY TO REDUCE ANXIETY IN PRIMIGRAVIDA MOTHERS Jannah, Nurul; Hadi, Hadi; Rahayu, Sri; Hadisaputro, Soeharyo; Fatmasari, Diyah; Mashoedi, Imam Djamaluddin
Belitung Nursing Journal Vol 3, No 2 (2017): March-April 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Anxiety among primigravida mothers should be handled to avoid the risks during pregnancy. Hypnotherapy is considered to be a solution, however, there is limited studies to see its effect for anxiety, especially in primipara mothers.Objective: To examine the effect of hypnoanxiety on the level of anxiety in primigravida.Methods: This was a Randomized Controlled Trials (RCTs) with pretest-posttest design, conducted between September – October 2016 in the working area of the Health Center of Bergas Semarang, Indonesia. There were 40 respondents recruited using simple random sampling, which divided into intervention and control group. Hypnoanxiety was performed 8 times for 4 weeks. The Zung Self-Rating Anxiety Scale (ZSAS) was used to measure anxiety in pregnant women. Data were analyzed using Mann Whitney test and Kruskal waliis test.Results: Findings showed that after four weeks intervention, there was a decrease of the level of anxiety in the intervention group, consisted of 25% of moderate anxiety, 40% of mild anxiety, and 35 % of respondents had no anxiety. The p-value was 0.005, which indicated that there was mean difference of anxiety level between intervention and control group.Conclusions: There was a significant effect of hypnoanxiety on the level of anxiety in pregnant women. It is suggested that hypnoanxiety could be one of the alternative therapies to reduce the anxiety among prenant women. This could be considered to be included in the standard of midwifery care in Indonesia.
EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA Tyas Utami, Theresia Febriana Christi; Fatmasari, Diyah; Mardiyono, Mardiyono; Shobirun, Shobirun
Belitung Nursing Journal Vol 4, No 2 (2018): March-April 2018
Publisher : Belitung Nursing Journal

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Abstract

Background: Coronary angiography can cause complications of arterial and subcutaneous bleeding (hematoma) and back pain. Changing the position of the patient (positioning) in bed can reduce the pain post-diagnostic catheterization complications. Objective: This study was to examine the effect of positioning on bleeding complication and low back pain after diagnostic coronary angiography in patients with coronary heart disease patient in the Integrated Heart Care Center in Indonesia.Methods: This study was a true-experimental study with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, which 15 respondents were randomly assigned in the experiment group and control group. The experiment group was given a positioning with 150, 300, 450 head-of-bed elevation in left and right lateral position. An arc tool was used to measure the height of head of bed elevation, a measuring cup to measure arterial bleeding using, a perforated transparent plastic with 5 cm diameter to measure subcutaneous bleeding (hematoma), and Numeric Pain Rating Scale to measure low back pain. Data were analyzed using Kolmogorov- Smirnov and Repeated Measured ANOVA.Results: Findings showed that positioning had no effect on arterial hemorrhage (ρ=1.000) and subcutaneous bleeding (hematoma) (ρ=0.999). Repeated ANOVA test results revealed that positioning had a significant effect on low back pain (ρ=0.017). Conclusion: There was no significant effect of positioning on the occurrence of arterial and subcutaneous bleeding (hematoma), but there was a significant effect in reducing low back pain.
MUSIC AND AROMATHERAPY: A GOOD COMBINATION FOR REDUCING ANXIETY AND STABILIZING NON-INVASIVE HEMODYNAMIC STATUS IN PATIENTS IN THE INTENSIVE CARE UNIT Kumala, Ferry; Fatmasari, Diyah; Lestari, Kurniati Puji; Hadisaputro, Suharyo
Belitung Nursing Journal Vol 4, No 2 (2018): March-April 2018
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Abstract

Background: Combining musical and aromatherapy therapy is expected to have a stronger effect in the reduction of anxiety and non-invasive hemodynamic stability.Objective: To examine the effect of the combination of music and aromatherapy on anxiety and non-invasive hemodynamic in patients in the intensive care unit.Methods: This was a quasy experimental study with non-equivalent group. An experimental group was given a combined musical and aromatherapy, while a control group was given music therapy. Thirty samples selected using accidental sampling, with 15 samples randomly assigned in the music group and combination group. HARS scale (Hamilton Anxiety Rating Scale) was used to measure anxiety. Non-invasive hemodynamic status of patients such as blood pressure and heart rate were documented in the observation sheet. Paired t-test and one-way ANOVA were used for data analysis.Results: There were significant effects of combination therapy on anxiety (p=0.001), diastole (p=0.004) and heart rate (p=0.031), but no significant effect on systole (p=0.387). While music therapy alone had a significant effect on anxiety (p=0.001), systole (p=0.047), and diastole (p=0.037).Conclusion: The combination therapy (music-aromatherapy) had a greater effect than the music therapy alone in decreasing anxiety, and stabilizing diastolic blood pressure and heart rate. This therapy can be used as an alternative in nursing interventions, and can be used as inputs to develop standard of operational procedure for anxiety and non-invasive hemodynamic stability.
EFFECT OF SPIRITUAL NURSING CARE ON THE LEVEL OF ANXIETY IN PATIENTS WITH STROKE Trihandini, Bernadeta; Fatmasari, Diyah; Hartati YK, Lucia Endang; Sudirman, Sudirman
Belitung Nursing Journal Vol 4, No 1 (2018): January-February 2018
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Background: Anxiety in stroke patients occurs as a normal reaction to stress with life changes; however, when it becomes excessive, It becomes disabling. Effort to deal with anxiety is needed and spiritual approach nursing care is considered useful in caring patients with stroke.Objective: To examine the effect of spiritual nursing care on anxiety in stroke patients in the inpatient ward.Methods: This study used a quasy experimental design with pretest-postest control group. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in the experiment and control group. The Hamilton Anxiety Rating Scale was used to measure anxiety. Data were analyzed using paired t-test and independent t-test.Results: The results showed that the mean level of anxiety in the experiment group before intervention was 29.33 and decreased to 9 after intervention, while in the control group the mean level of anxiety before intervention was 29.47 and decreased to 17.73 after intervention. Paired t-test obtained p-value 0.000 (<0.05), which indicated that there was a significant effect of spiritual nursing care on anxiety levels in patients with stroke.Conclusion: Spiritual nursing care could reduce anxiety in patients with stroke. 
EFFECT OF MUSA BALBISIANA COLLA EXTRACT ON BREAST MILK PRODUCTION IN BREASTFEEDING MOTHERS Wahyuningsih, Diyan; Hidayat, Syarief Taufik; Khafidhoh, Nur; Suwondo, Ari; Fatmasari, Diyah; Susiloretni, Kun Aristiati
Belitung Nursing Journal Vol 3, No 3 (2017): May-June 2017
Publisher : Belitung Nursing Journal

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Abstract

Background: Musa balbisiana Colla, known as Jantung Pisang Klutuk/Pisang Batu, is considered as a traditional food that can increase breast milk production. Little is known about its benefit in Indonesia. Thus, to examine the impact of musa balbisiana colla on the production of breast milk is needed.Objective: This study aims to examine the effect of the extract of banana flower (Musa balbisiana Colla) to increase milk production of breastfeeding mothers.Methods: This  was a quasy-experimental study with pre-posttest control group design. This study was conducted in the working area of the Health Center (Puskesmas) of Pesantren II in January – February 2017. There were 16 respondents were recruited by accidental sampling, divided to intervention group (8 respondents) and control group (8 respondents). Randomization was performed to select the respondent in each group. The quantity of milk production was measured based on the volume of milk production, while the quality of milk production was based on the levels of prolactin in early (pre) and late (post) using Electro chemilumi-nescence Immunoassay (ECLIA) method. Independent t-Test was used to analyze the data.Results: Findings showed that the mean of the volume of the breast milk production in the experiment group was 470.681 ml, and in the control group was 364.650 ml with SD 113.502. While the mean of prolactin levels in the experiment group was 35.337 nanogram, and in the control group was -38.381 nanogram. There was a significant effect of consuming Musa balbisiana Colla extract on the volume of breast milk production (p-value 0.003) and prolactin levels (p-value 0.001) (<0.05).Conclusion: There was a significant effect of banana flower (Musa balbisiana Colla) extract on breast milk production and prolactin level in breastfeeding mothers. The findings of this study could be used to be alternative daily menu for postpartum mothers and a solution for midwives to deal with those who have inadequate production of breast milk and low prolactin levels.
Co-Authors ,, Yodong Ade Ismail A.K Agus Suwandono Akhmad Kharis Nugroho Ani Subekti, Ani Aning Susilowati Ari Suwondo Arlina Nurhapsari Bedjo Santoso, Bedjo Benni Benyamin Cahya Rosyida, Desta Ayu Dewi, Hevny Kartika Donny Kristanto Mulyantoro Dyaswara Tituk A.W Ekoningtyas, Endah Aryati Endah Aryati Eko Ningtyas Endah Aryati Eko Ningtyas, Endah Aryati Eko Erni Mardiati, Erni Erwid Fatchur R Erwid Fatchur Rahman Hadi Hadi Hidayat, Syarief Taufik Hutami, Rahma Rizki Ida Ariyanti, Ida Imam Djamaluddin Mashoedi Irma H.Y Siregar, Irma H.Y Iwan Dwi Prahasto Julita Hendrartini Kris Adityawarman, Kris Kumala, Ferry Kun Aristiati Susiloretni, Kun Aristiati Kurniati Puji Lestari Lanny Sunarjo, Lanny Linda Septiana, Linda Lucia Endang Hartati YK, Lucia Endang Mardiyono Mardiyono Mayya Nailullathifah Maziyah, Alfi Melyana Nurul Widyawati Nur Khafidhoh, Nur Nurul Jannah Octa Nana Erviana, Octa Nana Probowati, Etri Pujiastuti, Rr. Sri Endang Purba, Agustina Ramadhani, Yoga Rizki Ratnawati Hendari Rezky Hidayati Rochman Mujayanto Sabilillah, Muhammad Fiqih Saha, Djenta Salikun Salikun, Salikun Setiadji Musthofa, Setiadji Shobirun, Shobirun Siti Chumaeroh Soeharyo Hadisaputro Soejoenoes, Ariawan Sri Rahayu Sudirman Sudirman Suhartono Suhartono Suharyo Hadisaputro Sukmawati Sukmawati Supriyana Supriyana, Supriyana Tri Wiyatini, Tri Trihandini, Bernadeta Tyas Utami, Theresia Febriana Christi Uswatun N.A Darjono Uswatun N.A. Darjono Wahyu Jati Dyah Utami, Wahyu Jati Dyah Wahyuni M, Sri Wahyuningsih, Diyan Wenten Parwati, Desak Made Widjijono , Yessi Idha Martha