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Belitung Nursing Journal
BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based clinical application papers, original research, systematic review, case studies, perspectives, commentaries, letter to editor and guest editorial on a variety of clinical and professional topics.
Articles
182
Articles
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EFFECT OF LIGHT AND MEDIUM INTENSITY BRAIN GYMNASTICS ON THE IMPROVEMENT OF COGNITIVE FUNCTION IN ELDERLY

Parellangi, Parellangi, Loriana, Rina, Firdaus, Rivan

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
Publisher : Belitung Nursing Journal

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Abstract

Background: Decreased brain aging is due to impaired cognitive function. One effort to inhibit cognitive decline due to aging is by doing brain gym.Objective: This study aims to examine the effect of light and medium intensity brain gymnastic on the improvement of cognitive function of elderly, and compare its result between the two intervention.Methods: This was an experimental research with pre-test and post-test group design conducted in 2016. There were 66 people included in this study, which 33 randomly assigned in the light intensity brain gymnastic group (group I) and medium intensity brain gymnastic group (group II). Mini Mental State Examination (MMSE) questionnaires was used to measure cognitive function of elderly. Data were analyzed using univariate and bivariate analysis. Bivariate analysis used paired t-test and independet sample t-test.Results: Findings of this study reveal that there was a significant effect of light and medium intensity brain gymnastic on the improvement of cognitive function of elderly (p=0.000). However, light intensity brain gymnastics (mean= 6.61) is better in improving the cognitive function of the elderly compared with medium intensity brain gymnastics (mean 2.18), with p=0.000, respectively. .Conclusions: Brain gymnastic with light intensity for 10 minutes per exercise with frequency of 3 times a week is more effective in improving the cognitive function of the elderly compared with brain gymnastic with medium intensity for 15 minutes per exercise with frequency of 2 times a week.

THE EFFECT OF LISTENING TO MUROTTAL QURAN ON THE OXYGEN SATURATION LEVEL IN PRETERM INFANTS IN THE NEONATAL INTENSIVE CARE UNIT

Damayanti, Dina Sulviana, Ismail, Djauhar, Warsiti, Warsiti

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
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Abstract

Background: Preterm infants are at risk for respiratory and hypothermia disorders that may affect physiologic growth and development processes that can be aggravated by treatment processes while in the neonatal intensive care unit. Treatment in the NICU can trigger stress that can affect the vital signs and healing process of preterm infants, thus requiring non-medical treatment to stimulate the condition. This research provides a different treatment of sound therapy that has never been given to preterm infants in previous studies by listening murottal Al-Quran.Objective: To examine the effect of listening to the murottal Quran on oxygen saturation in preterm infants during treatment at the neonatal intensive care unit (NICU).Method: This was a pre-experimental study with one group pretest-postest design from September to October 2017. The samples were 30 preterm infants treated at NICU of the General Hospital of Panembahan Senopati Bantul selected using accidental sampling. The analysis used was simple linear regression.Result: There was an increase of the oxygen saturation level after given intervention of Murottal Quran for 3 days. The first day of oxygen saturation intervention increased by 2.07%, the second day 3.75%, and the third day 4.65% compared to the oxygen saturation level before the intervention.Conclusion: Listening to murrotal Quran could statistically increase oxygen saturation, but clinically there was no significant change in preterm infants, as the increase of oxygen saturation level was still within normal limits.

NEUROCOGNITIVE IMPAIRMENT IN HIV/AIDS: A CONCEPTUAL FRAMEWORK

Lindayani, Linlin, Anna, Anastasia, Ko, Nai-Ying

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
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Abstract

HIV-associated with neurocognitive disorder (HAND) is a major interest issues worldwide, as results from introduction of Highly Active Antiretroviral Therapy (HAART) and increasing life expectancy. However, previous studies have been limited by lack of a guiding framework. The purpose of this review was to provide a conceptual framework to guide studies of neurocognitive impairment in patients with HIV/AIDS. A literature search was conducted of articles published from 1998 through December 2015 using the PubMed, Embase, Cochrane Library and Ebscohost databases on evaluating the problem of neurocognitive impairment in HIV. This search resulted in a total of 36 articles. Evidence has indicated that there are neurobiological changes and brain abnormalities among people living with HIV/AID, which may affect cognitive functioning. Being infected by HIV and increased age are independently factors on HAND. However, there is remaining unclear the effect of HAART, is protective factors or risk factors of HAND and its consequence on quality of life among patients with HIV/AIDS. Considering the major issues in above, patient with HIV/AIDS is vulnerable population for developing HAND that might have been resulted to under report. Future studies focusses on exploring HAND is necessary especially from low income countries where the accessibility to HAART are limited.

EFFECT OF FRUIT DECOCTION OF PHALERIA MACROCARPA ON URIC ACID LEVELS IN ELDERLY

Simanullang, Rostime Hermayerni

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
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Abstract

Background: The incidence of gout is rising both in the developed and developing countries not only in the elderly but also in young adults. Thus, the effort to reduce its incidence is necessary.Objective: To determine the effect of fruit decoction of phaleria macrocarpha on the levels of uric acid in the elderly.Methods: This was a pre-experimental study with pretest and posttetst design. This study was conducted at Sei Semayang Village North Sumatra from April to May 2017. There were 10 elderly selected using purposive sampling. Urid acid levels were measured using monitoring system of Easy Touch GCU. Independent t-test were used for data analysis.Results: Findings of this study showed that there was a significant difference in the mean value of the levels of uric acid before and after given fruit decoction of phaleria macrocarpa (p=0.004).Conclusion: There was a significant effect of fruit decoction of phaleria macrocarpa to decrease the level of uric acid in elderly. It is suggested that fruit decoctions of phaleria macrocarpa can be one of alternative therapies to prevent the increase of uric acid.

THE DEVELOPMENT OF PHYSICAL ACTIVITY PROTOCOL IN PATIENTS WITH CONGESTIVE HEART FAILURE IN THE HOSPITAL INPATIENT WARDS

Susyanti, Deni, Suza, Dewi Elizadiani, Ariani, Yesi

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
Publisher : Belitung Nursing Journal

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Abstract

Background: Patients with congestive heart failure need a comprehensive rehabilitative program to restore post-attack physical ability and prevent re-attacks, therefore, it is necessary to develop physical activity protocols for these patients.Objective: This study aims to develop physical activity protocols for patients with congestive heart failure in the inpatient wards of the Level II Putri Hijau Hospital.Methods: This was an action research with 3 cycles consisting of four stages, namely: (1) reconnaissance, (2) planning, (3) action and observation, and (4) reflection. Data were collected quantitatively and qualitatively. Qualitative data were collected using in-depth interview, focus group discussion, and self-report, while quantitative data were collected using nursing knowledge questionnaire to 35 nurses selected using total sampling, and self-efficacy questionnaire about physical activity exercise to 9 patients with congestive heart failure selected using accidental sampling. Qualitative data were analyzed using content analysis, while quantitative data using descriptive statistical test.Results: Findings showed the completed compilation of physical activity protocols for patients with congestive heart failure. The results of observation showed a decrease in blood pressure of patients with congestive heart failure on the average of 3.12 mmHg after given physical activity protocol by nurses. Conclusion: The physical activity protocols for patients with congestive heart failure have been developed, and it has an impact on the increase of nurses knowledge concerning physical activity exercise for CHF patients as well as the improvement of patients self-efficacy or self-confidence in doing the physical activities

THE CORRELATION BETWEEN KNOWLEDGE OF MARRIAGEABLE AGE, EDUCATION, MATCHMAKING AND CHILD MARRIAGE IN FEMALES IN BANJARNEGARA INDONESIA

Sumanti, Reni, Handayani, Sri, Astuti, Dhesi Ari

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
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Abstract

Background: Teenage marriage is still found in developing countries, including Indonesia. The percentage of teenage marriage in females in Indonesia is 11.5%. Various factors related to teenage marriage are education, knowledge, economy, and culture. Impacts caused by teenage marriages include pregnancy in adolescence which results in increased maternal and infant deaths, dropouts, and poor quality of the family. The prevalence of teenage marriage in Banjarnegara in 2016 was 23%, higher than the national prevalence.Objective: This study aims to determine the correlation between factors related to knowledge of marriageable age, education, matchmaking and child marriage in females in Banjarnegara Indonesia.Methods: This was a correlational cross sectional study. There were 96 respondents selected using proportionated stratified random sampling Chi square and logistic regression were used for data analysis.Results: Findings show that there were statistically significant correlations between knowledge of marriageable age, education and child marriage. There was no signifciant relationship between matchmaking and child marriage, Respondents with low knowledge were 0.5 times more likely to have child marriage compared with those with high knowledge (p = 0.001, 95% CI = 0.320-0.782).Conclusion: Knowledge of marriageable age is cosidered as the dominant factor affecting child marriage in Banjarnegara Indonesia. It is suggested that health care providers should continuously promote about the impact of child marriage to increase the knowledge of marriageable age.

THE ROLE OF MATERNAL SUPPORT MOTIVATORS AND EXCLUSIVE BREASTFEEDING BEHAVIOR AT THE PUBLIC HEALTH CENTER IN YOGYAKARTA: A CORRELATIONAL STUDY

Fauzi, Aulia Ridla, Suryantoro, Purnomo, Rokhanawati, Dewi

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
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Abstract

Background: The target of exclusive breastfeeding decreased to 17% at the Pakualaman Health Center in Yogyakarta due to the barriers caused by the wrong perception regarding breastfeeding and returning to work. The roles of motivators in the promotion activity and exclusive breastfeeding reinforcements are expected to exchange experience among peers who have experienced of exclusive breastfeeding at maternal group activities.Objective: To identify the correlation between the role of motivators in supporting maternal groups in providing exclusive breastfeeding and exclusive breastfeeding behavior.Methods: This was a correlational study with cross-sectional design on 55 samples selected using purposive sampling technique. This study was conducted in women who had a > 6-23-month infant at Pakualaman Health Center in Yogyakarta in 2017. Chi-square and multiple logistic regressions were used for data analysis.Results: There was no significant correlation between the role of motivators in supporting maternal groups and exclusive breastfeeding behavior in mothers with 0-6-month infants (p= 0.631). There was a significant correlation between the variable of access to information with the behavior of exclusive breastfeeding (p = 0.019).Conclusion: The role of motivators in supporting maternal groups has no significant relationship with exclusive breastfeeding behavior. It is suggested for midwives to increase the access of information among mothers, as information access has significant association with behavior of mothers in exclusive breastfeeding.

TUBERCULOSIS PATIENTS KNOWLEDGE, ATTITUDE AND PRACTICE OF COUGH ETIQUETTEA IN PRIMARY HEALTH CARE DISTRICT OF BANDUNG

Yani, Desy Indra, Hidayat, Yayat Fajar, Amrullah, Afif Amir

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
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Abstract

Background: Tuberculosis (TB) is the major global health problem. A high number of TB cases are as a result of the disease spreads through droplet nuclei which mainly through a cough. TB transmission prevention is really important to lower the rate of new infection. Since TB transmission is through a cough, therefore, one of the preventions behaviour is implementing the good and right cough etiquette. In 2016 there were 425 TB patients in Sub-District Rancaekek and was the higher number in District of Bandung. The aim of this study was to find out the overview of knowledge, attitude and practice of cough etiquette in tuberculosis patients.Objectives: The aim of this study was to find out the overview of knowledge, attitude and practice of cough etiquette in tuberculosis patients.Methods: This study was descriptive quantitative with the cross sectional approach, the population were all Acid-Fast Bacillus (AFB) + TB patients that were registered in the primary health care Rancaekek, Linggar and Nanjung Mekar amount of 52 people and used total sampling. The data collection technique used a questionnaire to measure knowledge and attitude, and observation sheet to measure practice that was valid and reliable. The used data analysis was frequency distribution, mean and median.Results: The results of this study indicated that from 52 respondents, more than half of them had good knowledge about cough etiquette (65.4%, median value 83.33 and IQR 20), more than half of them had negative cough etiquette attitude (51.9%, mean value 47.87 and SD 5.885) and more than half of them had bad practice in cough etiquette (63.5%, median value 5 and IQR 2).Conclusions: The result of this study is expected to become an overview for primary health care in doing improvement in delivering education to TB patients and their families about the good and right cough etiquette which is focused on the affective and psychomotor aspects, such as lectures, leaflet distribution, and live right and good cough etiquette simulation, so that it can prevent the spread of TB and decrease the rate of TB infection.

THE CORRELATION BETWEEN LEVEL OF HEMOGLOBIN, HEMATOCRIT, AND THROMBOCYTES OF MOTHER AND ASPHYXIA IN NEWBORN

Priansiska, Norwidya, Raden, Abkar, Rokhanawati, Dewi

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
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Abstract

Background: Infant mortality in Indonesia is at the highest level among the countries in South East Asia. Asphyxia in newborn has become the second risk factor for infant mortality.Objective: The objective of this study was to investigate the correlation between the level of hemoglobin, hematocrit, and thrombocytes of the mothers and asphyxia in the newborns at Panembahan Senopati Bantul Hospital.Methods: The study employed case-control method with 282 samples, which 141 assigned in the case and control group. This study used medical record of the patients as the secondary data. Chi-square, multiple logistic regression, and Odds Ratio Calculation (OR) were used for data analysis.Results: There was a meaningful correlation between the level of hemoglobin (OR=2.3, 95%CI=1.3-4), hematocrit (OR=4.3, 95%CI=1.4-13.4, and thrombocytes (OR=5.3, 95%CI=1.14-24.6) of the mothers and asphyxia in newborns. Thrombocytes was the most dominant factor related to asphyxia in newborns..Conclusion: Mothers who have hemoglobin, hematocrit and thrombocytes levels under the normal have more than 2 times risk of asphyxia in their newborn than mothers who have normal hemoglobin, hematocrit and thrombocytes levels.

FACTORS INFLUENCING MATERNAL LABOR COMPLICATION IN KUTAI KARTANEGARA REGION

Astutik, Widya, Dasuki, Djaswadi, Dasuki, Djaswadi, Dasuki, Djaswadi, Kurniawati, Herlin Fitriani, Kurniawati, Herlin Fitriani, Kurniawati, Herlin Fitriani

Belitung Nursing Journal Vol 4, No 5 (2018): September-October 2018
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Abstract

Background: To decrease Maternal Mortality Rate until 70 per 100,000 living birth in 2030 (SDGs) has become the health priority. In fact, the Maternal Mortality Rate in Indonesia is still very high, and almost two-third maternal mortality is caused by maternal labor complications.Objective: The objective of the study was to investigate the factors influencing maternal labor complications in Kutai Kartanegara Region in 2017.Methods: This was a correlational study with cross sectional design. The populations in the study were women who had labor process in the area of Kutai Kartanegara Region. There were 95 respondents selected using purposive sampling. Data were collected using questionnaires and medical records. Chi-square and logistic regression were used for data analysis.Results: Most of respondents had maternal labor complication (53.7%). The highest complication occurred was prolonged labor (58.9%). Factors influencing maternal labor complication were antenatal care, mothers age, education level, parity, and distance of pregnancy. Age was identified as the most dominant variable influencing maternal complication, with the value of OR was 5.837, which indicated that high-risk-age mothers have 5.837 times of labor complication than mothers with no risk age.Conclusion: Antenatal care, age, education, parity and distance of pregnancy had correlation with maternal labor complications, and its most dominant variable was age.