Analysis of Factors Related to The Mother’s Behavior to Increase Breastmilk Production

The coverage of exclusive breastfeeding in Indonesia has not reached the national target set by the government. Problems that may inhibit exclusive breastfeeding include insufficient breast milk production. The purpose of this study was to analyze the factors related to maternal behavior in facilitating the production of breast milk based on the precede-proceed model. This study used a descriptive analytical design with a cross-sectional approach. The respondents consisted of 143 mothers collected with cluster sampling. The dependent variable in this research was the mother’s behavior in facilitating breast milk production. The independent variables in this research were knowledge, attitude, culture, the availability of health facilities, family support and health worker support. The data was collected using questionnaires and analyzed using Spearman rho’ with a significance level of α≤ 0.05. The results showed that almost all of the factors had a significant correlation with the mother’s behavior in facilitating breast milk production (knowledge p=0.039, attitude p=0.013, culture p=0.024, health facilities availability p=0.023, family support p=0.000). The factor of health worker support showed as having no correlation with the mother’s behavior in facilitating breast milk production (p=0.177). It is expected that the health workers at public health centers should increase their supports to mothers and their families about exclusive breastfeeding. Keywords: breastfeeding, breastmilk production, precede-proceed model

Medication Adherence and Quality of Life among People Living with HIV/AIDS (PLWHA) Who Joined and Did Not Join a Peer Support Group

ARV medication adherence and the quality of life in PLWHA are still low and most PLWHA have not joined a peer support group. This study aims to provide a comparative study of medication adherence and quality of life among people with HIV/AIDS (PLWHA) who joined and did not join a peer support group. The data of 39 PLWHA were collected from hospital in Madura, Indonesia. The independent variables measured include PLWHA who joined and did not join a peer support group, and the dependent variables included adherence to taking ARV drugs and quality of life for PLWHA. The medication adherence level and quality of life PLWA who joined a peer support group were better than who didn’t. Further studies are recommended to understand expected about other factors such as differences in medication adherence and quality of life in PLWHA with Drug Drinking Companions (PMO) or with family support. Keywords: PLWH, Quality of Life, Medication adherence, Peer support grou

LESSON LEARN MOTHERS SOCIAL SUPPORT DECREASE ADOLESCENTS ANXIETY TO CONFRONT MENSTRUATION

Introduction: Anxiety is an unpleasant feeling or sense of uncertainty felt by someone. Adolescents who experience anxiety can be caused by menstruation, especially at the early menarche age of 1-3. Untreated Anxiety can interfere aldolescent’s study. This study aim to investigate the relationship between mother’s social support with adolescent’s anxiety in confronting menstruation. Method: this study was a descriptive analytical with cross sectional approach. The population was student in 6th grade in SDN Panjang Jiwo 1 Surabaya. The 26 sample respondents were chosen by purposive sampling technique. The independent variable in this study was mother’s social support. The dependent variable was adolescent’s anxiety. The data was collected using questionnare and analyzed using Spearmen rho test with a degree of significance p ≤ 0,05. Result: Most adolecent students experiencing mild anxiety(65,3%), though there were experiencing moderate anxiety (34,7%). The correlation between perceived susceptibility p = 0,034 with significant r = -0,418. Discussion: Mother’s social support was strong enough towards adolescent’s anxiety in confronting menstruation. Further research was suggested to invole mother as a respondent to decrease adolescent’s anxiety to comfront menstruation. Keywords: mother’s social support, adolescent’s anxiety, menstruatio

The relationship of family support and self efficacy with diet compliance in patients with coronary heart disease

Coronary heart disease (CHD) is a chronic disease that cannot be cured. One of the problems in the management of CHD is patient adherence to the diet. Family support and self-efficacy can be factors that influence adherence to the diet of CHD patients. The study aimed to determine the relationship between family support and self-efficacy with adherence to the diet of CHD patients. The study used a correlational method with a cross-sectional design. The population was 105 CHD patients taken by purposive sampling technique. Variables are family support, self-efficacy, and diet compliance of CHD patients. The instrument used was a questionnaire. Data were analyzed using the Spearman Rho test with a level of significance≤0.05. There was a significant relationship between family support and diet adherence of CHD patients (p = 0,000) with a positive direction such as the better the family support, the higher the level of diet adherence. The relationship between self-efficacy and diet adherence has a weak relationship (p = 0.025) with a positive direction, the better self-efficacy, the higher the diet adherence. The behavior of adherence to the diet of CHD patients can be improved by improving family self-efficacy support

Analisis faktor niat pengambilan keputusan dalam menentukan jarak kehamilan pada ibu primipara di Puskesmas Mulyorejo Surabaya

Pendahuluan: Mengatur jarak kehamilan yang tidak sesuai aturan pemerintah dapat meningkatkan risiko kematian ibu dan bayi. Tujuan penelitian ini untuk menganalisis faktor niat pengambilan keputusan dalam menentukan jarak kehamilan pada ibu primipara. Metodologi: Desain penelitian yang digunakan adalah korelasional dengan pendekatan cross sectional. Penelitian dilakukan pada ibu primipara yang berjumlah 104 responden yang dipilih menggunakan teknik total sampling. Data diperoleh menggunakan kuesioner yang kemudian dianalisis menggunakan uji statistik Spearman Rank Test Correlation dengan signifikansi α ≤ 0,05. Hasil: Uji statistik menunjukkan bahwa sikap memiliki hubungan dengan niat pengambilan keputusan dalam menentukan jarak kehamilan selanjutnya (p= 0,000), norma subjektif tidak memiliki hubungan dengan niat pengambilan keputusan dalam menetukan jarak kehamilan selanjutnya (p= 0,625), dan kontrol perilaku memiliki hubungan dengan niat pengambilan keputusan dalam menentukan jarak kehamilan selanjutnya (p= 0,000). Diskusi: Penelitian ini menunjukan bahwa peningkatan pengetahuan sebagai bagian dari kesiapan pada kontrol perilaku penting diperhatikan dalam penentuan jarak kehamilan

The Relationship of Family Support with Psychological Conditions and Body Image of Breast Cancer Patients

Abstract--- Patients with breast cancer will experience psychological stress in the form of depression and anxiety and changes in body shape that will affect the body image of breast cancer patients. Breast cancer patients need external support that can improve their psychological conditions and body image is undergoing treatment that requires a long time. The purpose of this study is to analyze the relationship between family support and psychological conditions and body image of breast cancer patients. The samples obtained were 116 breast cancer patients using purposive sampling. The independent variable is the family support. The dependent variable is a psychological condition and body image. The instruments in this study were in the form of family support questionnaire, psychological distress inventory (PDI) and body image scale (BIS), the data were analyzed with Spearman’s Rho. Breast cancer patients with positive family support were 98 (84.5%) respondents, positive psychological conditions were 91 (78.4%) respondents and positive body image were 94 (81.0%) respondents. There is a relationship between family support with the psychological condition of breast cancer patients (p=0.000. r=0,470) and family support with the body image of breast cancer patients (p=0,000. r=4,00). The role of family support greatly affects the psychological condition and body image of breast cancer patients. Therefore, nurses and other health services can convey to family members to continue to support, motivate and help the needs of breast cancer patients to improve their psychological condition and body image

The influence of family psychoeducation to selfawareness family in caring for family members who have mental disorders

Psychiatric or mental disorder is also called the deviation from the ideal state of mental health. The fact, there is still many families who are neglect family members with a mental disorder. This occurs because the family feels embarrassed, stressed, and burdened. Treatment and care are always undoubtedly able to have an impact on family life, for example, the issues of the economy, psychology, and social family. One of the interventions to reduce the psychological burden is the giving of family psychotherapy education. The purpose of this study was to identify the influence of family psychoeducation to self-awareness family in caring for family members who have mental disorders. This study used a quasi-experimental pre- post-test control group design by using purposive sampling that obtained 20 patients treatment groups, and 20 patients control groups. Data were collected by a questionnaire. Data were analyzed by Wilcoxon Signed Rank Tests and Mann- Whitney Tests. Wilcoxon Tests results showed p = 0,000 (p≤0,05), meaning that family psychoeducation affects the increased self-awareness of family in caring for family members who have experienced psychiatric. The Mann-Whitney Test results showed p = 0,000 (p≤0.05), meaning there was a significant difference in granting psychoeducation against the treatment and control group. It can be concluded that a good self-awareness family will affect the improvement of the quality of caring to the client and decrease the number of recurrences of the client

HUBUNGAN PENGARUH INTERPERSONAL DAN SITUASIONAL DENGAN UPAYA PREVENTIF PADA PEREMPUAN PENDERITA KANKER PAYUDARA (Correlation Between Interpersonal and Situational Influence with Preventive Efforts in Breast Cancer Survivor)

Introduction,Breast cancer is type of cancer with highest amount of sufferer cancer in Surabaya, including in Puskesmas Kenjeran. From interview result with women of childbearing age in puskesmas Kenjeran, From interviews with women of childbearing age in the clinic Kenjeran , there are still many women who do not take steps to prevent. Women’s prevention against breast cancer is still low, it can effect in about 80% of total cancer sufferer treatment when has reached in advanced stage, so that it can reduce the success of treatment. The study aims to determine the effect of interpersonal relationships and situational and the prevention of breast cancer in women of childbearing age. Method, This study used a descriptive correlational research design with cross sectional approach. Population in this research is 5.340 women of childbearing age at Kelurahan Bulak and Kelurahan Kenjeran Surabaya. The sampling technique used the cluster sampling and obtained 100 samples. Independent variable in this research are interpersonal influence and situasional influence. Dependent variable in this research is primary and secondary prevention of breast cancer. Data analysis using Spearman rho’s statistical tests to determine which variables are associated with the prevention of breast cancer. Result,This research show that there is no correlation between interpersonal influence and prevention of breast cancer with p value= 0,150 (α ≤ 0,05). At the same time for correlation between situational influence variable and prevention of breast cancer variable result p value = 0,043 (α ≤ 0,05).Conclusion and Discussion, It showed that there is no correlation between interpersonal influence with prevention of breast cancer and there is a correlation between situational influence with prevention of breast cancer in women of childbearing age. Interpersonal influence can’t increase the breast cancer prevention in women of childbearing age at Puskesmas Kenjeran , whereas situational influences may increase breast cancer preventive efforts in Puskesmas Kenjeran Surabaya

EFFECT OF EDUCATIONAL INTERVENTION ON FAMILY SUPPORT FOR PREGNANT WOMEN IN PREVENTING ANEMIA

Background: Anemia during pregnancy is a major nutritional problem that can cause health problems for mothers and their fetus. Prevention of anemia has been done but many obstacles are perceived by pregnant women. Families need to provide support to improve the prevention behavior of anemia. Objective: This research aims to explore the effect of educational intervention on family support for pregnant women in preventing anemia. Methods: A quasi-experimental design was carried out on 60 pregnant women who had done pregnancy check ups at Community Health Centre and had received iron supplement, in which 30 women were in the experimental group and the rests were in the control group. This study was conducted from December 2016 to January 2017. Family support was measured using questionnaires before and after educational intervention. Results: After educational intervention, there was a significant change from the pretest score to the posttest score in the experimental group (p<0.05). There was an increase in the average score in the experimental group, 14.47 ± 2.89 becomes 16.83 ± 2.32. Conclusion: Educational interventions can increase family support for maternal behavior in preventing pregnancy anemia such as improving adherence to taking iron supplements and high intake of food containing iron

The Correlation between Physical Activity and Primary Dysmenorrhea in Female Adolescents

Dysmenorrhea is one of the problems among female adolescents. The dysmenorrhea incident rate in East Java reached 64.25% consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. The aim of this study was to explain the correlation between physical activity as how it related to primary dysmenorrhea in female adolescents. This study used a cross-sectional research approach. The study was conducted in a Senior High School in Rengel, Tuban. This study used the purposive sampling technique. A total of 77 respondents (mean age 16.4 years), who winvolved in the study. The data collection used a Physical Activity Questionnaire for Adolescents (PAQ-A) to measure physical activity and the measurement within the pain scale questionnaire used the Numeric Rating Scale (NRS). The data was collected using the questionnaires and the results were analyzed using the Spearman rho test with a significance level α ≤ 0,05. The results of this study showed there to be a correlation between physical activity (p = 0.033) and dysmenorrhea in female adolescents. The present study therefore has indicated a correlation between physical activity and dysmenorrhea. Physical activity is beneficial in reducing primary dysmenorrhea. For future implementation, it is suggested to conduct an appropriate intervention such as physical activity and stress management in order to reduce emotional symptoms associated with primary dysmenorrhea. Keywords: physical activity, dysmenorrhea, female adolescent