The relationship between knowledge, attitude, and family support with mother’s behaviour in treating of acute respiratory infection on children under five at Desa Bangunjiwo, Kasihan Bantul

Background: Acute respiratory infection (ARI) is a disease that often affects infants and children (Depkes RI, 2008). The prevalence of ARI in Indonesia was 25.0 percent (Riskesdas, 2013. Mothers have an important role in controlling ARI in infants. However, there are many women who are poorly behaving when dealing with children who suffer from respiratory. Mother's behavior is influenced by the knowledge, attitude and family support. The purpose of this study was aimed at determine the relationship between knowledge, attitudes and family support with mothers ‘behavior in handling of ARI in children under five years old.Methods: This is a correlative study, using a quantitative method with cross sectional design. Bivariate analysis was used to determine the relationship between knowledge, attitudes and support for families with mothers ‘behavior using the Spearman test. The four variables are numeric variable with α ˂ 0.05 and 95 % CI. Linear regression analysis was used to determine the independent variable that most strongly linked with the dependent variable.Results: The results showed an association between attitudes and behavior with p=0.001 and r=0.393. Family support is also related to the behavior with p=0.001 and r=0.400. Knowledge does not have a relationship with the mother's behavior. The results of linear regression analysis, family support is the variable that mostly linked to behavior (p=0,003).Conclusions: There is a relationship between attitudes and family support with mothers ‘behavior. Family support is the variable that most strongly linked to the mothers ’behavior.

EFFECT OF HEALTH EDUCATION USING VIDEO AND BROCHURE ON MATERNAL HEALTH LITERACY

Background: Fever is manifestation of acute disease on children and contributes to incidence of severe malnutrition and morbidity and the most common reason for parents to deliver children on hospital. Currently, parents still lack knowledge of determination and proper management of fever although intervention of health education has been widely practiced. One obstacle to widespread success of educational intervention is inadequacy of health literacy. Utilization of media with simple and completed information with picture can be developed in communities with low levels of health literacy. Objective: To understanding the effect of health education using video and brochure on maternal health literacy in the working area of Saptosari Public Health Center, Gunungkidul Yogyakarta, Indonesia. Methods: This was a quasi experimental study with pretest and posttest nonequivalent control group design conducted on 15 – 27 May 2017. The questionnaire used was HLS-Asia Q which had been modified. Health education intervention was done using five minute-duration video about fever management in children preceeded by discussion about the content of the video. Cluster sampling technique was applied with mothers who have under five children as the respondent involving 45 respondents for intervention group and 42 respondents in control group. Data analysis used independent sample t-test. Results: There was an increase in average maternal health literacy provided with video and brochure media compared to the maternal health literacy given with standard treatment. Intervention group mean difference value was 6.6444 ± 9.6086 and value of difference of control group mean equals to -2.4762 ± 12.0674 (p value <0.001). Conclusion: Health education intervention using video has a higher impact in the development of maternal health literacy compared with the standard intervention using brochure

Modified Sensory Stimulation Using Breastmilk for Reducing Pain Intensity in Neonates in Indonesia: A Randomized Controlled Trial.

Abstract Purpose Several studies have shown that oral sucrose reduces pain in newborns. However, sucrose has no efficacy in eliminating pain and long-term effects remain unclear. Breast milk may be useful as an alternative, safe sweet solution. Sensorial saturation (SS) is a multisensory analgesic non-pharmacological treatment, which includes touch and sounds as distractors. This study aimed to compare the analgesic effects of SS with sucrose (SSS), SS with breast milk (SSB), and oral sucrose alone (S24%) in neonates undergoing venipuncture. Design and methods This was a randomized controlled trial conducted on 108 neonates who underwent venipuncture at neonatology wards. All babies were randomly assigned to one of three groups: two intervention groups and one control group. Pain response was assessed using the premature infant pain profile—revised (PIPP-R). Data analysis was conducted using the Kruskal–Wallis test and Mann–Whitney U test. Results SSB and SSS were more effective than S24% (p = 0.001). No difference was observed between SSB and SSS (p = 0.669). Conclusion Multisensory stimulation is more effective in reducing pain than unimodal (oral sucrose) analgesia. Breast milk can be used as a sensory gustatory stimulus in multisensory stimulation to reduce pain intensity in neonates, and demonstrates a similar analgesic effect to sucrose. Practice implications The study findings suggest that neonatal nurses could use SSB for management of pain. This intervention could serve as an effective, inexpensive, and safe non-pharmacological analgesic. Additional testing of this intervention is warranted to support its use as an evidence-based pain reduction approach

Analisis Pelaksanaan Trias Usaha Kesehatan Sekolah (UKS) dan Perilaku Hidup Bersih dan Sehat (PHBS) di SLB C di Bantul

Evaluation of triage programs school health unit and clean and health living behavior in school for children with special educational needs BantulPurposeThis study aimed to get an overview of school health unit and implementation of clean and health living behavior in school for children with special educational needs. MethodsThis research used qualitative methods with a case study approach. Participants of the study included the principal, the teacher, students and public health center staff, the senior managers of the school, and the Yogyakarta provincial youth and sports education department. Qualitative data were obtained through in-depth interviews, observations, and documentation studies. ResultsThe implementation of trias school health unit program was in the good category. Some clean and health living indicators were still in low category. The obstacles of the school health unit and clean and health living behavior program implementation were limited understanding of students, low coverage of teacher and school training, economic conditions and parental attitudes, school readiness, and involvement of relevant agencies. Factors affecting school health unit implementation included curriculum, school organization, and partnership. ConclusionThe implementation of school health unit and clean and health can be enhanced through partnership optimization with community health centers, related offices, non-governmental organizations, and education and health universities.Latar Belakang: Usaha Kesehatan Sekolah (UKS) merupakan usaha kesehatan pokok puskesmas dengan siswa sebagai sasaran utama. Pelaksanaan Perilaku Hidup Bersih dan Sehat (PHBS) di Sekolah Luar Biasa (SLB) dan derajat kesehatan siswa belum sesuai, terlihat adanya masalah kesehatan siswa berupa diare, cacingan, dan caries gigi. Penelitian ini bertujuan untuk mendapatkan gambaran pelaksanaan UKS dan PHBS di SLB C Bantul.Metode Penelitian: Penelitian ini menggunakan metode kualitatif dengan pendekatan case study. Partisipan adalah kepala sekolah, guru pengelola UKS, dan siswa di SLB Dharma Bhakti Piyungan dan SLB Bangun Putra Kasihan, petugas Puskesmas Piyungan dan Kasihan I, pengelola Tim Pembina UKS kecamatan, Dinas Kesehatan Kabupaten Bantul, serta Dinas Pendidikan Pemuda dan Olahraga Provinsi Yogyakarta. Data kualitatif didapatkan melalui wawancara mendalam, observasi, dan studi dokumentasi. Analisa data dengan model interaktif Huberman and Miles meliputi reduksi data, penyajian data, serta penarikan kesimpulan, dengan menggunakan software Open Code versi 3.6.2.0.Hasil Penelitian: Pelaksanaan program Trias UKS di SLB C dalam kategori baik. Di kedua SLB tersebut mayoritas siswa melaksanakan PHBS dengan baik. Adapun indikator PHBS yang masih rendah adalah siswa tidak buang air kecil sembarang tempat (77,5%), siswa melaksanakan piket kelas (10%), pengukuran TB/BB tiap 6 bulan (70%), tidak membuang sampah sembarangan (72,5%), kuku bersih dan tidak panjang (77,5%), serta mulut bersih dan tidak ada karies (75%). Kendala pelaksanaan program UKS dan PHBS adalah keterbatasan pemahaman (fungsi kognitif) siswa, rendahnya cakupan pelatihan guru dan sekolah, kondisi ekonomi dan sikap orang tua, kesiapan sekolah, serta keterlibatan instansi terkait. Faktorfaktor yang mempengaruhi pelaksanaan UKS meliputi kurikulum, organisasi sekolah, serta kemitraan.Kesimpulan: Pelaksanaan UKS dan PHBS di SLB C Bantul dapat ditingkatkan melalui optimalisasi kemitraan dengan puskesmas, dinas terkait, Lembaga Swadaya Masyarakat, serta Perguruan Tinggi pendidikan dan kesehatan.

PENGGUNAAN SISTEM INFORMASI BERBASIS WEBSITE PADA REMAJA (The Use of Web-Based Information System In Adolescents)

Introduction: Knowledge about reproductive health is very important for adolescents. With this knowledge, they can make informed decision on their reproductive health. One of important media that serve as the source of information on reproductive health in adolescents is website.Objective: To find out the relationship between the use of web-based information and knowledge about reproductive health in adolescents.Method: A Cross Sectional was conducted from February 2013 to April 2014, involving the Tenth and Eleventh Grade students of SMA, SMK, MA in Ponorogo Regency. The study was conducted in schools with computer facilities and internet connection, involving 210 adolescents, who were selected using Simple Random Sampling technique. The questionnaire on reproductive health knowledge was developed from BKKBN (2007) and Arfan (2009), while the questionnaire on the use of web-based information system was modified from Goold (2003) and Xu (2012). Data analysis was conducted in univariate, bivariate with using Spearman Rank test, and multivariate ways using logistic regression test.Results: The study showed that (1) mean website access frequency and duration for information about reproductive health by adolescents were 1.36 times a week and 1.65 hours; (2) knowledge about reproductive health was 58,1% in low category; and (3) no relationship was found between the use of web-based information system and knowledge about reproductive health in adolescents, even though there was an increasing trend in the frequency and duration of website visits for information related to reproductive health in adolescents. Discussion: The use of web-based information system does not have a significant relationship with knowledge about reproductive health in adolescents. Further research is necessary to explore the same subject with a different method, which is not selecting the respondents in the first meeting and use a closed questionnaire to select the respondents. This way, the adolescents will feel free and open to the researcher. Keywords: web-based information system, knowledge, reproductive health in adolescent

Perilaku orang tua dalam pemberian makan dan status gizi anak usia 2-5 tahun

Background: The issue of child nutrition is still a problem in developing countries, including Indonesia. Nowadays, there is double burden related to child nutrition, due to lack of nutrition that has not been resolved and at the same time, there is an increasing problem of excess nutrients. Parents are responsible for the care of children, including fulfilling a balanced nutritional intake.Objective: To identify the relationship between parent’s behavior in feeding and nutritional status of children aged 2-5 years.Method: Design used in this study was observational with the cross-sectional study was conducted 153 parents with children aged 2-5 years who fit the inclusion and exclusion criteria in the region of Integrated Health Center Catholic Hospital St. Vincentius a Paulo Surabaya. Parent’s behavior in feeding was assessed using the Comprehensive Feeding Practices Questionnaire (CFPQ) which consists of 49 questions and 12 behavioral aspects. The nutritional status of children assessed by weight indicator according to height (weight/height) were compared with z-score WHO 2006 standard. Data were analyzed using the Spearman correlation.Results: The average nutritional status of children aged 2-5 years based on the weight/height z-score indicator was 0.17 indicating that is in normal condition. Parent’s behavior that involves children in the planning and preparation of meals, positively associated with nutritional status of children in all conditions of nutritional status of children who are very thin to obese (ρ=0.43; p=0.001). Pressure, when children eat, was negatively associated with nutritional status of children aged 2-5 years in normal nutritional status to obese (ρ=-0.34; p=0.001). Restriction of food intake to control body weight was positively associated with nutritional status of children aged 2-5 years in all conditions of nutritional status of children who are very thin to obese (ρ=0.29; p=0.001).Conclusion: Parent’s behavior in feeding the children associated with nutritional status of children aged 2-5 years

The Use of Contraception and Adolescent Fertility in Indonesia

INTRODUCTION: Fertility in adolescents is closely related to the incidence of early marriage which will have an impact on increasing the incidence of pregnancy in adolescents so that it will directly affect the health of mothers and babies. The younger the age at marriage, the higher the fertility rate. AIM: This study aimed to determine the relationship between contraception and fertility among ado­lescents. METHODS: This quantitative study used a cross-sectional design. The population of this study was adolescents aged 15–19 years in Indonesia. The total sample of 7,547 adolescents was selected from the 2017 Indonesia Demographic and Health Survey (IDHS). Multivariate analysis using binary logistic regression was used to analyze the independent variable (contraception use) on the dependent variable (fertility) with education, work status, region, age at first sexual intercourse, economic status, and marital status as the controlled variables. RESULTS: Multiple logistic regression analysis was used to report the relationship between independent and dependent variables controlled by potential confounder variables. The results showed that the odds ratio of contraceptives users was 46 times compared to non-user after being controlled by confounding variables (AOR=4.8; 95%CI 33.857 – 441.046) after controlled by economic status, age at first exual intercourse, and marital status. CONCLUSION: The relationship between contraceptive use and fertility in adolescents is affected by confounding variables such as age at first sexual intercourse, economic status, and marital status. In addition, the odds ratio of contraceptives users was 46 times compared to non-users after being controlled by confounding variables

The relationship between knowledge, self-efficacy and nursing spiritual care behaviors in school-age children in pediatric room

Introduction: Spiritual care for children is important in the care provided by nurses so that children do not feel guilty when being treated in the hospital. It is important for nurses to understand that the process of providing nursing care is bio-psycho-social and spiritual based. This study aimed to find out the relationship between knowledge, self-efficacy, and nurse behavior in the provision of spiritual care for school-age children in hospitals. Methods: This study used a cross-sectional approach with a purposive sampling technique followed by 102 nurses who cared for school-age children in a pediatric nursing room. Knowledge was measured using the Spiritual Care-Giving Scale, Self-Efficacy was measured by Burkhart Spiritual Care Inventory (BCI), and Nurse Spiritual Care Therapeutic Scale (NSCTS) to measure behavior. The data were analyzed using the Kolmogorov-Smirnov test, and Spearman correlation test. Results: There was no significant correlation between knowledge and behavior (p = 0.181; r = 0.133);  however, there was  a significant correlation of nurse behavior with self-efficacy (p = 0.027; r = 0.219), age (p = 0.015; r = 0.240), length of work (p = 0.021; r = 0.228), and spiritual care training (p = 0.001). Conclusion: Knowledge does not have a significant relationship with behavior. However self-efficacy, age, length of work, and spiritual care training significantly affects the nurse's behavior in providing spiritual care to school-age children in the hospital