Pujiastuti, Rr. Sri Endang
Belitung Nursing Journal

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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.215 KB) | DOI: 10.33546/bnj.353

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.
EFFECT OF SOLUS PER AQUA (SPA) ON INFANT WEIGHT Melati, Agrystina Ryma; Kuntjoro, C Tjahjono; Sumarni, Sri; Hidayati, Kamilah; Pujiastuti, Rr. Sri Endang
Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.401 KB) | DOI: 10.33546/bnj.154

Abstract

Background: The prevalence of skinny infants in Indonesia is still high. Baby's Spa is considered to be able increase infant’s weight.Objective: To determine the effectivity of baby spa in infant weight in in Bebengan Village, Boja Sub District, Kendal Regency, Central Java, IndonesiaMethods: This study was a quasy-experimental study with non-equivalent control group design. There were 38 infants were selected using purposive sampling, divided into 3 groups, namely: 1) a group received Spa 2 times per week (12 infants), 2) a group received spa 3 times per week (13 infants), and 3) a control group. Baby digital scale of ARN-EBSD-04 was used to measure infant weight. Data were analyzed using paired t-test and ANOVA.Results: There was statistically significant effect of intervention in each group on the infant’s weight. However, the data showed that the intervention that had a better effect on infant weight was the intervention of spa in two times per week with mean difference before and after intervention of 603 g.Conclusions: Spa in 2 times per week could significantly increase infant weight effectively. Therefore, it is recommended for midwife to apply this intervention to increase the weight gain of babies and to reduce the number of skinny infants in Indonesia.
EFFECT OF ACCUPRESSURE ON QUALITY OF SLEEP AND PULSE RATE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION Wiyatno, Eko Rustamaji; Pujiastuti, Rr. Sri Endang; Suheri, Titin; Saha, Djenta
Belitung Nursing Journal Vol 3, No 4 (2017): July-August 2017
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (466.125 KB) | DOI: 10.33546/bnj.162

Abstract

Background: Patients with acute myocardial infarction have a change in sleep pattern. Acupressure is identified as a therapy with the principle of healing to deal with sleep changes.Objective: To analyze the effect of acupressure on sleep quality and pulse rate in patients with acute myocardial infarction.Methods: This study employed a quasi-experiment study with non randomized pretest-posttest with control group design. There were 50 respondents selected in this study, with 25 assigned in the intervention and control group using consecutive sampling. Quality Sleep Questionnaire and bedside monitor were used to measure sleep quality and pulse rate. Accupressure in combination of Neiguan point (PC 6), Shenmen (HT7), Sanyinjiao (SP6), Yintang (EX3) and Tay (EX5) was given as the nursing intervention in this study. Data were analyzed using paired t-test and independent t-test.Results: There was statistically a significant increase of quality of sleep and significant decrease of pulse rate in the intervention group with p-value 0.000 (<0.05).Conclusion: Accupressure has a significant effect on the increase of sleep quality and the decrease of pulse rate in patients with acute myocardial infarction. Thus, it is suggested that accupressure could be one of the nursing intervention for AMI patients to increase sleep quality and decrease of pulse rate.
The effect of chocolate consumption (Theobroma cacao L.) on level of blood cholesterol and triglyceride in hypertension patients at Jatiroto Health Center, Indonesia Ulkhasanah, Muzaroah Ermawati; Hadisaputro, Suharyo; Pujiastuti, Rr. Sri Endang
Global Health Management Journal Vol 3, No 1 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (722.423 KB)

Abstract

Background: Hypertension is influenced by lifestyle factors such as high fat intake which has the potential for high blood cholesterol level. Cocoa products, which are rich sources of flavonoids, have been shown to reduce blood pressure and the risk of cardiovascular disease.Aims: The purpose of this research is to examine the dark chocolate consumption in decreasing the level of blood cholesterol and triglyceride in hypertension patients.Methods: This research is a quasi-experiment study with pre and post and control group design. There were thirty two (32) hypertensive patients selected from Jatiroto Health Center in June-July 2018 using a random sampling technique. The respondents were then divided to (1) a control group where patients were prescribed to a popular non-pharmacological therapy Simvastatin and (2) an intervention group where the respondents were prescribed with Simvastatin and also received an additional dark chocolate 60gr/day (given twice a day, each 30gr) for 15 days. A spectrophotometer glycerol phosphate oxidase (GPO-POD) with 546 nm wavelength was employed to measure the levels of blood cholesterol and triglyceride. The significant mean difference between pre and posttest, and the changes between control and intervention group were defined by statistical analysis T-test.Results: This study acknowledged that the prescribed simvastatin alone presents a significant contribution to decrease the cholesterol level at 14.40 point (p value = 0.041), however, the generic is not enough to deliver a significant effect to the decrease of triglyceride level in the hypertension patients (p value = 0.361). A great contribution to the depression of cholesterol and triglyceride level in the hypertensive respondent was observed if simvastatin prescription was combined with a provision of 60 gram dark chocolate, respectively to the level of 57.06 and 38.41 mg/dL with p value = 0.001. The addition of dark chocolate in the simvastatin prescription will significantly reduce the blood cholesterol level (p value = 0.020), but not really effective to reduce the triglyceride (p value = 0.560).Conclusion: The findings suggest that giving dark chocolate to the hypertensive patients who receive simvastatin prescription will decrease the cholesterol and triglyceride levels greater than the consumption of simvastatin drugs alone. Keywords: Dark chocolate, Simvastatin, Hypertension, Cholesterol, Triglyceride
Peningkatan Kompetensi Mahasiswa Keperawatan Melalui Strategi Pembelajaran Berbasis Rirtual Reality Puspitaningrum, Ike; Pujiastuti, Rr. Sri Endang; Lestari, Kurniati Puji
Jurnal Kepemimpinan dan Manajemen Keperawatan Vol 2, No 2 (2019)
Publisher : Persatuan Perawat Nasional Indonesia Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.098 KB) | DOI: 10.32584/jkmk.v2i2.379

Abstract

Nursing higher education has new challenges to prepare nursing students as agents of change in the era of the industrial revolution 4.0. Nursing students today are millennial and Z generation with unique needs and ways of learning. Students more interested in digital-based learning media. Digital-based learning methods were an urgent need to be developed to provide solutions to the learning needs of the millennial generation. The systematic review aimed to discuss the use of VR technology for educating the nursing student. The databases searched included: PubMed, Springerlink and Proquest from the years 2015 to 2019 with the keywords virtual reality, virtual simulation, simulation technology, immersive learning. The inclusion criteria included: articles published in the English language, student respondents and randomized controlled trial (RCT) research methods. The results of article was identified and reviewed by 3 researchers. Researchers approved 158 titles of article that match the keywords without duplicates and 5 articles that match the inclusion criteria. Four articles discuss the students' competencies when using virtual simulations compared with the manikin simulated. The results showed an increase in psychomotor skills, communication, and knowledge. Self-confidence increases, learning satisfaction and anxiety levels decrease. Two articles discuss the analysis of the unit cost, which states that the virtual simulation has cost utility ratio more profitable compared with the Manikin simulations. The results of the systematic review showed that virtual reality was relevant method as a learning strategy to enhance students’ competencies and have more profitable costs compared to conventional methods.