scholarly journals Improving knowledge, attitude, and practices of complementary feeding using practical intervention training for parents living in stunting villages in Central Lombok, Indonesia: A community-based study

2020 ◽  
Author(s):  
Jeslyn Tengkawan ◽  
Ayu Anandhika Septisari ◽  
Zulfikar Ihyauddin ◽  
Titi Pambudi Karuniawaty ◽  
Lina Nurbaiti ◽  
...  

Abstract BackgroundStunting is one of the major child public health concerns in Indonesia. West Nusa Tenggara (WNT) province, specifically, is still struggling to reduce its stunting prevalence as it is still higher than the average national prevalence, accounted for 31.4% in 2018. Ensuring knowledge, attitude, and practices (KAP) of complementary feeding among parents is relevant to succeeding in the implementation of stunting reduction programs. This study aimed to assess the effectiveness of interventions in the form of seminar and workshop on preparing complementary feeding in stunting villages in Central Lombok, Indonesia.MethodsThis is a quasi-experimental community-based study, held in three stunting villages of Central Lombok, WNT, from June until August 2019. Three villages were chosen randomly from ten stunting-villages in Central Lombok District and divided into three groups, i.e., control group, seminar group and seminar and workshop group. We assessed KAP before and after intervention with a four-week interval.ResultsA total of 205 participants were enrolled in this study, consisting of 67, 70, and 68 participants for the control group, the first intervention group, and the second intervention group, respectively. Most participants had poor knowledge (75.1%) of complementary feeding in the baseline assessment. We found an insignificant change in knowledge, but notable alterations in attitudes and practices after intervention. Seminar intervention could increase practice, while complete intervention (seminar and workshop) could increase both practices and attitudes significantly (p = 0.015 dan p = 0.014). We found that complete intervention was more effective in increasing attitudes compared to the control group (p = 0.039). In contrast, practices in both seminar and complete intervention was increased effectively than controls (p = 0.006 vs. p = 0.008), and no differences between seminar and complete intervention group (p = 0.943).ConclusionsComplementary feeding KAP among parents in stunting villages in Central Lombok was inadequate. Our study showed that the combination of seminar and workshop increased parents’ attitudes and practices, while the seminar only increased parents’ practices. We suggest further prospective study to assess how long the effectivity of such interventions could impact and last; and obtain any cultural concerns.Trial registration: 376/UN18.8/ETIK/2018

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Dyah Restuning Prihati ◽  
Maulidta Karunianingtyas Wirawati

Diabetic ulcer is caused by damage to the skin nerves due to reduced blood flow. Pain and anxiety when wound care begins when dressing and cleaning the wound. Murottal therapy is a distraction technique in the form of al-quran records, decreases stress hormones and provides a feeling of relaxation. The purpose of this study was to reduce the level of pain and anxiety during wound care in patients with DM ulcers after being given murrotal therapy in RSUD K.M.T. Wongsonegoro Semarang. The research method with quasi experimental pre-posttest control group. a sample of 17 people in the intervention group and 15 in the control group. Sample selection with total sampling. The murrottal listening intervention group played for 3 times for 15 minutes. Respondents were conducted pre and posttest with NRS pain measuring instruments and DASS anxiety. The results of the Wilcoxon test in the intervention group obtained p = 0,000, there were differences in the level of pain between before and after murotal therapy and p = 0.002 there was a difference in the level of anxiety between before and after murotal therapy. In the control group obtained p = 0.02, there were differences in the level of pain between before and after murotal therapy and the value of p = 1.00, there was no difference in the level of anxiety between before and after given murotal therapy. Conclusion: Murrotal therapy can reduce the level of pain and anxiety during wound care for DM ulcer patients.


2016 ◽  
Vol 55 (6) ◽  
pp. 339 ◽  
Author(s):  
Hartono Gunadi ◽  
Rini Sekartini ◽  
Retno Asti Werdhani ◽  
Ardi Findyartini ◽  
Muhammad Arvianda Kevin Kurnia

Background Immunization is recognized as one of the strategiesto reduce vaccine preventable diseases. Competency related toimmunization are consequently important for medical students andthe medical school needs to assure the competence acquisition.Objective To assess competence related to immunization andits retention following lectures with simulations compared tolectures only.Methods A quasi-experimental study was conducted to the 5th yearstudents of University of Indonesia Medical School during the ChildAdolescent Health Module in 2012-2013. The intervention grouphad lectures with simulations and the control group had lecturesonly. Immunization knowledge was assessed with a 30 multiplechoice question (MCA) items performed before and after themodule. Competence retention was assessed by MCQ (knowledge)and OSCE (skills) 2-6 months afterwards.Results Sixty eight subjects for each group with similarcharacteristics were analyzed. There was significant differenceafter module MCQ score between two groups. Competenceretention in 2-6 months after module completion was betterin intervention group, both for the knowledge (median MCQscore of 70.00 (range 37-93) vs. mean score of 58.01 (SD 12.22),respectively; P<0.001) and skill (OSCE mean scores of 75.21 (SD10.74) vs. 62.62 (SD 11.89), respectively; P < 0.001). Proportionof subjects in the intervention group who passed both the MCQand OSCE were also significantly greater.Conclusion Lectures with simulations are proved to bemore effective in improving medical students’ immunizationcompetence as well as its retention compared to lectures onlyapproach.


2020 ◽  
Vol 8 (T2) ◽  
pp. 196-199
Author(s):  
Stang Stang ◽  
Debora Selin ◽  
Suriah Suriah ◽  
Sumarni Marwang ◽  
Hasanuddin Ishak

BACKGROUND: Each pregnancy and childbirth has complication risks. These complications are accompanying pathological incidences that might cause maternal mortality. AIM: This research aims to determine the effect of educational media development in increasing knowledge and attitudes about complications of pregnancy and childbirth in pregnant women. METHODS: This research method passed through several stages as follows: First stage consisted of the development of educational media (leaflets), and second stage consisted of development test with leaflet media using a quasi-experimental research design. The samples were Trimester I to Trimester III pregnant women who visited Sayang Rakyat Hospital Makassar, which consisted of 30 people as intervention group and 30 people as control group. The intervention group was provided leaflets while the control group was provided books on maternal and child health. Data analysis used Wilcoxon Signed Ranks Test and Mann–Whitney test. RESULTS: The results showed that there are differences in case of knowledge and attitudes of pregnant women regarding complications of pregnancy and childbirth before and after being provided with leaflet intervention with a value of p = 0.000. Likewise, there are differences in the case of knowledge and attitudes of pregnant women regarding pregnancy and childbirth complications between the intervention and control groups with p = 0.041 and 0.001, respectively. CONCLUSION: Educational media on knowledge and attitudes about complications of pregnancy and childbirth has a positive effect in pregnant women at Sayang Rakyat Hospital in Makassar.


2017 ◽  
Vol 5 (2) ◽  
pp. 29
Author(s):  
Muhammad Taukhid

Background : Fatigue is feeling tired physically, psychologically, cognitively perceived cancer patients while undergoing therapies for the disease, including chemotherapy. The purpose of this study was to determine differences in the level of fatigue in cancer patients between before and after aerobic exercise combined with relaxation techniques of yoga. Methods :  This study used Quasi-experimental design with pretest-posttest control group in patients with breast cancer in the course of chemotherapy. The sampling methods used purposive sampling. The fatigue level was collected by subjective instruments Pipper Fatigue Scale (PFS), and then analyzed by the Independent and Dependent T test, and multivariate analysis used linear regression with a significance value of α 0.05. Results :  There were differences in the level of fatigue post-test between the intervention group and the control group with a difference of 1.25 (p = 0.013). History of previous exercise may explain the 17.8% level of fatigue that occurs in patients with breast cancer in the course of chemotherapy, the rest was explained by other variables. Conclusion : There were a decrease in the level fatigue statistically, however clinically the level of fatigue remain the same catagories.


Author(s):  
Tine Buch-Andersen ◽  
Frank Eriksson ◽  
Paul Bloch ◽  
Charlotte Glümer ◽  
Bent Egberg Mikkelsen ◽  
...  

The aim of the study was to determine the effects of a multi-component community-based health promotion intervention on body mass index (BMI) z-scores and waist circumference (WC) in three- to eight-year-old children. A quasi-experimental design was adopted to evaluate the effects of the SoL intervention involving three intervention and three control communities. The 19-month intervention was based on the supersetting approach and was designed to promote healthier eating and physical activity among children and their families. BMI z-scores and WC were measured at baseline and follow-up. At baseline, 238 (54%) and 214 (51%) of all eligible children were measured from intervention and control, respectively. The change over time in the BMI z-scores of children from the intervention group was significantly different from that of the control group (p = 0.001). BMI z-scores increased over time in the intervention group in contrast to the control group, whose BMI z-scores decreased (difference in change between groups 0.19 z-scores 95% CI 0.08, 0.30). No significant differences were observed for WC. The results showed no favourable effects of the intervention of Project SoL on BMI z-scores and WC in children. Further studies based on a larger sample size and a longer intervention duration are needed.


Jurnal NERS ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 66
Author(s):  
Nyoman Sudja ◽  
Meirina Meirina

Introduction: Increasing age in pre-senile, causes a deterioration abilities and physical changes, including the cardiovascular system. Blood vessels lose their elasticity thus be increased peripheral vascular resistance that results in hypertension. This study aims to gain an idea of the effect on the ability of pre-senile people’s psychoeducation in the management of hypertension. Method: Quasi-experimental, the pre-post test with control group design, psychoeducation intervention with a sample size of 72 people . Result: The results showed signifi cant difference of pre-aged knowledge and behavior before and after getting psychoeducation intervention in the intervention group (p-value = 0.000 knowledge, and behaviors = 0.000) . Whereas in the control group there was no difference in knowledge (p-value = 0.896), but there are signifi cant differences in behavior of pre-senile people (p-value = 0.049). There are differences in knowledge and behavior after they were given psychoeducation intervention (post-test ) in the intervention group and the control group (p-value = 0.001 knowledge , behavior=0.018). Discussion: Psychoeducation had effect on the ability of pre-senile in the management of hypertension, so this program can be applied to groups of Posbindu for pre-senile people throughout the areas of the city of Bogor.Key words: psychoeducation, skills, pre-senile, hypertension


2019 ◽  
Vol 2 (2) ◽  
pp. 84-93
Author(s):  
Florentina Dhiana Sri Setyohariyati ◽  
Emiliana Tarigan ◽  
Havids Aima

Introduction. Burnout is a symptom that is often experienced by nurses, especially in the operating room, intensive unit and emergency room. Burnout is characterized by fatigue of heavy workloads, lack of control and appreciation, unfair treatment as employees, lack of social support at work, and conflict of value values that cause Emotional Exhausting, Depersonalization, Personal Accreditation. Coaching implementation by mentors to the implementing nurses is expected to reduce burnout. Methods. This study aims to analyze the description of the differences and influence of coaching implementation by mentor to the executor nurse burnout at Siloam Hospitals Group. Research uses quantitative methods with quasi experimental designs, pretest-posttest control group and causal research. The sample in the study was chosen by consecutve sampling in all respondents included in the inclusion criteria. The sample in this study amounted to 117 nurses, who were divided into 2 groups ie inetrvensi group with 88 respondents and control group with 29 respondents. Coaching implementation is given within 12 weeks with the frequency of meetings 3-4 times. Results. The results of this study showed that there was a decrease in burnout before and after intervention with paired t test in the intervention group and control group, with value (p = 0.002). Conclusion. The results of the intervention analysis on the implementation of coaching training simultaneously have an effect on motivation, workplace, age, gender, education and work experience simultaneously with a contribution of F 3,316 with a significance number of 0.005 <0.05. This study recommends the need for further research.


2021 ◽  
Vol 8 (2) ◽  
pp. 182-192
Author(s):  
Achwan Achwan ◽  
Abdurahman B.B. Laksono

Leg cramps are a common side effect of intradialysis CKD patients. Preventing intradialysis cramping pain can improve quality of life. Breathing and stretching exercises are non-pharmacological treatments for cramping pain. The purpose of this study was to prove the effect of breathing and stretching exercises on changes in the intensity of leg cramps in hemodialysis patients at the Haji Jakarta Hospital in 2018. This study was a quasi-experimental study with a two-group pre-post test research design. The sample was selected by purposive sampling, a sample of 34 patients. The intensity of muscle cramps was measured using the Numeric Rating Scale. The results of the analysis using the paired sample T-test. The results showed that the intervention group had a P-value = 0.01 and the control group had a P-value = 0.055, meaning that there was a difference in mean the intensity of cramping pain before and after breathing and stretching exercises was compared, so it was concluded that there was an effect of breathing and stretching exercises on the intensity of intradialysis leg cramps. Patients are advised to breathing and stretching exercises regularly, light exercise, eat and drink diet.


2018 ◽  
Vol 3 (1) ◽  
pp. 115
Author(s):  
Wiwit Fetrisia ◽  
Aisyah Elyanti ◽  
Yantri Maputra

The initial stage of a human's life in infancy is considered important because at this time the foundations of personality are laid down which will give color when they grow up. The role of parents is very necessary in providing early stimulation. Stimulation is stimulation that comes from the baby's outer environment. The baby health service coverage in 2014 in Bukittinggi was 88.4%, lower than Padang city as much as 90.6%. It is known that the number of infants aged 0-1 years in Padang city amounted to 3,498 people, while in Bukittinggi city only 629 people. Supposedly with a small number of infants achieving early detection of infant growth and development is better than the number of babies in a larger city. The design of this study was a quasi-experimental design with two group pretest-posttest with the control group to identify the effect of stimulation on infant growth and development before and after the intervention, which was carried out from November 2017 - August 2018, in the environmental health center of Bukittinggi City Health Office. The population is infants with ages 0 - 6 months, and the number of samples taken is 46 people. The results of the study carried out with the Wolcoxon test, obtained there were differences in development before and after the intervention was given to the intervention group p = 0,000, there was a development difference in the control group p = 0.014, there were differences in growth before and after the intervention p = 0.000, there was no difference growth in the control group p = 0.083. It can be concluded that stimulation plays a role in preventing delays in growth and development in infants 0-6 months. From this study health workers can socialize about how to stimulate babies to mothers for early prevention of growth and development disorders in infants.


2020 ◽  
Vol 15 (3) ◽  
pp. 441-449
Author(s):  
Najib Najib ◽  
Alfiana Ainun Nisa ◽  
Efa Nugroho ◽  
Evi Widowati ◽  
Chia En Yang

Adolescent fertility is an important health and social problem because it is related to the level of morbidity and mortality of mothers and children. The results of the 2017 IDHS show that 7% of women aged 15-19 are already mothers, 5% have given birth, and 2% are pregnant with their first child. The data shows that adolescents are already sexually active, but still have an understanding of low reproductive health. The purpose of this study was to determine the effectiveness of community-based health communication models that developed to improve access to information and public knowledge related to contraceptive methods in young married couples in Rembang Regency in 2019. This research  used Research and Development design with a quasi-experimental data collection method. The population in this study were adolescents who married at a young age in Rembang District, while the sample was adolescents who married young in Sedan and Kragan villages (intervention group), Menoro and Ngasinan (control group). Quantitative data analysis uses univariate, bivariate, and multivariate, while for qualitative data use grounded theory. The effectiveness test showed significant data for knowledge (p = 0,000), attitudes (p = 0.003), access to information (0.012), preferences (p = 0.001), and access to contraception (p = 0,000). It can be concluded that the community-based health communication model can improve knowledge, attitudes, access to information, preferences, and access related to contraception in early married couples


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