http://localhost:8080/xmlui/handle/123456789/11439 2026-04-15T02:49:40Z http://localhost:8080/xmlui/handle/123456789/11446 Title: Impact Of Nutsi-Smartphone Application On Nutritional Knowledge Among Breastfeeding Mothers: A Quasy-Experimental Study Authors: Yorika Fauzia, Haneda; Dwi Anggraeni, Mekar; Setiawati, Nina Abstract: Background: Nutrition knowledge among breastfeeding mothers is a key factor in good nutrition status. Some breastfeeding mothers in Indonesia suffer from inadequate nutrition status, which may affect exclusive breastfeeding practice. However, few breastfeeding women have adequate nutritional knowledge. Health education about adequate nutrition during lactation is highly needed. Methods: This was a quasi-experimental study with a control group, pretest, and post-test design. It was conducted at the work area of the Panyingkiran Public Health Center, Majalengka Regency, West Java Province, Indonesia. This study used a consecutive sampling method and involved 78 respondents, divided into 39 respondents in the intervention group and 39 respondents in the control group. Data was collected using a set of questionnaires to collect demographic and nutritional data. Then, the data were analyzed using the Wilcoxon test and Chi-square test. Results: This study found that there was a significant difference between pre-test and post-test scores in the intervention group (t=0,000 p<0,05). There was no significant difference between pre-test and post-test scores in the control group (t=1, p >0,05). Furthermore, there was a significant difference in post-test scores between the intervention and control groups (t=0,000 p<0,05). Conclusion: The developed smartphone application-Nutsi-was effective in increasing nutritional knowledge among lactation mothers. Health care providers may use Nutsi as a health promotion media in order to improve nutrition knowledge among pregnant women 2022-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11445 Title: Study of Diabetes Mellitus Management Policies Using a Systems Approach in Surge Capacity Authors: Badriah, Siti; Cahyati, Peni; Nurcahyani, Lia; Tarmansyah Iman, Arief; Ristrini, Ristrini; Budi Astuti, Athanasia Abstract: Background: The prevalence of Diabetes Mellitus (DM) in Indonesia continues to increase, even though DM control policies and programs have been implemented. According to existing policies, the family has not been involved in diabetes control. This study evaluates diabetes mellitus management policies by designing family-based community empowerment model interventions with a systems approach to surge capacity. Methods: The design of this study used a cross-sectional operational analysis conducted in Cirebon City with 26 participants. Data collection was carried out using Focus Group Discussion (FGD) and in-depth interviews using interview guidelines from the surge capacity component. Inclusion criteria were Non-Communicable Diseases program holders at the Cirebon City Health Office and Community Health Centers with the highest and lowest prevalence, and DM sufferers and their families representing each age and gender category. Data analysis was performed using open code. Results: The non-communicable disease program has not been integrated between the health office and the hospital; funds for the DM prevention program have not met the needs; there are limited human resources with multiple tasks and an excessive workload, so it is not optimal for DM health services; and there is a lack of family involvement in diabetes control, so the incidence of DM is still not usually controlled. Conclusion: Policy studies using a system approach in surge capacity have been able to dig up various information on DM control efforts in terms of policy, organizational structure, DM surveillance, information systems, integrated services, case screening, budgeting, and community empowerment 2022-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11444 Title: Nurses’ Perspective On Postpartum Education Needs In A Referral Hospital Authors: Latifah, Lutfatul; Setiawati, Nina; Kartikasari, Aprilia; Siswantoro, Hari Abstract: Background: The study about nurses’ perception of postpartum complication education is limited. The previous studies in Indonesia focus on providing education as a direct intervention to patients. This study aimed to determine the educational needs of postpartum mothers from the nurses' point of view. Methods: This study was a qualitative study conducted from April to July 2021 in a referral hospital in Central Java, Indonesia. Data were collected through focus group discussions, in-depth interviews, and observations. The participant of this study were seven nurses in the postpartum ward. The collected data were analyzed using a tabulated theme conducted through the thematic analysis approach. Results: All the participants were females. Three major themes were generated in this study: reasons for the need for continuous postpartum education, obstacles to implementing postpartum education, and expectations of future follow-up care. The subthemes for the first theme are patients readmitted to the hospital, excessive educational topics, short admission time, and high-risk postpartum mothers. While the subthemes for the second theme are time constraints, limited educational media, and environmental and cultural influences, and the subthemes for the third theme are continuous monitoring and accessibility of educational media. Conclusion: The study has provided new insights regarding the continuity of postpartum education and the obstacles nurses face and has implications for developing a system of continuity of care for postpartum patients, especially for high-risk patients 2022-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11443 Title: Fatigue Level Of Chronic Kidney Failure Patients After Undergoing Hemodialysis Therapy Authors: Ari Laksmana, Affin; Indriyawati, Nina Abstract: Background: Chronic kidney failure is a terminal illness where the disease cannot be cured, so it requires hemodialysis therapy. Life changes in post-HD patients cause various complications that make patients feel uncomfortable, have insomnia, and feel dizzy and tired. Therefore, it is necessary to measure the level of fatigue using a post-dialysis fatigue scale to anticipate the exhaustion felt by the patient on the subsequent dialysis. Methods: Quantitative research using PLS statistics, the population in this study consisted of 69 residents who had post HD and conducted on 59 samples with purposive sampling. Obtained the results of validity and reliability in the study, composite realiability= 0.902; rho_A= 0.895; discriminant validity=0.650. Collecting data using a questionnaire Post Dialysis Fatigue Scale (PDFS). The study was conducted in February 2022. Results: The results showed that most respondents felt severe fatigue, as many as 44 people (74.6%) after undergoing hemodialysis therapy. The items that respondents felt most about fatigue levels included feeling dizzy, headache, no appetite, chest aches, and pains. In addition, the majority of respondents aged ≥50 years, 26 respondents (70.3%) felt severe fatigue. While the majority of respondents who underwent hemodialysis for ≥12 months, namely as many as 35 respondents (76.1%), felt extreme fatigue. Conclusion: Most respondents were dominated by men with an average blood pressure of 140/88 mmHg and were in the category of severe fatigue 2022-01-01T00:00:00Z