Yeni Rustina

Arbi Care as an Educational Game to Improve Knowledge in Diarrhea Prevention among Preschoolers

Diarrhea is still the second highest cause of the death in children under five in the world. Innovation programs continue to be sought to reduce the number of child death due to diarrhea and help diarrhea prevention in Indonesia. This study aimed to examine the effectiveness of educational games called as Arbi Care on diarrhea prevention towards the knowledge of healthy behavior among preschoolers. This study used pre-post test control group design involving 120 participants whom fit the inclusion criteria. Participants were andomly divided into a control group of 60 participants and the intervention group consists of 60 participants. Data were analyzed using one-way MANOVA test. The results showed there were significant mean differences in knowledge of healthy behavior to prevent diarrhea between control group and intervention group. There was also a different increased inclination of mean score which is intervention group score higher than control group. Arbi Care is effective in improving the knowledge of healthy behavior to prevent diarrhea among preschoolers. Thus, Arbi Care is recommended to be the model to help prevent diarrhea in children using educational game.

The Development of Nursing Care Services Model for Low Birth Weight Infants

Introduction: Low birth weight (LBW) infants deal with various problems during transitional period from intra-uterine and extra-uterine because of immature organs’ functions. This leads to LBW as the second death cause in Indonesia, particularly in the fi rst seventh days of infants’ lifes. The problem continues to occur at home when the infants have discharged. This research was aimed to develop the nursing care services model for LBW infants and to test the model. Method: The research design was an action research using quantitative and qualitative approach. This design was chosen as it facilitated improvement in health care system, which was involving nurses and other health providers. Results: Nursing care services provided by the nursing team are hindered by several factors, such as various level of nurses’ knowledge, not optimal health education activities, incomplete standard operational procedure, ethical dilemma, paramedic functions, and documentation system. This model was developed based on conservation and becoming a mother/maternal role attainment theory, family-centered care principles, and input from the experts through focus group discussion. Conclusion: The result of this research is going to increase the quality of nursing care for LBW infants by achieving nurses’ and parents’ satisfaction in giving care for their infants which can lead to lower infant death rate.

Differences in Temperature Changes in Premature Infants During Invasive Procedures in Incubators and Radiant Warmers

ABSTRACT Premature infants tend to lose heat quickly. This loss can be aggravated when they have received an invasive procedure involving a venous puncture. This research uses crossover design by conducting 2 intervention tests to compare 2 different treatments on the same sample. This research involved 2 groups with 18 premature infants in each. The process of data analysis used a statistical independent t test. Interventions conducted in an open incubator showed a p value of .001 which statistically related to heat loss in premature infants. In contrast, the radiant warmer p value of .001 statistically referred to a different range of heat gain before and after the venous puncture was given. The radiant warmer saved the premature infant from hypothermia during the invasive procedure. However, it is inadvisable for routine care of newborn infants since it can increase insensible water loss.

Heat Loss Prevention Education Aids Nurses’ Knowledge in Prevention of Hypothermia in Newborns

ABSTRACT Newborns are at risk of developing hypothermia due to the instability of their thermoregulation systems and inability to adjust to changes in ambient temperature. This risk increases during hospitalization. Education is a strategy to improve nurses’ understanding of the prevention of hypothermia in newborns in the hospital. This study aimed to analyze the impact of education about preventing heat loss on nurses’ knowledge and behavior in preventing hypothermia in newborns. The study design was a quasi-experiment with one group pre-test–post-test and a total sample of 21 neonatal nurses who were selected using the consecutive sampling method. The results indicated that there was significant difference in nurses’ knowledge and behavior pre- and post-education intervention (p < .001; α = .05). This study suggests that education on prevention of heat loss is an effective strategy to promote nurses’ knowledge and behavior in preventing hypothermia.

Increasing Confidence and Ability in Implementing Kangaroo Mother Care Method Among Young Mothers

ABSTRACT Mothers giving birth to low birth weight babies (LBWBs) have low confidence in caring for their babies because they are often still young and may lack the knowledge, experience, and ability to care for the baby. This research aims to determine the effect of education about kangaroo mother care (KMC) on the confidence and ability of young mothers to implement KMC. The research methodology used was a controlled-random experimental approach with pre- and post-test equivalent groups of 13 mothers and their LBWBs in the intervention group and 13 mothers and their LBWBs in the control group. Data were collected via an instrument measuring young mothers’ confidence, the validity and reliability of which have been tested with a resulting r value of .941, and an observation sheet on KMC implementation. After conducting the education, the confidence score of young mothers and their ability to perform KMC increased meaningfully. The score of confidence of young mothers before education was 37 (p = .1555: and the ability score for KMC Implementation before education was 9 (p = .1555). The median score of confidence of young mothers after education in the intervention group was 87 and in the control group was 50 (p = .001, 95% CI 60.36–75.56), and ability median score for KMC implementation after education in the intervention group was 16 and in the control group was 12 (p = .001, 95% CI 1.50–1.88). KMC education should be conducted gradually, and it is necessary to involve the family, in order for KMC implementation to continue at home. A family visit can be done for LBWBs to evaluate the ability of the young mothers to implement KMC.

The Quarter Prone Position Increases Oxygen Saturation in Premature Infants Using Continuous Positive Airway Pressure

ABSTRACT A primary problem that occurs in premature infants is oxygenation disorders, thus requiring respiratory support, including continuous positive airway pressure (CPAP). The effectiveness of CPAP can be improved by adjusting the body’s position, so the aim of this study was to examine the effect of the quarter prone position on the oxygenation status of preterm infants using CPAP. This study used a randomized controlled trial with a crossover design. A group of 15 preterm infants receiving CPAP was selected, and randomization of allocation was done to divide the respondents into the intervention group (quarter prone) or the control group (supine). Oxygenation status was measured using an observation form, and the result showed a significant difference in the oxygen saturation levels of premature infants using CPAP in the quarter prone group compared to that in the supine group (p = .045). The quarter prone position was effective for improving the oxygenation status of premature infants using CPAP. It is recommended that the quarter prone position be applied as part of nursing care in neonatal nursing.

Comparison of Various Kangaroo Mother Care Carriers on Maternal Comfort: A Pilot Study

ABSTRACT Kangaroo mother care (KMC) is an evidence-based approach that has been scientifically proven to have a positive effect on mothers and infants. One of the barriers to performing KMC at home is the absence of a special KMC carrier. The most widely used KMC carriers in Indonesia are kangaroo pouch, thari, wrap and traditional wraps in the form of a long strip of fabric. This study’s aim was to compare the level of maternal comfort when performing KMC with three different KMC carriers. The study used crossover design involving 20 mothers with low birth weight (LBW) infants as responders, selected through a consecutive sampling method. Data were collected using a maternal comfort questionnaire, maternal anxiety questionnaire, and KMC observation sheet. The results of repeated analysis of variance (ANOVA) showed that there was no significant difference in maternal comfort when performing KMC with any of three KMC carriers (maternal comfort p = .366, α = .05). Therefore, KMC can be implemented using any of the types of carriers including kangaroo pouch, thari wrap, and traditional wrap.