The correlation between family role and anemia prevention in pregnancy

Introduction: It is important to reduce the high incidence of anemia in pregnancy globally. Pregnant women need the support of their families to face any difficulties in order to prevent anemia. Design and Methods: This study aims to determine the correlation between family role and anemia prevention in pregnancy. This cross-sectional study was conducted in August 2021 among 60 pregnant women who went for check-ups at two primary healthcare centers in Surabaya, Indonesia, and received iron supplements. Additionally, it was discovered that family role andanemia prevention in pregnancy were evaluated using questionnaires. Result: The Spearman test was used as a test for significance and the results showed that there was a correlation between family role and anemia prevention in pregnancy (r = 0.318; P = 0.013). Also, it was found that informational, emotional, and affirmational support, as well as having a role model were significantly correlated with anemia prevention at (r = 0.311; p = 0.015), (r = 0.265; p = 0.041), (r = 0.400; p = 0.002), and (r = 0.353; p = 0.006), respectively. Conclusions: There was a relationship between family role and anemia prevention in pregnancy, as well as adequate nutrition, adherence to iron supplements, and prevention of worms. Therefore, there is the need for health promotion to the families of pregnant women in order to increase the understanding of anemia prevention in pregnancy.

Knowledge and peer support for increase Menstrual Hygiene Management (MHM) in adolescents

Introduction: During the transitional period of reproductive function development, adolescents require special attention, one of which is menstrual hygiene management (MHM). Teenagers dealing with menstruation have little information and understanding due to the taboo assumption of being more comfortable communicating with peers. Therefore, this study aims to explain the relationship between knowledge and peer support with MHM in adolescent girls. Design and Methods: This study adopted a correlational descriptive design with a cross-sectional approach and 122 students in apublic Junior High School in East Java were selected using proportional simple random sampling. Furthermore, the questionnaire was adopted as the study instrument to measure the variables of knowledge level, peer support, and MHM. Data were then analyzed using Spearman Rho Test with a significance level of p<0.005. Results: The results showed that there is a significant relationship between the level of knowledge (p = 0.000 r = 0.619 and peer support (p = 0.000 r = 0.534) with MHM in adolescent girls. Conclusions: Adolescent girls with adequate knowledge and peer support have better MHM. Therefore, information and education about MHM are recommended for adolescents.  

Factors associated with hypertension in women of childbearing age

Objectives

To investigate factors associated with hypertension in women of childbearing age.

Method

The correlational, cross-sectional study was done in Madiun, East Java, Indonesia, in August 2021 after approval from the Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia. The sample comprised women of childbearing age who were married and not pregnant. Data was collected using questionnaires, while blood pressure, height and weight of the subjects were measured and noted. Data were analysed using Spearman Rho test.

RESULTS

Of the 311 subjects with mean age 32.06±7.10 years, 184(59.2%) were housewives; 153(49.2%) had studied up to the Senior High School level; 166(53.38%) were overweight; 157(50.48%) had family history of hypertension; 99 (31.83%) were exposed to cigarette 1-2 hours a day; 141(45.34%) were using hormonal contraception for >2 years; 94(30.23%) had low physical activity; 148 (47.59%) had high sodium consumption; and 139(44.69%) consumed coffee 2-3 cup/day. Hypertension prevalence was 123(39.55%). BMI (r=0.750), family history (r=0.763), exposure to cigarette smoke (r=0.755), physical activity level (r=-0.806), and sodium (r=0.505) were significantly associated with hypertension (p<0.05). Hormonal contraception (r=0.271) and coffee consumption (r= 0.127) had a weak association with hypertension incidence (p>0.05).

CONCLUSIONS

Risk of hypertension in women increased for those with high body mass index, family history, high exposure to cigarette smoke, and high sodium intake.

Analysis of factors that affect the utilization of antenatal care in developing countries: A systematic review

Objectives

To explain the factors related to the implementation of antenatal care in developing countries.

Method

The systematic review was conducted in June 2020 and comprised literature search on Scopus, Cumulated Index to Nursing and Allied Health Literature, PubMed and Garba Rujukan Digital databases for cross-sectional, survey-based, prospective, mixed-method, correlational, experimental, longitudinal, cohort and case-control studies published after 2015 in either English or Indonesian. The studies included involved pregnant women and discussed the factors of implementing antenatal care in developing countries, and explained the factors related to the implementation of antenatal care in accordance with the World Health Organisation recommendation. The Population, Intervention, Comparison, Outcomes and Study framework was used, and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed. Data was analysed using descriptive statistics with a narrative approach.

RESULTS

Of the 9,733 studies initially found, 50(0.005%) were shortlisted for full-text review, and, of them, 15(30%) were reviewed and analysed. There were 3(20%) each from Pakistan and Ghana, 2(13.3%) each from Nepal and India, and 1(6.66%) each from Jordan, Egypt, Yemen, South Africa and Vietnam. Overall, 10(66.6%) were cross-sectional studies. There were five factors identified regarding antenatal care; behaviour intention, social support, accessibility of information, personal autonomy, and action situations, including economic status, availability of facility and transportation.

CONCLUSIONS

Antenatal care in pregnant women in developing countries is influenced by several factors, and economic status and the availability of facilities and infrastructure optimise the use of such services.

The intention to use long-acting reversible contraception during the COVID-19 pandemic

Objectives

To assess the factors contributing to the intention to use long-acting reversible contraception among women of reproductive age during the coronavirus disease-2019 pandemic.

Method

The cross-sectional study was conducted in Mlajah village, Bangkalan Madura, Indonesia, from May 25 to June 30, 2021, and comprised married women of reproductive age. Attitude, subjective norm, perceived behavioural control and intention to use long-acting reversible contraception were the elements explored using a questionnaire based on the Theory of Planned Behaviour. Data was analysed using Spearman's Rho.

RESULTS

Of the 102 subjects, 46(45.1%) were aged 30-39 years, 51(50%) had college or university education, 43(42.2%) had 2 children and 59(57.8%) were using family planning methods. There was a significant relationship of intention to use long-acting reversible contraception with attitude (p=0.000; r=0.566), subjective norm (p=0.000; r=0.475), and perceived behavioural control (p=0.000; r= 0.691).

CONCLUSIONS

The intention to use long-acting reversible contraception among married women of reproductive age was significantly associated with attitude, subjective norm and perceived behavioural control.

Anemia prevention behavior in female adolescents and related factors based on Theory of Planned Behavior: A cross-sectional study

Introduction: Female adolescent is a group prone to iron deficiency anemia due to various factors such as having monthly menstruation and poor diet. Therefore, anemia prevention behavior needs to be done from an early age to avoid prolonged health problems. The purpose of this study was to analyze the factors that correlated with anemia prevention behavior in female adolescents based on the Theory of Planned Behavior. Methods: This study used a descriptive correlational design with a cross-sectional approach. The population of this study is female adolescents in Madiun City. Purposive sampling was used to obtain 105 respondents. The instrument used was a questionnaire to measure the variables attitude, subjective norm, perceived behavioral control, intention, and anemia prevention behavior. Data analysis was performed using the Spearman Rho Test with a level of significance ≤ 0.05. Results: There is a relationship between attitudes (p = 0.003; r = 0.292), subjective norms (p = 0.006; r = 0.266), and perceived behavioral control (p= 0.002; r = 0.299) with the intention to prevent anemia and also perceived behavioral control (p = 0.003; r = 0.292) and intention (p = 0.000; r =0.392) with anemia prevention behavior. Conclusions: Better attitude, subjective norm, perceived behavioral control, and intention possessed by a female adolescent will make better anemia prevention behavior too. Therefore, support from various parties is needed to intensify the promotion of anemia prevention, education on early detection of anemia, especially for female adolescents, and further research to determine effective health promotion methods.

Determinants of Nutritional Status Among Pregnant Women: a Transcultural Nursing Approach

Introduction: Pregnant women experiencing poor nutritional status remains a problem which is still commonly found in Surabaya. Poor nutritional status is one of the causes of increased mortality in pregnant women. The mother's education and occupation, family income, number of children, and family shape are associated with the incidence of nutritional status in pregnant women. The purpose of this study was to explain the factors related to the nutritional status of pregnant women based on transcultural nursing theory.Methods: his study uses a cross-sectional design. The population were pregnant women at the Public Health Center Tanah Kali Kedinding Surabaya Indonesia, 104 respondents were selected using a consecutive sampling technique. The independent variables were technological, religious, family support, cultural values, political & legal, economic, and educational, while the dependent variable was the incidence of nutritional status in pregnant women. The data was obtained using questionnaires and mid upper arm circumstance (MUAC) measurements. The data was analyzed using the Spearman rho test.Results: There was a relationship between technological (p=0.001 ; r=0.332), family support (p=0.000 ; r=0.379), cultural values (p=0.000 ; r=0.702), political & legal (p=0.000 ; r=0.387), economic (p=0.031 ; r=0.212), and educational (p=0.020 ; r=0.228) factors with nutritional status in pregnant women.Discussion: Technological, family support, cultural values, political & legal, economic, and educational factors influenced the nutritional status of pregnant women. The cultural factor was the most dominant in influencing the nutritional status of pregnant women. 

Factors associated with premarital sexual behaviour of adolescents who lived in a former prostitution area

Premarital sexual behaviour is a common behaviour in adolescence. The environment around the prostitution area can adversely affect the behaviour and personality development of adolescents. The purpose of this study was to determine the factors associated with premarital sexual behaviour among adolescents who lived in former prostitution area based on transcultural nursing theory. A cross-sectional method was used for this study. The samples were 109 students who lived in the former prostitution area of Surabaya, chosen using the purposive sampling technique. The independent variables were knowledge, economic, lifestyle and cultural values, family and social support, religiosity, rules and policies, and technology. The dependent variable was premarital sexual behaviour. Data were collected by questionnaires and then statistically tested with Spearman's rho (ρ ≤ 0.05). The results showed that only religiosity had significant association with premarital sexual behaviour among adolescents (p = 0.004). While the other factors were not significantly associated with premarital sexual behaviour among adolescents. Religiosity is the most motivating factor to prevent deviant behaviour, including in terms of sexuality. These findings indicate the importance of religious teachings in educating children to behave properly.

Complaints in Menopausal Women and Its Correlation with Lifestyle and Stress

Introduction: Every woman will have menopausal experiences at the end of a biological process called menstrual cycles. Several complaints can be aggravated by lifestyle and stress. This study was to analyze the relation of lifestyle and stress levels with a menopausal complaint in women.Methods: This study was correlational with a cross-sectional approach. The study involved 101 menopausal women lived in a community selected by proportional random sampling. The independent variables were lifestyle and stress levels in menopausal women. The dependent variable was a menopausal complaint. This study used primary data provided by questionnaires and interviews. The data were analyzed using Spearman’s Rho.Results: There was strong correlation between lifestyle (p=0.000; r=-0.424), stress levels (p=0.000; r=0.535), and complaint in a menopausal woman.Conclusion: A healthy lifestyle, stress-controlled to minimize complaints in menopausal women. Further research is needed on factors that increase stress in postmenopausal women. 

Adherence to iron supplementation amongst pregnant mothers in Surabaya, Indonesia: Perceived benefits, barriers and family support

Background

Anaemia during pregnancy is a major nutritional problem that can cause preterm delivery and low birth weight. Adherence to iron supplementation can prevent anaemia during pregnancy. However, adherence to iron supplementation remains a problem in many countries.

Objective

This study aimed to identify the correlations of the perceived benefits and perceived barriers of and family support for iron supplementation with adherence to this practice amongst pregnant woman in Surabaya, Indonesia.

Methods

A cross-sectional study was carried out on 102 pregnant women who attended check-ups at the Puskesmas and received iron supplementation. Data were collected using questionnaires.

Results

Perceived benefits (r = 0.334, P = 0.001), perceived barriers (r = −0.294, P = 0.003) and family support (r = 0.263, P = 0.008) were noted to be correlated with adherence to iron supplementation amongst pregnant woman in Surabaya, Indonesia.

Conclusion

Perceived benefits, perceived barriers and family support are related to adherence to iron supplementation; thus, developing good perceptions and family support should be properly promoted.

EFFECT OF EDUCATIONAL INTERVENTION ON FAMILY SUPPORT FOR PREGNANT WOMEN IN PREVENTING ANEMIA

Background: Anemia during pregnancy is a major nutritional problem that can cause health problems for mothers and their fetus. Prevention of anemia has been done but many obstacles are perceived by pregnant women. Families need to provide support to improve the prevention behavior of anemia.Objective: This research aims to explore the effect of educational intervention on family support for pregnant women  in preventing anemia.Methods: A quasi-experimental design was carried out on 60 pregnant women who had done pregnancy check ups at Community Health Centre and had received iron supplement, in which 30 women were in the experimental group and the rests were in the control group. This study was conducted from December 2016 to January 2017. Family support was measured using questionnaires before and after educational intervention.Results: After educational intervention, there was a significant change from the pretest score to the posttest score in the experimental group (p<0.05). There was an increase in the average score in the experimental group, 14.47 ± 2.89 becomes 16.83 ± 2.32.Conclusion: Educational interventions can increase family support for maternal behavior in preventing pregnancy anemia such as improving adherence to taking iron supplements and high intake of food containing iron.

Health Believe Model Implementation on The Analyze of Family Decision to Visit The Public Health Center

Introduction : Dengue Haemorhagic Fever (DHF) is one of infecsius deseases. These deseases can have serious complications and kill the patients. Dengue Haemorhagic Fever (DHF) deseases that is suffered to the patients has become a heavy complication in Tembok Dukuh village. By the health belief model implementation, the patients got earlier response as soon as possible. The objective of the study was to analyze family’s decision for visiting Puskesmas in earlier response of Dengue Haemorhagic Fever (DHF). This descriptive analytic was conducted at work area of Puskesmas Tembok Dukuh Surabaya. The population was the family with Dengue Haemorhagic Fever (DHF) patient from Januari 2007 until July 2009.Methods : Clustered design was used to take the sample. Total sample were 65 respondents, taken according to inclusion criteria. The independent variables were health belief model about perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and cues to action. The dependent variable was family’s decision for visiting Puskesmas in earlier response of Dengue Haemorhagic Fever (DHF). Data was collecting using structured questionnaire. Data that had collected were later analyzed with frequency distribution of each category.Results : Result showed that perceived susceptibility most family was in middle category, perceived seriousness most family was in high category, most of family got the benefits, most of family also got the barriers, and all of the respondents have cues to action. The family’s decision to visit Puskesmas for the earlier Dengue Haemorhagic Fever (DHF) response  was founded in a few of family.Conclusion:  It can be concluded that most of the family didn’t have a steady decisison to visit Puskesmas for the earlier Dengue Haemorhagic Fever response. It can be proved by there are most of family chose the others health service. Discussion : Health workers in Desease Eradication Departement (P2M) should sosialize the Puskesmas program  related with the earlier Dengue Haemorhagic Fever (DHF) response. So that, the family has believed that visiting Puskesmas is important for the earlier Dengue Haemorhagic Fever (DHF) response.

Family Social Support Reduces Post Judegemental Stress in Teenagers

Introduction: Justicial proceeding is able to make any stress or anxiety for everyone that through on it, especially if the process happens on teenagers. The stressor which can make stress in justicial proceeding are the justicial proceeding that doesn’t go along with UU RI No. 3 tahun 1997, i. e. children justicial process, fearness of parents and friend lost, worried about his future, and new neighborhood that is not appropriate with the child’s psychology development. The presence of family is very important to give a social support to the arrested teenagers.The objective of this study was to know the correlation between family social support and post judegement stress in teenagers and  the factors of stress in teenagers. Method: This study use Cross Sectional design. Population had taken from teenagers from 13 until 17 years old. Sample was comprised in to 12 individuals who fit with the inclusion criteria. The independent variable in this study was family social support and factors of stress in teenagers, and the dependent variable was post judgement stress in teenagers. Data was collected by  measurement using Mood and Feeling Questionnaire (MFQ) for stress, questionnaire of family social support, and interviewed. They were analyzed by Spearman’s test with significance level  α<0.05 and content analysis for interview result. Result: The result showed that there is a correlation between family social support and post judgement stress in teenagers with significance level p=0.013.It means, Content analysis’ results showed that the factors which related with stress in teenagers are environment, caring type, interfamily member’s relationship, bad event, and characteristic of children. Discussion: Higher family social support makes  teenagers have higher self esteem and more optimistic view, so the teenagers will able to face their problem. 

Stres Memperlambat Penyembuhan Luka Paska Seksio Sesarea

Introduction: Decision for cesarean section may lead to the stress for women in delivery. Stress response requires longer recovery time in post cesarean section patients. Most of patients who experience stress before and after surgical is associated with wound healing delay. When this condition continues, the wound will have a higher risk of infection. The objective of this study was to analyze correlation between stress and wound healing phase in post cesarean section patients. Method: A cross sectional design was used in this study. The population were women with cesarean section, both elective or emergency, in Delivery Room I RSU Dr. Soetomo Surabaya. Samples were recruited by using purposive sampling, with 28 samples who met to the inclusion criterias. The observed variables were stress and wound healing phase in post cesarean section patient. Stress data were collected by interview and wound healing measurement done by observation on the 3rd day post cesarean section. Result: The result showed that women with stress experience wound healing delay. The characteristic of wound healing delay was prolonged on inflammation phase, nevertheless there was presence of granulation tissue. Spearman’s rho correlation showed that correlation value r=0.675 with p=0.000. Discussion: It can be concluded that there was strong significant correlation between stress and wound healing phase in post cesarean section patients. It is important to give this information to the patients with cesarean section in order to prevent stress and delay in wound healing phase.

Peer Group Support Decrease Depression Level In Menopause Woman

Introduction: Menopause woman has higher depression level than pre and postmenopause woman. Many woman who are getting menopause will feel lonely and don’t have any friends to talk, if this situation continue it can cause menopausal depression. Peer group support is one of group therapy which gives opportunity to menopause woman to get mutual support and help them to face the problem. This aimed of this study was to analyze the effect of peer group support in the menopause woman depression level.Methods: A quasy experimental pre-post test design was used in this study. There were 16 menopause women taken from Cepokomulyo Kepanjen. The independent variable was peer group support and the dependent variable was the depression level. Data were analyzed by Wilcoxon Signed Rank Test and Mann Whitney U Test with the significance level α<0.05.Results: Result showed that there was an effect of peer group support in the menopause woman depression level with significance level p=0.011 (treatment group) and p=0.23 (controlled group) and the result of Mann Whitney U Test showed that p=0.02.Conclusion: It can be concluded that peer group support can reduce the menopause woman depression level. It can be suggested to the institutional to practice peer group support to help menopause woman reduce their depression level.

Community of Lombok’s Tradition Effects the Nutrient Intake Behavior in Pregnant Woman

Introduction: Tradition about nutrient intake in pregnant women had being spreaded in the society and it can influence the behaviour of pregnant women in the fulfilment of nutrient intake in pregnancy. Lombok area is still following the nutrient intake tradition. The objective of the study was examine the relation between tradition of Lombok community with the nutrient intake behaviour in pregnant woman in the working area of Public Health Center Perampuan, Labuapi District, West Lombok Regency. Method: This study used cross sectional design. The population was all pregnant women that came to the Puskesmas Public Health Center Perampuan, Labuapi District, West Lombok Regency each month. Sample formulation used purposive sampling. Total sample were 45 respondents that were taken according to inclusion criteria. Independent variable was tradition of Lombok community and dependent variable was the nutrient intake behaviour in pregnant woman. Data were collected using questionnaire, interview, respondent observation and dietary recall 24 hours. Data were analyzed with correlation Spearman Rho, with significance value α≤0.05. Result: The result showed that there were corelation between tradition of Lombok community with the knowledge (p=0.002), attitude (p=0.001). the action of nutrient intake in pregnant woman of the fulfilment nutrient intake in pregnancy. Discussion: Further studies should do the research to change the negativity behaviour causes by tradition of community, specially for nutrient intake in pregnancy, such as continuously health education.

Konsumsi Jus Wortel Selama Kemoterapi Meningkatkan Kadar Hemoglobin Pasien Kanker Serviks Stadium II-B

Introduction: Ca Cervix patients who had a chemotherapy may experience depletion of Hb level. Hb level can increase by giving a natural carrot juice.  The nutritional  content of carrot juice such as beta karoten, ferrum, calcium, vitamin B, vitamin C and protein can assist bone marrow produce Hb and lymphosite. The objective of this study was to analyze the effect of carrot juice consumption during chemotherapy on Hb level of patients with Ca Cervix stage II-b. Method: This study used a quasy experimental design and the population was the patients who stayed at gynecology room. The sampling technique was used consecutive sampling, with the total sample were 16 respondents. Data were collected by taken the blood sample and analyzed by using Paired t-Test and Independent t-Test. Result: The result showed that carrot juice influent on the change of rate of Hb with significance level (p=0.005). Discussion: It can be concluded that by giving carrot juice to the patients with experiencing chemotherapy, can increase Hb level. Further studies are recommended to analyze the effect of carrot Juice on patient with low Hb level during Chemotherapy for further possibilities.

The Beneficience Of Family Social Support Toward Anticipatory Behaviour Of Pregnancies Sign’s Alert In Primigravida

Introduction: Complication in pregnancy can be endangering both mother and fetus. Pregnant woman and her family must be able to recognize risk factors of the complication. Family support make pregnant woman feel more confident, happy and ready to face her pregnancy. The aimed of this study was to learn the influences of social family support toward anticipatory behavior of pregnancies sign’s alert in primigravida.Methods: A quasy experimental purposive sampling design was used in this study. There were 20 respondents who met the inclusion criteria. They were divided into 2 groups, intervention and control groups, each comprising 10 respondents. The independent variable in this study was social family support and the dependent variable was the anticipatory behavior of pregnancies sign’s alert in primigravida. Data were collected by using questionnaire, observation and structured interview and then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05.Results: The result showed that the social family support influencing the knowledge of pregnant woman with significant level p=0.011, social family support also influencing the attitude of pregnant woman with significant level p=0.008 and the action of pregnant woman p=0.017. There were difference knowledge, attitude and action between intervention and control groups after treatment with significant level p=0.000 for knowledge, p=0.015 for attitude and p=0.002 for action.Conclusion: It can be concluded that social family support influence anticipatory behavior (knowledge, attitude and action) of pregnancies sign’s alert in primigravida. Further studies should be concern to the other factors that influencing the anticipatory behavior of pregnancies sign’s alert in primigravida, both of internal and external factors.

Classical Music Decrease Stress Level And Blood Pressure Primigravida In The Third Trimester

Introduction: Many changes in psychology and biology increase primigravida’s stress in the third trimester. The stress response makes blood pressure being unstable, it causes bad effect for pregnancy. Classical music can be used as one of relaxation facilities that can reduce stress. The aimed of this study were to analyze the effect of classical music on stress level and blood pressure.Methods: This study was used a quasy experimental purposive sampling design. The sample in this study were 14 pregnancy women in the third trimester in RSIA Cempaka Putih Permata Surabaya. The independent variable in this study was classical music and the dependent variable were stress level and blood pressure. Data were analyzed by Wilcoxon Signed Rank Test, Mann Withney U Test, Paired t Test and Independent t Test with significance level α≤0.05.Results: The result showed that the stress level in controlled group with p=0.567 and intervention group with p=0.025. The result of blood pressure in controlled group with p=0.522 in systolic blood pressure, p=0.35 in diastolic blood pressure and intervention group showed p=0.103 in systolic blood pressure and p=1.00 in diastolic blood pressure.Conclusion: It can be concluded that listening classical music can reduce stress level, stabilize blood pressure, although blood pressure hasn’t significant result but mean of blood pressure show that it was stable. Further studies should be considered to used cortisol to identify stress biology response spesifically. 

Kegel’s Exercise Decrease Urinary Incontinence For Postpartum Mother

Introduction: Trauma to the uretra and bladder may occur during the birth process when the infant passes through the pelvis. About 40% of women face urinary incontinence after childbirth. The aimed this study was to analyze the effect of keagle exercise to descent of urinary incontinence postpartum.Methods: This study was used a quasy experimental sampling design. The population was all the mother after childbirth which has urinary incontinence. There were 14 respondents who met to the inclusion criteria. The independent variable was keagle exercise and the dependent variable was descent of urinary incontinence postpartum. Data were taken by structured interview with questionare and observation then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level of α≤0.05.Results: The result showed that after the application of keagle exercise, 100% of experimental group was had descent of urinary incontinence with Wilcoxon Signed Rank Test p=0.016 for capacity to urine preserve and p=0.020 for urine frequency in twenty four hours, then with Mann Whitney U Test p=0.026.Conclusion: It can be concluded that keagle exercise has an effect to descent urinary incontinence postpartum. It is recommended to provide keagle exercise to mother after childbirth during hospitalize and further studies are recomended to find the difference of capacity to urine preserve and the frequency to urinate in twenty four hours prior to keagle exercise.

Pengaruh Cat Stretch Exercise Terhadap Penurunan Intensitas Nyeri Menstruasi (Dysmenorrhea) dan Tanda-Tanda Vital pada Remaja

Menstruation is a period of uterine fluid discharge to endometrial detachment, often accompanied with pain called dysmenorrhea. The objective of this study was  to  analyze the effect of cat stretch exercise on the relief of menstrual pain and characteristics of vital sign in adolescence. Pre experimental design (one group pre-post test) was used in this study, 12 samples were recruited by purposive sampling. Observation and questionnaire were applied to measure patient’s pain scale. Data were analyzed by  using  Wilcoxon signed rank test (p<0.05). Conclusion: the cat stretch exercise has effect on relieve of menstrual pain (dysmenorrhea) and normalized of vital sign: blood pressure, hearth rate and respiratory rate.

Curcuma and Honey Increases Body Weight of Toddler

Introduction: Toddler may have poor appetite and picky eater stage. It will influence the children food intake and thereby they loss weight. As a result they may get a growth and developmental disorder. Curcuma honey can increase appetite and influence body weight. The purpose of this study was to analyze the influence of giving curcuma honey in increasing body weight in toddler.Methods: Quasy experimental design was used in this study. Sample was 10 toddlers and divided into two groups. Independent variable was the giving of curcuma honey and dependent variable was the increase of body weight in toddler (1–3 years). Data were collected by appetite and bodyweight observation and analyzed using paired t-test and independent t-test with significance level ofα ≤ 0.05.Results: Result showed that the giving of curcuma honey had a significant effect to increase toddler’s body weight (p = 0.001).Conclusion: It can be concluded that curcuma honey could increase body weight of toddler by increasing the toddler’s appetite. Honey contains high level of glucose and fructose that can help digestion proccess and curcuma contains curcuminoid and asiri oil that help the work of the bile and pancreas, that made the increasing in apetite and fi nally the increasing in body weight.

Training of Growth Record Changes a Behaviour for Posyandu’s Cadres

Introduction: Most Posyandu’s cadres cannot fill growth record of children correctly due to lack of training. The objective of this study was to explain the effect of training about growth record filling to behaviour changing of Posyandu cadres.Methods: This research used quasy experimental method. The population of this research were all Posyandu cadres. Sample was taken by simple random sampling then 20 respondents divided into treatment group and control group. Independent variable in this research was the training for cadres filling growth record of children and dependent variable was the behaviour changing of Posyandu’s cadres. Data were taken by using the questionnaire and directly the interview to respondent then be analyzed by using Wilcoxon Signed Ranks Test and Mann Whitney U Test, with signi fi cant level α ≤ 0.05.Results: The result showed that training for cadres about filling growth record had significant effect to the cadre’s behaviour (knowledge α = 0.007, attitude α = 0.005, and action α = 0.007). But, it had no signi fi cant effect on control group (knowledge α = 0.157, attitude α = 0.102, action α = 1.00).Conclusion: It can be concluded that training of cadre about filling growth record could change the Posyandu’s cadres behaviour. Public health centers need to conduct training which have compatible content with the standard of Government Health Departement. Further studies should involve larger respondents to obtain more accurate result.

The Development of Nutrition Demand Enquiry Model for Preschool-Aged Children Based on Health Promotion Model

Introduction: Preschool-aged children are not able to manage their nutrition independently. They need help, especially from their mother. Mother's behavior has effect on preschool's nutritional status. The aim of this study was to develop nutrition demand enquiry model for preschool-aged children based on Health Promotion Model.Method: Design used in this research was an observational analytic with cross sectional approach that was conducted in Karangturi Village, Gresik, East Java. The population was mothers of preschool aged children listed on Integrated Health Post for Underfives (Posyandu Balita) along April–May 2012. Simple random sampling was used to take the sample. Sample size was 90 respondents. The independent variables were personal factors  (age, motivation, and ethnicity), perceived benefit, perceived barrier, perceived self-efficacy, and commitment. The dependent variable was mother's behavior on nutrition of preschool children. Data were collected using questionnaire and food recall 24 hour. Data were analyzed using PLS (Partial Least Square) Regression.Result: The result showed that 1) personal factors had correlation with perceived benefit, perceived barrier, and perceived self-efficacy; 2) perceived benefit and perceived barrier had correlation with commitment; 3) commitment had no correlation with mother's behavior on nutrition. Perceived benefit and perceived barrier had direct correlation with mother's behavior on nutrition. Discussion: It can be concluded that mother's perceived benefit and perceived barrier was correlated with mother's behavior on nutrition. Nurses are key health care professionals responsible for increasing health education activities about how to manage nutrition of preschool age children. So, mother should have good behavior on preschool age children's nutrition.

Changing the Personal Hygiene Behavior of Preschool by Reading Stories from Contemporary Books

Introduction: Personal hygiene is an action to maintain a hygiene and body health. This condition must be caring by everyone, because various of desease can happen in lack consequence of hygiene. This study was aimed to investigate the effect of health education with contemporary book story on preschool personal hygiene behaviour (knowledge, attitude, action) at RA Perwanida, Mojokerto.Methods: Design use in this study was Quasy Experimental design. The population had taken from RA Perwanida, Mojokerto, in July 2009, whom deal directly with the preschool parents. Total sample was 22 respondents who met B class in RA Perwanida, Mojokerto. They were divided into 2 groups, treatment and control groups. Data were collected by using questionnaire and observation sheet. Data were analyzed by using Wilcoxon Signed Rank Test with significance level of α ≤ 0.05 and Mann Whitney U Test with signi fi cance level ofα ≤ 0.05.Result: Results revealed the presence of effect in treatment and control groups. In treatment group the level of dependence due to preschool knowledge had signi fi cance level of p = 0.002, while that in control group was p = 1.000, to preschool attitude p = 0.034 in treatment, and p = 0.014 in control group, to preschool action p=0.001, and p = 0.317 in control group.Conclusion: It can be concluded that there are significant influence of health education with contemporary book story on preschool personal hygiene behaviour. Further study should measure qualitation of understanding about personal hygiene behaviour for teacher in RA Perwanida, Mojokerto.

Antenatal Care Services Standart Compliance of Village Midwife in East Java Province

Introduction: The high Maternal Mortality Rate (MMR) require attention to implementing improvement programs and improving maternal health. According to data from East Java Health Offi ce AKI during 2009 were 260/100,000 live births. Indicators of maternal monitoring imple can be seen from figure K1 coverage (visit pregnant women in the first pregnancy) and K4 (contact at least 4 times during pregnancy for antenatal care).Methods: This study was conducted with the observational design of the “cross-sectional”, is a study to learn the dynamics of the correlation between risk factors with effects, with the approach, observation or data collection at once at some point (time point approach).Result: Variable associated with compliance standards of village midwives in implementing the ANC in the province of East Java is the level of knowledge (p) = 0.014 and the infrastructure required to ANC (p) = 0.000. Other variables did not show a significant relationship such as: age (p) = 0.121, status (p) = 0.831, period of employment (p) = 0.147, education (p) = 0.153, training (p) = 0.664, motivation (p) = 0.525, supervision (p) = 0.887, and rewards (p) = 0.663.Discussion: District Health Office/City should do a refresher on antenatal care in midwife needs to be done, since there are those who have a suffi cient level of knowledge and less. Facilities and infrastructure that support the implementation of Antenatal Care (ANC) should be facilitated effectively, to support midwives performance in implementing standards of care Antenatal Care.

Personality Factor, Self Efficacy and Prevention of Cervical Cancer among Childbearing Age Women

Introduction: Cervical cancer is a major cause of morbidity and mortality worldwide. Bad cervical cancer prevention program cause delays in treatment. Thus, leading most of the respondents had cervical cancer in advance stadium. The study aims to determine the correlation of personal factors, self efficacy in the prevention of cervical cancer in women of childbearing age. Methods: The study design was descriptive correlative with cross sectional approach. The population were all women of childbearing age in Puskesmas Kenjeran Surabaya. Samples were 64 respondents gathered by using simple random sampling. The independent variable were the personal factor and self efficacy. The dependent variable was the primary and secondary prevention efforts. Data were analyzed using Spearman's rho test to determine the variables which associated with the prevention of cervical cancer. Results: The results showed the correlation between personal factors and prevention of cervical cancer with p = 0.025 (α ≤ 0.05). While self efficacy had no correlation with the prevention of cervical cancer with p = 0.094 (α ≤ 0.05). Discussion: Personal factors related to the prevention of cervical cancer in women of childbearing age, while self efficacy is not related to the prevention of cervical cancer in women of childbearing age. For the next researcher to use other variables of the theory Health Promotion Model to take steps to prevent cervical cancer.