Background: Parents often experience anxiety when seeing their children having febrile convulsion. It may be due to lack of knowledge about febrile seizure and the way of handling it.Objective: This study aims to analyze the education package of febrile convulsion and its effect on mother’s anxiety.Methods: This was a quasi-experimental study with pretest posttest with control group design. Eighty-one participants were selected, which randomly assigned to be two groups that 41 participants in control group and 40 participants in intervention group. Anxiety was measured using State Anxiety Inventory in Indonesian version. Data were collected from March to Mei, 2017. Data were analyzed using Wilcoxon-test.Results: The results showed that the mean of anxiety level in the intervention group before intervention was 77.40 and decreased to 35.78 after intervention, while the mean of anxiety level in the control group was 68.17 before intervention and and decreased slightly to 64.17 after intervention. The p-value of the difference between control and intervention group was 0.001 (<0.05). Conclusion: There was a significant effect of education package about febrile convulsion on mother's anxiety level. It is suggested that febrile convulsion educational package can be used as an alternative therapy to reduce anxiety levels among mothers.
Fractures cause physiological disturbances, one of which is pain. Pain in fracture patients is caused by muscle spasms. Cold compression is the easiest method to reduce pain. This study identifies cold compresses’ effect in reducing closed fracture patients by finding research articles from Google Scholar. Keywords for the search include “closed fracture”, “pain intensity”, and “cold compress”, published in 2011-2020. Three articles were analyzed. The results showed that 57 total respondents were male (68.09%) and female (31.91%). Before the intervention was 6.72, pain intensity dropped to 3.50 after the intervention with a p-value <0.01. This Literature Review concludes that cold compress therapy is effective in reducing pain among closed fracture patients. Nurses are expected to apply cold compress therapy as an intervention to reduce pain in fracture patients.Keywords: cold compress; pain intensity; closed fracture; AbstrakFraktur merupakan ancaman potensial maupun aktual terhadap integritas seseorang, sehingga akan mengalami gangguan fisiologis salah satunya respon berupa nyeri. Nyeri pada pasien fraktur disebabkan karena spasme otot. Upaya menurunkan nyeri pada pasien fraktur tertutup dengan cara memberikan terapi kompres dingin. Tujuan dari penulisan ini untuk menggambarkan pengaruh pemberian kompres dingin terhadap nyeri pasien fraktur tertutup. Desain karya tulis ini berupa Literature Review dengan jumlah tiga artikel yang diambil dari laman google scholar dengan kata kunci “fraktur tertutup”, “intensitas nyeri”, dan “kompres dingin”, terbit tahun 2011-2020. Hasil analisa karakteristik responden dari ketiga artikel menunjukkan jumlah responden 57 pasien, sebagian besar laki-laki (68,09%) sedangkan perempuan (31,91%). Nilai rata-rata nyeri sebelum intervensi 6,72 setelah intervensi 3,50 dengan p-value 0,000. Simpulan dari Literature Review ini adalah terapi kompres dingin efektif dalam menurunkan tingkat nyeri pasien fraktur tertutup. Saran bagi perawat diharapkan dapat menerapkan terapi kompres dingin sebagai salah satu intervensi untuk menurunkan nyeri pasien fraktur.Kata kunci:kompres dingin; intensitas nyeri; fraktur tertutup;
Kegagalan menyusui eksklusif di masih menjadi fenomena di masyarakat. Di Kabupaten Pekalongan tahun 2015 cakupan ASI eksklusif sebesar 30,3%. Angka tersebut mengindikasikan sebagian besar ibu gagal memberikan ASI eksklusif. Penelitian ini bertujuan untuk mengetahui faktor prediktif yang berhubungan dengan kegagalan menyusui eksklusif. Metoda penelitian menggunakan metoda deskriptif dengan pendekatan cross sectional. Pengambilan sampel dengan cara cluster random sampling. Dari 10 kelurahan yang mewakili seluruh wilayah kerja puskesmas Buaran Pekalongan diambil sampel sebanyak 4 kelurahan. Sampel penelitian adalah ibu yang mempunyai anak usia di atas 6-12 bulan sejumlah 151 responden. Instrumen penelitian menggunakan kuesioner dari penelitian Isyti'aroh, Setyowati dan Afifah (2013) dan sudah dilakukan uji validitas dan reliabilitas dengan hasil valid dan reliabel. Hasil penelitian menunjukkan 106 gagal menyusui eksklusif dan 45 berhasil menyusui eksklusif. Karakteristik responden 108 multiparitas, riwayat ANC teratur 150, 131 persalinannya pervagina, 141 sudah terpapar, 147 menerima peran sebagai ibu, 150 mendapatkan dukungan keluarga, 146 tidak mempunyai asisten rumah tangga sebesar, 107 tidak bekerja, 96 pengetahuan rendah, 110 mempercayai mitos negatif tentang ASI. Faktor yang berhubungan dengan kegagalan menyusui eksklusif adalah pengetahuan yang rendah (p= 0,001; 95% CI 0,061-0,288) dan mitos yang tidak benar tentang ASI dan menyusui (p= 0,0001; 95% CI 0,124-0,569). Faktor yang paling berhubungan adalah pengetahuan. Saran bagi perawat agar melakukan edukasi secara intensif tentang ASI dan menyusui eksklusif pada saat ibu melakukan ante natal care.
Family support is needed to help mothers breastfeed their babies, but family knowledge about lactation management is lacking. Sufficient knowledge is needed in the family so that they can help mothers in breastfeeding. This study aims to analyze the effectiveness of lactation management education packages for family support for mothers in breastfeeding. Quasi-experimental research method with a post test control group design. The place of research was in the Buaran and Puskesmas Wonokerto 2 work areas with the 3rd trimester primigravida respondents. Mothers whose milk did not come out and the baby died was excluded. The sampling technique uses multistage sampling. Interventions in the form of lactation management education for mothers and families every month 3 times during pregnancy in the third trimester. Statistical test using independent t test. The results showed an average family support in the control group 61.43 (55-78) and in the intervention group 68.10 (46-76) with a p value of 0.001 in 95% CI. The conclusion is the effect of giving lactation management education to family support for mothers in giving breast milk. Advice for health workers is expected to further improve lactation management education activities in families of pregnant women. Keywords: education, family support, , lactation management.
Fever is a condition where body temperature exceeds normal limit, caused by an increase in the temperature-regulating center in the hypothalamus. Warm compress is an easy way to lower body temperature. This type of compress involves a clean cloth soaked in warm water, which is applied to the skin. The purpose of this case study is to evaluate a warm compress method in reducing fever. Two preschool-aged children with fever were treated by warm compresses. The results of this case study showed that the first and second patients experienced a decrease in body temperature after warm compresses. Body temperature for the first patient was 39ºC and dropped to normal (37ºC). meanwhile, the second patient temperature was 38,7ºC dropped to 36,5ºC. The conclusion of this study is warm compress can reduce body temperature in children with fever. Nurses or patients may be albe to apply warm compresses as a first ald in reducing fever.Keywords: Preschool Age Children, Fever, Warm Compress AbstrakDemam adalah kondisi suhu tubuh melebihi batas normal yang diakibatkan oleh meningkatnya pusat pengatur suhu di hipotalamus. Salah satu tindakan untuk menurunkan suhu tubuh anak yaitu dengan kompres hangat. Kompres adalah pemeliharaan suhu tubuh dengan menggunakan cairan atau alat yang dapat menimbulkan hangat atau dingin pada bagian tubuh. Tujuan dilakukan penerapan ini untuk mengambarkan penerapan kompres hangat terhadap penurunan suhu tubuh anak demam usia prasekolah. Metode yang digunakan dalam studi kasus ini adalah penelitian deskriptif dengan subyek dua pasien anak usia prasekolah yang mengalami demam. Hasil dari studi kasus ini menunjukan bahwa klien pertama dan kedua mengalami penurunan suhu tubuh setelah dilakukan kompres hangat, pada kasus 1 suhu awal 39ºC setelah dilakukan kompres hangat suhu menjadi 37,1ºC, sedangkan pada kasus 2 dengan suhu awal 38,7ºC setelah dilakukan kompres hangat suhu menjadi 36,5ºC. Kesimpulannya adalah pemberian kompres hangat dapat menurunkan suhu tubuh pada anak dengan demam. Saran bagi perawat dan orangtua untuk dapat menerapkan kompres hangat sebagai alternatif menurunkan suhu tubuh anak dengan demam.Kata kunci: Anak Usia Prasekolah, Demam, Kompres Hangat
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