JURNAL MUTIARA NERS

FACTORS CONTRIBUTED TOWARD STUNTING IN CHILDREN IN INDONESIA

Lina Dewi Anggraeni, Tuti Asrianti Utami, Hany Wihardja — Thu, 20 Feb 2025 00:00:00 +0000

Stunting is a condition of failure to thrive in children under five due to chronic malnutrition, especially in the first 1000 days of Life. Stunting is closely related to the growth and development of the brain and the risk of suffering from chronic diseases in adulthood. Multi-factors that caused stunting include nutrition intake, toddler health status, maternal characteristics, parity, breastfeeding history, and the environment sanitation. This study aimed to identify the factors associated with the incidences of stunting in children under five years. This study was a quantitative study with a cross-sectional approach. This study was conducted from April to October 2019. This study involved 220 toddlers aged 1-5 years with their mothers. Study revealed that number of children were statistically correlated with to the incidence of stunting (p-value 0.005). There were three factors associated with the incidence of stunting in children under five years of age These factors are parity, history of exclusive breastfeeding, and mother's knowledge. The parity factor or the number of children is the most related factor with the incidence of stunting in children (p-value 0.007). Mothers of toddlers must be motivated to provide adequate nutrition in accordance with the needs at the age of growth and development. Government programs to overcome stunting need to start from family planning and the quality of performance of nutrition programs, one of which is intensive nutrition education for pregnant women and mothers of toddlers.

IMPROVEMENT OF PREGNANT WOMEN'S PERCEPTION ON STUNTING PREVENTION THROUGH ISLAMIC-BASED PRENATAL CLASSES

Eka Oktarina Riani, Said Devi Elvin, Eka Warnidar — Thu, 06 Mar 2025 00:00:00 +0000

One of the causes of stunting is the nutritional deficiency of pregnant women. To prevent stunting, pregnant women must be educated about nutrition through prenatal classes. The purpose of this research is to determine the effectiveness of Islamic-based prenatal classes in improving pregnant women's perceptions of stunting prevention. This research is a quasi-experimental study on pregnant women in the Meuraxa District of Banda Aceh. Power analysis is used to determine the sample size, resulting in 64 pregnant women in the intervention group and 64 pregnant women in the control group. The intervention consists of an Islamic-based prenatal class conducted in five sessions, each lasting sixty minutes. The data collection instrument to understand pregnant women's perceptions of stunting prevention was developed by the researcher based on the Health Belief Model (HBM) theory. Data collection was conducted twice, namely before the intervention (pre-test) and after the intervention. (post test). Data analysis used descriptive statistics, namely frequency distribution and non-parametric statistics, namely the Wilcoxon Signed Rank Test and the Mann Whitney U Test to assess the difference in mean scores between the intervention group and the control group. The research results indicated that there are differences in perceptions of pregnant women between the intervention group and the control group regarding the prevention of stunting in children, namely perceptions of vulnerability (P-value = 0.048), perceptions of severity (P-value = 0.015), perceptions of benefits (P-value = 0.048), and perceptions of barriers (P-value = 0.002). Based on the results, the Islamic-based prenatal class program for pregnant women has proven effective in enhancing the perception of pregnant women in preventing stunting in their unborn children as early as possible.

THE RELATIONSHIP BETWEEN SPIRITUALITY AND QUALITY OF LIFE OF PATIENTS WITH CORONARY HEART DISEASE

Rinco Siregar, Taruli Rohana Sinaga, Martalena Simamora, Dedi Santina Simaremare — Fri, 21 Mar 2025 00:00:00 +0000

Background: Patients with Coronary Heart Disease (CHD) tend to have a low Quality of Life

Purpose: This study aims to identify the relationship between spirituality and the QoL of Patients with CHD.

Methods: Descriptive correlational statistics with a cross-sectional design involving inpatients of CHD at the Adventist General Hospital, Medan. There were 89 patients who were selected using a purposive sampling technique. This study used the Daily Spiritual Experience Scale (DSES) and Quality of Life Index (QLI). Spearman Rank Correlation was used to analyze the relationship between the two variables.

Results: The results of this study showed that 56.9% of CHD patients had low spirituality, and 52.8% had poor QoL. There is a significant relationship between spirituality and the QoL of CHD patients (r = -0.533; P = 0.001 <0.05).

Conclusion: CHD patients with low spirituality have poor QoL. It is very important to provide interventions to improve the spirituality of patients with CHD which can ultimately improve their (QoL), which affects the recovery process. Several QoL. literatures note that the need for spirituality plays an important role in recovery in chronic patients.

COMPARISON OF THE EFFECTIVENESS OF SHIATSU MASSAGE THERAPY AND ABDOMINAL STRETCHING EXERCISE ON REDUCING THE LEVEL OF PRIMARY MENSTRUAL PAIN (DYSMENORRHEA) IN ADOLESCENT GIRLS

Roni Rowawi, Hidayat Wijayanegara, Lina Herlina — Thu, 23 Jan 2025 00:00:00 +0000

Background: Menstruation in adolescents is often accompanied by dysmenorrhea, affecting 40–80% and causing discomfort and absenteeism. Non-pharmacological methods like Shiatsu massage and abdominal stretching are effective, safe alternatives to medication.Objective: This study aimed to evaluate the effectiveness of shiatsu massage and abdominal stretching exercises in reducing primary dysmenorrhea among adolescent girls. Methods : A quasi-experimental design with a pre-post test two-group comparison was employed. Sixty-six adolescent girls with primary dysmenorrhea were purposively selected and divided into two groups: one received shiatsu massage therapy, and the other performed abdominal stretching exercises. Data were analyzed using the Wilcoxon and Mann-Whitney tests with a significance level set at p < 0.05. Results : Showed that both interventions significantly reduced menstrual pain (p = 0.000). However, the shiatsu group experienced a greater average pain reduction (2.36 points) compared to the stretching group (1.55 points). Conclusion : The results of this study indicate that shiatsu massage therapy demonstrates a greater effectiveness in alleviating primary menstrual pain, commonly referred to as dysmenorrhea, when compared to abdominal stretching exercises, exhibiting a notable difference of 0.8 points in pain reduction between the two interventions. Suggestion: This intervention can be used in midwifery and healthcare settings, with Shiatsu materials serving as educational tools for adolescents on dysmenorrhea and reproductive health.

PRE-REFERRAL PROGRAM DEVELOPMENT

Leri Septiani, Hidayat Wijayanegara, Lina Herlina — Thu, 23 Jan 2025 00:00:00 +0000

Background: Indonesia's healthcare system is designed with tiered referrals, involving primary, secondary, and tertiary services that work synergistically to provide optimal care. The pre-referral stage is an important element in this system, where patients receive initial treatment at primary health facilities before being referred to higher levels. This stage aims to ensure proper initial care as well as quick and effective referrals according to the patient's condition. However, the implementation of pre-referral programs often faces obstacles such as limited primary health facilities, lack of coordination between facilities, and difficulty accessing supporting information technology. Objective: to analyze the development of a pre-referral program to improve the effectiveness of patient referrals. Research method: Participatory Action Research (PAR) approach, involving Community Health Center and hospitals under the coordination of the Subang Health Office for six months (November 2023-April 2024). The sample consisted of three Community Health Center and five hospitals selected based on their capacity to handle obstetric cases. Data were collected through a Likert scale questionnaire to measure the feasibility of pre-referral media. Results: The results showed that the pre-referral back sheet had high validity (99.6%) and could be used. Interviews revealed problems such as delays in the referral process due to incomplete medical information and inconsistent documentation standards. Conclusion: The importance of periodic evaluation of this program to ensure its sustainability and effectiveness is emphasized. Health worker feedback as well as evaluation of patient care outcomes should be used for continuous improvement in the obstetric referral system.