THE 1ST INTERNATIONAL CONFERENCE IKATAN PERAWAT MATERNITAS EAST JAVA 2017 (ICH_IPEMI)
“INTERDICIPLINARY
INNOVATION AND
INTERVENTION IN HEALTH TO ACHIEVE THE SUISTINABLE DEVELOPMENT GOAL (SDG)”
26-27 AGUSTUS 2017 The ICH_IPEMI Committee 2017
i
EDITORIAL
Advisors: Prof. Dra. Setyowati, S.Kp.,M.App.Sc., Ph.D., DBO., RN
Organizing Committee : 1. 2. 3. 4.
Dr.(C) DhianaSetyorini. M.Kep.Sp.Mat. Dr.HilmiYumni, M.Kep., Sp.Mat EndahSuprihatin, M.kep., Sp.Mat‟ Ns. AwatifulAzza, M.kep., Sp.Kep.Mat
Editor in Chief: Dr. RatnaH.S.Kep.M.Kep.Sp.Mat.
Editor Member: 1. Dr. Asti M.A.M.Kep.Sp.Mat 2. Dr. NoerSaudah, M.kes 3. DiyanIndriyani, M.Kep., Sp.Mat
ii
COMMITTEE’S WELCOME Greetings for all conference attendees and welcome to the 1 st International Conference of Health_ IkatanPerawatMaternitas Indonesia JawaTimur(ICH_IPEMI East Java) 2017. We hope you all have a wonderful, inspiring conference and are able to take great ideas back to your individual programs. At the end of the era of rolling era MDGs and Sustainable Development Goals (SDGs) since early 2015, still leaving overall homework has not achieved the MDG targets, so it needs a tougher effort in this SDGs era. SDGs universally applicable, not only for developed countries and developing countries but also the low-income countries. To ensure the goals that have been set can be achieved in 2030, required the commitment and hard work of all parties, including the government, parliament, civil society, private sector, and academia. Academia sector involvement is also very important to succeed in achieving the SDGs. Universities and research institutions needed contribution to research and develop monitoring tools, especially in sectors that are lagging behind and has not been achieved such as gender equality, food, water resources, sanitation, health, maternal mortality, poverty, and education. Therefore by gathering and interesting each of attendees here can tighten our bond as academia, researcher and professional in order to increase the spirit of research and study. Finally, we would ask you all to become more involved in this conference. Your unique talents, expertise and ideas are welcomed and appreciated. Please enjoy the conference and hopefully we can get a new knowledge and friend through this outstanding conference.
Thank you, ICH_IPEMI 2017 Committee
iii
CONTENT Cover
i
Editorial
ii
Committee‟s welome
iii
Content
iv
1 2
Older First Time Mothers May Have Increase Chances Of Living Longer Rose Nanju, Senior Lecturer, University Malaysia Sarawak Anemia In Pregnant Women Based On Transcultural Nursing Retnayu Pradanie, Esti Yunitasari, Siti Fatonah
3
4
5
6
7
8
9
10
11
12
13
14
Entrepreneurship Training As A Career To Develop Health Worker Efforts To Be Entrepreneurship Siti Maryati, Budi Punjastuti, Iswanti Purwaningsih Vulva hygiene Using Piper Betel Leaves To Accelerate Abnormal Vaginal Discharge Healing In Adolescent In Spmaa Fondation Lamongan, Diah Eko Martini Family-based Maternal Sensitivity Models (MSM) Application in Young Mothers in Rural Area toward Parent‟s Role Perceptions and How to Know Health-Sick Condition in Infants Diyan Indriyani*, Susi Wahyuning Asih** Implementation of Project Based Learning method (PjBL) to improve students' ability and community participation in HIV prevention Mira Triharini, Purwaningsih, Nuzul Qur‟aniati Effect Of Health Promotion Based on The Theory Pender To Mother‟s Behavior on The Prevention of Anemia In Children Linda Ishariani Effect Of Green Bay Extract On Hemoglobin Content On Pregnant Woman Noer Saudah, Siti Indatul, Julipa Nuriyana Care Patterns In Under Five Children Nutrition By Mother Of Positive Deviance Tri Ratnaningsih, Chatarina Umbul W, Hari Basuki, Anis Catur Effect Compress Ginger Is Warm To Change Intensity Of Joint Pain In The Elderly In Panti Werdha Mojopahit Mojokerto Abdilla Wahab, Noer Saudah,Amar Akbar, Muhammad Eko Setyo The Influence of Papaya Juice to Blood Pressure Changes of Menopause with Hypertension Dessy Lutfiasari Correlation Of Nutritional Status With Blood Sugar At Diabetes Mellitus Ambar Asnaningsih, Noer Saudah, Siti Indatul, Novia Budiarti The Effect Of Logo Therapy And Benson Relaxation On Cervical Cancer Patients Anxiety Atun Raudotul Ma‟rifah, Martyarini Budi Setyowati, Ririn Isma Sundari, Social Support And Exclusive Bresfeeding In Work Area Of Health Center Of Sreseh Sampang Madura Esti Yunitasari, Nur Amilia, Hanik Endang, Andri Setiya
1 2 14
22
30
39
44
55
62
74
81
88
106
107 iv
15
16
17
18
19
20
The Effects Of Social Group Dinamics Toward The Nutrient Status Of Children In 1-3 Years Old In Kediri City Susiani Endarwati, Siti Komariyah The Trigger Type In The Implementation Of Cervical Cancer Early Detection Through Inspection Method Of Acetic Acid Visual (Iva) In Kediri Eko Winarti, Budi Santoso, Suhatno, Rachmad Hargono The Effects of Brain Gym towards Creativity among Preschool Children in Kindergarten, Mojoroto Sub-District, Kediri City Ifana Anugraheni, Fatma S. Ruffaida, Sri Haryuni The Influence of the Deep Back Massage on the Intensity of Labor Pain to Maternal in the First Active Phase at the Aura Syifa Hospital, Kediri 2017 Siti Aminah, Dessy Lutfisari The Influence Model Of Communication, Information And Education In The Family (Cief) On Ability To Inside Early Detection And Handling Of Emergency In Pregnancy (Preeclampsia) In Darungan Village, Pare, Kediri Regency Ratna Hidayati The Influence Of Combination Murottal Holy Quran And Deep Breath Relaxation To Faced Anxiety A Labor, Fauzia Laili
108
109
110
111
115
120
DISCUSSION CONCLUSIONS AND SUGGESTIONS REFERENCES
v
OLDER FIRST TIME MOTHERS MAY HAVE INCREASE CHANCES OF LIVING LONGER ABSTRACT Rose Nanju, Senior Lecturer, University Malaysia Sarawak Email :
[email protected] Pregnancy and child birth are normal physiological processes but health and age of mothers are crucial in determining the outcome. Elderly primigravida means first time mother, aged above 35 years old. The risk factors are complications during pregnancy, labour, puerperium and baby. Today‟s women life style changed in pursuit of higher education, entering into the work forces and heading for career advancement outside their homes. This inevitably leads to postponement of child bearing. With extensive academic attainment, women are matured, knowledgeable, having career and financial freedom. They are mentally flexible, more tolerant of others, thrive better emotionally and psychologically, so they do not abuse their children. The parenting style can contribute to a positive psychosocial environment which affects the children's upbringing. Older mothers tend to have more thought-through pregnancies in stable relationships, a better education and greater access to material resources and are more health conscious. However, elderly women are at high risks of several complications including instrumental deliveries due to mal presentation, mal-positions and prolonged labor. They also have increased risk of caesarean section related to obstetric complications related to impaired joint mobility, inelasticity of the soft tissues of the birth canal. Induction of labor incidences increases due to pregnancy induced hypertension, diabetes mellitus and other complication. Intrapartum dangers are PPH and shoulder dystocia. Oligohydramnios, breach and transverse lie, IUGR and low birth weight were found significantly more in elderly primigravida. They also have an increased risk for prematurity, preeclampsia and perinatal mortality. Therefore, they should be well informed and given good antenatal care especially in the third trimester. Years ago, when interventions were not as freely available, women may never have thought twice about having babies at older age. Nowadays with medical advances and published materials and other resources in medicine, women are more informed and well prepared for eventualities. Life expectancy of women are now longer than they used to be and are choosing to live healthier lifestyles which is conducive to maturely having and raising babies. So as trends in women's health and education evolve, the perceived biological risks are outweighed by the social benefits of older aged motherhood. Keyword: Elderly primi, malposition, inelasticity of soft tissues, caesarean section, medical technology.
6
ANEMIA IN PREGNANT WOMEN BASED ON TRANSCULTURAL NURSING Retnayu Pradanie, Esti Yunitasari, Siti Fatonah Faculty of Nursing, Universitas Airlangga Kampus C Jl Mulyorejo Surabaya, Telp. 031 5913754 Email:
[email protected] ABSTRACT: Anemia is one of main health problem in the world. The prevalence is very high in reproductive age women, especially during pregnancy. The design of the study was descriptive analytic with cross-sectional approach. The population was pregnant woman trimester of 1 and 2. The 39 sample respondents were chosen by simple random sampling. The independent variables in this study were technological factor, family‟s support, cultural values and lifeways, economic factor, and knowledge. The dependent variable was anemia in pregnant women. The data were collected by using questionnaire and analyzed by using chi square test with a degree of significance α < 0.05. The results showed a correlation between technological factor (p = 0.045), family‟s support (p = 0.047), and knowledge (p = 0.006) with anaemia in pregnant women. The cultural value and lifeways (p = 0.092) and economic factor (p = 0.253) does not affect the pregnant women. Some factors in transcultural nursing have a correlation with anemia in pregnant women. Further research was suggested to using qualitative methods or observation and decrease anemia in pregnancy with an effective health education. Keywords: anemia, pregnant women, transcultural nursing
INTRODUCTION Anemia affects half a billion women at reproductive age in the world and most of them are in Asia and Africa (WHO). Anemia 29% attacks in nonpregnant women and 38% in pregnant women in the world (WHO, 2011). Based on the results of Basic Health Research (Riskesdas) in 2013, the prevalence of anemia in pregnant women in Indonesia reached 37.1%. The result of research of PT. Merck Tbk. In East Java in 2010 data obtained anemia in pregnant women is high enough, 33%. According to a report by Radar Madura (2016), Bangkalan City Health Office stated that anemia in pregnant women is the biggest cause of maternal death after preeclampsia and eclampsia. Socah Sub-district was ranked the top of anemia in pregnant woman in Bangkalan District. According to the integrated ANC data 2015 at Socah Health Center, as many as 52.3% of pregnant women have anemia. The incidence of anemia in pregnant women is associated with the fulfillment of nutrition during pregnancy. However, in some conditions, these nutritional needs can not be fulfilled because there are certain beliefs and restrictions on some foods needed by pregnant women (Hannan, et al., 2012). Culture is one of the factors that influence daily habits and actions that can increase health risks (Riegelman & Kirkwood, 2015). Munawara, Yasak, & Dewi (2015) explained that the tribe of Madura is still famous
7
with a strong community with the culture and customs of the ancestors. Therefore, a problem analysis with a cultural approach is required. Based on the above description, this study will analyze the incidence of anemia in pregnant women based on Transcultural Nursing theory with the aim to analyze any factors related to anemia in pregnant women in Socah Community Health Center work area. LITERATURE REVIEW Transcultural nursing theory is a theory that discusses the tricks in managing healthy behavior of individuals and societies based on culture. This theory assumes that culture-based care needs to consider the values, beliefs, norms, and worldviews learned and derived by individuals and communities to maintain their well-being and health (Leininger, 2002). The conceptual model that Leininger (1988) describes in describing nursing care based on culture is illustrated by the form of sunrise or sunrise model. There are seven components in the sunrise model, namely technological factors, religions and philosophical factors, kindness and social factors, cultural values and lifeways, political and legal factors, economical factors, and educational factors. These factors can be used to identify individual and community health behaviors, where the nurse's interventions may include three things: 1) cultural care preservation / maintenance, if the client culture does not conflict with health behavior; 2) cultural care accommodation / negotiation, if found that the client's health culture is less profitable and there are other cultures that are more profitable and need to be taught to clients to improve their health behavior; 3) cultural care repaterning / reconstruction, if the client culture is detrimental to the client's health so it needs to be replaced with a more healthy new culture (Leininger, 2002). According to The Global Library of Women's Medicine (GLOWN) anemia in pregnant women is the state of pregnant women with blood hemoglobin levels of less than 11 gr% in venous blood vessels. The magnitude of the incidence of anemia in pregnant women in the first trimester is 20%, whereas in the trimester II and III respectively 70% (Cunningham & F, 2001). This is because in the first trimester of pregnancy iron is needed a little and the growth of the fetus is still slow. While in the second trimester to III female blood volume increased to 35%. In pregnancy will occur hydremia or hipervolemia, namely the addition of blood volume. However, the addition of blood plasma volume is not accompanied by the addition of red blood cells, resulting in blood dilution. An increase in the amount of blood volume in pregnancy has begun at 10 weeks of gestation and peaked at 32 and 36 weeks' gestation. Physiologically, this blood dilution occurs to compensate for the more severe heart work during pregnancy (Hanifa, 2002). Haematological changes in pregnancy occur because of increased circulation to the placenta and breast growth. Increased blood plasma increased by 4565% starting in the second trimester of pregnancy and maximum in the ninth month (Prawirohardjo, 2002).
8
METHOD Research Approach The research method used descriptive analytic design with cross sectional approach. Participant The population in this study are trimester II and III pregnant women who do antenatal care (ANC) in Socah work area of Public Health Center from January to June of 2016. There are 43 people. A sample size of 39 persons corresponding to the inclusion and exclusion criteria. This research using simple random sampling. Inclusion criteria are pregnant women who live with family (husband, parents, or other family members). Exclusion criteria of pregnant women who have a history of anemia before pregnancy and chronic diseases associated with decreased hemoglobin levels Data Collection The study was conducted on 10-14 July 2016. Independent variables of research are technology, family support, cultural values and lifestyle, economy, and knowledge. Dependent variable of research is the incidence of anemia in pregnant mother. The instruments used questionnaire to identify factor of technology, family support, cultural and lifestyle, economic, and knowledge. Data Analysis Data were analyzed using chi square statistic test with degree of significance p