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All Journal NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Jurnal Keperawatan Indonesia JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Belitung Nursing Journal JMM (Jurnal Masyarakat Mandiri) Jurnal Ilmu Keperawatan Anak JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) Community Empowerment Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Teknologi Kesehatan Jurnal Ilmu Kesehatan Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing)

Dyah Dwi Astuti

Poltekkes Kemenkes Surakarta

Author-ID : 1123347

Arts Humanities Civil Engineering, Building, Construction & Architecture Dentistry Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Sleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding Intolerance Dyah Dwi Astuti; Yeni Rustina; Fajar Tri Waluyanti
NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan Vol 4, No 1 (2018): Juni
Publisher : Fakultas Ilmu Keperawatan Universitas Islam Sultan Agung, Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/nurscope.4.1.10-17

Introduction: Enteral feeding intolerance is a common problem in low birth weight infants. This study aimed to analyze the effects of sleep positioning on low birth weight infants on the occurrence of enteral feeding intolerance. Methodology: This quasi experiment was applied on 20 low birth weight infants with a purposive sampling technique. The infants were grouped into control and intervention. Infants in the control group were given intervention with routine procedures; while those in the intervention group were performed prone sleep positioning after enteral feeding with the head of the bed elevated 30 degrees during the enteral feeding. Results: Independent t-test and Fisher’s Exact Test analysis showed that sleep positioning could decrease desaturation event (p value = 0.011), abdominal distension (p value = 0.017), and frequency of vomiting (p value = 0.035). Discussion: Nurses can make sleep positioning as standard operating procedures in low birth weight infants who have enteral feeding intolerance

“Empeng” Efektif Menurunkan Nyeri Bayi saat Pengambilan Darah Vena Dyah Dwi Astuti; Yeni Rustina; Fajar Tri Waluyanti
Jurnal Keperawatan Indonesia Vol 19, No 2 (2016): July
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i2.460

Prosedur pengambilan darah vena dapat menimbulkan nyeri pada bayi berat lahir rendah. Penelitian ini bertujuan mengidentifikasi perbedaan tingkat nyeri selama pengambilan darah vena setelah dilakukan perawatan metode kanguru dan pemberian empeng. Desain penelitian adalah eksperimen acak terkontrol pada 21 bayi berat lahir rendah dengan teknik consecutive sampling. Penilaian respons nyeri menggunakan instrumen Premature Infant Pain Profile. Hasil analisis uji t independen menunjukkan bahwa terdapat perbedaan bermakna rerata respons nyeri pada kelompok perawatan metode Kanguru (rerata= 8,94) dan pemberian empeng (rerata= 5,08) (p= 0,005). Pemberian empeng pada bayi berat lahir rendah dapat dijadikan sebagai intervensi keperawatan dalam asuhan atraumatik saat prosedur invasif minor. Abstract"Pacifier" effective to reduce pain in babies undergoing venous blood sampling. Venous blood sampling is a procedure which causes pain on low birth weight infants. This study aimed to identify the comparison of pain response between the infants that received Kangaroo Mother Care and the other group who used pacifier for during venous blood sample collection. The research design was randomized controlled trial on 21 low birth weight infants with consecutive sampling. Pain response was assessed by Premature Infant Pain Profile instrument. Independent t-test analysis showed that there were significant differences in mean pain response between Kangaroo Mother Care group (mean = 8,94) and pacifier group (mean= 5,08) (p= 0,005). Pacifier could be used as a nursing intervention in a traumatic care with minor painful procedure in low birth weight infants. Keywords: low birth weight infants, Kangaroo Mother Care, pacifier, pain response, venous blood collection

PEMBERDAYAAN MASYARAKAT DALAM RANGKA STOP GENERASI STUNTING Dyah Dwi Astuti; Rita Benya Adriani; Tri Widyastuti Handayani
JMM (Jurnal Masyarakat Mandiri) Vol 4, No 2 (2020): JUNI
Publisher : Universitas Muhammadiyah Mataram

Abstrak: Stunting merupakan masalah kesehatan prioritas yang menggambarkan kekurangan gizi kronis terutama pada 1000 hari pertama kehidupan. Tujuan kegiatan pengabdian masyarakat adalah mensosialisasi kepada masyarakat tentang program pemerintah stop generasi stunting pada anak, meningkatkan pengetahuan masyarakat tentang pencegahan dan penanganan terjadinya stunting pada anak, serta meningkatkan kemampuan masyarakat dalam melakukan skrining terjadinya stunting pada anak. Metode kegiatan dilakukan dengan memberikan pendidikan kesehatan dengan menerapkan teori keperawatan Nola J. Pender tentang Health Promotion Model. Evaluasi pengetahuan dilakukan dengan memberikan 10 pertanyaan tentang pengertian, penyebab, faktor risiko, dampak, dan pencegahan stunting pada anak. Hasil evaluasi menunjukkan peningkatan nilai rata-rata sebelum sebesar 60,5 menjadi 80,5. Hasil kegiatan menunjukkan bahwa kegiatan pengabdian masyarakat diperlukan untuk mensosialisasi kepada masyarakat tentang program pemerintah stop generasi stunting pada anak dengan meningkatkan peran serta kader dan masyarakat dalam skrining terjadinya stunting pada anak. Rekomendasi dari kegiatan ini adalah meningkatkan peran serta kader dan masyarakat dalam pemantauan tumbuh kembang anak secara rutin untuk mendukung program stop generasi stunting terutama pada 1000 hari pertama kehidupan.Abstract: Stunting is a priority health problem that describes chronic malnutrition, especially in the first 1000 days of life. The purpose of community service activities is to socialize to the public about the government stop stunting generation program for children and to increase public knowledge about the prevention and handling of stunting in children, and improve the community's ability to screen for stunting in children. The method of activity was carried out by providing health education by applying Nola J. Pender's nursing theory about the Health Promotion Model. Knowledge was evaluated with ten questions about understanding, causes, risk factors, impacts, and stunting prevention in children. The evaluation shows an increase in the average value before 60,5-80,5. The results of the activities show that community service activities are needed to socialize to the public about the government stop stunting generation program for children by increasing the participation of cadres and the community in screening for the occurrence of stunting in children. The recommendation from this activity is to increase the involvement of cadres and the community in monitoring children's growth and development routinely and to support the stop generation stunting program primarily in the first 1000 days of life

Analisis Faktor Fetus dan Tali Pusat terhadap Risiko Asphyxia Perinatal di Surakarta Siti Lestari; Dyah Dwi Astuti; Fachriza Malika Ramadhani
Jurnal Ilmu Keperawatan Anak Vol. 3 No. 1 (2020): Mei 2020
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32584/jika.v3i1.521

Asfiksia perinatal merujuk pada kekurangan oksigen selama persalinan, sehingga berpotensi menyebabkan kematian dan kecacatan. WHO memperkirakan 4 juta anak terlahir dengan asfiksia setiap tahun, dimana 1 juta di antaranya meninggal dan 1 juta anak bertahan hidup dengan gejala sisa neurologis yang parah. Penelitian ini bertujuan untuk menganalisis faktor risiko fetal dan tali pusat pada asfiksia neonatal.Penelitian dilakukan di lakukan di RS Dr Moewardi Surakarta dengan pendekatan quantitative retrospective case control study. Data diambil dari rekam medis antara tahun 2013-2018. Penelitan ini melibatkan 264 neonatal yang terdiri dari 88 kelompok kasus dan 176 kelompok control. Kelompok kasus adalah bayi dengan diagnosa asfiksia yang dilakukan analisis terhadap faktor risiko fetal, sedangkan bayi yang tidak mengalami asfiksia dijadikan kelompok kontrol. Hasil analisis statistik uji Chi-Square dan Fisher Exact ditemukan bahwa kelahiran prematur (OR 2,07 CI 95% P 0,02), persalinan dengan tindakan (OR 3,61 CI 95% P 0,00), berat bayi (OR 2,85 CI 95% P 0,00), posisi janin (OR 2,37 CI 95% P 0,05), tali pusat ( QR 3,071 CI 95% P 0,01) berisiko terhadap insiden asfiksia perinatal. Air ketuban yang bercampur meconium (OR 1,51 CI 95% P 0,16) tidak memiliki risiko dengan Asfiksia perinatal. Kesimpulan: Risiko terhadap insiden asfiksia perinatal meliputi kelahiran prematur, persalinan dengan tindakan, berat bayi, posisi janin, dan tali pusat.Perinatal asphyxia refers to a lack of oxygen during labor, which has the potential to cause death and disability. WHO estimates 4 million children born with asphyxia each year, in which 1 million dies and 1 million survive with severe neurological sequelae. This study aims to analyze fetal and umbilical risk factors in neonatal asphyxia.This research is a quantitative retrospective case-control study, which was conducted at The Dr. Moewardi hospital, Surakarta. Data was taken from medical records from 2013-2018. The case group was patients diagnosed asphyxia, while those who did not experience asphyxia were treated as a control group. A total of 264 samples, consisting of 88 case group respondents and 176 control group respondents. Statistical analysis Chi- Square and Fisher Exact found that preterm birth (OR 2.07 CI 95% P 0.02), labor with instrument or complication (OR 3.61 CI 95% P 0.00), infant weight (OR 2.85 CI 95% P 0, 00), fetal position (OR 2.37 CI 95% P 0.05), umbilical cord (QR 3.071 CI 95% P 0.01) are at risk for the incidence of perinatal Asphyxia. The amniotic fluid mixed with meconium (OR 1.51 CI 95% P 0.16) has no risk with perinatal asphyxia.The risk factors of incidences of perinatal asphyxia were preterm birth, labor with instrument or complication, baby weight, fetal position and umbilical cord.

Stop Tuberkulosis Melalui Pendekatan Model Information Motivation and Behavioral Skills (IMB) Rita Benya Adriani; Dyah Dwi Astuti; Tri Widyastuti Handayani
JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) VOL. 4 NOMOR 2 SEPTEMBER 2020 JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat)
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Tuberkulosis merupakan masalah kesehatan global terutama yang terjadi di negara berkembang dan dapat menyebabkan kematian. Penatalaksanaan tuberkulosis di Indonesia mengalami kendala antara lain kegagalan pengobatan dan stigma negatif. Kegiatan pengabdian masyarakat ini bertujuan untuk melakukan deteksi dini, serta meningkatkan pengetahuan, sikap, dan ketrampilan dalam pencegahan penularan tuberkulosis dengan melibatkan kader kesehatan, tokoh masyarakat, dan puskesmas pembina wilayah. Kegiatan pengabdian masyarakat dilakukan dengan pemberian pendidikan kesehatan melalui pendekatan model information, motivation, and behavioral skills berdasarkan hasil evidence based practice. Deteksi dini menunjukkan bahwa terdapat 2 orang (4,7%) yang mengalami gejala utama tuberkulosis yaitu batuk berdahak 2 minggu atau lebih. Gejala tambahan yang paling sering dialami berupa penurunan berat badan dijumpai sebanyak 8 orang (18,6%). Mayoritas masyarakat mempunyai information, motivation, and behavioral skills yang positif setelah kegiatan pengabdian masyarakat. Kegiatan pengabdian masyarakat dapat meningkatkan pengetahuan, sikap, dan ketrampilan dalam pencegahan tuberkulosis. Rekomendasi kegiatan ini adalah untuk melaksanakan kegiatan pengabdian masyarakat secara berkelanjutan dengan melibatkan stakeholder terkait dan pendekatan model information, motivation, and behavioral skills.

Aplikasi Health Belief Model Pada Penanganan Kegawatdaruratan Anak Dengan Kejang Demam Di Rumah Tri Widyastuti Handayani; Dyah Dwi Astuti; Duwi Pudji Astuti
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 2 Nomor 1 Tahun 2021
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v2i1.51

Background: A febrile seizure have negative impacts for children and parents if mismanagement. A febrile seizure in children of disorder causing fear of cognitive development and achievement in their school as increase the risk of attention deficit hyperactifity disorder (ADHD). The purpose of this community service activity is to improve knowledge and skills on the emergency management of fever-convulsed children at home with the Health Belief Model approach. Methods: Community service activities are conducted through education and small group discussions are created by facilitators. Results: The result of this community service activities showed the increased the value of test weighted pre (65) and post (80). Increased knowledge parents as first responder in children with febrile seizure are needed to increade the ability home emergency first aid for children having a febrile seizure. Conclusion: Community service activities was applied the evidence based practice of health belief model in home emergency first aid for children having a febrile seizure.

OPTIMALISASI PERAN ORANG TUA DALAM PEMBENTUKAN PERILAKU PENCEGAHAN TRANSMISI COVID-19 PADA ANAK USIA SEKOLAH Duwi Pudji Astuti; Dyah Dwi Astuti
JMM (Jurnal Masyarakat Mandiri) Vol 6, No 3 (2022): Juni
Publisher : Universitas Muhammadiyah Mataram

Abstrak: Kebijakan kesehatan pada pandemi COVID-19 berdampak baik secara fisik dan psikologis pada anak terutama pada anak usia sekolah. Orang tua adalah garda pertama dalam membentuk perilaku anak sekolah dalam pencegahan Covid-19. Peran orang tua dalam memberikan informasi yang tepat selama masa pandemi Covid-19 ini akan menentukan tingkat kecemasan yang dialami oleh anak. Kegiatan pengabdian masyarakat dalam rangka peningkatan peran orang tua dalam perilaku pencegahan transmisi Covid-19 pada anak usia sekolah dilakukan melalui empat tahapan, yaitu tahap persiapan, pelaksanaan evaluasi dan rencana tindak lanjut. Metode yang digunakan adalah ceramah dan diskusi dengan mitra kegiatan ini berjumlah enam orang yang terdiri dari kader kesehatan, serta orang tua yang memiliki anak usia sekolah. Evaluasi dilakukan dengan pengisian kuesioner sebelum dan setelah kegiatan pemberian edukasi tentang peran orang tua. Puskesmas, kader kesehatan, bersama dengan institusi dapat bekerjasama dan berkolaborasi dalam pencegahan transmisi Covid-19 pada anak usia sekolah.Abstract: Optimizing the role of parents in the establishment of covid-19 prevention behavior in school-age children. Policies on health in the COVID-19 pandemic raise impact both physically and psychologically on children, especially school-age children. Parents are the first guard in shaping the behavior of school-age children in preventing Covid-19. The role of parents in providing the pertinent information during the Covid-19 pandemic will determine the level of anxiety experienced by children. Community empowerment activities carry out through four stages to increase the role of parents in preventing the transmission of Covid-19 in school-age children, namely the preparation stage, implementation, evaluation, and follow-up plans. The method used is lectures and discussions with partners of this activity consisting of health cadres, as well as parents who have school-age children. Evaluation is carried out by filling out questionnaires before and after educational activities about the role of parents. Public health centers, health cadres, together with institutions, can work together and collaborate in preventing the transmission of Covid-19 in school-age children.

Sleep Positioning By Levine’s Conservation Theory Approach Can optimize Enteral Nutrition In Low Birth Weight Infants Dyah Dwi Astuti
Jurnal Ilmu Kesehatan Vol 10 No 1 (2021): Edisi Januari-Juni 2021
Publisher : Fakultas Kesehatan Universitas Muhammadiyah Cirebon

Abstract Sleep Positioning by Levine’s Conservation Theory Approach Can Optimize Enteral Nutrition in Low Birth Weight Infants: Malnutrition which happens in the beginning period of life of low-birth-weight infants, will give long-term impact to cognitive, motoric, social-emotional, and behavioural function. The objective of this case study was to analyze the optimization of the fulfilment of enteral nutrition in low birth weight infants through sleep positioning with Levine’s Conservation Theory. The case study was conducted with five low-birth-weight infants that experienced enteral feeding intolerance. Nursing interventions were applied based on evidence-based nursing done by sleep positioning during the enteral feeding process. Levine’s Conservation Theory approach was applied by using principles of energy conservation, structural integrity conservation, personal integrity conservation, and social integrity conservation. Five cases were selected due to nursing problems in imbalanced nutrition: less than body requirements. The results showed that the implementation of sleep positioning with Levine’s Conservation Theory could reduce the incidence of desaturation, abdominal distension, and frequency of vomiting. Nurses can apply sleep positioning by Levine’s Conservation Theory approach as a standard of operational procedure in nursing intervention given to low-birth-weight infants that experience enteral feeding intolerance. Keyword: Enteral Feeding Intolerance, Levine’s Conservation Theory, Low-Birth-Weight Infants, Malnutrition, Sleep Positioning

Improving the quality of life for premature infants through the continuity of care approach: A literature review Dyah Dwi Astuti; Dessie Wanda
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 3 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(3).208-224

Background: The agenda for strengthening the global health architecture is to improve quality of life for premature infants. Premature births increase the morbidity and mortality of newborns, necessitating innovation in primary health care. Objectives: This study was conducted to examine innovation programs with a continuity of care approach in primary health care for premature infants in an effort to strengthen the global health architecture. Methods: A literature review method was used to analyze articles obtained using databases such as Science Direct and Google Scholar. The researcher used the key words “continuity of care” and “premature infants”. The inclusion criteria were full-text journal articles published from January 2020-December 2022 in English-language journals. Results: This study obtained ten articles that correspond to the continuity of care approach for premature infants. The articles included four qualitative studies, three quantitative studies, one mixed-method study, one literature review, and one systematic review. There are three themes related to the continuity of care for premature infants, including (1) Primary healthcare with information continuity, relationships continuity, and management continuity; (2) Continuity of care in the antenatal, natal, and postnatal periods; (3) The continuity of care on premature infant approach improves the outcome of premature infant care, the ability of parents, and health service quality. Conclusions: A continuity of care approach can increase the achievement of adequacy, equity, efficiency, and effectiveness in primary health care for premature infants. Joint synergy between the community, health services, and health policymakers is essential in efforts to strengthen the quality of life for premature infants.

Oral feeding skills in premature infants: A concept analysis Dyah Dwi Astuti; Yeni Rustina; Dessie Wanda
Belitung Nursing Journal Vol. 8 No. 4 (2022): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.2107

Background: The delay in developing oral feeding skills becomes a problem experienced by premature infants. One of the reasons for the delay may be related to inconsistent definitions of oral feeding skills, which can cause discrepancies in the provision of nursing care. Objective: This study aimed to clarify the concept of oral feeding skills in premature infants. Methods: The Walker and Avant concept analysis method was used. A literature search was also conducted from five databases: CINAHL, PubMed, ProQuest, EMBASE, and Google Scholar, to find articles between January 2020 and December 2022. Results: The literature search obtained 20 articles on oral feeding skills from various disciplines. Five attributes were developed from the concept analysis, including (1) coordination ability to suck, swallow, and breathe, (2) the ability to regulate oral-motor functions, (3) the ability to regulate sensory functions, (4) the ability to maintain the stability of physiology function, and (5) the ability to regulate feeding behavior. Antecedents to oral feeding skills include immaturity of the nervous system, gestational age, feeding intolerance, increased length of stay and cost of care, increased rehospitalization, stress on parents, and increased morbidity and mortality. Consequences include optimization of growth and development, reduction of length of stay and cost of hospitalization, increased bonding attachment, increased self-efficacy of parents in caring for premature infants, and improvement of the quality of life of premature infants. Conclusion: The concept analysis provides five comprehensive attributes and their antecedents and consequences. However, this concept can be used to provide nursing care to premature infants, assess the criteria for discharge, and optimize nutrition for the growth and development of premature infants.

Co-Authors Astuti, Duwi Pudji Diah Mulyawati Utari Duwi Pudji Astuti Erfin Firmawati Fachriza Malika Ramadhani Fajar Tri Waluyanti Fiona Meylawati Handayani, Tri Widyastuti Mandawati, Murti Rinawati Rohsiswatmo Rita Adriani Benya Adriani Romdzati Romdzati Siti Lestari Tri Widyastuti Handayani Tri Widyastuti Handayani Tri Widyastuti, Tri Widyastuti Handayani Wanda , Dessie Yeni Rustina Yeni Rustina

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