Menarche is the first experience of menstruation would cause anxiety among teenagers, fear, discomfort, and affect the quality of life of teenage. This condition was caused by the taboo assumption to discuss menstruation with family and their environment. Therefore, this study was conducted to identify urban teenagers' readiness toward menarche. This study was conducted with the process of searching, collecting and analyzing articles. The search sources used were Cinahl, Scopus, Cochrane, Pubmed, and Cengage databases. The keywords used were menarche, readiness, and urban teenagers. The inclusion criteria used were 2013 - 2018 research articles, full text, and English articles. The exclusion criteria used was non-urban teenagers. According to the keyword was found 124 articles. After being selected based on the inclusion and exclusion criteria, 7 articles were analyzed. The result showed urban teenagers' readiness consisted of internal and external readiness. Internal readiness consists of age and knowledge. Internal readiness can affect self-acceptance, maturity of mind, and views on the stages of growth and development that are being faced. External readiness consists of social support. Social support for urban teenagers is useful to get information and attention when menarche. External readiness for urban teenagers was already good but lack of internal readiness. Therefore, counseling and health education related to menarche was needed starting from elementary school.Keywords: Menarche, readiness, urban teenager.
Mental health is a global problem including postpartum blues. Woman's perception of family’s support may increase postpartum blues symptoms. The purpose of this study was to describe the perceptions of women with postpartum blues towards family supports in Al Islam Hospital, Bandung, Indonesia. The design was descriptive and samples were chosen using the purposive sampling technique. The number of respondents was 35 women, and the data were gathered using two questioners. There were family support and modification of Kennerly and Gath's questioner. The results showed that most of respondent's perceived family provided emotional support 75%, instrument support 51%, reward support 54%, and informational support 54%. Based on the result, it is an opportunity for the hospital to provide counseling or health education to patient or family about the patient need on family support.Keywords: Family Support, Perception, Postpartum Blues
BACKGROUND: Breast engorgement is a common problem of breastfeeding. The combination of nursing interventions is expected to prevent and reduce breast engorgement promptly. AIM: This study aims to determine the effectiveness of cabbage leaf compress and education on lactation management for reducing breast engorgement in postpartum. METHODS: This study was a quasi-experimental study with a non-equivalent control group design. The sample was 60 postpartum women (n = 30 the intervention group and n = 30 the control group) selected by purposive sampling. The instrument was the Breast Engorgement Scale. The intervention included giving compress on women’s breast using the cabbage leaf and educating them about lactation management, while the control group was given treatment according to hospital standard procedures. The study was conducted in a national referral hospital for West Java Province areas, Indonesia. Data were analyzed using the Wilcoxon sign-rank test and the effectiveness of intervention tested using the NGain score test. RESULTS: There was a difference in breast engorgement scale before intervention with median value ± min max (3.00 ± 2-6) and after median ± min max (2.00 ± 1-2), while in the control group the breast engorgement scale before treatment showed the median was ± min-max (2.00 ± 2-5) and after treatment, was ± min-max (2.00 ± 1-5). The effectiveness of intervention was 77.56%. CONCLUSIONS: The combination interventions of cabbage leaf compress and lactation management education were effective in reducing the breast engorgement in postpartum. This intervention can be used as an alternative intervention to solve the breast engorgement problem in postpartum women, especially for a developing country like Indonesia, because the cabbage leaf is cheap and easy to get in the traditional market. Further research is expected to conduct research on a qualitative design to understand women’s experience after interventions and the possibility to apply this intervention at home.
Women who diagnosed with cervical cancer face complex problems including physiological, psychological, social, and spiritual problems. Women are required to adapt to these complex problems. Nurses as part of health care providers have responsibilities to help clients in dealing with their conditions. Another role of nurses is to assist clients to meet their basic needs. Nurses provide nursing care using a variety of nursing theories so that the nursing care provided is optimal. One of the nursing theory is Roy's adaptation model, this model is one of theory as a foundation in providing nursing care. The aimed of the theory application was to apply the Roy theory, and it also expected that women with early-stage cervical cancer could adapt to their conditions. Method: The design of this study was a case study approach of five cases of a cervix. Roy's adaptation model applied effectively to early-stage of cervical cancer clients, as a result, clients adapt to changes that occur including physiologically, psychologically, socially, and spiritually. Roy's adaptation model would be more effective if it applies in combination with other concepts, especially theories about self-concept and social support to the nursing care provided would be more optimal.
This study aims to determine the effect of health coaching on the behavior and self-efficacy of mothers in preventing stunting: the research method, Quasi-Experimental with pre-test and post-test with a control group design. The statistical results obtained differences in behavior and efficacy before and after treatment in the two groups with p-value <0.05. The difference in the mean post-test behavior with health coaching is 85.55 and with the module 76.88. The mean difference in post-test self-efficacy with health coaching is 41.13 and module 23.88. In conclusion, there is an effect of health coaching and modules on mother's behavior and self-efficacy Keywords: Self-Efficacy, Health Coaching, Preventive Behavior, Stunting
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