Background: The low birth weight (LBW) problem is found in various developing countries with an increasing trend of cases every year. This is caused by nutritional status and a history of maternal health. The impact of LBW in children is they are more likely to experience delayed growth and development. This study aims to identify the effect of baby massage on infants’ body weight.Design and Methods: The research design used was quasi-experimental pre and post-test type with control group. There were 16 infants for each group selected by purposive sampling. Baby massage was given to the infants twice a week within four weeks, 10 to 15 min per session. Data analysis was used paired t-test and independent t-test.Results: The mean age of infants was 3.69 months for both group, the mean age at birth was 37.8 weeks (intervention) and 38 weeks (control), the mean birth weight of infants was 2,295 grams (intervention) and 2,288 grams (control). Most of the infants was male for both group. There was an effect of baby massage on the increase in infants’ weight gain with a history of low birth weight significantly with a p value <0.05.Conclusions: Baby massage can increase infants’ weight with a history of low birth weight aged 1-6 months. The role of health workers is to provide education and practice baby massage for mothers in order to stimulate the growth and development of infants. This intervention can be integrated with maternal and child health programs in primary health care facilities.
Chemotherapy is an effective treatment for cancer. However, it causes some side effects which include nausea and vomiting. More than 70% of patients experience nausea and vomiting after chemotherapy. The purpose of this study was to determine the effect of ginger aromatherapy in nausea, and vomiting patients on post cervical cancer chemotherapy. We used a pretest-posttest control group design, using purposive sampling of 60 respondents. We used anti-emetics measurement tool according to Multinational Association of Supportive Care in Cancer (MASCC) to assessed patients complaints. The result showed significant difference in nausea and vomiting group before and after given aromatherapy (p = 0.000); nausea score (p = 0.005) and vomiting score (p= 0.013) from intervention and control group. No significant difference was observed in nausea (p = 0.279), and vomiting (p = 0.276) on control group. Ginger aromatherapy can be used as alternative medication to reduce post-chemotherapy nausea and vomiting.
Pembelajaran klinik merupakan kebutuhan primer dalam proses pendidikan tahap profesi ners. Pembelajaran klinik yang baik harus didukung oleh instruktur klinik yang mampu menjadi role model. Pelatihan diperlukan untuk meningkatkan pemahaman dan kesiapan instruktur klinik dalam melaksanakan peran dan tanggung jawabnya. Kegiatan ini bertujuan untuk memberikan kejelasan peran fungsi dan tanggung jawab instruktur klinis dalam membimbing peserta didik. Pemberian materi melalui pendidikan pembelajaran klinik, diskusi interaktif dan simulasi pembelajaran klinik. Strategi pembelajaran yang digunakan yaitu ceramah, metode demonstrasi untuk memberikan keterampilan tentang preceptorship dan proses evaluasi, simulasi, metode diskusi, dan pendampingan bimbingan klinik. Berdasarkan hasil evaluasi didapatkan sebagian besar peserta menyatakan tema pelatihan bagus (63,4%), ketepatan waktu cukup (49,6%), suasana bagus (60,1%), kelengkapan materi bagus (70,6%), pelayanan atau sikap penyelenggaraan bagus (61,6%), media atau alat bantu bagus (57,2%). Rerata nilai pembicara sebesar 84,85 termasuk dalam kategori baik. Rerata nilai pre-test sebesar 30,45 dan nilai post-test sebesar 45,5 dengan rerata peningkatan nilai antara pre dan post-test sebesar 10,9. Kegiatan ini dapat meningkatkan pemahaman pembimbing klinik tentang metode perceptorship dan dapat diadopsi untuk dilaksanakan di lahan praktik lain. Ketepatan waktu pelatihan perlu diperhatikan. Evaluasi kegiatan tidak hanya menilai pengetahuan instruktur klinik tetapi juga menilai sikap atau kesiapan dalam pelaksanaan metode preceptorship.
The demand for high-quality health services is increasing. It motivates nurses to utilize the best evidence in making decisions. Professional nurses were born from an excellent education. Preceptorship and mentorship clinical learning methods are expected to be able to answer these demands. This study aims to identify the effect of preceptorship and mentorship methods on students' critical thinking skills. The study design applies a quasi-experimental type pretest and post-test with a control group. Twenty-six students were examined as respondents for each intervention and control group, using a purposive sampling technique. The survey took place at a teaching hospital in Semarang, using a student-evidence-based practice questionnaire (validity 0.584-0.904; reliability 0.821) developed by Upton et al.in 2014. The intervention during three weeks with the training stages of clinical advisors, clinical guidance, internalization, and evaluation. Univariate data analysis is described by frequency and percentage (categorical) and mean and SD (numerical). Bivariate data analysis using a paired t-test and independent ttest. There was a significant effect of the preceptorship and mentorship methods on students' thinking abilities (p-value = 0.006). Integrated academic and clinical learning could form critical thinking skills among students. Educational institutions play a role in providing training for clinical instructors oriented to improving the ability of students to provide scientific evidence-based nursing care. The clinical instructors are responsible for improving students' critical thinking skills through preceptorship and mentorship learning methods.
Since it was found in December 2019, the novel Coronavirus Disease 2019 (COVID-19) has spread from Wuhan, China, to many other countries. A rapid increase of newly found cases was observed, and finally, in March 2020, the World Health Organization declared that Coronavirus Disease 2019 (COVID-19) is a global pandemic. As one of the vulnerable groups, pregnant women need to avoid COVID-19 transmission and maintain pregnancy health during the pandemic. This study aimed to improve pregnant women's self-management during the COVID-19 pandemic in the working area of the Padangsari Primary Health Care Services, Semarang City. The research method used an experimental design with a pre-posttest without a control group. A Smartphone application, namely "SEHARI," was used to share the module and video about pregnancy health guidelines; furthermore, various activities of this study included online classes for pregnant women via a WhatsApp group, pregnancy care behavior surveys, and evaluations. The offline activity was done in 1 meeting for 90-120 minutes, while online activities were done as needed. This study's target population was 22 pregnant women in Puskesmas Padangsari Semarang City's working area selected by purposive sampling. A questionnaire was used that measures mother's behavior while engaging in pregnancy care and pregnancy examination screening. The validity and reliability tests showed that the instrument was valid and reliable to improve self-management of pregnant women during the COVID-19 pandemic in the working area. Bivariate data analysis of the independent variable's effect on the dependent variables used paired and independent t-tests to measure the self-management of pregnant women. The results showed that 50% of pregnant women fulfilled nutritional needs well, 59.1% of pregnant women did tetanus immunization, and 59.1% did pregnancy examinations and visits. Despite being a vulnerable group, pregnant women must continue their antenatal care during the pandemic with a strict health protocol. Specially designed online classes and Smartphone application can be used as media to deliver the essential health meassages so that pregnant women can still monitor their pregnancy health and have a way to bridge the existing programs in primary health care.
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