The Application of Transcultural Nursing Model in Perspective of Madura Culture Improving Breastfeeding Mother’s Behavior in Jember

Abstract

ABSTRAKPendahuluan: Menyusui merupakan salah satu tugas perkembangan perempuan setelah melahirkan. Banyak faktor yang dapat mempengaruhi keberhasilan ibu dalam memberikan ASI secara ekslusif, diantaranya adalah dukungan keluarga maupun pengaruh budaya lokal. Tujuan Penelitian ini untuk menerapkan model keperawatan transkultural dalam perspektif budaya Madura pada ibu menyusui. Metode : Penelitian ini dilakukan di desa Suboh wilayah kerja Puskesmas Pakusari, pengumpulan data menggunakan kuesioner, dan fokus group diskusi. Desain penelitian quasi eksperimen post test design with control dengan analisis Paired Samples Test. Selain itu, peneliti juga melakukan analisis kualitatif untuk mengeksplorasi budaya Madura. Sampel yang digunakan adalah ibu menyusui yang mempunyai bayi usia 1-6 bulan sebanyak 50 sampel dan dibagi menjadi 2, yaitu kelompok perlakuan dan kontrol. Selain itu sumberdata lain yang digunakan adalah tenaga kesehatan. Hasil: Hasil penelitian didapatkan bahwa rentang usia ibu antara 15 -34 tahun, dengan rata-rata berusia 27 tahun, selain itu rata-rata pendidikan responden tidak tamat SD sebanyak 60%, baik pada kelompok perlakuan maupun kontrol. Hasil analisis tentang modifi kasi budaya didapatkan P value 0,001 yang artinya ada pengaruh penerapan model transcultural nursing dalam Meningkatkan perilaku ibu menyusui. Diskusi: Aplikasi modifi kasi budaya yang dilakukan mampu meningkatkan produksi ASI. Perlu kerjasama yang baik bagi semua komponen masyarakat dalam mensuport ibu menyusui dengan memodifi kasi budaya lokal yang kurang menguntungkan bagi kesehatan. ABSTRACT Background and objective : Breastfeeding is one of the development tasks for women after childbirth. Many factors can aff ect mother's success in breastfeeding exclusively, such as family support as well as local cultural infl uences.This research aims to apply the transcultural nursing model in Madura cultural perspective in breastfeeding mothers. Method: This research was conducted in Public Health Centre of Pakusari Suboh Jember. The data were collected using questionnaires, and focus group discusses. The research design was question-experimental research of post test design with control by using Paired Samples Test analysis. In addition, the researchers also performed a qualitative analysis to explore the Maduranese culture. The samples were breastfeeding mothers who had infants aged 1-6 months, and 50 samples were then divided into two, i.e., treatment and control groups. Also, another data source were health professionals. Result: The result showed that the maternal age range between 15-34 years with an average age of 27 years. Besides, the average of the respondents' education background was that 60% of them did not pass elementary school, both in treatment group and control group. The results of the analysis on cultural modifi cations were p-value of 0.001, which means that there are the eff ects of applying the transcultural nursing model in improving mother behavior. Conclusion: An application of cultural modifi cations that is abl...

Effectiveness of Leininger's Transcultural-based GATHER Counseling Model on Exclusive Breastfeeding

“…It could be seen from the research that the results showed that only 21.1% of mothers gave breastfeeding exclusively to their babies, while mothers who received the Leininger's Transcultural-based GATHER Counseling Model were 81.6%. One of the techniques used was cultural modification with the application of Leinenger's transcultural theory to increase breast milk production (5) .…”

“…Diarrhea is the biggest case suffered by infants as a result of non-exclusive breastfeeding (4) . Besides, the growth and development of babies can experience delays due to inadequate nutrition received (5) . Of course, this has a negative effect on the quality of future Indonesia's human resources.…”