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"[Pola asuh yang tidak tepat menjadi akar masalah kesehatan balita di daerah perkotaan yang dapat mempengaruhi tumbuh kembang balita. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran tentang asuhan keperawatan keluarga pada keluarga balita dengan masalah risiko keterlambatan perkembangan di Kelurahan Sukamaju Baru, Depok. Intervensi keperawatan unggulan adalah terapi hypnoparenting. Hasil evaluasi menunjukkan peningkatan skor kuesioner pra skrining perkembangan anak, pengetahuan, motivasi Ibu terhadap pemberian stimulasi anak dan kemandirian keluarga. Intervensi ini untuk ibu dan balita yang dilakukan selama satu bulan dengan minimal terapi 30 kali agar hasilnya optimal.;Improper parenting became the cause of health problem in toddler in urban areas that affected their development and growth negatively. This paper aimed to depict the nursing care process within families with toddlers who had risk for delayed development in Kelurahan Sukamaju Baru, Depok. The focus of nursing care is the implementation of hypnoparenting. Result showed that there was improvements in terms of pre-screening questionnaire of development score, and both mother‟s knowledge and motivation towards stimulation for the toddlers, as well as family independency. This intervention for mothers and toddler carried out during for a month with a minimum of 30 times the therapy for optimal results.;Improper parenting became the cause of health problem in toddler in urban areas that affected their development and growth negatively. This paper aimed to depict the nursing care process within families with toddlers who had risk for delayed development in Kelurahan Sukamaju Baru, Depok. The focus of nursing care is the implementation of hypnoparenting. Result showed that there was improvements in terms of pre-screening questionnaire of development score, and both mother‟s knowledge and motivation towards stimulation for the toddlers, as well as family independency. This intervention for mothers and toddler carried out during for a month with a minimum of 30 times the therapy for optimal results.;Improper parenting became the cause of health problem in toddler in urban areas that affected their development and growth negatively. This paper aimed to depict the nursing care process within families with toddlers who had risk for delayed development in Kelurahan Sukamaju Baru, Depok. The focus of nursing care is the implementation of hypnoparenting. Result showed that there was improvements in terms of pre-screening questionnaire of development score, and both mother‟s knowledge and motivation towards stimulation for the toddlers, as well as family independency. This intervention for mothers and toddler carried out during for a month with a minimum of 30 times the therapy for optimal results., Improper parenting became the cause of health problem in toddler in urban areas that affected their development and growth negatively. This paper aimed to depict the nursing care process within families with toddlers who had risk for delayed development in Kelurahan Sukamaju Baru, Depok. The focus of nursing care is the implementation of hypnoparenting. Result showed that there was improvements in terms of pre-screening questionnaire of development score, and both mother‟s knowledge and motivation towards stimulation for the toddlers, as well as family independency. This intervention for mothers and toddler carried out during for a month with a minimum of 30 times the therapy for optimal results.]"

"Penurunan kesadaran merupakan salah satu kondisi kritis yang perlu mendapatkan penanganan dan intervensi yang cepat dan tepat. Kecepatan dan ketepatan intervensi akan mencegah berbagai komplikasi jangka pendek dan jangka panjang pada pasien. Penelitian ini bertujuan mengidentifikasi pengaruh intervensi stimulasi sensori berbasis teori caring dan uncertainty terhadap proses pemulihan pasien penurunan kesadaran. Penelitian ini terbagi atas dua tahap yaitu penelitian kualitatif (fenomenologi dan diskusi kelompok terfokus) yang melibatkan 24 informan, kemudian dilanjutkan dengan penyusunan intervensi stimulasi sensori dan penelitian kuantitatif (quasi eksperimen) yang melibatkan 63 responden secara consecutive sampling, yang dibagi dalam kelompok intervensi 1 dan 2 serta kelompok kontrol. Penelitian tahap ini dilakukan di tiga Rumah sakit, 2 di Jakarta dan 1 di Bengkulu. Hasil penelitian tahap satu didapatkan 5 tema dari hasil wawancara mendalam dan diskusi kelompok terfokus yang dijadikan sebagai salah sumber untuk menyusun intervensi stimulasi sensori yang dirangkum dalam buku panduan intervensi stimulasi sensori untuk pasien dan perawat dan keluarga. Hasil penelitian tahap dua didapatkan bahwa stimulasi sensori memberikan perbedaan bermakna pada tingkat kesadaran, fungsi sensori dan hemodinamik laju pernapasan dan saturasi okdigen dengan nilai (P<0.05. Tetapi tidak memberikan perbedaan secara bermakna secara uji statistik (P>0.05) pada indikator hemodinamik yang lainnya di antara 3 kelompok terhadap proses pemulihan kesadaran. Meskipun demikian secara klinis terlihat dapat memperpendek masa proses pemulihan kesadaran berdasarkan nilai mean tiap kelompok. Kesimpulan hasil penelitian yaitu intervensi stimulasi sensori dapat mempersingkat proses pemulihan kesadaran pasien.

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Decreased awareness is a critical condition that needs to get fast and appropriate treatment and intervention. Speed ​​and accuracy of intervention will prevent various short-term and long-term complications in patients. This study aims to identify the effect of sensory stimulation interventions based on caring theory and uncertainty on the recovery process of patients with reduced consciousness. This study was divided into two stages, namely qualitative research (phenomenology and focus group discussions) involving 24 informants, then followed by the preparation of sensory stimulation interventions and quantitative research (quasi experiments). involving 63 respondents respectively consecutive sampling, divided into intervention groups 1 and 2 as well as the control group. This stage of the research was conducted in three hospitals, 2 in Jakarta and 1 in Bengkulu. The results of the first phase of the study obtained 5 themes from the results of in-depth interviews and focus group discussions which were used as a source for developing sensory stimulation interventions which are summarized in a sensory stimulation intervention manual for patients and caregivers and families. The results of the second phase of the study found that sensory stimulation provided significant differences in the level of consciousness and hemodynamics of respiratory rate and oxygen saturation with a value of (P<0.05. However, it did not provide significant statistical differences (P>0.05) in sensory function and other hemodynamic indicators among the 3 groups on the process of recovering consciousness. However, clinically it appears to shorten the period of consciousness recovery based on the mean value of each group. The conclusion of the results of the study is that sensory stimulation interventions can shorten the process of restoring patient consciousness."

"ABSTRAKKehamilan postterm berdampak pada meningkatnya risiko kematian dan morbiditas janin dan neonatal serta meningkatnya morbiditas ibu. Kehamilan postterm dapat diinduksi dengan metode alami untuk membantu tubuh melepaskan oksitosin yaitu dengan menstimulasi puting payudara. Karya ilmiah ini disusun untuk melaporkan asuhan keperawatan perinatal. Diagnosa keperawatan pada pasien yaitu kesiapan untuk optimalisasi proses persalinan. Data yang mendukung yaitu pasien mengungkapkan telah mempersiapkan kelahiran anaknya. Implementasi yang dilakukan ialah mengedukasi dan melakukan intervensi keperawatan stimulasi puting payudara untuk meningkatkan kesiapan persalinan spontan. Intervensi yang dilakukan pada pasien menunjukkan kontraksi meningkat yaitu dari 2 kali dalam 10 menit dengan durasi 30 detik menjadi 4 kali dalam 10 menit  dengan durasi 40 detik.

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ABSTRACTPostterm pregnancy gives an impact in increasing the risk of mortality and morbidity of fetal and neonatal as well as increasing maternal morbidity. Possterm pregnancy can be induced using a natural method to trigger the release of oxytocin by doing nipple stimulation. This work has been compiled to report a case of perinatal nursing care. The nursing diagnose for the case is the readiness for enhanced labour process. The supporting data is the patients confession that she had prepared the birth of her child. Implementation for the case is giving education and doing nursing intervention of nipple stimulation to increase the patients readiness for spontaneous labour. Result showed that durations of contraction is increased from 2 times in 10 minutes and 30 seconds to 4 times in 10 minutes and 40 seconds after intervention."

"Latar belakang: Infertilitas merupakan gangguan dalam sistem reproduksi berupa tidak tercapainya kehamilan secara klinis setelah hubungan seksual dilakukan secara reguler selama minimal 12 bulan tanpa menggunakan kontrasepsi. Salah satu pilihan tatalaksana adalah fertilisasi in vitro. Dalam melakukan FIV, salah satu tahap yang menunjang keberhasilan adalah stimulasi ovarium terkendali dengan menggunakan gonadotropin seperti rekombinan FSH atau human menopausal gonadotropin.Tujuan: Mengetahui hubungan stimulasi ovarium terkendali yang mendapatkan sediaan gonadotropin berupa rFSH dan hMG dengan luaran FIV berupa jumlah oosit, jumlah embrio, dan fertilization rate pada periode 2013– 2019Metode: Penelitian ini menggunakan desain potong lintang menggunakan data rekam medis yang menjalani program FIV di Klinik Melati Harapan Kita tahun 2013 – 2019. Data yang digunakan adalah data pasien yang menjalani program dengan protokol rFSH dan hMG dibandingkan dengan luaran jumlah oosit, fertilization rate, dan jumlah embrio.Hasil: Dari 454 pasien yang memenuhi kriteria, 309 pasien menggunakan rFSH sebagai obat stimulasi ovarium dan 145 pasien menggunakan hMG sebagai obat stimulasi ovarium. Hasil uji non parametrik lebih tinggi pada kelompok pengguna rFSH dengan ketiga variabel yang diteliti ditemukan bermakana secara signifikan dengan hasil p < 0,05.Kesimpulan: Terdapat perbedaan yang signifikan antara jumlah oosit, fertilization rate, dan jumlah embrio pada kelompok rFSH dan hMG (P < 0,05) dengan rata-rata oosit, fertilization rate, dan jumlah embrio kelompok rFSH lebih besar daripada kelompok hMG

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Background: Infertility is a reproductive disorder characterized by inability of a married couple to be clinically pregnant after regular sexual intercourse of 12 months duration without using any contraceptive method. One of the therapeutic options to solve the problem is in vitro fertilization. Controlled ovarian stimulation is one of the most important steps which determine the success of the procedure. Gonadotropin has been used as the drug which stimulates the ovary to produce egg. Recombinant FSH and human menopausal gonadotropin are extensively used as the drug of choice.

Aim: This research aimed to explore the relationship between gonadotropin which is used in the process of controlled ovarian stimulation, rFSH and hMG, and the in vitro fertilization outcome, which are oocyte number, embrio number, and fertilization rate during the period of 2013 – 2019.

Methods: This research was a cross sectional study. Data from medical record of patients who underwent the in vitro fertilization procedure at Melati Clinic, Harapan Kita Child and Mother Hospital were obtained. This research collected the oocyte number, embryo number, and fertilization rate of eligible patients who received rFSH or hMG stimulation.

Results: 454 patients were eligible for the research, further divided into 309 patients who received rFSH and 145 patients who received hMG. Non-parametric test revealed that patients who belong to the rFSH group had a statistically significant oocyte number, embryo number, and fertilization rate compared to hMG group with p < 0.05.

Conclusion: Significant difference of oocyte number, embryo number, and fertilization rate exists between rFSH and hMG group (p < 0.05) with the mean oocyte number, embryo number, and fertilization rate are consistently observed higher in the rFSH group compared to hMG group."

"[ABSTRAKBanyaknya kegagalan dalam pengasuhan anak bukan karena kurangnya kasih sayang orangtua pada anak, melainkan karena sebagian orangtua tidak tahu bagaimana cara mengasuh yang baik dan benar. Ketersediaan wadah kegiatan keluarga dengan anak balita, menjadi sangat penting untuk meningkatkan pengetahuan dan keterampilan orangtua serta anggota keluarga lainnya dalam pembinaan tumbuh kembang anak. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran pelaksanaan penerapan program BKB+ sebagai upaya peningkatan tumbuh kembang balita di Kelurahan Sukamaju Baru. Dalam BKB+ ini residen menerapkan kegiatan stimulasi dan penggunaan KPSP oleh keluarga. Evaluasi sebelum dan sesudah praktik menunjukkan peningkatan pengetahuan dari 54% menjadi 78%, peningkatan sikap dari 66% menjadi 80% dan peningkatan perilaku dari 56% menjadi 74%. BKB+ ini diharapkan dapat menjadi sarana bagi keluarga dalam meningkatkan tumbuh kembang balita.

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ABSTRACTThe number of failures in parenting is not due to a lack of parental affection to children, but because of some parents do not know how to care of properly. The availability of receptacle activities of families with toddler, becomes very important to improve the knowledge and skills of parents and other family members in coaching development of the child. This paper aims to provide an overview implementation BKB + application program as an effort to improve growth and development of toddler in Sukamaju Baru. In this BKB +, resident applying stimulation activities and the use of KPSP by the family. Results shows an increase knowledge activities from 54% to 78%, attitude from 66% to 80%, and behavior from 56% to 74%, BKB + suggested could be the integration program of Health Department and BPMK., The number of failures in parenting is not due to a lack of parental affection to children, but because of some parents do not know how to care of properly. The availability of receptacle activities of families with toddler, becomes very important to improve the knowledge and skills of parents and other family members in coaching development of the child. This paper aims to provide an overview implementation BKB + application program as an effort to improve growth and development of toddler in Sukamaju Baru. In this BKB +, resident applying stimulation activities and the use of KPSP by the family. Results shows an increase knowledge activities from 54% to 78%, attitude from 66% to 80%, and behavior from 56% to 74%, BKB + suggested could be the integration program of Health Department and BPMK.]"

"ABSTRAKUsia prasekolah merupakan masa anak berkembang optimal. Namun di Indonesia masih terdapat beberapa anak yang mengalami masalah perkembangan. Maka diperlukan stimulasi khususnya oleh ibu karena ibu merupakan orang tua terdekat bagi anak. Penelitian ini bertujuan untuk mengetahui hubungan perilaku ibu melakukan stimulasi dengan perkembangan anak prasekolah. Desain penelitian menggunakan cross sectional dengan jumlah responden 101 ibu dan anak prasekolah. Teknik yang digunakan cluster sampling di Kelurahan Tugu. Hasil analisis uji Kolmogorov-smirnov menunjukkan terdapat hubungan antara perilaku ibu melakukan stimulasi dengan perkembangan anak prasekolah p=0,019 . Perawat komunitas dapat bekerjasama dengan keluarga untuk mewujudkan perkembangan anak yang optimal. Kata kunci: perilaku ibu, perkembangan anak prasekolah, stimulasi

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ABSTRACTPreschool is a period when children develop optimally. However, in Indonesia there are some children who have developmental problems. Therefore, children need stimulation especially from their mothers because mother has closer relationship than father. The purpose of this research is to see the relationship behaviors stimulation by mother with preschool development. This research used cross sectional design with cluster sampling. The participants were 101 mothers and their preschool child in Tugu. The result showed there is relationship between behaviors stimulation by mother with preschool development p value 0,019 . Thus, community nurses can work together with family to help children develop optimally. Keywords behaviors stimulation by mother, preschool development, stimulation "

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Terapi aktivitas kelompok adalah intervensi keperawatan yang dilakukan oleh perawat sebagai terapi terhadap sekelompok pasien dengan masalah keperawatan yang sama dan di dalamnya terjadi dinamika interaksi saling bergantung, saling membutuhkan, dan menjadi sarana untuk merubah perilaku dari maladaptif menjadi perilaku adaptif. Terapi aktivitas kelompok stimulasi persepsi adalah terapi yang menggunakan aktivitas sebagai stimulus dan berkaitan dengan pengalaman atau kehidupan untuk didiskusikan dalam kelompok, seperti kelompok klien yang mengalami halusinasi. Karya ilmiah akhir ini bertujuan untuk mengetahui adanya efek dari terapi aktivitas kelompok terhadap peningkatan kemampuan klien dalam mengontrol halusinasi. Metode yang digunakan adalah dengan menganalisis kasus dalam pemberian asuhan keperawatan terhadap klien Tn. C  yang dirawat di rumah sakit Dr. H. Marzoeki Mahdi Bogor dengan diagnosis keperawatan utama halusinasi pendengaran. Hasil dari pemberian terapi aktivitas kelompok: stimulasi persepsi selama sepuluh hari perawatan menunjukkan bahwa terapi aktivitas kelompok: stimulasi persepsi mampu meningkatkan kemampuan klien dalam mengontrol halusinasi, terutama pada sesi ke-4 yaitu mengontrol halusinsi dengan cara bercakap-cakap. Kesimpulan dari analisis ini adalah terapi aktivitas kelompok: stimulasi persepsi berpengaruh terhadap kemampuan klien mengontrol halusinasi.

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Group activity therapy is a nursing intervention carried out by nurses as a therapy for a group of patients with the same nursing problems, and in which interdependent interaction dynamics occur, need each other, and become a means to change maladaptive behavior into adaptive behavior. Group activity therapy stimulation of perceptions is therapy that uses activity as a stimulus and is related to experience or life to be discussed in groups, such as groups of clients who experience hallucinations. The final scientific work aims to determine the influence of group activity therapy on increasing the client's ability to control hallucinations. The method used is to analyze cases in the provision of nursing care to clients of Mr. C  who was admitted in Marzoeki Mahdi hospital Bogor with the main nursing diagnosis of auditory hallucinations. The results of group activity therapy: stimulation of perceptions for ten days of treatment showed that group activity therapy: perceptual stimulation was able to improve the client's ability to control hallucinations, especially in the 4th session namely controlling the province by means of conversation. The conclusion of this analysis is group activity therapy: stimulation of perceptions influences the clients ability to control hallucinations.

 

 

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"Ruang kreatif personal merupakan ruang yang dirancang untuk memfasilitasi penggunanya dalam berpikir dan bekerja kreatif secara individual. Salah satu caranya adalah dengan memberikan stimulasi visual spasial yang merangsang proses kreatif pada penggunanya. Dalam kajian ini saya ingin mengkaji dan memaparkan mengenai pemahaman bagaimana stimulasi visual spasial pada ruang kreatif personal bekerja. Oleh karena itu, saya mencoba untuk melihat keterhubungan dan pengaruh stimulasi visual spasial dan proses kreatif yang ada di dalamnya. Penulisan skripsi ini menggunakan desain deskriptif dan didukung dengan studi kasus kualitatif. Hasil penulisan ini menjelaskan bahwa pertama, visual spasial dapat menstimulasi pengguna dalam merangsang kreatifitasnya pada ruang kreatif personal. Kedua, stimulasi visual spasial pada ruang kreatif dapat dibagi menjadi dua jenis, yaitu referensial dan non referensial. Ketiga, melalui studi kasus dan didukung oleh sumber literatur dapat dipelajari jika intensitas waktu, posisi dan komposisi ruangan mempengaruhi stimulasi visual spasial pengguna, dimana stimulasi ini bersifat subjektif.

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Personal creative space is a space designed to facilitate its users in thinking and working creatively individually. One way is to provide spatial visual stimulation that stimulates the creative process of its users. In this study I would like to examine and explain the understanding of how spatial visual stimulation in personal creative spaces works. Therefore, I try to see the connection and influence of spatial visual stimulation and the creative process in it. This thesis writing uses a descriptive design and is supported by qualitative case studies. The results of this paper explain that first, spatial visuals can stimulate users in stimulating their creativity in personal creative spaces. Second, spatial visual stimulation in creative space can be divided into two types, namely referential and non-referential. Third, through case studies and supported by literature sources, it can be learned that the intensity of time, position and composition of the room affect the user's spatial visual stimulation, where this stimulation is subjective."

"Selama dalam situasi pandemi COVID-19 semua kegiatan dilakukan di rumah, hal ini dapat mempengaruhi orang tua dalam menstimulasi tumbuh kembang anak selama di rumah saja. Tujuan dari penelitian ini adalah untuk mengeksplorasi perilaku orang tua dalam menstimulasi tumbuh kembang anak usia balita di masa pandemi COVID-19. Penelitian ini menggunakan metode deskriptif kualitatif. Pengumpulan data dilakukan dengan wawancara semi terstruktur kepada 13 orang tua (ayah atau ibu) yang memiliki anak usia balita. Penelitian ini dilakukan pada bulan Februari sampai dengan Desember 2021 di wilayah DKI Jakarta, Bogor, Depok, Tangerang dan Bekasi. Analisis data menggunakan analisis deskriptif kualitatif, dengan mengeksplorasi apa saja yang orang tua lakukan dalam menstimulasi tumbuh kembang anak selama masa pandemi COVID-19. Pada penelitian didapatkan tujuh tema yaitu (1) memfasilitasi keseharian anak dengan buku-buku; (2) memberikan izin penggunaan waktu layar; (3) menambah permainan di rumah; (4) jalan-jalan berkeliling; (5) memandirikan anak dengan membiasakan protokol kesehatan; (6) anak ikut dan meniru kegiatan orang tua; dan (7) memberikan makanan seimbang dan tidur yang cukup. Meskipun dalam kondisi terbatas, dalam penelitian ini tergambar orang tua melalui pembelajaran, pengalaman dan modifikasi selalu berusaha menstimulasi tumbuh kembang anaknya di rumah, dengan prinsip memelihara dan melindungi untuk mencapai ketahanan keluarga. Penting bagi berbagai institusi pelayanan keperawatan untuk lebih menfasilitasi dan mensosialisasikan bahwa keperawatan anak tidak hanya untuk anak-anak yang sakit.

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During the COVID-19 pandemic all activities are carried out at home, this situation can affect parents in stimulating their child's growth and development while at home. The purpose of this study was to explore the behavior of parents in stimulating the growth and development of children under five during the COVID-19 pandemic. This study used descriptive qualitative method. Data was collected by semi-structured interviews with 13 parents (fathers or mothers) who have children under five. This research was conducted from February to December 2021 in the DKI Jakarta, Bogor, Depok, Tangerang and Bekasi areas. Data analysis used descriptive qualitative analysis, by exploring what parents did to stimulate children's growth and development during the COVID-19 pandemic.

The research found seven themes, namely (1) facilitating children's daily life with books; (2) grant screen time usage permission; (3) add games at home; (4) walking around; (5) make children independent by getting used to health protocols; (6) children participate and imitate parents' activities; and (7) provide a balanced diet and adequate sleep. Although in limited conditions, this study illustrates that parents through learning, experience and modification always try to stimulate their child's growth and development at home, with the principle of nurturing and protecting to achieve family resilience. It is important for various nursing service institutions to further facilitate and socialize that pediatric nursing is not only for sick children."

"Bayi prematur merupakan bayi yang lahir sebelum usia kehamilan 37 minggu (WHO, 2021). Bayi yang lahir prematur juga memiliki risiko yang tinggi terkait masalah kesehatan (Hockenberry & Wilson, 2015). Bayi prematur memiliki risiko yang lebih tinggi untuk mengalami masalah kesehatan. Hal ini dikarenakan belum matangnya janin ketika dilahirkan. Organ-organ yang berperan sebagai oromotor pada bayi prematur belum berkembang secara sempurna, sehingga sebagian besar bayi prematur mengalami gangguan fungsi menghisap dan mekanisme menelan. Salah satu intervensi yang dapat dilakukan untuk mengatasi masalah ini adalah dengan melakukan stimulasi oromotor secara rutin. Tujuan dilakukan penulisan ini adalah untuk mengetahui pengaruh pemberian stimulasi oromotor dengan peningkatan refleks hisap bayi premature. Pemberian stimulasi oromotr dinilai memberikan pengaruh yang positif dalam peningkatan refleks hisap bayi premature. Metode yang digunakan dalam penulisan ini adalah case report. Case report ini sebagai dasar untuk melakukan penelitian lebih lanjut pada pasien dengan masalah yang sama

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Premature babies are babies born before 37 weeks of gestation (WHO, 2021). Babies born prematurely also have a high risk of health problems (Hockenberry & Wilson, 2015). Premature babies have a higher risk of developing health problems. This is because the fetus is immature when it is born. The organs that act as oromotor in premature babies are not fully developed, so that most premature babies have impaired sucking and swallowing functions. One of the interventions that can be done to overcome this problem is to carry out regular oromotor stimulation. The purpose of this paper is to determine the effect of giving oromotor stimulation with an increase in the suction reflex of premature babies. Giving oromotr stimulation is considered to have a positive effect in increasing the suction reflex of premature babies. The method used in this paper is a case report. This case report serves as the basis for conducting further research on patients with the same problem."