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Introduction: Besides being a physiological problem, breast cancer is also a psychological problem. Breast cancer patients are prone to anxiety, depression, stress, fear, and other psychological problems. Prolonged psychological problems that are not resolved lead to impaired self-confidence and motivation to undergo treatment, which has a negative impact on health. Psychoeducation as a psychological therapy as well as providing education is used as a therapy that aims to overcome the psychological problems of breast cancer patients. Methods: This study used a quasi-experimental research design. The population in this study was breast cancer patients (ca mammae) at Prof. Dr. Margono Soekardjo Purwokerto. The sample of this study was 50 respondents obtained with purposive sampling technique. The independent variable of this study is psychoeducation and the dependent variables are self-efficacy and motivation. Data were collected using a general self-efficacy questionnaire and intrinsic motivation inventory as well as an observation sheet. Data were analyzed using the Paired T-Test and Independent Test statistical tests with a level of significance 𝛼≤0.05. Results: There was an effect of psychoeducation to self-efficacy and motivation (p= 0.000; p=0.000. Conclusion: This study shows that psychoeducation affects self-efficacy and motivation to undergo treatment in breast cancer patients (ca mammae). Psychoeducation provides information related to breast cancer and stress management methods so that it can increase self-efficacy and motivation to undergo treatment for breast cancer patients.

Background: Picky eating is a picky behavior that can be interpreted as a rejection of certain types of food or fear of trying new foods. Picky eating can make some problems inadequacy of nutrition and impact on child growth if it's not properly handled and left prolongObjectives: The purpose of this study was determined to describe the relationship between commitment mothers and behavioral prevention of picky eating on toddler.Methods: The research used correlational analytic study with cross-sectional design. The Independent variable in this study is mother’s commitment and the dependent variable is behavioral prevention of picky eating. The population was mothers with toddler age children in the working area at the Public Health Center of Kedawung 1, Sragen, Central Java. A sample of 120 mothers were selected by purposive sampling. Data were collected using questionnaires demographic of the respondent, mother’s commitment, and behavioral prevention of picky eating that compiled by the researcher. This questionnaire has been tested for validity and reliability, and then analyzed used Spearman-rank test.Results: The results of this study showed that the mother's commitment to picky eating prevention behavior had a significant relationship (p

Introduction: According to the Indonesian Demographic and Health Survey (IDHS) in 2017, young women (63.9%) in maintaining cleanliness during menstruation are still lacking due to low knowledge and information about personal hygiene during menstruation. SMP Negeri 1 Sampit is located in Central Kalimantan where most of the students do not have knowledge about menstrual hygiene management. Methods: The activities used in this community service program were in the form of health education to 120 students of 7th and 8th grades. The community service events carried out through this webinar include opening, pretest, giving material, and closing with a post test. The pretest was carried out before giving the material to determine the participant's initial understanding of menstrual hygine management. Results: Knowledge related to adolescent growth and development scored well as many as 19 people (15.83%) then during the good posttest it became 63 people (52.50%). Knowledge related to menstrual hygiene management during the pretest who got a good score was only 20 people (16.67%) and 72 people (60%) good in posttest. While the knowledge related to mood disorders in adolescents who got a good score at the pretest was 21 (17.5%) and 70 people (58.3%) had a good score in posttest. Conclusion: Community service activities conducted in the form of online webinars to provide health education and modules to teachers can improve knowledge and practice of menstrual hygiene management as an early effort in maintaining and caring for the health of the female reproductive organs.

Background: Stunting is one priority problem in Indonesia. The incidence of stunting in toddlers at the Tambak Wedi Public Health Center Surabaya in 2015 and 2016 were 31.3% and 33%, respectively. This study aims to analyze the risk factors for stunting in toddlers aged 24-59 months in Tambak Wedi Health Center Surabaya. Method: This observational analytic research used cross sectional approach. The population in this study was 220 and the sample size was 110 mothers and toddlers. Samples were selected by proportional cluster random sampling from the population of 220 pairs mothers and toddlers. Independent variables of the mothers include height, upper arm circumference, frequency of ANC visits, weight gain during pregnancy, meanwhile of the toddlers included birth length and birth weight. The dependent variable was stunting. Statistical analysis used chi-square and multiple logistic regression tests. Results: There were 100 pairs of mother and toddlers in the study. Bivariate analysis showed a significant relationship between maternal height (p = 0.025, RR = 0.406), frequency of ANC visits (p = 0.017, RR = 0.382), increase in maternal weight during pregnancy (p = 0.017, RR = 0.328), the baby’s birth length (p =

Introduction: Social problems that occur in adolescent students lead to anti-social behavior. Antisocial behavior is a disorder of adjustment to the social environment caused by weak self-control. The purpose of this community service is to provide knowledge and abilities to junior high school students as peer counselors so that they can develop adolescent prosocial behavior and can prevent antisocial behavior.Methods: The method used in this community service activity is training with the method of lectures and discussions on peer counseling, prosocial behavior in adolescents, and skills as a peer counselor. A total of 40 people consisting of selected students, counseling teachers, and person in charge of students participated in this activity and also carried out an evaluation of adolescent prosocial behavior through the pretest and posttest.Results: The results obtained through this activity are that there is an increase in the knowledge and attitudes of adolescents in developing prosocial behavior. This is because the method of lectures, discussions, through training modules can provide a clear technical picture so that participants know and can practice their abilities as peer counselors in improving prosocial behavior of junior high school adolescents.Conclusion: It is hoped that the next community service activity can achieve a wider target and a diverse community.

Introduction: Acute Respiratory Infection (ARI) is the leading cause of morbidity and mortality in children. A cough and cold diseases such as rhinitis, pharyngitis, tonsillitis and other upper respiratory diseases are classified as non-pneumonia. ARIs that are not appropriately handled will affect the lung tissue and cause severity and even death. The purpose of this study is to develop a model of self-efficacy (SE) among mother to prevent recurrent (PR) non pneumonia (NP)-ARI on toddlers based on the integration of Precede-Proceed Model and Health Belief Model.Method: This study used cross-sectional design. The population were a mother with a toddler in Tanggalrejo Village of Mojoagung Jombang. A hundred toddler’s mothers were recruited as samples by cluster sampling. Variables in this study were predisposing-enabling-reinforcing factors, main constructs of perceived (MCP), perceived threat, SE and PRNP-ARI. Data were collected using questionnaire, and Focus Group Discussion then analyzed using Partial Least Square (PLS).Results: The SE improvement model for the PRNP-ARI was formed from predisposing-enabling-reinforcing factors, MCP, perceived threat, and maternal SE. The greatest effect was on MCP against a perceived threat with T statistic value = 11.07.Conclusion: Increasing SE of toddler's mother can be done by educating mother about ARI concept, conventional ARI treatment, environmental modification, benefits of mask use, clean and healthy life behavior, proper hand washing, nutrition feeding, exclusive breastfeeding, stress management; create peer support group for toddlers mother; and optimizing the role of health officers and family support.

Introduction: Type 2 diabetes mellitus is deficiency of insulin and caused by decrease s of insulin receptor or bad quality of insulin. As a result, insulin hormone does not work effectively in blood glucose regulation . String bean juice contain s thiamin and fiber may regulate blood glucose level . The aim of this study was to analyze the effect of s tring bean juice to decrease blood glucose level of patients with type 2 diabetes mellitus. Method: This study employed a quasy-experimental pre-post test control group design and purposive sampling. The population were all type 2 d iabetes mellitus patients in Puskesmas Pacar Keling Surabaya. Sample were 12 patients who met inclusion criteria. The independent variable was string bean juice and dependent variable was blood glucose level. Data were analyzed by using Paired T-test with significance level of α≤ 0.05 and Independent T-test with significant level of α≤0.05. Result: The result s showed that s tring bean juice has an effect on decreasing blood glucose between pre test and post test for blood glucose with independent T-test is p=0.003. In conclusion, s tring bean juice has an effect on blood glucose level in patients with type 2 diabetes mellitus . Discussion: The possible explanation for this findings is string bean juice contains two ingredients: thiamine and fiber. Thiamine helps support insulin receptors and glucose transporter in cells hence GLUT-4 could translocated to the cell membrane brought glucouse enter to the intracellular compartment, that leads to blood glucouse level well regulated. Dietary fiber reduces food transit time so slowing the glucose absorption. Therefore blood glucose level will be decreased.

Introduction:Parental awareness of the earliest milestones considerably lower than of the later milestones. To raise parental awareness, Pathways Awareness’ brochure (PAB) can be used by the parents. The objective of this study was to examine the effect of health education of Pathways Awareness’ brochure to the behavior of parental early identification in child (3-15 months) early development.Methods: This study used Quasy-Experimental design. Population had taken from parents who have a child from 3 until 15 months. Sample was comprised in to 30 individuals who fit with the inclusion criteria. Sample was divided by two groups, one group as intervention group, and another one as control group. The independent variable in this study were health education of Pathways Awareness’ brochure. The dependent variable was the behavior of parental early identification in child (3-15 months) early development. Data was collected by questionnaire of family knowledge, family attitude, and family action. They were analyzed by Wilcoxon Signed Rank Test with significance level α

Introduction: Hospitalization stress on child affect on their parents. Parent empowerment is the important aspect to develop in nursing care for reducing hospitalization stress. The objective of this study was to develop the nursing care model of reduction hospitalization stress through the COPE (creating opportunity for parent empowerment) approach on the parent whose child was diagnosed cancer.Methods: This study used explanative research with cross sectional design. The population were parents whose child was diagnosed cancer in pediatric hematological ward RSUD Dr. Soetomo Surabaya, conducted on 3–15th May 2012. Sample were 30 mother who met inclusion criteria: 1) toddler and preschool age, 2) first time admition on Bona 1 or Bona 2, 3)read and write well and 4) noncritical condition. The independent variable were antecedens (attitude, social economic status, motivation), diffusion of innovation, empowerment (knowledge, participation, skill and environment). The dependent variable was parent’s hospitalization stress. Data were collected by using questionnaires and observation. The data were analyzed by PLS (Partial Least Square) with loading factor =0.5 and T-statistic=1.96.Results : The result showed that antecedens factors affected to COPE diffusion of innovation process. Motivation was the strongest factor to influence the diffusion and innovation process (path coeffi cient=0.450;T-stat=5.278). The diffusion of innovation process affected to empowerment variable (path coeffi cient=0.487; T-stat=6.507).Conclusion: It can be concluded that environment was the strongest factor as the compiler component of empowerment. Environment include physical and non-physical component. Empowerment affected to parent’s hospitalization stress with path coefficient=0.360 and T-statistik=4.980.Nursing Care Model Development by Cope Approach for Reducing Parent’s Hospitalization Stress with Cancer Children

Introduction: Role of caregiver in the day care is really important in every aspect of children development, especially language development. This study aimed to analyze the relationship between role of caregiver in giving stimulation and language development toddler in 3 day care in Surabaya. Methods: This study was using cross-sectional study. The population were children and caregivers in day care with purposive sampling. 16 caregivers and 33 children as respondents, taken according to inclusion and exclusion criteria. The dependent variable was role of cargiver in giving stimulation. The independent variable was the toddler language development. Data collection for caregivers stimulation through observation sheets and for language development children through Denver II, and were analyzed by using non-parametric correlation analysis (Spearman rho) with significance value α=0.05. Result: The result showed that caregiver in giving stimulation has correlate with language development toddler (p-value = 0.002, r = 0.0510). Discussion: It can be concluded that correlation between role of cargiver in giving stimulation with language development toddler was significant and has strong enough correlation. Further research need to identify more factors such as genetic factor and the other aspects of environmental factor.Keywords: language development, stimulation, children day care center, caregiver, toddler

Introduction: Picky eating is a disorder in eating patterns which is currently found in toddlers and parents have an important role in shaping the eating behavior of children. The purpose of this study was to determine the correlation of parents' self-determination with the behavioral prevention of picky eating in toddlers. Methods: This study is a correlational analytic study with cross-sectional design. The independent variable in this study is parents’ self-determination and the dependent variable is behavioral prevention of picky eating. The population was parents with toddlers in the working area at the Public Health Center of Kedawung 1, Sragen, Central Java. A sample of 113 respondents was selected by cluster sampling. Data were collected using questionnaires demographic of the respondent, Basic Psychological Need Satisfaction and Frustration Scale/BPNSFS, and behavioral prevention of picky eating which was then analyzed using the Spearman-rank test. Results: Based on the characteristics, the majority of respondents are aged 21-39 years old, educated from junior to senior high, working as a housewife, and have a family income each month was less than the minimum wage of work. The results showed that most parents with self-determination in the good category correlate positively with the behavioral prevention of picky eating in their children (p value=0.000, r-value=0.487). Conclusion: Parents with self-determination in the good category also have good behavioral prevention of picky eating. The result of this study could be used by nurses to reference in health promotion into the prevention of picky eating in children.

Immunization is one of the most cost-effective health interventions to prevents illness, disability and death associated with communicable disease. This study aimed to identify factors associated with completed recommended childhood immunizations in children aged 12�23 months in Indonesia. This study used data from the Indonesia Demographic and Health Survey 2012 with a multistage cluster sampling procedures. A total data from 3,231 mothers with children of 12�23 months of age were extracted from dataset. Mothers� self-reported data along with vaccination cards determined vaccine coverage. This study found the prevalence of complete immunization status for their age cohort was 37.4. The highest immunization coverage was BCG (86.9) and the lowest coverage was hepatitis B3 (46.2). The multiple logistic regression showed that mothers with a first born child are 2.84 times more likely to fully vaccinate their children compared to mothers with �6 children. Mothers in the lowest economic level, delivered in non-health facilities, attended antenatal care less than four were less likely to fully vaccinate these children. Meanwhile, mother who delivered by professional assistants was significantly associated with complete immunization status of their children. Appropriate strategies should be designed targeting high-risk group including culturally approached to address immunization completion and improved accessibility in various provinces within the country. © 2019 Elsevier Ltd

Introduction: Multiple Intelligences can be incresed by playing stimulation with educative playing instrument. Educative playing is the activity that uses educate ways and instrument. Educative playing very important to increase speech development, cognitive, socialisation with the environment and also increse the streght and skill of child’s body.Methods: Design used in this study was quasy experiment design. The population was preschool children 4–5 years old in working area of Mojo Public Health Centre of Surabaya. The sample was preschool children 4–5 years old that spesific in inclution criteria of this study. Data were analyzed by wilcoxon signed rank test to compare the ordinal data pre and post intervention and mann withney u-test that compare between intervention group and control group with level of signifi cance of α ≤ 0.05.Results: The result of speech development that analyzed by Wilcoxon signed rank test showed that controlled group had p = 0.157 and intervention group had p = 0.005 and the result of mann whitney test was p = 0.03. The result of kinesthetic development by wilcoxon signed rank test showed that controlled group has p = 0.317 and intervention group has p = 0.005, and analyzed by mann whitney test in kinesthetic development showed the result of p = 0.02.Conclusion: Educative playing instrument (picture cards, play dough, origami and meronce) increased speech and fine motoric development of preschool children 4–5 years old in Mojo Indah Kindergarten of Surabaya. Educative playing instrument is the activity that makes the playing function optimally in child development and this activity can increase the child development such as physical, speech, cognitive and social adaptation.

Introduction: Knowledge and skill of school age children is still lack about first aid of wound. The purpose of this study was to determine the effect of role play methodtowards knowledge and wound first aid skill on student. The aim of experiment is to study the effect of role play method towards knowledge and wound first aid skill on student. Methods: The design used in this study was quasi-experimental quasi-eksperimental pretest-posttest control group design. The samples were gathered using simple random sampling method consisted of 50 students based on the inclusion criteria which were divided into experimental and control groups. The independent variable was health education using role play methods and the dependent variables were knowledge and first aid wound skill. The data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with level significance α < 0,05. Results: The Wilcoxon Signed Rank Test results showed that there were enhancement for knowledge (p=0.000) and first aid wound skill(p=0.000) for post intervention toward the experimental group. These data were strengthened by the result of Mann Whitney U Test statistical analysis that showed the significant differences for knowledge (p=0.000) and action application of open wounds care (p=0.000). Conclusion: It can be concluded that health education using role play methods affected knowledge and wound first aid skill on student. The suggestion for the further experiment is to compare role play methods with other health education methods to find out effective methods of health education for student.

Introduction: Pain in the neonate may result in negative behavior, physiology and metabolic responses. This study aims to analyze the behavior of nurses in the implementation of non-pharmacological pain management in neonates who performed minor invasive action with the approach of Theory of Planned Behavior (TPB). Methods: This research was a descriptive study of analysis with research design cross sectional. The population of this study were nurses working in the neonatal ward and neonatal intensive care unit dr. Soetomo general Hospital Surabaya. Total sample of 55 respondents selected using simple random sampling. The independent variable was the background factor of age, education, knowledge, attitude, subjective norm, perceived behavior control (PBC) and intention. Dependent variable was nurse’s attitude. The data were obtained using questionnaires then analyzed using logistic regression with a degree of significance of 0.05. Results: Background factor age (p = 0.02) and knowledge (p = 0.004) correlated with attitude, education (p = 0.023) correlated with subjective norm, knowledge (p = 0.004) related to PBC, attitude (p = 0.010) and subjective norm (p = 0.006) relate to intention, and intention is related to behavior (p = 0.024). Conclusion: This study concludes that the management of behavior to be more directed to the factors that relate in shaping the behavior of knowledge, attitude, education, subjective norms, and intention.

Misbehaviour phenomenon in elementary school children can be caused by lack of moral development of children. The number of children with negative moral behaviour increases year by year both in quantity and quality. Internal and external factors can be the main effects of inadequate moral development of children. The aim of this study is to explain the effect of picture and picture method against moral development of children aged 10-11 years. Pre-experimental research with one-group pre-post test. Population of the research consisted of 165 children in Tanah Kalikedinding IV Elementary School. Sampling was conducted by using purposive sampling technique (n=117 respondents). The independent variable is the picture and picture method, while the dependent variable is the moral development. Collecting samples using observatory sheet and analysis using Wilcoxon Signed Rank Test with significant level of α = 0,05. There was an increasing percentage from pre test and post test. Picture and picture method can be used as an alternative for developing children behaviour. For the future research, it is expected to use control group to examine which factors inuence moral development of children