ABSTRACT

Technological development in health sector encourage the development of patient education method. Even though there are various digital applications available, there is still limit application for breast care among postpartum mothers. To determine the effect of android-based education on increasing the knowledge of primiparous mothers regarding breast care. Using a quasi-experimental design with one group pre and posttest. Total sampling is used on 33 primiparous mothers who are respondents at Sindang Barang Bogor. Education regarding breast care is given through android application among 7 days. Wilcoxon test used for data analysis. Respondents aged 20-28 years old (Mean SD 24.6;2.151), the majority are middle dan high educated (senior high school; diploma; bachelor : 51.57%; 24.2%; 15.2%), housewives (51.2%) and were in the period 35-155 days postpartum (SD 30.312). Improved knowledge score pretest 14.55 to 17.90 in the posttest. The result of the analysis show there are a significant effect of education based on android with knowledge of primipara mothers (p value 0.000). The is an increasing in knowledge after providing android-based education. Health workers should provide postpartum education, particularly related theme about breast care using android application.

Keyword: Android-Based, Breast Care, Knowledge, Postpartum, Primiparous

ABSTRAK

Perkembangan teknologi dalam bidang kesehatan mendorong pengembangan cara edukasi pasien. Meskipun telah tersedia berbagai aplikasi digital namun masih belum ada yang spesifik untuk perawatan payudara bagi ibu postpartum.

Untuk mengetahui adanya pengaruh edukasi berbasis android terhadap peningkatan pengetahuan ibu primipara terkait perawatan payudara. Menggunakan desian kuasi eksperimental one group pre and posttest. Dengan teknik total sampling pada 33 responden ibu primipara di Puskesmas Sindang Barang, Bogor diberikan edukasi via aplikasi android terkait perawatan payudara selama 7 hari. Analisis data menggunakan Uji Wilcoxon. Responden berusia pada rentang 20-28 tahun (Mean SD 24.6; 2.151), sebagian besar berpendidikan menengah ke atas (SMA;D3;S1 57.6%; 24.2%;15.2%), ibu rumah tangga (51.5%) dan berada pada periode 35-155 hari postpartum (SD 30.312) . Peningkatan skor pengetahuan pretest 14.55 menjadi 17.90 pada posttest. Hasil analisis terdapat pengaruh signifikan edukasi berbasis android dengan pengetahuan ibu primipara (p value 0.000). Terdapat peningkatan pengetahuan pasca pemberian edukasi berbasis android. Diharapkan petugas kesehatan bisa melakukan pemberian edukasi postpartum khususnya terkait perawatan payudara dengan mempertimbangkan kemajuan teknologi seperti aplikasi android.  

Kata Kunci: Android, Aplikasi, Pengetahuan, Perawatan Payudara, Postpartum

Adam, S. K., Korompis, M. D., & Allow, G. B. H. (2016). Perawatan Payudara Pada Masa Kehamilan Dan Pemberian Asi Eksklusif.

Agushybana, F. (2020). Pengaruh Aplikasi Sik-Asiek Terhadap Pengetahuan Dan Sikap Tentang Asi Eksklusif. Media Ilmu Kesehatan, 8(March). Https://Doi.Org/10.30989/Mik.V8i2.295

Amry, R. Y., Hikmawati, A. N., & Rahayu, B. A. (2020). Program Pencegahan Peradangan : Sebagai Upaya Pencegahan Mastitis Pada Ibu Menyusui Wilayah Posyandu Teratai Putih I Pungkuran Pleret Bantul. Jurnal Peduli Masyarakat, 2(September), 87–94.

Anasari, T., & Sumarni. (2014). Faktor-Faktor Yang Mempengaruhi Kejadian Mastitis Di Rsud Prof. Dr. Margono Soekarjo Purwokerto. Jurnal Involusi Kebidanan, 4 No. 7, 40–52.

Angraini, D. H., & Ichwan, E. Y. (2019). Android Application " Ayo Asi " Intervention In Increasing Breastfeeding Knowledge. 07(05), 682–685.

Anstey, E. H., Shoemaker, M. L., Barrera, C. M., O’neil, M. E., Verma, A. B., & Holman, D. M. (2017). Breastfeeding And Breast Cancer Risk Reduction: Implications For Black Mothers. American Journal Of Preventive Medicine, 53(3), S40–S46. Https://Doi.Org/10.1016/J.Amepre.2017.04.024

Budianto, F. H. (2016). Efektivitas Media Aplikasi Android “ Ayah Asi ” Terhadap Peran Suami Dalam Pemberian Asi.

Budiati, T., & Setyowati. (2019). The Influence Culture And Maternal Care On Exclusive Breastfeeding Practice In Post Caesarean Section Mothers. Enfermería Clínica, 29, 808–814. Https://Doi.Org/10.1016/J.Enfcli.2019.04.121

Cholifah, N., & Astuti, D. (2015). Teraphy Praktik Perawatan Payudara Dengan Kejadian Mastitis Pada Ibu Nifas. The 2nd University Research Coloquium, 125–132.

Cullinane, M., Amir, L. H., Donath, S. M., Garland, S. M., Tabrizi, S. N., Payne, M. S., & Bennett, C. M. (2015). Determinants Of Mastitis In Women In The Castle Study: A Cohort Study. Bmc Family Practice, 16. Https://Doi.Org/10.1186/S12875-015-0396-5

Fatimah, Massi, M. N., Febriani, A. D. B., Hatta, M., Permatasari, T. A. E., Hidayati, E., Hamidah, Khumaidi, M. A., Akaputra, R., Turrahmi, H., & Anggraini, R. P. (2021). Effect Of Breastfeeding On Children’s Health And Its Relationship To Nramp1 Expression: A Cross-Sectional Study. Annals Of Medicine And Surgery, 71(November), 103017. Https://Doi.Org/10.1016/J.Amsu.2021.103017

Fatmawati, L., Syaiful, Y., & Wulansari, N. A. (2019). Pengaruh Perawatan Payudara Terhadap Pengeluaran Asi Ibu Post Partum. Journal Of Ners Community, 10(November), 169–184.

Gustirini, R. (2021). Perawatan Payudara Untuk Mencegah Bendungan Asi Pada Ibu Post Partum. Midwifery Care Journal, 2(1), 9–14.

Hikmawati, Nontji, W., & Syarif, S. (2020). Perbandingan Aplikasi Smart Continuity Of Care Berbasis Android ( Monsca ) Dengan Buku Kia Terhadap Peningkatan Pengetahuan Ibu Hamil Dalam Penanganan Faktor Risiko Kehamilan. Jurnal Riset Kesehatan, 12(2), 462–468. Https://Doi.Org/10.34011/Juriskesbdg.V12i2.867

Hsien, C.-F., Fu, J.-C., Long, C.-Y., & Lin, H.-S. (2011). Factors Influencing Breast Symptoms In Breastfeeding Women After Cesarean Section Delivery. Breast Symptoms In Breastfeeding Women Asian Nursing Research, 5(2), 88–98. Https://Doi.Org/10.1016/S1976-1317(11)60017-0

Indriyani, D., Asmuji, & Wahyuni, S. (2016). Edukasi Postnatal Dengan Pendekatan Family Centered Maternity Care (Fcmc) (1st Ed.). Trans Medika.

Kamisutara, M., Artaya, I. P., & Purworusmiardi, T. (2018). Kondisi Early Warning Pada Maternal Health Dan Imunisasi Bayi.

Kehinde, J., O’donnell, C., & Grealish, A. (2023). The Effectiveness Of Prenatal Breastfeeding Education On Breastfeeding Uptake Postpartum: A Systematic Review. Midwifery, 118, 103579. Https://Doi.Org/10.1016/J.Midw.2022.103579

Marcelina, L. A., Rachmawati, I. N., & Kurniawati, W. (2020). Postpartum Supportive Care Increases Breastfeeding Effectiveness In Mothers With Twins: Evidence Based Nursing Practice. 30(Ichd), 50–53. Https://Doi.Org/10.2991/Ahsr.K.201125.009

Mirzaie, P., Mohammad-Alizadeh-Charandabi, S., Goljarian, S., Mirghafourvand, M., & Hoseinie, M. B. (2018). The Effect Of Foot Reflexology Massage On Breast Milk Volume Of Mothers With Premature Infants: A Randomized Controlled Trial. European Journal Of Integrative Medicine, 17(November 2017), 72–78. Https://Doi.Org/10.1016/J.Eujim.2017.11.010

Murray, S. S., & Mckinney, E. S. (2007). Foundations Of Maternal-Newborn Nursing.

Muslimah, A., Laili, F., & Halimatus, S. (2020). Pengaruh Pemberian Kombinasi Perawatan Payudara Dan Pijat Oksitoksin Terhadap Produksi Asi Pada Ibu Postpartum. 1(1).

Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2014). Maternal Child Nursing Care (5th Ed.). Elsevier.

Pradono, J. (2013). Hubungan Antara Tingkat Pendidikan , Pengetahuan Tentang Kesehatan Lingkungan , Perilaku Hidup Sehat Dengan Status Kesehatan Studi Korelasi Pada Penduduk Umur 10 – 24 Tahun Di Jakarta Pusat ( Correlation Between Education Level , Knowledge Of Environmenta. Buletin Spenelitian Sistem Kesehatan, 17(1), 89–95.

Pratama, B. I. (2017). Etnografi Dunia Maya Internet (T. U. Press (Ed.)). Ub Press.

Pusparisa, Y. (2019). Berapa Jumlah Pengguna Smartphone Dunia. 20-01-2020, 2022.

Putra, D. W., Nugroho, A. P., & Puspitarini, E. W. (2016). Game Edukasi Berbasis Android Sebagai Media Pembelajaran Untuk Anak Usia Dini. Jimp Jurnal Informatika Merdeka Pasuruan, 1(1), 46–58.

Rinata, E., & Andayani, G. A. (2018). Karakteristik Ibu (Usia, Paritas, Pendidikan) Dan Dukungan Keluarga Dengan Kecemasan Ibu Hamil Trimester Iii. Medisains, 16(1), 14. Https://Doi.Org/10.30595/Medisains.V16i1.2063

Rusli, R. A., Meiyuntariningsih, T., & Warni, W. E. (2011). Perbedaan Depresi Pasca Melahirkan Pada Ibu Primipara Ditinjau Dari Usia Ibu Hamil. Fakultas Psikologi Universitas Hang Tuah Surabaya, 13(01), 21–31.

Saba, V. K., & Mccormick, K. A. (2015). Essentials Of Nursing Informatics (6th Ed.). Mcgrawhill Education.

Samaria, D., Alita, R., & Marcelina, L. A. (2020). The Influence Of The Lactation Education Package That Loves Mothers And Children In The Covid-19 Pandemic Era On The Knowledge Of Breastfeeding Mothers In Lebak District, Banten. Indonesian Journal Of Nursing Health Science, 5(2), 134–141.

Sari, D. K., Nontji, W., Syarif, S., Sundari, Limoa, E., & Bahar, B. (2020). The Effect Of Android-Based Health Education On The Autonomy Of Postpartum Primipara Mothers In Neonatal Care. European Journal Of Molecular & Clinical Medicine, 07(08).

Sari, R. P., Densy, A., & Keraman, B. (2020). Analisis Faktor Risiko Kejadian Postpartum Blues Di Puskesmas Perumnas Kabupaten Rejang Lebong. Journal Of Midwifery, 8(1), 29–36. Https://Doi.Org/10.37676/Jm.V8i1.1031

Triansyah, A., Stang, Indar, Indarty, A., Tahir, M., Sabir, M., Nur, R., Basir-Cyio, M., Mahfudz, Anshary, A., & Rusydi, M. (2021). The Effect Of Oxytocin Massage And Breast Care On The Increased Production Of Breast Milk Of Breastfeeding Mothers In The Working Area Of The Public Health Center Of Lawanga Of Poso District. Gaceta Sanitaria, 35, S168–S170. Https://Doi.Org/10.1016/J.Gaceta.2021.10.017

Tristanti, I., & Nasriyah. (2019). Mastitis ( Literature Review ). Jurnal Ilmu Keperawatan Dan Kebidanan, 10(2), 330–337.

Walyani, E. S., & Purwoastuti, T. E. (2017). Asuhan Kebidanan Masa Nifas & Menyusui (1st Ed.). Pustakabarupress.

Wulan, S., & Gurusinga, R. (2017). Pengaruh Perawatan Payudara ( Breast Care ) Terhadap Volume Asi Pada Ibu Post Partum ( Nifas ) Di Rsud Deli Serdang Sumut Tahun 2012. 5(April). Https://Doi.Org/10.37402/Jurbidhip.Vol5.Iss1.16

Yang, X., Assistant, R. N., Ip, W., Associate, R. T. N., Chi, W., & Chan, S. (2016). Predictors Of Breast Feeding Self-Efficacy In The Immediate Postpartum. Midwifery, 41, 1–8. Https://Doi.Org/10.1016/J.Midw.2016.07.011

Yulita, E., Mappaware, N. A., Nontji, W., & Usman, A. N. (2021). The Effect Of Breastfeeding On Body Temperature, Body Weight, And Jaundice Of 0–72 H Old Infants. Gaceta Sanitaria, 35, S254–S257. Https://Doi.Org/10.1016/J.Gaceta.2021.10.029