I Care Jurnal Keperawatan STIKes Panti Rapih

Determinan Praktik Pengasuhan Dalam Memberikan Stimulasi Interaksi Bagi Anak-Anak Dengan Kebutuhan Khusus

R.A.Helda Puspitasari — 2026-10-29

Background: Children with special needs require optimal interaction stimulation to support their communication, social, and independence development. Such stimulation relies heavily on parental caregiving practices, as parents constitute the child's immediate environment, yet not all parents implement these practices optimally.
Objective: This study aimed to analyze the determinants of parental caregiving practices regarding interaction stimulation for children with special needs, hypothesizing a relationship between caregiving factors (knowledge, acceptance, involvement, responsiveness, family support, time availability, and access to information) and these practices.
Methods: An observational analytic quantitative design with a cross-sectional approach was employed. The study was conducted in Karangjeruk Village, Jatirejo District, Mojokerto Regency, in September 2026, involving 26 respondents selected via total sampling. Data were analyzed using the Chi-square test for bivariate analysis and regression for multivariate analysis, utilizing SPSS version 26.
Results: Multivariate analysis revealed a significant regression model (R-squared 0.932; p<0.001); only the variable of access to information significantly influenced caregiving practices regarding interaction stimulation (Beta 0.968; p<0.001), while the other six variables showed no significant influence.
Conclusion: These findings underscore the importance of enhancing access to information for parents of children with special needs as a family nursing intervention strategy to optimize interaction stimulation and child development.

Asuhan Keperawatan Menyusui Tidak Efektif (Postpartum) Dengan Terapi Pijat Oksitosin : Studi Kasus

Rini Indar Wati — 2026-10-29

Background: ineffective breastfeeding frequently occurs in postpartum mothers and may interfere with infant growth as well as maternal comfort. the contributing factors include psychological, physiological, and anatomical aspects. one effective non-pharmacological intervention is oxytocin massage therapy.

Objective: to describe nursing care for postpartum mothers with ineffective breastfeeding problems who received oxytocin massage therapy.

Method: this study used a case study approach involving postpartum mothers at rejoso public health center, pasuruan regency. the intervention was implemented daily, twice a day, using oxytocin massage techniques for 5 to 10 minutes, accompanied by breastfeeding education and breast care. data were collected through interviews, observation, and physical examination.

Results: after the intervention, the problem of ineffective breastfeeding showed improvement and was resolved according to the expected outcome criteria. this was indicated by improved infant attachment to the mother’s breast, increased breast milk flow or drops, improved infant sucking ability, decreased maternal fatigue and anxiety, and reduced infant fussiness.

Conclusion: oxytocin massage therapy is effective in increasing breast milk production, improving infant attachment, and reducing maternal anxiety. this intervention can be applied as a nursing approach to overcome ineffective breastfeeding.

Keywords: ineffective breastfeeding, oxytocin, postpartum

Penerapan Terapi Kompres Dingin Dalam Mengurangi Nyeri Pada Ibu Postpartum dengan Episiotomi: Case Study

Hilmi Mufidah — 2026-10-29

Background: Vaginal delivery can cause pressure and stretching of the perineal tissues. Under certain onditions, an episiotomy is performed based on clinical indications to mitigate the risk of more severe perineal trauma. However, this procedure can cause pain and discomfort in postpartum mothers,ecessitating pain management one of which is cold compress therapy as a nonpharmacological method.
Objective: To determine the effectiveness of cold compress therapy in reducing pain levels in postpartum mothers who have undergone an episiotomy.
Methods: This study employed a case study design and was conducted over three days at the Asy-Syifa’ Clinic. The study subject was one patient who met the inclusion criteria, which included being a postpartum patient who had undergone an episiotomy, being in stable general condition and able to communicate well, and being willing to participate by signing an informed consent form. The exclusion criteria included patients experiencing bleeding, impaired consciousness, allergies or intolerance to cold temperatures, and a history of infectious diseases. The intervention involved using an ice bag filled with ice at 15°C, applied alternately to the perineal area adjacent to the episiotomy wound, including the pubic region, and inner thighs, for 5-10 minutes per session. The intervention was conducted over three days, totaling nine sessions. Pain levels were measured using the Numeric Rating Scale (NRS) before and after the intervention.
Results: Measurements showed that pain scores decreased gradually from 6 (moderate pain) before the intervention to 2 (mild pain) after nine sessions of cold compress therapy over 3 days.
Conclusion: Cold compress therapy demonstrated a reduction in pain levels in postpartum women who had undergone an episiotomy. The cooling effect, through mechanisms of vasoconstriction and slowed nerve conduction, may help reduce the inflammatory response and pain perception. However, the results of this single patient case study cannot yet be generalized.

Penanganan Menyusui Tidak Efektif Pada Ibu Postpartum Dengan Terapi Woolwich Massage Di RSUD Bangil

Siti Aminatus Rosidah — 2026-10-29

Background: Ineffective breastfeeding is a problem that may occur in postpartum mothers and can interfere with the fulfillment of infants’ nutritional needs. This condition may be associated with inadequate breast milk supply, hard and painful breasts, maternal fatigue, anxiety, and ineffective infant latch and sucking.
Objective: To describe the implementation of nursing care for a postpartum mother experiencing ineffective breastfeeding through the administration of Woolwich massage.
Methods: The method employed was a descriptive case study approach involving a 26-year-old postpartum mother treated at Bangil Regional General Hospital. Data were collected through interviews, observation, physical examination, and documentation. Nursing interventions included breastfeeding education, improvement of positioning and latch, emotional support from the family, and Woolwich massage for 10–15 minutes twice daily for three consecutive days. Evaluation was conducted by observing changes in breast milk output, breast condition, infant latch and sucking ability, and the mother’s psychological condition.
Results: After three days of intervention, breast milk output increased, the breasts became softer, infant latch and sucking ability improved, and the mother’s anxiety regarding the adequacy of the infant’s nutritional intake decreased. These changes indicated improvement in the mother’s breastfeeding ability and the infant’s response during breastfeeding.
Conclusion: The implementation of Woolwich massage integrated with comprehensive maternal nursing care showed positive results in helping to address ineffective breastfeeding in postpartum mothers. Woolwich massage may serve as a non-pharmacological nursing intervention to support breastfeeding and successful provision of breast milk during the postpartum period. This intervention can be integrated into nursing care alongside breastfeeding education and support to help mothers achieve a more optimal breastfeeding process during the early postpartum period.