Indonesian Journal of Global Health Research 2024-06-20T01:43:20+00:00 Livana Open Journal Systems <p><strong>;hl=id&amp;oi=sra<img src="/public/site/images/nimda/cover_ijghr_tunggal.png" width="370" height="524"></strong></p> <p><strong>Indonesian Journal of Global Health Research</strong>&nbsp;<strong> (IJGHR)</strong> is a open access, peer reviewed and refereed international journal. <strong>IJGHR</strong>&nbsp;aim to publish original research paper devoted to various area of all health sciences.&nbsp;<strong>IJGHR</strong> provides a forum for sharing timely and up-to-date publication of scientific research, health care and promoting the development of nursing, public health, community, environmental and occupational health. The journal publishes original research papers of health sciences. High priority will be given to articles on public, nursing, adolescent, community, environmental and occupational health, pharmaceutical technology, social pharmacy, traditional medicine, pharmacology, and so on. The topics related to this journal include but are not limited to: public health, health promotion, environmental health, occupational health, clinical aspects related to health, healthcare services, health policy and management, school health, food health, remote health, rural health, community health, mental health, adolescent health, industrial health, circumpolar health, drug health, equity in health, reproductive health care, urban health, health geographics, women's health, paediatrics and child health.</p> <p>&nbsp;</p> Description of Blood Lead Levels with Uric Acid Concentration Regarding Smoking and Period Time Habits of Exposure Batik Industry Workers 2024-05-24T12:12:04+00:00 Dela Shalsha Elisa Fadila Dian Permatasari Octavia Sella Dwi Permatasari Tri Harningsih <p>The use of heavy metals as a mixture in the batik production process is still ongoing today. Increased concentrations of heavy metals cause accumulation in workers' bodies. Lead exposure and poisoning has now become a global concern in the environmental field. Environmental and behavioral factors, especially in terms of smoking habits, are supported by the length of time exposure to pollutants each day. Blood lead levels are a risk factor for gout. This research was conducted with the aim of providing an overview of lead levels and uric acid levels in workers at the Batik Home Industry in Banaran Village based on smoking habits and length of time exposure to pollutants each day. The examination was carried out at the Yogyakarta City Health and Calibration Laboratory Center (BLKK). The research method used was descriptive of workers blood samples. The sampling technique used was purposive sampling. Samples are selected based on predetermined criteria. Samples were analyzed using an Atomic Absorption Spectrophotometer. The results of research on 24 respondents showed that the lowest lead level was 0,030 μg/dL and the highest was 4,896 μg/dL. The lowest range of uric acid levels is 4,0 mg/dL and the highest is 11,8 mg/dL. The average period of time that workers are exposed to pollutants is 8 hours/day and there are 11 respondents who have a smoking habit. Based on these results, it is stated that every worker has lead levels in their blood but it does not cause toxic effects.</p> 2024-05-05T00:00:00+00:00 ##submission.copyrightStatement## The Relationship of Academic Stress to Smoking Behaviour in Students of Faculty of Geological Engineering 2024-05-15T14:51:34+00:00 Maya Hanissya Diah Indra Maulana Ahmad Yamin <p>The relationship between academic stress coping and smoking behaviour is crucial with the increase of adult smokers in Indonesia, especially among university students, adding urgency to the understanding of the relationship between academic stress and smoking behaviour. Objectives: So this study aims to determine the relationship between academic stress and smoking behaviour in students of the Faculty of Geological Engineering, Padjadjaran University. Methods: The method used in this study is an analytical descriptive design with a cross-sectional approach. The population in this study were active students of the 2020 and 2021 batches of the Faculty of Geological Engineering at Padjadjaran University totalling 259 people. The sample taken using the calculation of proportionate stratified random sampling was 157 students. Data were collected using The Perception of Academic Stress instrument developed by Gabriel and Bedewy (2015) containing 18 statements and Smoking behaviour developed by Komang Yunita (2021) containing 15 statements. Data analysis was carried out with a descriptive statistical approach and the Spearman Rank Correlation test. Results: The results of this study showed a p value&gt; 0.05 (0.061), then H0 was accepted and Ha was rejected. Conclusion: The statement shows there is no significant relationship between academic stress and smoking behaviour but a positive relationship although very weak. Based on varibael, more than half of FTG Unpad students experience academic stress in the moderate category (53.5%) and almost half of students do not smoke (43.3%).</p> 2024-05-15T14:51:34+00:00 ##submission.copyrightStatement## Servical Dilatation Measuring Device 2024-05-15T15:11:23+00:00 Winda Astria Putri Melyana Nurul Widyawati Kurnianingsih Kurnianingsih <p>Childbirth represents a physiological phenomenon encountered by females subsequent to the gestational process, necessitating the assistance of healthcare professionals for its monitoring also evaluation. Presently, the manual assessment of cervical dilation through digital palpation by obstetricians or midwives remains the prevailing approach. Nonetheless, manual cervical manipulation is administered by healthcare providers in various clinical settings, leading to subjective also potentially imprecise diagnostic results, which heavily depend on the skill also clinical judgment of the provider. This study aims to examine the development of cervical dilation measurement tools from 1998 to 2015. It underscores the imperative for a tool capable of delivering impartial also precise assessments devoid of human influence. This inquiry adopts a literature review methodology, employing Evidence Based Practice (EBP) as the framework for exploration, leveraging Google Scholar as the primary database. The retrieved literature, spanning from 1995 to 2005, exclusively comprises international journals. Within this systematic scrutiny, apparatuses utilized for dilation measurement are systematically cataloged as per their operational principles also clinical utility. The analysis suggests that image data processing technology holds considerable promise for refinement into instrumentation dedicated to cervical dilation assessment.</p> 2024-05-15T00:00:00+00:00 ##submission.copyrightStatement## Quality of Discharge Education: Chronic Diseases Patients’ Perspectives 2024-06-07T08:17:03+00:00 Syifa Eka Rahmawati Titis Kurniawan Eka Afrima Sari Mira Trisyani Tuti Pahria <p>Readmission is a condition where a patient needs to be re-hospitalized shortly after their initial discharge. One crucial component in preventing readmission is the quality of discharge education. Objective: This study aims to describe the quality of discharge education among patients with chronic diseases Method : A quantitative descriptive study design was used. A total of 121 in patients with chronic disease from a regional general hospital in West Java were selected through consecutive sampling. Demographic and characteristic questionnaires and the Quality of Discharge Teaching Scale (QDTS) were used as instruments. It consisting of 6 paired questions with a validity value 0.98 and reliability 0.92. Descriptive statistics were applied for data analysis. Results: Chronic patients' score of content needed and content received were high (46.7 ± 11.9). This means that patients have high information needs and the information they received from nurses answer their needs. However, there are some points where it is considered that the needed information has not been fulfilled by the information received. Conclusions: Even though the quality of the provided discharge education is high, the improvement particularly in terms of information related to who and when should be contacted and information about emotion are needed.</p> 2024-06-07T08:17:02+00:00 ##submission.copyrightStatement## Meta-Analysis: Application of Health Belief Model Theory on Covid-19 Vaccine Acceptance 2024-05-16T11:48:39+00:00 Elsa Tursina Budhi Rahardjo Farid Setyo Nugroho <p>The Health Belief Model (HBM) helps in understanding health-related behaviors and is used to explore factors that influence the acceptance of COVID-19 vaccines. This exploration serves as the basis for designing more effective intervention programs to increase vaccine acceptance, both for COVID-19 and future vaccination programs. This study aims to analyze and estimate the impact of applying the Health Belief Model on the acceptance of COVID-19 vaccines. Methods: This study is a meta-analysis using the PICO model. Population: adults. Intervention: high perceived susceptibility, high perceived severity, high perceived benefits. Comparison: low perceived susceptibility, low perceived severity, low perceived benefits. Outcome: acceptance of COVID-19 vaccination. The research data was sourced from Google Scholar, ScienceDirect, and PubMed, using keywords “Health Belief Model” AND “HBM” AND “Vaccine COVID-19 Acceptance” OR “Receive” AND “Vaccine COVID-19 Hesitancy”. The inclusion criteria for articles in the meta-analysis were articles published between 2020 and 2022 in English. Analysis was performed using the RevMan 5.4 application. Results: A meta-analysis was conducted on 15 cross-sectional studies from Asia and Europe with a total sample size of 19,814 people. High perceived susceptibility (aOR= 1.28; 95% CI= 1.10 to 1.49; p= 0.001), high perceived severity (aOR= 1.24; 95% CI= 1.04 to 1.48; p= 0.020), and high perceived benefits (aOR= 2.64; 95% CI= 1.73 to 4.02; p&lt;0.001) towards COVID-19 were found to increase the acceptance of COVID-19 vaccination, and these results were statistically significant. Conclusion: High perceived susceptibility, high perceived severity, and high perceived benefits towards COVID-19 increase the acceptance of COVID-19 vaccination.</p> 2024-05-16T11:48:39+00:00 ##submission.copyrightStatement## Incidence of Gingival Mucosa Karyolysis in the Use of Food Coloring as A Dental Plaque Detection Material (Study on Mus Musculus)” 2024-05-19T13:57:50+00:00 Naning Nur Handayatun David Rudi Karin Tika Fitria Fairuz Fairuz <p>Bacteria in dental and oral diseases can lead to systemic issues like kidney and heart disease, emphasizing the importance of maintaining oral hygiene. Disclosing solution, a plaque-revealing agent, is pivotal in assessing plaque removal efficacy. The optimal concentration of rose pink food coloring for plaque visibility is 2.5 g/20 ml water. However, the potential impact of this coloring on oral epithelium remains unstudied. Objective: This research aimed to evaluate the effect of disclosing solution food coloring on the gingival mucosal layer in mice. Pure experimental research with a control group design involved 6 mice (Mus musculus) each in treatment and control groups. Erythrocyn, derived from rose pink food coloring, was applied to mice’s gingiva for 2 minutes daily over 7 days. Labio-gingival epithelial cells were then sampled and analyzed using the modified Feulgen-Roseenbeck method. 58.33% of mice showed karyolysis in gingival epithelial cells, contrasting with no karyolysis in lip mucosa. Careful management of food coloring-containing erythrosine as a plaque detection agent is crucial to prevent contact with oral mucosa or prompt cleaning if contact occurs.</p> 2024-05-18T20:05:17+00:00 ##submission.copyrightStatement## Effectiveness of Deep Brain Stimulation (DBS) in the Anterior Thalamic Nucleus (ATN) for Drug-Resistant Epilepsy: A Comprehensive Literature Review 2024-05-20T15:50:57+00:00 Yoga Arif Hidayat Caroline Monika Bryant Agustino Rusli Irfan Fadillah Ramadhan Athaya Febriantyo Purnomo <p>Epilepsy, a chronic neurological disorder characterized by recurrent seizures, significantly impacts the lives of millions worldwide. While antiepileptic drugs have become the standard of care for seizure control, a substantial portion of epilepsy patients, estimated at approximately one-third, continues to experience seizures despite trying multiple medications. Consequently, there is a pressing need to explore alternative and more effective treatment options. This study was conducted to review more deeply Deep Brain Stimulation (DBS) has emerged as a promising intervention for individuals with drug-resistant epilepsy. DBS entails the implantation of small electrodes into specific brain regions to provide controlled electrical stimulation, aiming to modulate abnormal neural activity associated with seizures. Among the targeted brain regions, the Anterior Thalamic Nucleus (ATN) has garnered substantial attention due to its potential to reduce seizure frequency in individuals for whom conventional therapies have proven inadequate. A literature search was conducted from journal articles using databases in the form of Pubmed, Medline, Google Scholar, Proquest, Embase, SAGE, and Web of Science. The search strategy involved using a set of keywords and their synonyms without any publication date restrictions. In this comprehensive review, the effectiveness of DBS in the ATN for drug-resistant epilepsy is critically examined. Notably, recent clinical trials have shown significant promise. For instance, the SANTE (Stimulation of Anterior Nucleus of Thalamus for Epilepsy) study demonstrated that, after three months, 110 drug-resistant epilepsy patients receiving DBS in the ATN experienced a remarkable 40% reduction in seizure frequency. Long-term follow-up revealed progressive improvements, with a subsequent 69% decrease in seizure frequency over five years. There is potential adverse events associated with DBS, including bledding, infections, paresthesia, moving disorder and psychiatric disorder. DBS is highly effective in reducing seizure frequency, controlling seizures, and improving the patient’s quality of life. DBS can also serve as a treatment option for various other neurological disorders. In the future it is expected to become more effective with advances in neuroscience, particularly neurointerventions, which allow more precise anatomical targeting. Monitoring possible side effects caused by DBS is critical to optimizing patient outcomes. In conclusion, this review underscores the potential of DBS in the ATN as an effective therapy for drug-resistant epilepsy. While significant progress has been made, further research is needed to refine treatment parameters, enhance patient selection, and evaluate long-term outcomes. DBS represents a beacon of hope for individuals whose lives are profoundly affected by drug-resistant epilepsy, offering the prospect of improved seizure control and enhanced quality of life.</p> 2024-05-18T00:00:00+00:00 ##submission.copyrightStatement## Bullying Prevention Focused Interventions in Adolescents: A Scoping Review 2024-05-19T20:27:14+00:00 Rohman Hikmat Suryani Suryani Iyus Yosep Rohani Jeharsae <p>Bullying in adolescents is a serious problem that has a negative impact on the victim's mental health, academic performance and social relationships. Bullying prevention efforts are very important to create a safe and supportive school environment. Although many interventions have been developed, their effectiveness varies, and there remains a gap in the literature regarding the best approaches to preventing bullying in adolescents. Objective: This study aims to explore existing bullying prevention interventions and assess their effectiveness through a scoping review. Method: The method used is a scoping review by searching for articles from three main databases, namely Scopus, PubMed, and CINAHL, as well as one search engine, Google Scholar. Keywords used included “bullying prevention,” “adolescents,” “intervention,” “school,” and “community.” Inclusion criteria included studies involving adolescents aged 12–18 years, focused on bullying prevention interventions, and published in English. Data was analyzed descriptively qualitatively. Results: The results show that there are six articles that discuss interventions to prevent bullying in adolescents. The results of this study indicate that education, role play, and group discussions can significantly prevent bullying behavior. This success is due to a comprehensive approach involving all stakeholders and the use of interactive methods that encourage active student participation. Variables that influence intervention effectiveness include social support, student engagement, and consistency of program implementation. Conclusion: The implementation of interventions must be consistent and sustainable, as well as the involvement of all relevant parties, is very important to achieve optimal results.</p> 2024-05-19T00:00:00+00:00 ##submission.copyrightStatement## Electrolyte Management and Monitoring to Prevent Complications MMA: A Case Report 2024-05-19T20:38:22+00:00 Samin M. Ali Nur Azmi Irma Yusanti Ayu Prawesti Priambodo Ristina Mirwanti <p>Methylmalonic acidemia (MMA)&nbsp; is a rare metabolic disorder caused by the body's inability to break down certain proteins and fats, leading to a buildup of toxic methylmalonic acid. MMA symptoms vary and can cause serious complications if not treated appropriately. Purpose : to explanation of electrolyte management and monitoring to prevent complications on patient with methylmalonic acidemia. Method : this study used case study. Collecting data used nursing assessment. An 8 year old patient with MMA, cough accompanied by vomiting, decreased appetite, and dehydration came to the emergency room in critical condition. The patient showed signs of dehydration, metabolic acidosis, and electrolyte disturbances that required immediate treatment. Results: Management of MMA involves adequate hydration, management of hypoglycemia, correction of metabolic acidosis, and careful monitoring of electrolytes. Additional therapies such as L-Carnitine supplementation and intensive clinical monitoring are also necessary to prevent life-threatening complications. Conclusion: Rapid and appropriate treatment of the metabolic crisis in MMA is essential to prevent serious complications and improve the patient's prognosis. Regular monitoring of electrolytes and clinical parameters as well as comprehensive therapy can help improve the quality of life of individuals with MMA.</p> <p>&nbsp;</p> 2024-05-19T20:37:35+00:00 ##submission.copyrightStatement## Islamic Caring Behavior by Nurses on Patient Satisfaction: A Scoping Review 2024-05-19T20:50:59+00:00 Farisha Noor Yanny Trisyani Ristina Mirwanti <p>Caring behavior in nursing has an important role in improving patient satisfaction. Islamic caring behavior is not only limited to technical and professional aspects, but also includes spiritual and emotional dimensions in accordance with Islamic values. Purpose: The aim of this study is to explore how Islamic caring behavior is applied in nursing practice and its impact on patient satisfaction. Method: This study used a scoping review method by analyzing and synthesizing data from six relevant journal articles. The articles were selected based on specific inclusion criteria and analyzed to identify key themes related to Islamic caring behaviors in nursing. The databases used were PubMed, CINAHL, Scopus, and google scholar search engine. Results: The authors found 7 articles that discussed Islamic caring on patient satisfaction. Islamic caring behavior includes aspects of professionalism, empathy, patience, and spirituality. Factors that influence the implementation of Islamic caring behavior include nurse motivation, institutional support, and work environment. Specific activities such as prayer, recitation, and dhikr were also found to be integral to the practice of Islamic caring. In terms of impact, Islamic caring contributes to increased patient satisfaction through a more holistic approach to care. Conclusion: Integration of Islamic values in caring behavior can increase patient satisfaction in nursing services. The implication is that there needs to be greater recognition and support for the application of Islamic caring in nursing practice, both in terms of nurse education and health institutional policies.</p> 2024-05-19T20:50:59+00:00 ##submission.copyrightStatement## Factors Influencing Turnover Intention in Nurses: A Scoping Review 2024-05-19T23:00:51+00:00 Birry Assidiqy Hana Rizmadewi Agustina Kurniawan Yudianto <p>Urnover intention in nurses is a serious concern in the health care industry, affecting workforce stability and the quality of services provided to patients. Complex factors such as job satisfaction, work environment, and personal factors have been identified as the main causes of nurses' intention to leave their jobs. Purpose: This study aims to review the factors that influence turnover intention in nurses. Methods: A scoping review study design was used with the Arksey and O'Malley approach. A literature search was carried out through the Scopus, PubMed, and CINAHL databases using relevant keywords. Inclusion and exclusion criteria were established for study selection, and data were extracted using manual tables. Data analysis was carried out descriptively qualitatively with a thematic analysis approach. Results: The literature review showed that there were 8 articles that met the inclusion criteria to be included in the analysis. Factors that influence turnover intention in nurses include internal aspects such as job satisfaction, work stress, and organizational commitment, as well as external factors such as the work environment and social support. Conclusion: By deeply understanding these factors, health organizations can design appropriate intervention strategies to reduce turnover intention, increase nursing workforce retention, and improve the quality of health services provided to patients.</p> 2024-05-19T23:00:51+00:00 ##submission.copyrightStatement## Cross-Reactivity of Guillain-Barre Syndrome and Thrombotic Thrombocytopenic Purpura with Complications Respiratory Failure: Case Report 2024-05-19T23:12:54+00:00 Alia Rahmi Harlasgunawan Daud Palo Dirman Abdullah Ayu Prawesti Priambodo Ristina Mirwanti <p>Guillain-Barre Syndrome (GBS) and Thrombotic Thrombocytopenic Purpura (TTP) are two medical conditions that are rare but can cause serious complications if they appear simultaneously. Both conditions involve autoimmune mechanisms and can result in organ failure, including respiratory failure. Although there are several case reports of each condition, research exploring the interaction between GBS and TTP in the context of respiratory failure is limited. Purpose: The aim of this study is to describe a case of cross-reactivity of Guillian-Barre Syndrome and Thrombotic Thrombocytopenic Purpura with complications respiratory failure. Methods: This research uses a case study design involving an adult patient who was treated at a hospital in Bandung. Data was collected through a comprehensive nursing assessment. Patients provided informed consent before data were collected. Data analysis was carried out descriptively to describe clinical findings and patient management results. Results: The patient is a young woman 27 year old admitted to hospital with a diagnosis of GBS. Eleven days before entering the hospital the patient experience dascending paralysis, fever, nausea and vomiting.TTP cross-reactivity and peripheral nervous system inflammation in GBS.Complications of respiratory failure requiring invasive mechanical ventilation (IMV) in the ICU. Laboratory and radiological examinations supported the diagnosis, and medical intervention was performed according to protocol for both conditions. This shows the importance of close monitoring and prompt treatment to prevent further complications. These findings emphasize the need for a multidisciplinary approach in managing patients with complex medical conditions. Conclusion: An in-depth understanding of the interaction between GBS and TTP is essential for effective clinical management, especially in preventing and managing complications of respiratory failure.</p> 2024-05-19T23:12:54+00:00 ##submission.copyrightStatement## Religious Experiences of Muslim Students Who are Addicted to Online Games in Rural Areas in Countries with A Muslim Majority 2024-05-20T01:38:38+00:00 Yanuar Fahrizal Ririn Andrea <p>Internet gaming habits may influence teenagers' religious conduct. Gamers are able to survive without doing other activities by sitting for long periods. Many gamers who are hooked to online games are more concerned with the game than with their worship, causing them to get further from God. This study seeks to investigate the spiritual experiences of Yogyakarta students addicted to online games. This study employs a qualitative, phenomenological methodology. Data gathered from eight participants through snowball sampling underwent analysis using the Giorgi method. The study highlights diverse spiritual experiences among online game-addicted students, including parental and student indifference, shifts in activities, pupils' appreciation for spirituality, neglect of religious activities, and integration of internet games and worship for problem-solving. Excessive online gaming results from various factors, yielding varied spiritual experiences, enabling students to understand spirituality's significance and act as problem-solvers.</p> 2024-05-20T01:38:38+00:00 ##submission.copyrightStatement## The Influence of Application of the Rasul Sunnah on Vital Signs of Lung Cancer Patients Undergoing Chemotherapy 2024-05-20T02:11:29+00:00 Diyanah Syolihan Rinjani Putri Dian Nur Wulanningrum Dewi Suryandari <p>Lung cancer patients receive chemotherapy treatment. One of the effects of chemotherapy is that it can cause a physiological response to changes in vital signs. Applying the Sunnah of the Apostle can relax and influence vital signs in lung cancer patients undergoing chemotherapy. Objective: to determine the effect of applying the Sunnah of the Apostle on the vital signs of lung cancer patients undergoing chemotherapy. Method: Quasi experimental with one group pre test – post test with control design, sample of 42 lung cancer respondents. Assessment of vital signs using a Spygmomamometer, stopwatch and thermometer. Data were analyzed using the Wilcoxon test. Results: The Wilcoxon test results obtained a p-value of 0.000 (p-value &lt; 0.05). Conclusions: there is an influence of the application of the Prophet's Sunnah on the vital signs of lung cancer patients undergoing chemotherapy.</p> 2024-05-20T02:11:28+00:00 ##submission.copyrightStatement## Risk Factors of Covid-19 Transmission among Health Workers in Southeast Asia 2024-05-21T09:10:23+00:00 Qonitah Fitri Prathiwi Dwi Sarwani Sri Rejeki Siwi Pratama Mars Wijayanti <p>The transmission of Covid-19 to health workers is an important issue in the pandemic era. Health workers are the front line in handling Covid-19 so they are very vulnerable to being exposed to and even contracting Covid-19 disease. It is necessary to conduct an assessment of the factors that influence the transmission of Covid-19 to health workers, especially in the Southeast Asian Region. The aim of the systematic review is to examine the factors that influence the transmission of Covid-19 cases to health workers in Southeast Asia. The research journal database was retrieved by accessing PubMed and Google Scholar, and using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) method using the keywords “risk factors” AND “transmission” AND “Covid-19” AND “health workers”. After going through a series of selections, 11 research journals of 241 journals found that were published in 2020-2023 and were considered relevant for study. Based on the results and discussion of the systematic review, it is known that the factors that influence the transmission of Covid-19 to health workers in Southeast Asia are: average age, type of profession, comorbid history, travel history, community contact at work, contact with Covid-19 patients, adherence to the use of PPE and implementing health protocols, levels of workload, levels of stress and immunization status of health workers.</p> 2024-05-21T09:10:23+00:00 ##submission.copyrightStatement## Overview of Body Shaming Incident in High School Adolescents 2024-05-22T08:00:17+00:00 Orkhida Komalasari Mamat Lukman Imas Rafiyah <p>Adolescence is a period of identity search that makes it easy for them to internalize values or standards from society. This standard is one of the reasons why people experience body shaming. Body shaming is one of the categories of verbal bullying. Objective: The purpose of this study was to determine the incidence of body shaming in adolescents at SMAN “X” Bandung. Method: This research uses a quantitative-descriptive design. The sample in this study was 277 students, and the sampling technique used was proportionate stratified random sampling. This research instrument uses the Body Shaming Scale questionnaire to assess the level of body shaming, which is transliterated into Indonesian with the results of the validity test r count of 0.272–0.830 (r table = 0.257) and Cronbach's alpha value of 0.899. The data analysis used is a univariate analysis with frequency distribution and percentage. Results: The results showed that 54 respondents (19.5%) experienced high body shaming, 204 respondents (73.6%) experienced medium body shaming, and 19 respondents (6.9%) experienced low body shaming. Conclusions: There is a need for education about body shaming and its effects on a person's mental health, as well as counseling for victims who experience body shaming.</p> 2024-05-22T08:00:16+00:00 ##submission.copyrightStatement## Factors Associated with Gastritis Symptoms in High School Adolescents 2024-05-22T08:11:38+00:00 Azizah Azizah Chandra Isabella Hostanida Purba Sheizi Prista Sari <p>Gastritis is an inflammatory process of the gastric mucosa and submucosa that, if not treated immediately, can lead to very dangerous complications. Adolescents often do not pay attention to their health because they are busy with school activities. This makes adolescents vulnerable to gastritis symptoms. Symptoms of gastritis that often appear include burning in the stomach, decreased appetite, heartburn, nausea, vomiting, bloating, and frequent burping. Factors causing gastritis include diet, age, knowledge, medications, stress, and bacteria. Objective: identify factors associated with gastritis symptoms in adolescents. Method: This study used a descriptive correlation research design using a cross-sectional approach. The population of this study was all first-grade and second-grade students in high school; the sample used totaled 112 students, and the sampling technique used was proportionate stratified random sampling. Data analysis in this study used univariate and bivariate analyses. The form of univariate analysis in this study is in the form of distribution and percentage, while the bivariate analysis uses the Chi-square test. Results: The results showed that adolescents in high school who experienced gastritis symptoms were 48 respondents (42.9%). Correlation test between age and gastritis symptoms obtained p-value 0.000, gender with gastritis symptoms obtained p-value 0.022, diet with gastritis symptoms obtained p-value 0.032, stress with gastritis symptoms obtained p-value 0.003, consumption of NSAID drugs with gastritis symptoms obtained p-value 0.000, and smoking with gastritis symptoms obtained p-value 0.246. Conclusions: Factors associated with gastritis symptoms in adolescents in high school include age, gender, diet, stress, and consumption of NSAIDs. As for smoking, it was not associated with gastritis symptoms in adolescents in high school.</p> 2024-05-22T08:11:38+00:00 ##submission.copyrightStatement## Septic Shock due to Acinetobacter Baumannii Infection with Complications of Acute Respiratory Distress Syndrome: A Case Report 2024-05-25T04:07:40+00:00 Mikha Christina Fricilia Noya Lurdes Acorta Freitas Silvestre Dos Reis Ayu Prawesti Priambodo Ristina Mirwanti <p>Sepsis shock, characterized by sepsis-induced circulatory or metabolic disturbances, remains the leading cause of death in ICUs globally. Infection by Acinetobacter baumannii, which is frequently found in medical environments, can trigger life-threatening sepsis shock. This condition occurs when the bacteria or its bacterial products trigger adverse reactions from the immune system. ARDS, as a serious complication, results from endothelial damage that causes fluid to enter the alveoli, disrupting gas exchange and leading to respiratory failure. Purpose to describe a case in a patient diagnosed with epilepticus, with a history of autistic disorder, and non-specific pneumonia aged 30 years. This case report reviews a 30-year-old man admitted with a diagnosis of status epilepticus, with a history of autistic disorder, and non-specific pneumonia. The patient showed progressive improvement with initial therapy, including antiepileptic therapy and empirical antibiotics for pneumonia. However, the patient's condition deteriorated later, resulting in Acute Respiratory Distress Syndrome (ARDS) due to septic shock by Acinetobacter baumannii. The patient required mechanical ventilation and intensive management, including a change in antibiotic therapy and tracheostomy. With appropriate intervention, the patient showed improvement and was successfully discharged from mechanical ventilation. This patient with severe ARDS caused by sepsis shock due to Acinetobacter baumannii infection, demonstrates the importance of prompt and appropriate management of the complications of sepsis to prevent the patient's death. Acinetobacter baumannii infection causing ARDS and sepsis shock is a serious and rarely reported case, where aggressive treatment of sepsis with appropriate antibiotics and careful management of mechanical ventilation can improve the progression of ARDS.</p> 2024-05-25T04:07:40+00:00 ##submission.copyrightStatement## Adolescent Perspectives on HIV Prevention: A Descriptive Study of High School Students 2024-05-25T07:55:47+00:00 Fatwa Muhammad Raihan Taty Hernawaty Kurniawan Kurniawan <p>The incidence of HIV in adolescents has increased. Teenagers who have high curiosity like to try new things and are driven by the progress of the times are vulnerable to promiscuity, so this makes teenagers vulnerable to the risk of contracting HIV. This vulnerability is to the Health Belief Model theory. This study aims to determine perceptions of HIV prevention at SMAN 1 Pangandaran. This research uses a quantitative descriptive method with a cross-sectional method. The population of this study was all students of SMAN 1 Pangandaran, totaling 1355 people. Sampling used the Stratified Random Sampling technique with a sample size of 104 people. Data were collected using The AIDS Health Belief Scale questionnaire (r0.52-0.93, (Cronbach alpha) a0.72). Data analysis uses descriptive statistics. Perception of susceptibility to HIV infection is in the medium range (57.7%), perception of the severity of HIV infection is in the high range (55.8%), perception of the benefits of HIV prevention is in the medium range (42.3%), and perception of barriers in HIV prevention is to the medium range (56.7%). The overall perception of students at SMAN 1 Pangandaran is good.</p> 2024-05-25T07:55:47+00:00 ##submission.copyrightStatement## The Influence of Mindfulness Therapy on Nurse Stress in Hospitals 2024-05-27T02:01:01+00:00 Letti Kumajas Shanti Wardhaningsih <p>The increasing workload, attributed to a high number of patients and limited human resources, is a major cause of stress among nurses. This stress can lead to burnout syndrome, characterized by emotional exhaustion, depersonalization, and a decrease in personal accomplishment, ultimately affecting the quality of nursing care provided to patients. Instances of nurse stress are not confined to a single country but are prevalent in various countries such as China, Australia, India, and Dubai. Elevated levels of stress among nurses can result in serious consequences, including physical and mental disorders like anxiety, depression, sleep disturbances, and other health issues, potentially escalating to suicide risk. The aim of this research is to determine the outcomes of a literature review concerning the utilization of Mindfulness therapy in managing nurse stress in hospitals. This study entails a literature review sourced from the PubMed, Scopus, and Proquest databases. Articles were selected based on inclusion and exclusion criteria, where inclusion criteria spanned from 2018 to 2023. The search yielded 6 articles filtered using PRISMA guidelines . This research aimed to identify articles on stress management methods for nurses that met the inclusion criteria. Mindfulness therapy proves to be beneficial for reducing stress among nurses in hospital settings and offers motivation to consider its incorporation into clinical practice and health programs within healthcare institutions.</p> 2024-05-27T01:52:56+00:00 ##submission.copyrightStatement## The Effect of Moringa Leaf Processing on Hemoglobin Levels in Stunted Toddlers 2024-05-27T02:15:12+00:00 Marthina Sahureka Munaya Fauziah Titin Sutini Nyimas Heny Purwati Nuraidah Nuraidah <p>Children facing prolonged malnutrition are susceptible to stunting, a condition marked by insufficient hemoglobin levels crucial for oxygen and nutrient transportation in the bloodstream. Addressing this issue involves dietary interventions rich in protein and iron, such as processed Moringa leaves. This study aims to identify the effect of giving processed Moringa leaves on increasing hemoglobin levels in stunted toddlers in the Tawiri Community Health Center working area, Ambon City. This research method is a quasi-experimental two-group pretest-posttest design with control group with a sample of 22 toddlers in each group. The data in this study were collected using the Morisky Medication Adherence Scale-8 (MMAS), a measurement tool for medication adherence in patients with chronic diseases, consisting of 8 questionnaire items. The classification of the results is as follows: a score of &lt;6 indicates low adherence, 6-7 indicates medium adherence, and 8 indicates high adherence. The research results showed that the average hemoglobin level in the intervention group before and after administering processed Moringa leaves was 10.20-11.34 (difference: 1.14 g/dl), while in the control group it was 10.42 g/dl-10.45 g/dl (difference: 0.03 g/ dl). Based on the results of the analysis, it was found that the p-value was 0.001, which meant that there was a difference in the increase in hemoglobin levels of stunted toddlers in the intervention group and the control group. In the multivariate analysis of the confounding variables (age, gender, nutritional adequacy, and physical activity) that influenced hemoglobin levels were comorbidities with a p-value of 0.012. The results of this research can be used as a basis for parents to give processed Moringa leaves to stunting toddlers as an effort to increase hemoglobin levels.</p> 2024-05-27T02:12:21+00:00 ##submission.copyrightStatement## Improving the Knowledge and Attitudes of Pulmonary Tuberculosis Prevention in the Probolinggo Community with Counseling and the Use Of Sobat-TB 2024-05-27T02:52:38+00:00 Muhammad Nazhif Haykal Dwinka Syafira Eljatin Atina Irani Wira Putri Rumman Karimah Fatimah Nur Fitriani Gumilar Fardhani Ami Putra Rizka Nurul Hidayah Afia Nuzila Fadhlina Hindana Fatmasari Aulia Febrianti Widodo Sakina Sakina <p>Tuberculosis (TB) is a significant global health issue, particularly in Indonesia. The increasing number of TB cases and deaths highlights the need for health education to reduce the incidence of TB and support eradication efforts. Objective: This study aimed to analyze the knowledge and attitudes of the Probolinggo community toward preventing pulmonary TB through counseling and the use of the Sobat-TB. Method: An analytical observational study with a cross-sectional approach was conducted. The knowledge and attitudes of 50 voluntary respondents were measured using a validated and reliable questionnaire before and after health education interventions, which included counseling, educational videos, and an introduction to the Sobat TB app. The data were analyzed descriptively and statistically at the 95% confidence level. Results: In the Puskesmas Kanigaran area, the initial findings showed poor knowledge and attitudes toward TB prevention among respondents. Postintervention, there was a significant improvement: 46 out of 50 respondents had good knowledge, and 48 out of 50 had positive attitudes toward TB prevention. Statistical analysis confirmed a significant relationship between pre- and postintervention knowledge and attitudes (p=0.0001). Conclusions: Enhanced access to information and continuous health education using modern technology are crucial for achieving TB elimination goals.</p> 2024-05-27T02:52:38+00:00 ##submission.copyrightStatement## Effectiveness of in-Tray Early Waring System Training on Knowledge and Practice of Nurses 2024-05-27T11:21:17+00:00 Nuraidah Nuraidah Aninda Dinar Widiantari Siti Maemun Veronika Hutabarat Abdul Khamid Indah Wahyuning Sumaryati Sumaryati Desi Ambarwati Farida Murtiani <p>Death marks the conclusion of the disease trajectory. Prevention of fatality in patients facing acute and chronic diseases requires the competence of reliable health workers, with nurses playing a crucial role in delivering proficient care. Aiming for early detection of patients' clinical deterioration, nurses use an early warning system. Objective: to determine the effectiveness of EWS training in-tray method on knowledge and practice of EWS. We conducted a quasi-experimental study using one group pretest-posttest without a control group. The sample of this study was 70 executive nurses with consecutive sampling techniques. The research was held at the Inpatient Installation of Sulianti Saroso Infectious Disease Hospital (SSIDH) in June 2023. Observation sheets were utilized to assess Early Warning System (EWS) practices, and we employed valid and reliable questionnaires to gather information on respondents' knowledge. We performed univariate analysis using frequency distribution and bivariate analysis using the Wilcoxon test. Most respondents were in the late adult category (52.9%), female (80.0%), graduate Diploma III in nursing education (54.3%), and the most working period of 5 years (78.6%). The knowledge of participants increased significantly from 7.00 (2.00-13.00) (pretest) to 11.50 (5.00-20.00) (posttest) (p-value = 0.000). There was an increase in nurses' EWS knowledge and practice (p-value &lt;0.05). Efforts to improve nurse competence in caring for patients with critical conditions are necessary. This can be achieved through coaching and regular training with the priority target of implementing nurses in the intensive care room.</p> 2024-05-27T11:20:04+00:00 ##submission.copyrightStatement## The Evidance Based Nursing Practice: Application of Diabetes Self-Management Education to Lowering Blood Sugar Levels in the Elderly 2024-05-27T14:25:15+00:00 Adi Bayu Prakoso Uswatul Khasanah Dewi Anggraini Nurhayati Nurhayati <p>Diabetes Mellitus is a collection of symptoms caused by high levels of glucose in the blood and is a chronic disease that can be experienced by the elderly due to a poor lifestyle and irregular eating patterns. Objective: This research aims to identify one Diabetes Self-Management Education article as a source of evidence that has quality so that it can be applied to reduce blood sugar levels in the elderly and determine its effect on elderly people with diabetes mellitus. Methode: The strategy used in this research is a quasi-experiment without control carried out with a one group pretest posttest design. The sample used in this study was 13 elderly people who had diabetes mellitus. Researchers use sample criteria to determine samples in research according to inclusion and exclusion criteria. Result: The results of the analysis using the Wilcoxon test showed that there was a difference in blood glucose levels in the elderly before and after implementing Diabetes Self-Management Education is p = 0.001, which means it has statistical significance. Conclusion: This research shows that implementing Diabetes Self-Management Education can reduce blood glucose levels in the elderly.</p> 2024-05-27T14:25:15+00:00 ##submission.copyrightStatement## Quality of Life and Social Support among Parents of Adolescence with Thalassemia 2024-05-28T22:50:52+00:00 Desi Apriani Ai Mardhiyah Adelse Prima Mulya Mamat Lukman Nenden Nur Asriyani Maryam <p>Thalassemia major causes sufferers to experience severe anemia. This can impact parents’ daily lives as a caregiver of adolescents with thalassemia and makes social support important. Objective: This study aims to identify the relationship between social support and quality of life in parents who have adolescent children with thalassemia major at dr.Slamet Garut Regional Hospital. Method: A cross-sectional approach was applied in this study, which included 64 parents of adolescents with thalassemia major (10-18 years old) who were selected using a consecutive sampling technique. Quality of life values were assessed using the World Health Organization Quality of Life Brief Version (WHOQoL-BREF) and social support was scored using the Multidimensional Scale Of Perceived Social Support (MSPSS). The WHOQoL-BREF is a valid (r=0.390-0.798) and reliable (α=0.941) instrument, as is the MSPSS questionnaire (α=0.920). Spearman correlation test was used for bivariate analysis. Results: There 52 respondents (81.2%) had high social support and 61 respondents (95.3%) with a good quality of life. The results of the correlation analysis revealed a significant relationship that exists between social support and parents' quality of life with a correlation coefficient = 0.447 (p&lt;0.05). Conclusions: Therefore, this research concluded that there is a relationship between social support and quality of life among parents of adolescents with thalassemia major at dr.Slamet Garut Regional Hospital. High social support can improve parents’s quality of life as a caregiver.</p> 2024-05-28T22:50:52+00:00 ##submission.copyrightStatement## Health Checkup Behavior of Elderly with High Risk of Heart Disease 2024-05-29T02:00:54+00:00 Natamia Kyrieleison Habeahan Neti Juniarti Adelse Prima Mulya <p>Health complaints that are often felt by the elderly such as coughs, fever, heat, diarrhea, headaches, and even complaints of disability, accidents, and chronic diseases that have been suffered. One of them is cardiovascular disease, namely heart disease which is a non-communicable but very deadly disease. Indonesia has a prevalence of heart disease that has tripled from 2013 to 2018 so this study aims to determine health examination behavior to identify the proportion of elderly people who have a high risk of heart disease. This study uses quantitative research with descriptive methods with a cross sectional study approach. The distribution of elderly behavior in conducting routine health checks was 52 (57.1%). There were 72 (79.1%) elderly with hypertension, 53 (58.2%) with high blood cholesterol and 10 (11%) with high blood sugar. These results explain that the high risk of heart disease in the elderly is still very high, therefore the behavior of the elderly in Jatinangor especially at Cipacing and Cilayung are really needs to be improved. The results of blood pressure checks, blood cholesterol levels and abnormal blood sugar levels need attention for health workers in the public health center area.</p> 2024-05-29T00:00:00+00:00 ##submission.copyrightStatement## Overview of Nutritional Status and Symptoms of Diabetic Gastroparesis in Patients With Type 2 Diabetes Mellitus with Uncontrolled Blood Glucose Levels 2024-05-29T14:12:57+00:00 Ade Kirana Tuti Pahria Nursiswati Nursiswati <p>Gastroparesis is a complication experienced by 20% - 50% of chronic diabetes mellitus patients with poor glycemic control. Hyperglycemia will slow down gastric emptying thereby reducing oral intake and mismatch of nutrient absorption which causes impaired nutritional status. Objective: to determine the nutritional status and symptoms of diabetic gastroparesis in type 2 diabetes mellitus patients with uncontrolled blood glucose levels. Method: Quantitative descriptive study on type 2 DM patients at RSAU Dr. M. Salamun. The sampling technique uses consecutive sampling with a sample size of 82 subjects. Data were obtained through gastrointestinal symptom score (GSS) questionnaires, height and weight checks, and patient medical records. Furthermore, the data results will be processed using univariate analysis. The questionnaire is considered reliable with the results of the reliability test of the crombach alpha value &gt;0.50. Result: 71.9% of respondents experienced symptoms of diabetic gastroparesis with normal nutritional status (37.1%) and obesity (37.1%). The majority were female, ≥60 years old, and 1-5 years of DM. Conclusion: Health education and intervention in modifying lifestyle better so that it can control blood glycemia and make a diet that is suitable for patients with gastroparesis so that it can minimise the symptoms of gastroparesis experienced.</p> 2024-05-29T14:12:57+00:00 ##submission.copyrightStatement## Comparison of Health Cadre's Knowledge Regarding Stunting Prevention in Lowland and Highland 2024-05-29T18:45:49+00:00 Melisa Fitria Saputri Restuning Widiasih Khoirunnisa Khoirunnisa <p>On 2022, the incidence of stunting stilll exceed the target recommended by World Health Organization (WHO). Efforts to prevent stunting require the involvement of all parties in society, including health cadres and their knowledge about stunting prevention. The purpose of this research was to compare the level of knowledge of health cadres on stunting prevention between lowland and highland villages in Pangandaran. This research design used a descriptive comparative with a cross sectional time. The population in this study are health cadres in Karangjaladri village and Cimanggu village. The sampling technique used a total sampling technique of 80 cadres. Data collection has been done through filling out a questionnaire about stunting prevention. The questionnaire has been measured for validity and reliability tests which are declared valid based on the Guttman scale because the Kr value is&gt; 0.90 and reliable because Ks&gt; 0.60. The data obtained has been analyzed using categorical univariate analysis which will then be analyzed comparatively using the Mann-Whitney analysis test. The research results showed that health cadres in lowland and highland villages had a high level of knowledge about stunting prevention.&nbsp; However, there were knowledge indicators with low scores, including pregnancy checks, implementation and administration of vitamin A capsules, and interpretation of KMS. Overall, there’s no significant difference between the knowledge of lowland cadres and highland cadres regarding stunting prevention.</p> 2024-05-29T18:45:49+00:00 ##submission.copyrightStatement## Implementation Implementation of Buteyko Breathing Technique on the Respiratory Frequency and Oxygen Saturation in Asthma Patients: A Case Study 2024-05-30T02:15:18+00:00 Elita Trinanti Prayuni Beti Kristinawati <p>Monitoring respiratory frequency and oxygen saturation in asthma patients is important to evaluate the severity of attacks, assess response to therapy, and detect complications such as hypoxia or respiratory failure. The Buteyko breathing technique is a type of breathing exercise commonly given to patients with asthma. This therapy aims to reduce respiratory frequency, increase CO2 levels, and improve oxygen saturation in asthma patients. Objective to report the effectiveness of implementing the Buteyko breathing technique in reducing respiratory frequency and improving oxygen saturation in asthma patients. Descriptive design with a case study approach with subjects of 2 asthma patients. Sampling was carried out using a purposive sampling technique. The intervention given was Buteyko breathing for 15 minutes. The inclusion criteria set included patients diagnosed with asthma, patients with good vision and hearing function, patients who had never participated in breathing exercises, and those willing to be given the Buteyko technique. The inclusion criteria in this case were patients with a history of heart failure, kidney failure, and smoking. Data were obtained by interview, observation, and viewing patients' medical records. In this case study, instruments included a physical examination sheet, oximetry vital signs monitoring sheet, blood pressure monitor, thermometer, watch, and nursing documentation sheet. Data were analyzed using simple descriptions with average values. There was a decrease in respiratory frequency from 32.5 x/minute before intervention to 23.5x/minute and an increase in the average oxygen saturation value of 92.5% to 98.5%. Buteyko breathing can be applied to reduce asthma symptoms, which are characterized by a decrease in respiratory frequency, an increase in oxygen saturation, and reduced complaints of shortness of breath in patients.</p> 2024-05-30T02:15:18+00:00 ##submission.copyrightStatement## Assessment of Cryptococcal Meningitis Concurrent with Multidrug-Resistant Tuberculous Meningitis: A Case Report 2024-06-01T06:23:33+00:00 Elsadai Elsadai Ayu Prawesti Priambodo Ristina Mirwanti Fitri Sesilia Heriyansyah Heriyansyah <p>Cryptococcal meningitis is an infection that attacks the tissue lining the brain and spinal cord, caused by the fungus Cryptococcus neoformans. This infection mainly occurs in individuals with a weakened immune system, such as people with HIV/AIDS. The spread of this fungus into the central nervous system can result in serious conditions, even fatal if not treated quickly and appropriately. Objective: to present a rare and complex case report of a patient with concurrent cryptococcal meningitis and multiresistant tuberculous meningitis, as well as evaluate the management strategies used in the patient's care. Method: Case study was conducted through a comprehensive approach including health history assessment, physical examinations, psychosocial analysis, customized nursing assessment forms, electronic medical record reviews, laboratory diagnostics, imaging studies, and multidisciplinary consultations to ensure accurate diagnosis and effective interventions Mrs. R, a 33 year old woman with a final diagnosis including Pneumonia with aspiration mechanism, Cryptococcal Meningitis, Grade II MDR TB Meningitis complicated by arteritis, as well as several other conditions including Hyponatremia, hypochloremia, and hypocalcemia due to insufficient intake, Chronic Suppurative Otitis Media (CSOM) and Typhoid Fever. Results: The patient was diagnosed with aspiration pneumonia, cryptococcal meningitis, multiresistant tuberculous meningitis, as well as other conditions such as hypernatremia, hypokalemia, hypocalcemia, chronic suppurative otitis media, and typhoid fever. Despite treatment, the patient's condition worsened, leading to respiratory failure and death from aspiration pneumonia. Conclusions: This case report highlights the diagnostic and therapeutic challenges in managing concurrent cryptococcal meningitis and multiresistant tuberculous meningitis. This emphasizes the importance of a comprehensive approach in diagnosis and management in patients with complex concurrent infections, even without HIV. This case also emphasizes the need for further research and improved strategies for managing rare and complex infections such as this.</p> 2024-06-01T06:23:33+00:00 ##submission.copyrightStatement## Analysis of Factors Relating to Nurses' Performance in Nursing Care Documentation Based on Kopelman Theory 2024-06-01T08:44:08+00:00 Upit Natalina Noer Saudah Lilik Ma'rifatul Azizah Muhammad Sajidin Dewi Maryam Asroful Hulam Zamroni <p>Nurses have an important role in determining the quality of health services, however, some nurses are still found to have less than optimal performance in documentation of nursing care due to internal and external factors. Therefore, this research aims to analyze the development of training, leadership, attitudes, competencies, motivation, work design and performance of nurses in documenting nursing care based on Kopelman's theory. Method: This research used a cross-section design with a sample of 1406 nurses at RSUD Dr. Soetomo. This research used a purposive sampling technique, namely infectious disease installation nurses with the criteria of being an executive nurse and not being on leave. Data collection using a questionnaire includes independent variables in the form of training development, leadership, attitudes, competence, motivation, and work design, and the dependent variable in the form of nurses' performance in documenting nursing care. All questionnaire instruments in this research have a correlation r value of &lt;0.5 and a Cronbach's alpha value of 0.650. Data were analyzed using logistic regression with a p-value ≤ 0.05. Results: The research results show that there is an influence between training and development (0.028), leadership (0.004), attitude (0.026), competency (0.031), motivation (0.029), and job design (0.009) on nurse performance. Conclusion: The development of training, attitudes, competencies, motivation, and good work design has an impact on high nurse performance in documenting nursing care. The performance of nursing care documentation will be optimal with democratic leadership.</p> 2024-06-01T08:44:08+00:00 ##submission.copyrightStatement## Analysis of Individual Efforts, Organizations, Work Environments with Burnout Syndrome Based on Theory Maslach on Infection Room Nurses 2024-06-01T09:25:32+00:00 Lilik Mudayatin Muhammad Sajidin Lilik Ma'rifatul Azizah Indah Lestari Dewi Maryam Asroful Hulam Zamroni <p>Nurses who care for patients with infectious diseases have a high risk of exposure to contagion which causes high levels of stress and tension in nurses. Management has made efforts to pay attention to the quality of life of nurses in infectious disease installations, but nurses are still found to experience Burnout Syndrome due to high workloads, less efficient organizational systems regarding schedules and teams in shifts, and an unsupportive work environment. This research aims to analyze the factors of individual, organizational, and work environment efforts toward Burnout Syndrome in infectious disease installations. Method: This research used a cross-section design with a sample of 1406 nurses at RSUD Dr. Soetomo. This research used a purposive sampling technique, namely infectious disease installation nurses with the criteria of being an executive nurse and not being on leave. Data collection using a questionnaire includes independent variables in the form of individual effort, organization and work environment as well as the dependent variable in the form of Burnout Syndrome with validity and reliability tests in the form of a person correlation value of &lt;0.5 and a Cronbach's alpha value of 0.729 &gt;0.6. Data were analyzed using logistic regression with a p-value ≤ 0.05. Results: The research results show that individual effort (0.018), organizational effort (0.032), and work environment effort (0.006) have a significant relationship with nurse burnout syndrome. Conclusion: Good individual, organizational, and environmental efforts have an impact on preventing burnout in nurses. This makes infectious disease nurses, even with a high workload and risk of exposure, have low Burnout Syndrome because they have good coping, a supportive organizational atmosphere, and a comfortable physical environment.</p> 2024-06-01T09:25:32+00:00 ##submission.copyrightStatement## Analysis of the Effect of Structural Empowerment on Motivation and Performance of Nurses in Quality Patient Safety 2024-06-01T11:12:04+00:00 Ramang Sukmono Indah Lestari Ima Rahmawati Noer Saudah Dewi Maryam Asroful Hulam Zamroni <p>The problem of patient safety quality is considered less than optimal in health services which is caused by inadequate organizational infrastructure, leadership effectiveness, job characteristics, and structural empowerment which includes the motivation of nurses as fundamental health workers. Therefore, this study aims to analyze the effect of structural empowerment on nurses' motivation and performance in the quality of patient safety. Method: This research used a cross-section design with 116 respondents. The sample was selected using a cluster random sampling technique. Data collection using a questionnaire includes the independent variable in the form of structural empowerment and the dependent variable in the form of work motivation and nurse performance in patient safety quality with all questionnaire a valid value of r = 0.714-0.942 and Cronbach alpha reliability 0.982. Data were analyzed using the logistic regression test with a p-value ≤ 0.05. Results: The research results show that structural empowerment has a positive and unidirectional influence on work motivation (0.000) and nurse performance in patient safety quality (0.016). Conclusion: Structural empowerment provides implementing nurses with access and freedom to leaders including opportunities, information, support, resources, formal power, and informal power. Structural empowerment gives implementing nurses a feeling of comfort in their work so that they are more motivated and improve nurses' performance in terms of patient safety quality.</p> <p>&nbsp;</p> 2024-06-01T11:12:04+00:00 ##submission.copyrightStatement## Analysis of the Implementation of Family-Centered Care (FCC) on the Workload of Nurses in Pediatric Inpatient Areas 2024-06-01T11:36:23+00:00 Erna Supatmini Tri Ratnaningsih Muhammad Sajidin Asroful Hulam Zamroni <p>The implementation of Family Centered Care requires collaboration between nurses and patient parents with a holistic approach and philosophy in preventing hospitalization. However, nurses in pediatric inpatient settings have high work responsibilities due to their complex role in the care process which must focus on pediatric patients and parents, which causes nurses to have an increasingly heavy workload. This study aims to analyze the implementation of Family Centered Care on nurses' workload. Method: This study used a cross-section design with a sample of 92 patients and pediatric nurses at RSUD Dr. Soetomo. This research used a purposive sampling technique for pediatric nurses and a simple random sampling technique for families of patients in the pediatric ward. Research data was collected through questionnaires from the variables of implementing family center care and nurse workload. Data on the variables of FCC implementation and workload were analyzed using a description test and the relationship between FCC implementation and workload was tested using a logistic regression test. Research data was processed using the description test and logistic regression test with a p-value ≤ 0.05. Results: The research results show that the implementation of family center care has a relationship with workload (0.001). Conclusion: The implementation of family-centered care can form a collaboration with patients and patient families thereby reducing the workload of pediatric nurses in providing nursing care.</p> 2024-06-01T11:36:23+00:00 ##submission.copyrightStatement## Correlation of Hemoglobin A1C with Fasting Blood Plasma Glucose in Patients with Diabetes Mellitus and Its Implication as A Marker of Glucose Control 2024-06-01T17:17:36+00:00 Putu Dyah Sartika Sari I Nyoman Arsana Ni Ketut Ayu Juliasih <p>Diabetes mellitus (DM) is a chronic disease whose prevalence continues to increase globally. Objective: This study aimed to analyze the correlation between hemoglobin A1c (HbA1c) and fasting blood plasma glucose (GDP) in patients with diabetes mellitus and its implications as a marker of glucose control. Method: A cross-sectional study was conducted using the medical records of 299 patients with diabetes mellitus (170 males and 129 females; age range: 19-90 years) treated at Bali Mandara Hospital from January to December 2022. Data on GDP levels and HbA1c values were collected and classified based on glycemic control. The correlation between GDP and HbA1c levels was tested using Spearman’s test. Results: The mean HbA1c value was not significantly different between the sexes and age groups, with higher values found in the 45-59 years age group and in women (7.88 ± 0.20%). The GDP ranged from 72-594 mg/dL, with a mean value of 181.45 ± 4.43 mg/dL. A significant positive correlation was observed between GDP and the HbA1c level (p&lt;0.05). Poor glycemic control was found in 54.18% of the patients based on HbA1c and 69.23% based on GDP. Conclusions: Correlation between HbA1c levels and GDP is crucial for determining accurate and effective diabetes management strategies in clinical practice.</p> 2024-06-01T17:17:36+00:00 ##submission.copyrightStatement## Effect of Gymnasticspregnancy Results in Decreasing Anxiety Levels in Primigravida Pregnant Women Trimester III 2024-06-07T08:30:03+00:00 Marchatus Soleha Vika Tri Zelharsandy Rini Anggeriani Wika Sepiwiryanti <p>Anxiety in facing childbirth is a mixed feeling, namely feelings of happiness full of hope accompanied by feelings of anxiety, fear, fear of death, birth trauma, and feelings of guilt/sin, worry, stress, unease, muscle tension, difficulty sleeping, anxiety. ongoing feelings that don't go away, and feelings of panic. Based on the results of a preliminary study conducted by researchers in January 2023 by interviewing 10 pregnant women in the third trimester at the Poskesdes Epil sub-district. Lais found that the level of anxiety of mothers facing the birth process was still high, eight out of ten mothers said they felt afraid before giving birth. This study aims to determine the effect of pregnancy exercise on reducing anxiety levels in third-term primigravida pregnant women at the Epil village health post, Lais sub-district, Musi Banyuasin Regency. This research uses quantitative methods using a pre-experimental design with an approach (One Group Pre-Post Test Design). The population of this study were all third trimester primigravida pregnant women who had their pregnancy checked at the Epil village health post, Kec. Lais as many as 40 people. The sample in this study was 20 respondents, using a purposive sampling technique. The analysis used was the paired sample t-test. The results of the research: Before carrying out pregnancy exercises, the respondents' anxiety levels were in the category of mild anxiety and moderate anxiety. After carrying out pregnancy exercises, the respondents' anxiety levels were in the categories of not anxious and mild anxiety. There was a significant difference between respondents before doing pregnancy exercises and after doing pregnancy exercises. (P Value = 0.000). There are differences before doing pregnancy exercises and after doing pregnancy exercises.</p> <p>&nbsp;</p> 2024-06-07T08:30:03+00:00 ##submission.copyrightStatement## Design and Develop An Early Detection System Application to Monitor Kidney Health in Pregnant Women 2024-06-08T16:47:51+00:00 Dhanty Nurul Amalia Melyana Nurul Widyawati Kurnianingsih Kurnianingsih <p>Pregnancy is a physiological process that can become pathological if not well monitored. Kidney disease will increase the risk during pregnancy, namely preeclampsia, fetal growth restriction, and loss of maternal kidney function. Chronic kidney disease in pregnant women often goes undiagnosed. Kidney disease problems detected will worsen if not examined at the early signs and symptoms or delaying treatment for kidney disease. This study proves the effectiveness and accuracy of early detection systems for kidney health in pregnant women. In the design of this application, exploratory data analysis (EDA) and data visualization techniques are used, which will provide deeper insight into the distribution, trends and relationships between variables in the data which includes data on pregnant women, perceived symptoms and laboratory examination. From the results of the design of this early detection system application, it shows perfect performance of the model on the overall dataset with precision, recall, and F1-score scores all reaching 1.00 or 100% accuracy. The developed classification model shows outstanding performance. This success can be attributed to the selection of relevant features, effective data preprocessing, and the selection of the appropriate classification model.</p> 2024-06-08T16:47:51+00:00 ##submission.copyrightStatement## Effectiveness of Diabetes Daily Care Calculator Application on Self-Management of Type 2 Diabetes Mellitus Patients 2024-06-08T23:04:05+00:00 Defrima Oka Surya Ria Desnita Ilham Thohir <p>Type 2 DM can affect aspects of the sufferer's quality of life and carries a risk of complications. DM requires good self-management to be able to control glucose levels. Education is an important component in patient self-management so that patients can control their disease. Smartphone technology through application implementation can be utilized to create innovative solutions. This research develops and applies a daily care diabetes calculator based on a mobile application that provides information on the pillars of diabetes management that is easily accessible to patients and embeds a smart calculator to calculate diet based on the patient's calorie needs and physical activity. The aim of the research is to determine the effectiveness of applying the daily care diabetes calculator application for self-management of Type 2 Diabetes Mellitus patients. This type of quantitative research with a quasi-experiment design uses a one group pre and posttest approach without control group. The research was conducted at RSUD dr. Rasidin. Sampling was taken using a consecutive sampling technique with a sample size of 22 people. The intervention was given for 2 weeks and self-management was assessed using the The Summary of Diabetes Self-care Activities (SDSCA) questionnaire. with the validity and reliability test values for thisinstrument being r = 0,80 and α : 0,74. Data analysis using paired t test The average self-management score before implementing the diabetes daily care calculator application was 40.32 and the average self-management score after was 63.18. Implementation of a daily care diabetes calculator based on a mobile application is effective in improving self-management of type 2 diabetes mellitus patients (p&lt;0.05). This application can be used by nurses as an extension in caring for patients at home, so that the care process provided remains sustainable.</p> 2024-06-08T23:04:05+00:00 ##submission.copyrightStatement## The Effect of Slow Deep Breathing and Warm Water Foot Bathing on Blood Pressure Reduction in Hypertensive Patients 2024-06-09T02:23:45+00:00 Dewi Suryandari Arlindha Rahayu Ningrum <p>Hypertension is one of the silent killers as it often does not produce noticeable symptoms, and patients become aware of it only when the perceived illness has become severe. Hypertension could lead to complications if not promptly managed, and its management can be either pharmacological or non-pharmacological. Non-pharmacological approaches to reducing blood pressure are increasingly being studied, including the combination therapy of slow-deep breathing and warm water foot bathing. Slow-deep breathing involves slow and deep respiratory relaxation, while warm water foot bathing is a relaxation technique that utilizes warm water as a medium. The study aimed to determine the effect of slow-deep breathing and warm water foot bathing on blood pressure reduction in hypertensive patients. The research employed a quasi-experimental method with a pre-test and post-test approach without a control group. The total sampling was 24 respondents. The data were analyzed using the Wilcoxon statistical test. The study revealed pre-intervention that the average systolic blood pressure was 160.63 mmHg, and the diastolic blood pressure was 95.42 mmHg. Post-intervention presented the average systolic blood pressure reduced to 140.42 mmHg, and the diastolic blood pressure decreased to 86.04 mmHg. The Wilcoxon test results obtained that the systolic blood pressure had a p-value of 0.000 (p-value &lt; 0.05), and the diastolic blood pressure had a p-value of 0.000 (p-value &lt; 0.05). Based on these results, there was an effect of slow-deep breathing and warm water foot bathing on blood pressure reduction in hypertensive patients.</p> 2024-06-09T00:00:00+00:00 ##submission.copyrightStatement## Counseling and Supervision Impact on Elderly Tuberculosis Patients’ Medication Compliance 2024-06-09T08:51:39+00:00 Aisah Mamang Syamsul Anwar Ninik Yunitri Lily Herlinah <p>Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis, which spreads mainly through the air, especially attacking the lungs but can infect any organ, including the brain, kidneys, bones, and lymph nodes. One factor contributing to non-compliance in TB patients is irregular treatment. If treatment is not consistent, it can lead to drug-resistant germs, prolonging treatment and reducing success. Objective: The aim of this study was to improve medication compliance through evidence-based nurturing practices. Method: This study employed two phases including a systematic review to determine the EBNP and the second phase was the implementation of the EBNP. We gathered the participant using total participant but stricly applied the inclusion and exlcusion criteria. Fifteen elderly aged 63±3.314 years in Karanganya, Sawah Besar, Jakarta Pusat were participated in this study. The data analysis using Jamovi aimed to assess the impact of counseling and medication supervision on medication compliance in elderly TB patients. Results: Surprisingly, there was no significant increase in compliance after the intervention (p-value of 0.134). However, the X2 continuity correction analysis revealed that counseling and supervision doubled medication adherence in the elderly. Conclusions: health counseling, consisting of 30-minute sessions from diagnosis to recovery, utilizing media such as posters, is highly recommended by health workers. This intervention aims to improve medication compliance and adherence to the recommended schedule effectively.</p> 2024-06-09T08:51:39+00:00 ##submission.copyrightStatement## Telehealth-Based Self-Management in Stroke Patients: A Systematic Review 2024-06-10T16:37:42+00:00 Elya Sespa I Made Kariasa <p>Stroke is a clinical condition in the form of focal and global neurological deficits that develop rapidly and cause death, characterized by blockage and rupture of blood vessels. The 2022 World Stroke Organization annual report states that 12.2 million people worldwide experienced a stroke and 6.6 million of them died, the prevalence of stroke increased by 85%, deaths due to stroke increased by 43% and people with disabilities (DALYs) due to stroke increased by 32%. The problems faced by stroke sufferers are likely to continue to increase and post-stroke complications need to be treated in order to extend life expectancy better. In stroke care, emphasis is placed on intensive medical care and rehabilitation benefits in the acute phase, but care and support in the later stages is just as important as treatment acute phase. People who have long-term health conditions, such as stroke patients, should learning new behaviors or adapting lifestyle to suit their needs. Improving self-management is an important challenge for service systems health worldwide for survival in long-term conditions. Telehealth provides a viable alternative in healthcare, helping clients manage their conditions through improved self-care and access to education and support systems. Additionally, clients and healthcare professionals can exchange important clinical information remotely for the management and support of patients with chronic diseases. This research aims to (1) identify the intervention components of self-management programs for stroke sufferers, (2) identify types of telehealth based self-management programs, and (3) identify the impact of providing telehealth-based self management programs for stroke sufferers.&nbsp;This research uses a systematic review design with the PRISMA flow diagram. Researchers used PICO, articles published from 2014 to May 2024 in English.&nbsp;Searches came from 5 online databases, namely "PubMed", "ProQuest", "Science Direct", "Scopus", and "Embase". Research used the&nbsp;Research used the physiotherapy evidence database&nbsp;Research used the physiotherapy evidence database skala tool to assess the quality of research article.&nbsp;The initial search yielded 422 articles that were further screened. There are 21 articles for eligibility assessment. After full text review, 8 articles remained that met the inclusion and exclusion criteria and were used for this systematic review. Eight high-quality articles support telehealth-based self-management as an effective method for caring for patients with stroke. Telehealth-based self-management intervention as an alternative method for stroke sufferers.</p> 2024-06-10T16:35:49+00:00 ##submission.copyrightStatement## Description Level of Nomophobia Tendency in Adolescent Children at Junior High School in Bandung 2024-06-11T02:25:42+00:00 Annisa Apriliani Windy Rakhmawati Kosim Kosim <p>The development of technology such as smartphones is growing rapidly which can facilitate teenagers activities to be easier. The convenience provided can increase a sense of dependence and cause adolescents to tend to nomophobia. Nomophobia (No Mobile Phone Phobia) is a modern phobia characterized by fear and anxiety due to not being with a smartphone. This study aims to determine how the level of nomophobia tendency in adolescent children in Bandung middle school. The study used descriptive quantitative method with cross sectional design. The population in this study were students of SMPN Bandung grades VII, VIII, and IX totaling 928 students. The sampling technique used was proportional stratified random sampling with a sample of 99. Determination of the sample from each class will be done randomly using the wheels of names application through the absentee number. Data were obtained through a questionnaire in the form of google forms distributed online. The instrument used is Nomophobia Questionnaire (NMP-Q) made by (Yildirim &amp; Correia, 2015) consisting of 20 questions with the results of the validity test r count of 0.468 – 0.754 (r table = 0.195 ) and Cronbach’s alpha results of 0.945. Univariate analysis was used in this study with frequency distribution and percentage. The results showed that most of the respondents 62 people (62.6%) showed moderate nomophobia tendencies, 36 people (36.4%) showed mild nomophobia tendencies and 1 person (1%) did not experience nomophobia tendencies. There were no respondents who showed severe nomophobia tendencies. Most of the respondents belonged to the moderate nomophobia tendency category. Therefore, it is hoped that nurses can make efforts to deal with nomophobia in the form of health education, REBT self management techniques, and KEKINIAN family.</p> 2024-06-11T02:25:42+00:00 ##submission.copyrightStatement## Analysis of Individual Factors on the Usefulness of Trusted Information Systems at X Primary Clinic 2024-06-11T07:13:50+00:00 Firdha Amaliatus Sholihah Sugiyanta Sugiyanta Nurfika Asmaningrum <p>Implementing SIM in Clinics as one of the FKTPs is very useful in providing health services. This study aims to analyze individual factors regarding perceived benefits through the intervening variable perceived ease of use of information technology at private clinics in Jember district. This quantitative research is analytical research with an observational approach. The population of this study was 46 employees at two private clinics who had SIMRS usernames. The sampling technique uses the total sampling method. Research data was obtained from the results of filling out questionnaires by respondents. Data analysis using the SmartPLS application with the Partial Least Square technique. The results show that Individual factors have a strong contribution to perceived ease of use and perceived usefulness.Individual factors have a positive effect on perceived ease of use with a path coefficient value of 0.427, a T-statistic value of 3.498.Individual factors have a positive effect on perceived usefulness with a path coefficient value of 0.077. The path coefficient value of 0.844 shows that there is a strong and positive influence between perceived convenience on perceived usefulness with a high T-statistic value (11.177).Individual factors influence perceived usefulness through the intervening variable perceived ease of use.</p> 2024-06-11T07:13:50+00:00 ##submission.copyrightStatement## Nursing Process for Critical Patients and Their Families in Cardiac Intensive Care Unit 2024-06-11T14:13:57+00:00 Deris Riandi Setiawan Dadan Ramdani Defa Larashati Fricilia Noya Irma Yusanti Anastasia Anna <p>The Cardiac Intensive Care Unit or CICU is a hospital unit specifically for treating acute cardiovascular disease. The implementation of structured nursing standards is very important to ensure optimal quality of care. This narrative review was conducted to compare the application of the NANDA NIC-NOC (3N) model and the 3S Model in improving the quality of care in the CICU. Objective: This study aims to explore the application of nursing standards using the NANDA NIC-NOC model and the Indonesian Nursing Standards 3S (SDKI, SLKI, SIKI) in improving the quality of care in the CICU. Methods: The research design used in this study was a narrative review by searching for articles from PubMed with the keywords Nurses's Roles OR Roles, Nurse's OR Role, Nurse's OR Nurse Role AND Management, Airway OR Airway Control OR Control, Airway. Inclusion criteria included accessible full-text articles in English. Data was analyzed descriptively Results: From the research, 5 articles were obtained that were relevant to the research. This research conducted in several countries found that the implementation of nursing standards can improve the quality of care and patient outcomes in CICUs. The use of NIC and NOC standards helps nurses plan, implement and evaluate patient care systematically and effectively. Conclusions: Implementation of nursing standards has great potential in improving the quality of care in CICUs. There are limitations in empirical validation and adaptation to local context that need to be addressed. Recommendations for further research and development of intensive training programs are needed to ensure the effectiveness and sustainability of implementation of these nursing standards.</p> 2024-06-11T00:00:00+00:00 ##submission.copyrightStatement## The Relationship Between the Level of Labor Fatigue and the Quality of Sleep in Fishermen 2024-06-13T00:58:32+00:00 Siska Darmawati Mamat Lukman Mira Trisyani Koeryaman <p>Work fatigue is a condition that can cause a decrease in efficiency as well as reduced strength or physical endurance of a worker's body and can affect the quality of sleep in workers. Fishermen have a high workload, irregular work schedules, which can affect fatigue and sleep quality. This study aims to determine the relationship between the level of work fatigue and the sleep quality of fishermen. The research method used is descriptive-correlative, using a cross sectional approach. The population in this study were all fishermen who actively worked in Karangjaladri Village, Parigi District, Pangandaran Regency, with a sample size of 131 fishermen. Data was obtained through the Job Fatigue Measuring Tool Questionnaire (KAUPK2) to measure the level of work fatigue and the Pittsburgh Sleep Quality Index (PSQI) to measure sleep quality in fishermen. The data analysis used to connect the two variables used the Spearman rank test. The results of the study showed that the level of work fatigue among fishermen in the less tired category was 19 fishermen (14.5%), 42 fishermen (32.1%) were tired, and 70 fishermen (53.4%) were very tired. The research results also showed that 21 fishermen (16%) had good sleep quality and 110 (84%) had poor sleep quality. The results of statistical tests show that there is a relationship between the level of work fatigue and the quality of sleep in fishermen, with a p value of 0.000. It can be concluded that fishermen have a level of work fatigue in the very tired category and have poor sleep quality.</p> 2024-06-12T15:48:30+00:00 ##submission.copyrightStatement## Social Media User X's Sentiment Towards Omnibus Health Law in Indonesia 2024-06-13T18:26:03+00:00 Muhammad Yogie Prastowo Lutfan Lazuardi Susi Ari Kristina <p>The Health Omnibus Law aims to reform the health sector. Prior to its enactment, public responses emerged in various forms, one of which was by expressing opinions on X social media.&nbsp; Objective: This study aims to determine public sentiment towards the Omnibus Health Law and its behaviour based on speech act theory. Method: Qualitative data was obtained retrospectively by means of text mining or extracting tweets using the hashtags #UUKesehatanOmnibuslaw and #UUKesehatan. From a total of 1,960 sent from 11 July to 31 August 2023, descriptive research was carried out with a qualitative approach on these tweets.&nbsp; Then classify sentiment using the Naïve Bayes algorithm and classify using speech act theory analysis. Results: 1,960 tweets were found that met the criteria. The results showed that neutral sentiment (94.13%) dominated the tweets compared to negative sentiment (3.16%) and positive sentiment (2.70%). There were 9 themes found in the tweets, with the dominant theme being ‘laws and government’. Conclusions: The results showed that the majority of tweet users were assertive and gave 'statements’ in response to the omnibus health law</p> 2024-06-13T18:26:03+00:00 ##submission.copyrightStatement## The Relationship Between Fluid Intake and Heat Sress with the Hydration Status of Workers: A Scooping Review 2024-06-13T18:47:49+00:00 Shinta Dwi Surya Pramesti Hanifa M. Denny Yuliani Setyaningsih <p>The importance of adequate water consumption as a key factor in preventing dehydration in workers is a crucial aspect in the work environment. The body, which loses fluids through sweat, urine, and respiration, needs adequate fluid replacement to prevent dehydration. Heat stress can accelerate the dehydration process, where the body responds by producing sweat to regulate body temperature. Objective: The aim of this study is to investigate the relationship between fluid intake, heat stress, and the hydration status of workers. Method: The method used in this article review is PRISMA-ScR. The publication language is English. The search was conducted through several scientific journal databases, including Scopus, Science Direct, PubMed, SpringerLink, EBSCO Host, and ProQuest, covering the period from 2013 to 2023. The process of selecting evidence sources in the initial identification yielded 21,403 articles, then through a selection process based on eligibility, topic relevance, and final assessment, eight evidence sources were selected through five stages of selection. Eligible and selected data sources are presented in a charting table. Results: The findings of this scoping review reveal that there is a connection between fluid intake, heat stress, and the hydration status of workers. The article highlights a strong correlation between fluid intake, heat stress, and hydration status in workers, emphasizing the importance of maintaining hydration balance. Conclusions: The findings suggest that while fluid intake is crucial, heat exposure can elevate the risk of dehydration, especially in hot indoor or outdoor environments.</p> 2024-06-13T18:47:48+00:00 ##submission.copyrightStatement## The Instruments Measuring Nurses’ Posttraumatic Growth During the Covid-19 Pandemic: A Scoping Review 2024-06-14T10:01:08+00:00 Yudho Tri Handoko Nurfika Asmaningrum Anisah Ardiana <p>Posttraumatic growth (PTG) refers to positive psychological changes that occur in individuals who have experienced traumatic events, such as nurses battling an underpressure situation during the COVID-19 pandemic. The attempts at measuring PTG are still limited due to the lack of instruments that suit natural variations caused by culture or language adaptation and sampling types. Although there are many studies regarding PTG, no comprehensive review has been found to identify the instrument measuring nurses' posttraumatic growth. Objective: The study aimed to identify research on instruments measuring nurses’ PTG during the COVID-19 pandemic. Method: Five online databases (PubMed, Wiley Online Library, Proquest, Science Direct, and Google Scholar) were put under analysis to identify studies that report information on instruments measuring nurses’ PTG. Only studies published between 2020-2024 were involved in the analysis. The selection process was done using Preferred Reporting Items for Systematic Reviews (PRISMA). Results: From the identification process, authors found 6,589 articles and after going through the screening and eligibility stages 24 studies were included in this review. Exploring PTG among nurses involves examining how they reflect upon and derive meaning from their experiences during challenging circumstances. Several instruments to measure PTG among nurses were identified, inter alia, Posttraumatic Growth Inventory (PTGI), Posttraumatic Growth Inventory Chinese versions (PTGI-C), Posttraumatic Growth Inventory-Expanded (PTGI-X), Posttraumatic Growth Inventory-Short Form (PTGI-SF), and Turkish, Polish, and Korean versions of PTGI. Conclusion: In general, the original version of PTGI has been adapted and translated into several languages to measure PTG among nurses during the COVID outbreak.</p> 2024-06-14T00:00:00+00:00 ##submission.copyrightStatement## Instruments for Measuring Patient Safety Competencies in Clinical Settings: A Literature Review 2024-06-16T04:31:30+00:00 Suciati Suciati Nurfika Asmaningrum Suhari Suhari <p>Patient safety culture has emerged as a global priority necessitating improvement to prevent patient accidents. Measuring the competency of healthcare workers concerning patient safety within health services is essential, and various instruments can be employed for this purpose. This study aims to analyze the instruments used to measure patient safety competency. Method: A systematic review was conducted using the PRISMA protocol and the JBI assessment tool to identify eligible articles. Two electronic databases, PubMed and Google Scholar, were searched. The keywords used in the research included “instrument safety culture in clinical settings”; “Safety culture instrument”; "instrument for patient safety culture". Inclusion criteria encompassed research on instruments measuring patient safety competency, published in English within the last ten years (2014-2024). Results: The review identified 15 articles that met the inclusion criteria. Four types of instruments were commonly used to measure patient safety competency: the Safety Attitudes Questionnaire (SAQ), the Manchester Patient Safety Framework (MaPSAF), the Hospital Survey on Patient Safety Culture (HSOPSC), and the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ). Conclusion: The instruments SAQ, MaPSAF, HSOPSC, and T-TPQ have demonstrated effectiveness in measuring various dimensions related to patient safety culture. To optimize the assessment of patient safety culture within health service facilities.</p> 2024-06-16T04:31:30+00:00 ##submission.copyrightStatement## Implementation of Home Telemedicine in Elderly with Dementia During the Covid-19 Pandemic: A Systematic Review 2024-06-18T02:15:52+00:00 M. Ali Tazia Sriyono Sriyono Andri Setya Wahyudi Devangga Darma Karingga <p>Dementia is defined as a decrease in intellectual abilities which can cause changes in behavior, disruption in social life, and disruption in daily activities. Palliative care is a useful solution in the future to improve the quality of life for dementia sufferers during the COVID-19 pandemic. This systematic review aims to find out how the implementation of home telemedicine can become the main choice for elderly people with dementia during the COVID-19 pandemic. A database search was carried out by the PRISMA protocol focusing on Scopus, Proquest, Sage, ScienceDirect, and CINAHL identified based on MeSH-adjusted keywords, and A total of 2440 article journals were identified. Then deletion so that it remains 1086 article journals were reviewed. Then excluded (238) articles from journals based on 5 years, experimental test method with Randomized Controlled Trial design (RCT) and Experiments in language English, full text to be reviewed for feasibility so that 10 articles were obtained for review. From all articles, media innovation is very useful in implementing palliative care because of the various impacts of the global pandemic through the experiences of people with dementia and their care partners. The role of home-based palliative care using home telemedicine can potentially reduce the long-term impact of palliative care. The important role of palliative care integrated with long-distance services in informing health service priorities is to restore the quality of life and health of elderly people with dementia so that they are better prepared to face the future.</p> 2024-06-18T02:15:52+00:00 ##submission.copyrightStatement## Effects of Acupressure on Pain in Chronic Diseases: A Scoping Review 2024-06-18T10:07:50+00:00 Candra Hatta Fitria Handayani Meira Erawati <p>Pain is one of them sign the main thing felt by sufferers disease chronic , study handler non- pharmacological pain especially acupressure has Lots carried out, however, review studies are possible used as base thinking intervention This Still limited. Objective from this review is For see effect of acupressure against pain in disease chronic. This review use approach scoping review, with using Pubmed, ScienDirect, Proquest databases with using the keywords “ Acupressure” AND “Pain” AND “Cronic” OR “Cronic diases”. On search the done filtering data with initial filters checklist "free full text", "Publication from 2019-2024", "Randomized Controlled Trial". A review analysis was performed with use approach Arksey and O'Malley theory. The review results show that acupressure has effect positive in reduce and overcome pain in disease chronic, among others reduce painful post operation thoracoscopy and post procedure extracorporeal shock wave lithotripsy (ESWL), then reduce pain in patients cancer , lowering pain in patients coronary angiography , reducing pain in patients hemodialysis , as well reduce pain in patients elderly with osteoarthritis. Study furthermore can do an article review associated with acupressure other methods in overcome symptoms of disease chronic.</p> 2024-06-18T10:07:49+00:00 ##submission.copyrightStatement## Self-Efficacy Levels Among Profession Nursing Students in Performing Basic Clinical Skills 2024-06-20T01:43:20+00:00 Rahmita Nurul Aprilia Hana Rizmadewi Agustina Sri Hartati Pratiwi <p>Nursing profession’s education is responsible for preparing competent graduates ready to face healthcare challenges. A key indicator of this readiness is the self-efficacy of nursing students, which reflects their confidence in applying clinical skills. It is crucial for these students to be prepared to provide safe, high-quality care as they enter the workforce. This study aims to evaluate the self-efficacy levels in clinical skills among students enrolled in the Nursing Profession Study Program at the Faculty of Nursing, Universitas Padjadjaran. This study employed a quantitative descriptive method using a cross-sectional approach. The population in this study amounted to 150 active students of the Nursing Profession Study Program at the Universitas Padjadjaran and the sample was taken using total sampling type. Data was collected using the Clinical Skills Self-Efficacy Scale (CSES) to measure the level of self-efficacy in performing clinical skills with validity test results after translated to Bahasa ranging from 0.415-0.727, and the reliability test results 0.825. Univariate analysis was carried out using descriptive statistics. The results of the study show that students of the Nursing Professional Education Program at the Faculty of Nursing, Universitas Padjadjaran, have a high level of self-efficacy in performing basic clinical skills, with 80 students (53.3%) demonstrating high self-efficacy. Where the percentage of class 46 students who have a high level of self-efficacy is greater than class 47. This is largely due to the experience they have in carrying out clinical procedures. That’s related to the statement one of the main factors that can influence self-efficacy according to Albert Bandura is experience, the experience of someone who is successful in carrying out a task or achieving a goal can increase self-efficacy.</p> 2024-06-20T01:43:20+00:00 ##submission.copyrightStatement## Website-Based Adolescent Mental Health Disorders Screening Application Design 2024-06-19T20:05:18+00:00 Irpan Ali Rahman Adi Nurapandi Alis Sundewi Henri Setiawan Rita Rahayu <p>Mental health is a fundamental human right for individual, community, and socio-economic development. There are external and internal factors that can cause a person to experience mental problems. There are various factors contributing to the decline in the mental health of children and adolescents, such as economic problems, education, and the health crisis. The system used to help improve mental health is currently conventional, namely face-to-face between medical personnel and patients. This research aims to develop a "Design of a Website-Based Adolescent Mental Health Disorder Screening Application". Therefore, a web-based adolescent mental health screening application will be developed using the Self Reporting Questionnaire 29 (SRQ 29) method. This application was designed using the PHP programming language, MySQL database, and a decision-making system using the Self Reporting Questionnaire 29 (SRQ 29) method. The research method is development research. The research sampling was accidental sampling, The population and sample in this study consisted of 5 research subjects including: (1) Information systems media expert (2) Nursing subject matter expert (Nursing specialist) (3) Public health center (4) Headmaster (5) UKS supervisor/coordinator. Namely taking samples based on what was found by the researcher. This type of data collection uses primary data which is processed using interview observation techniques to obtain results related to adolescent mental health. Modeling using various existing modeling tools is the next step, if the modeling has been declared complete and by what you want to achieve, then proceed to planning until the main target is implementation. The assessment results from material experts obtained an average score of 4.8 in the "Very feasible" category and Media experts received an average score of 5 in the "very appropriate" category. Conclusion: The design of the Website-Based Adolescent Mental Health Disorder Screening Application that was developed has gone through a process of assessment, revision, and improvement from experts and has been declared suitable to be used as an application that helps simplify the process of screening for Adolescent Mental Health Disorders.</p> 2024-06-19T20:05:18+00:00 ##submission.copyrightStatement## How Home Childbirth Takes Place with the Help of Untrained Family Members?: Qualitative Research 2024-06-19T20:15:18+00:00 Nila Kusumawati Dhini Anggraini Dhilon <p>In Indonesia, childbirth is still taking place at home, with the help of either traditional birth attendants or untrained family members. This study aimed to explore how the childbirth process took place at home with the help of untrained family members. The study was qualitative research with a thematic analysis design. Eighteen respondents were recruited, as determined by data saturation. Semi-structured interviews using topic guides were performed to explore the phenomenon. Data was analyzed using Nvivo 11. The study emerged with six themes. They were unassisted home birth practice for labor progress methods, unassisted home birth practice for the baby delivery process, unassisted home birth practice for umbilical cord clamping procedure, unassisted home birth practice for umbilical cord cutting procedure, unassisted home birth practice for placenta delivery method, and unassisted home birth practice for the baby bathing process. Home childbirth with the help of untrained family members uses unique techniques and tools. There is a need for policymakers and relevant stakeholders to provide women and their family members with health education about safe facility childbirth.</p> 2024-06-19T20:15:18+00:00 ##submission.copyrightStatement##