Indonesian Journal of Global Health Research

Analysis of Sociocultural Changes in the Era of Industrial Revolution 4.0 on Mental Health in Teenage Women

Marwa Hasan Kadatua — 2024-10-18

The era of industrial revolution 4.0 brought changes to the social life system of Indonesian society. The negative impact faced by teenagers with negative and irresponsible information can destroy the mentality of the younger generation in building the nation. This quantitative research uses a cross-sectional design. The population of this study was all 60 female students of SMA Negeri 11 Ambon who were selected using stratified random sampling techniques. The instrument used was a questionnaire. Bivariate analysis uses the chi-square test, and multiple linear regression to test the influence of independent variables on mental health. Bivariate analysis shows that the proportion of poor mental health without social isolation is 25 (41.7%) higher than the proportion of mental health with social isolation, namely 2 (3.3%). The results of bivariate analysis show that the proportion of poor mental health without Hedonism is 27 (45.0%) higher than the proportion of mental health with Hedonism, namely 0 (0%). The results of bivariate analysis show that the proportion of poor mental health without bullying is 25 (41.7%) higher than the proportion of mental health with bullying, namely 2 (3.3%). The results of the chi square test stated that the p-value was <0.05 between the variables social isolation (0.008), hedonism (0.000) and bullying (0.015) with mental health. The results of the multiple linear regression test found that hedonism had the most influence on mental health with a p value = 0.012. This value shows that there is a relationship between each variable (social isolation, hedonism and bullying with mental health. And hedonism as the variable that has the most influence on mental health.

Early Detection of Pregnant Women with Stunting Incidents Based on the Early Detection Information System, High Risk, Islands Maternal Referral System (SIDILAN)”

Liana Devi Oktavia — 2024-10-24

One of the nutritional issues that toddlers face in today's society is the prevalence of short toddlers, often known as stunting. South Asia accounted for the biggest percentage of Asia's 83.6 million stunted toddlers (58.7%), while Central Asia had the lowest percentage (0.9%). The urgency of this research is the high number of stunting cases in Indonesia, where various risk factors for stunting since pregnancy are one of the focus problems that need to be considered. This study aims to determine the risk of stunting early in pregnant women through the SIDILAN early detection application. FGD and preliminary research are the first steps in the process, after which an application feasibility test is conducted. small sample user trials, followed by a quasi-experiment (pre-test post-test approach) to conduct further study. Pregnant Women with Stunting Incidents: An Early Detection Application Based on the High-Risk Early Detection Information System for Pregnant Women Referral System for the Islands (SDILAN) is an effective early detection tool for stunting in pregnant women, as shown by the p value = 0.000 from table 3 above which is smaller. Application SDILAN is thought to be more successful for monitoring and planning pregnant women because it can be completed anywhere and offers direct guidance from medical professionals. In the area of maternity and child health technology, this is also consistent with the medium-term development goals, which place an emphasis on early identification to deliver high-quality services to lower morbidity and mortality.

Description of Parental Feeding Pattern in Toddler Child

Qonita Huwaida — 2024-10-29

The age of toddler is a golden age because the growth and development of children at this age takes place quickly and both physically, cognitively, emotionally, and socially. A good feeding pattern is useful to meet the nutritional needs they need, a good diet will also play a role in preventing nutritional problems. This study aims to describe the feeding patterns of parents in toddler-age children in Polokarto Village, Polokarto District. This research is an analytical descriptive research. The research sample consisted of 136 mothers who had toddler-age children who were taken by purposive sampling. Data collection was carried out using a questionnaire of demographic data and feeding patterns. The analysis used in this study is a univariate analysis that will be displayed in the form of distribution, frequency, and percentage. The results of the study showed that the majority of parents had the quality of feeding patterns that were included in the sufficient category, namely 79 respondents (58.1%). Most of the respondents were in the age range of 27-33 years, namely 84 respondents (61.8%). Then the majority of parents have a high school education background and almost all mothers have the status of housewives (72.8%).

The Effect of Implementing HPC (Home Pharmacy Care) on Medication Adherence and Quality of Life in Chronic Diseases Patients with the Brief Counseling Method

Yusnita Yusnita — 2024-11-01

People with chronic diseases who generally require long-term treatment tend to experience problems with non-adherence to their therapy. Non-compliance in taking medication can maintain the patient's condition and impact his quality of life. this research aims to determine the effectiveness of implementing hpc (home pharmacy care) on medication compliance and quality of life in chronic diseases patients using the brief counseling method. The research design is quasi experimental using a pre-test and post-test group design. This research was conducted from 11 June to 27 August 2024. The sample in the study was 33 respondents. The results of the Wilcoxon-Rank Test statistical test show that there is a difference in the level of medication compliance before and after receiving the home pharmacy care implementation intervention for respondents with a value of p-value = 0.00, and there is also a difference in the quality of life of respondents after receiving the home pharmacy care implementation intervention with p- value = 0.00 (p<0.05). The implementation of home pharmacy care, apart from being beneficial in increasing compliance with taking medication, also has an effect on improving the quality of life for chronic disease sufferers. Providing counseling education can increase sufferers' knowledge about drugs, the amount and function of prescribed drugs, as well as increase patient compliance behavior so that it has an impact on mortality and morbidity, as well as improving the quality of life of sufferers. It is hoped that respondents will remain adherent to the treatment regimen in order to improve their health and quality of life.

Empowering Youth: the Impact of Basic Life Support (BLS) Training on Knowledge, Skills, and Attitude Development in Adolescents

Insana Maria — 2024-11-04

The community, especially teenagers, really needs knowledge, attitudes and skills in providing Basic Life Support (BLS) so that first aid to victims of illness or accidents can be saved and avoid death. Objective: This study analyzes the effect of basic life support training using seminars, booklets, and video methods on increasing the knowledge, skills, and attitudes of teenagers in Syamsudin Noor Village. Method: This research uses a quasi-experimental design with a control design. The population in this study were teenagers in Syamsudin Noor Village, with a sample of 30 people from each group. The variables include teenagers' knowledge, skills and attitudes regarding BLS, as well as educational media in the form of videos on handling essential life support and booklets on handling critical life support. The instruments used in this research were questionnaires, observation sheets, and learning media. The analysis uses the t-test at a significance level of 5% (0.05). Results: There was an increase in teenagers' knowledge, attitudes and skills regarding essential life support. The results of analysis using the t-test obtained a p-value for each variable of knowledge (p=0.005), attitudes (p=0.004) and skills (p= 0.0014) after implementing BLS training. Conclusion: There is an effect of increasing the knowledge, attitudes and skills of teenagers in the community regarding essential life support after being given education through learning videos, seminars and booklets.

The Relationship between the Adherence Level of the use of Scientific Herbal Medicine and Its Success in Hypertension Therapy

Anggita Rahmawati — 2024-11-04

Hypertension has the most significant prevalence among non-communicable diseases (NCDs) in Indonesia. The prevalence of hypertension in 2018 of 34.11% rose 8.31% from the prevalence of hypertension in 2013 of 25.8%. Data from the Ministry of Health of the Republic of Indonesia indicates that 32.3% of hypertension patients exhibit non-compliance or do not regularly adhere to medication regimens, thereby increasing their mortality risk. The objective of this study was to establish the magnitude of the impact caused by the compliance level to the use of antihypertensive scientific herbal medicines on the effectiveness of hypertensive patients’ therapy in UPF. Yankestrad Rs Dr. Sardjito Tawangmangu. This study descriptively utilized a quantitative cross-sectional method using the MARS-5 (Medication Adherence Report Scale) questionnaire to measure adherence level. The sample of this study consisted of 150 purposively hypertensive respondents out of the total sample size of the 150 who conducted the research in October 2023. Data analysis includes univariate and bivariate analysis with a chi-square test. The research findings provide a reliable understanding of compliance levels. A very low compliance level was recorded at 32 or 21.3%, a moderate compliance level was recorded at 53 or 35.3% and a high compliance level was recorded at 65 or 43.4%. The chi-square supported the association thus out of 113 respondents the p-value at 0.001 and where the relationship can be a very healthy therapy at UPF Yankestrad Dr. Sardjito Tawangmangu Hospital.

Identification of Microplastic in Water, Sediment, and Fish in Lematang River, Lahat

Rasyiqa Fauzia — 2024-11-07

Microplastic is formed from plastic waste that enters water and decomposes over a certain period of time through chemical, physical, and biology processes that then change the plastic waste into plastic particles with micro sizing that is known as microplastics. This research is quantitative descriptive research that aims to determine the morphology, size, and color of microplastics on the samples that were collected from Lematang River then particles that are already trapped on the membrane filters are then observed under a microscope. Identification of microplastic forms in samples at the Lematang River using a trinocular microscope. The forms of microplastics found in the samples are categorized into 5 forms, which are film, fiber, foam, fragment, and pellet.

Effect of Relaxation Technique in Breathing on the Pain Level of Dysmenorhea’s Pain in Teenage Girl

Agustina Simanangi Pamowa — 2024-11-08

The technique of deep breathing relaxation can reduce the intensity of pain and improve pulmonary ventilation and increase blood oxygenation so the young man can adapt to pain during dysmenorrhea. This study aimed to examine the association between deep breathing relaxation techniques and the level of dysmenorrhea pain in adolescent girls at SMPN 6 Samarinda City. Quasi experimental with one group pre-test and post-test model. The non-probability sampling was applied with 40 respondents. Wilcoxon test was used to analyse data in this study. there was a significant association between deep breathing relaxation techniques and the level of dysmenorrhea pain in adolescent girls at SMPN 6 Samarinda City (p=0,0001). The deep breathing relaxation technique has an effect on the level of pain and can be used as one of the pain adaption techniques.

Case Study: The Application of Laughter Therapy in Type II Diabetes Mellitus Patients for Blood Glucose Instability

Wahyu Dwi Ari Wibowo — 2024-11-08

Elevated blood glucose levels in type II diabetes mellitus (DM) can cause serious organ damage. In Indonesia, the prevalence of DM is increasing, with many patients not receiving adequate treatment. Non-pharmacological therapies, such as laughter therapy, are considered effective in reducing blood glucose levels and stress, especially in elderly patients with type II DM. Research Objective: To describe the outcomes of implementing laughter therapy nursing care in type II DM patients with the nursing problem of blood glucose instability in the working area of Citra Medika Health Center, Lubuklinggau, in 2024. Research Method: A case study method involving two individuals with a medical diagnosis of type II DM, utilizing family nursing care, and implementing laughter therapy over four sessions in one week, with a duration of 20-30 minutes each session. Research Results: Subject I experienced a decrease in random blood glucose levels from 189 mg/dl on the first day to 83 mg/dl on the fourth day. Subject II experienced a decrease from 237 mg/dl on the first day to 116 mg/dl on the fourth day. The difference in reduction between the two subjects was influenced by factors such as family support, the use of hyperglycemia medication, and diet control. Conclusion: The application of laughter therapy can reduce blood glucose levels in patients with type II DM. Further research should include the control of independent repeated actions, the use of diabetes medication, and a larger number of respondents. Suggestions: Laughter therapy can be used as a complementary therapy in the management of type II DM in older adults.

Undergraduate Nursing Student’s Self-Efficacy Towards Palliative Care: A Rapid Narrative Review

Nurul Sopia — 2024-11-08

The increasing number of patients with life-threatening diseases will affect the high need for palliative care in health services. Self-efficacy towards palliative care among undergraduate students is vital for ensuring they have adequate readiness and ability to provide high-quality care. Objective : This review aims to identify the level of self-efficacy towards palliative care among undergraduate nursing students. Method : The method used in this literature review is a rapid narrative review compiled using PRISMA 2020 guidelines. The databases used were PubMed, Medline, Scopus and ScienceDirect. Articles used are research articles with published from 2020-2024. The criteria in this study were organized based on the PCC framework criteria. The main keywords were not limited to “undergraduate nursing student*”, “self-efficacy”, and “palliative care”. Results : Nine out of 167 studies were included. The findings discussed the level of self-efficacy and factors that influence self-efficacy towards palliative care in clinical learning among undergraduate nursing students. Conclusions : Low self-efficacy indicates undergraduate nursing students' unpreparedness to provide palliative care. Nursing students need self-efficacy towards palliative care to ensure adequate readiness and ability to provide high-quality palliative care. This review is essential to improve the quality of palliative care education and increase self-efficacy in undergraduate nursing students.

The Influence of Nutritional Factors on the Quality of Life of Cancer Patients: A Scooping Review

Dhanang Efendi — 2024-11-08

Cancer is a condition of abnormal cell growth, cells lose their normal control and mechanisms resulting in rapid and uncontrolled cell growth, as well as local tissue invasion and distant metastases. Quality of life is influenced by health status. A decrease in nutritional status often occurs as a result of cancer and its therapy. Due to the lack of food intake such as appetite, swallowing ability, absorption in the body and treatment therapy actions taken, coupled with chemotherapy. The aim of this study was to determine the effect of nutrition on the quality of life of cancer patients. Methods: Researchers used the scoping review method. The article search used databases from Sciencedirect, Scopus, and Pubmed with the research time January 2019 to December 2023, with the keywords influence"AND ‘nutrition’ AND ‘quality life’ AND ‘Patient’ AND ‘Cancer’. The results were 10 articles analyzed, all of which were quantitative articles. Based on identification, there are 67 articles from search engines from Sciencedirect, Scopus, and Pubmed. The final results obtained were 10 articles that fit the criteria after going through the selection process. Nutritional factors have an important role in the quality of life of patients. The better the nutrition obtained, the higher the patient's quality of life. Researchers used the PEO question format (population, exposure, outcome) to find related research articles. Improved nutrition helps prevent weight loss, which can affect tolerance to treatment and reduce its side effects. The nutritional status of cancer patients tends to change and deteriorate during intensive treatment. Maintenance of a healthy weight during cancer therapy is considered important in health management. By understanding the relationship between nutrition, diet and quality of life in cancer patients, appropriate nutrition interventions can be designed to improve treatment outcomes and patient well-being.

Comparison of the Effectiveness of Two Levels of Suction Pressure on Oxygen Saturation in ARDS Patients

Dadang Heryandi — 2024-11-09

Patients in the Intensive Care Unit (ICU) often require mechanical ventilators, necessitating close monitoring and care, including regular evaluations of oxygen saturation levels. Suction procedures are conducted in the ICU to maintain airway patency, reduce sputum retention, and prevent pulmonary infections. The effectiveness of suction procedures can vary based on the suction pressure applied, which may impact patient outcomes differently. The purpose of this study was to determine the effectiveness of suction action with pressures of 130 mmHg and 140 mmHg on increasing oxygen saturation in ARDS patients with mechanical ventilation in the ICU. The research employed a quantitative approach using a quasi-experimental pre-post design with a control group. A sample of 30 ICU patients was divided into two groups: one group of 15 patients received suctioning at a pressure of 130 mmHg, while the other group of 15 received suctioning at 140 mmHg. Oxygen saturation levels were measured using pulse oximetry before and after the suction intervention. The procedures were conducted in accordance with the hospital's Standard Operating Procedure (SOP). Data were analyzed univariate and bivariate using the T-test. There was a significant increase in oxygen saturation after suctioning with both pressures. For the 130 mmHg group, the average increase in oxygen saturation was 5.933 with a P-value of 0.000. For the 140 mmHg group, the average increase was 6.400 with a P-value of 0.000. However, there was no statistically significant difference between the two suction pressures in terms of the overall increase in oxygen saturation, with a P-value of 0.567. Both 130 mmHg and 140 mmHg suction pressures were effective in improving oxygen saturation in ARDS patients on mechanical ventilation in the ICU. Hospitals should ensure structured and consistent monitoring of suction procedures in accordance with hospital SOPs to optimize patient outcomes.

Identifying the Benefits of Simulation Videos on the Knowledge and Skills of Anthropometric Measurements of Posyandu Cadres as An Effort to Prevent Stunting

Olivia Bawaeda — 2024-11-09

Stunting has a negative impact on children's quality of life, such as impaired brain and cognitive development, failure to thrive, and low immune system. One of the efforts to primary prevent stunting is to provide education to increase the knowledge and skills of posyandu cadres in carrying out anthropometric measurements. Objective This research identifies the educational benefits of video simulations on cadres' knowledge and skills in anthropometric measurements of toddler posyandu cadres. Method the method used in this research is a pre-experimental study, with a one-group pre-post test design approach. The sample was recruited using purposive sampling technique. Result the results of research based on the Wilcoxon analysis test explain that video simulation education is effective in increasing the knowledge and skills of toddler posyandu cadres in anthropometric measurements with a p value of 0.000 (ɑ <0.05). Data was taken using a knowledge questionnaire and skills observation sheet for 25 respondents through a pre-post test. Data distribution based on univariate analysis illustrates that there was an increase in the knowledge and skills of respondents who received the educational intervention of video simulations of anthropometric measurements for toddlers. Conclusion Simulation video education is useful in increasing the knowledge and skills of posyandu cadres in anthropometric measurements. The results of this research can be recommended for application in improving basic knowledge and skills in anthropometric measurements of posyandu cadres and health workers in primary health care facilities and pediatric nursing practice in hospitals.

Integrating Traditional Medicine to Achieve Universal Health Coverage: A Scoping Review

Dwi Retno Murdiyanti — 2024-11-12

One way to maintain health is by using traditional medicine. WHO recommends that traditional medicine be integrated into health care systems to achieve universal health coverage, but most countries have not adopted the recommendation. In this study, we will observe the implementation of the integration of traditional medicine in the health service system that supports universal health coverage. In this study, a scoping review was carried out by searching for articles from the Pubmed and Scopus databases with appropriate keywords, in English that can be fully accessed by Diponegoro University students from 2013 - 2024. The result, 39 journals were obtained from Scopus and Pubmed which were then screened with inclusion and exclusion criteria. From the screening process, 3 journals were obtained that were suitable for the integration of traditional medicine in the health service system to support the achievement of universal health coverage. Conclusion: The government needs to regulate the use of traditional medicine in the health service system based on scientific evidence, carried out by competent personnel, standardization of product and service quality, service evaluation, continuing education to achieve universal health coverage.

Comparison of Platelet-Rich Plasma with Corticosteroid Injections for Patients with Mild to Moderate Carpal Tunnel Syndrome: A Systematic Review and Meta-Analysis of Current Evidence in Randomized Controlled Trials

I Made Wira Kusuma — 2024-11-12

Carpal tunnel syndrome (CTS) accounts for over 90% of peripheral entrapment neuropathy cases. Platelet-rich plasma (PRP), has shown promise due to its anti-inflammatory effects and potential to support axonal repair and neuronal regeneration. The aim of this study is to evaluate the comparative therapeutic efficacy of PRP and corticosteroid injections in treating mild to severe CTS, using a three-month follow-up period.Methods: This meta-analysis followed the PRISMA framework, reviewing studies from 2017 to 2022 in PubMed and the Cochrane Library that compare PRP and corticosteroid injections for CTS. Primary outcome including Visual Analog Scale (VAS), Sensory Peak Latency (SPL), Distal Motor Latency (DML), and the Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-SSS). Results: Four studies remained after matches the screening phase. This meta-analysis includes 245 patients, including 123 receiving PRP and 122 corticosteroid injections. When looking at the VAS 1 and 3 month periods, FSS 3 months, SSS 3 months, DML 1 and 3 months, and SPL 3 months, there were statistically significant changes better outcomes towards PRP injection group compared to the control group. Conclusion: PRP injections provided better short- to mid-term relief and improved electrophysiological outcomes compared to corticosteroid injections in mild to moderate CTS cases.

Effect of Proprioceptive Neuromuscular Facilitation (PNF) on Muscle Strength in Post-Stroke Patients

Syokumawena Syokumawena — 2024-11-13

Post-stroke rehabilitation often involves improving muscle strength and motor function to enhance the quality of life for stroke survivors. Proprioceptive Neuromuscular Facilitation (PNF) has emerged as an effective therapy in this context, particularly in enhancing muscle strength and upper limb function. PNF techniques use specific patterns of movement to activate proprioceptors and improve muscle coordination, which may aid in recovery for stroke patients. Despite its potential, limited research has evaluated its impact on muscle strength improvement, making this study significant.Research Objective: The primary aim of this study was to assess the effectiveness of Proprioceptive Neuromuscular Facilitation (PNF) in improving muscle strength in post-stroke patients, with a focus on the upper limbs. The research was conducted to evaluate the pre-test and post-test muscle strength scores, and to analyze the impact of PNF on muscle strength recovery.Research Methods: This research employed a pre-experimental design with a one-group pre-post test. A sample of 34 post-stroke patients was selected using purposive sampling from the Merdeka Health Center and 1 Ulu Palembang, South Sumatra, Indonesia. The intervention consisted of PNF exercises conducted three times a week for three months. Muscle strength was measured using a hand dynamometer both before and after the intervention. Statistical analysis using Cohen’s d and paired t-tests was performed to evaluate the effectiveness of the intervention.Results: The results revealed a significant improvement in muscle strength after PNF intervention. The mean muscle strength score increased from 2.50 ± 0.570 (pre-test) to 3.64 ± 0.570 (post-test), with a difference of 1.14 ± 0.570. Cohen’s d coefficient of 2 indicated a large effect size, confirming substantial improvement. The paired t-test yielded a p-value of 0.001, demonstrating that the changes were statistically significant.Conclusion: Proprioceptive Neuromuscular Facilitation (PNF) significantly improves muscle strength in post-stroke patients, particularly in the upper limbs.

The Relationship between Knowledge and the Application of Ethical Principles of Anesthesia Principals

Ni Nyoman Ari Kundari Dewi — 2024-11-13

Anesthesia technicians in providing health services should be guided by the code of ethics of anesthesia technicians. This can certainly have a positive impact on health services and patients of course. This study aims to determine the relationship between knowledge and ethical principles of anesthesia. The anesthesia team is said to have a high risk of committing deviations in providing services.The impact that can arise if anesthesiologists do not apply ethical principlesnamely patient satisfaction can be reduced towards the services provided, due to the suboptimal performance of anesthesiologists. The purpose of this study was to determine the relationship between knowledge and the application of ethical principles of anesthesiologists in Bali. This study used a correlational analytical approach with a cross-sectional approach. The sample in this study was 141 respondents taken using probability sampling techniques with simple random sampling types. Data were collected using questionnaires and analyzed using statistical inference. The questionnaire used was a standard questionnaire with a reliability value of 0.6. The results showed that there was a relationship between knowledge and the application of ethical principles of anesthesiologists in respondents, which found a p-value of <0.001.

Reducing Nausea in Early Pregnancy with Lavender Aromatherapy: A Case Study Approach

Sri Martini — 2024-11-13

Emesis gravidarum (EG) is a common complaint of first-trimester pregnancy. EG shows nausea accompanied by vomiting, which usually occurs in the morning. EG can cause decreased appetite, vomiting, up to weight loss, risk of dehydration, and electrolyte imbalance. The psychology of pregnant women with EG will also be disturbed because of nausea and vomiting experienced. That's why EG events must be taken seriously. Limitations of the use of drugs during pregnancy must be considered. Alternative therapies such as lavender aromatherapy can be an alternative non-pharmacological therapy for pregnant women in the first trimester. Lavender aromatherapy can produce a strong refreshing Fragrance, affecting the hypothalamus's nerves to reduce nausea and vomiting. Research objective: to determine the application of lavender aromatherapy to reduce nausea intensity in first-trimester pregnant women in the Simpang Periuk Health Center Working Area, Lubuklinggau City, in 2024. Research Methods: This research is descriptive research with a case study approach. This study was conducted from April 18 to April 23, 2024. The subjects of this study were 2 pregnant women in the first-trimester with nausea category of mild to moderate nausea and vomiting, with measurement of the nausea scale before and after the intervention, using the Pregnancy Unique Quantification Of Emesis assessment. (PUQE). Both subjects were given 3-5 drops of lavender aromatherapy, using a diffuser, inhaled for 5-30 minutes for three days in the intervention. Results: after giving lavender aromatherapy therapy, both subjects showed a decrease in the PUQE score, from moderate to mild nausea and vomiting. Conclusion: Interventation lavender aromatherapy effectively reduces nausea in first-trimester pregnant women, with several influencing factors including; pregnancy history, parity, occupation, and age.

Factors Related to Pain Intensity Post-SC with Spinal Anesthesia

Ni Luh Putu Lusiana Devi — 2024-11-13

Pain is the most common complaint found in perioperative patients, so optimal pain management is needed. Proper pain management can be done if the officer is able to know the intensity of pain felt by the patient and what factors are related. The aim of this study was to determine the pain intensity of post-CS patients with spinal anesthesia.This quantitative correlation study with a cross-sectional approach will be conducted involving 87 respondents based on the Slovin Formula. Sampling was carried out using purposive sampling to determine the selected sample. This study will use univariate data analysis techniques (frequency distribution and percentage), and bivariate data analysis (chi-square test). The results of the data analysis showed that the majority of patients had postoperative pain intensity on a scale of <2 as many as 52 people (60%). Age factors, gravida status, BMI, preoperative analgesics, and preoperative pain intensity have p-values> 0.05, namely 0.623, 0.137, 0.341, 0.570, 0.620. It can be concluded that there is no relationship between age, BMI, pre-operative pain intensity, and pre-operative analgesic administration with post-operative pain intensity in CS patients with spinal anesthesia.

Effectiveness of Ointment Therapy Products Based on Snakehead Fish Extract (Channa Striata) Combined with Black Honey (Epis Dorsata) on Post-Operative Wound Patients

Mulidan Mulidan — 2024-11-14

Snakehead fish (Channa striata) is a type of freshwater fish that is widely known by the public. The efficacy and benefits of this fish, especially in increasing albumin which is important for the body, have been scientifically proven. Snakehead fish has a very high protein content and is a source of albumin for patients with hypoalbuminemia and wounds. Black honey is also known to have great benefits in the process of tissue formation in wounds. The purpose of this study was to evaluate the effectiveness of therapeutic ointments based on snakehead fish extract combined with black honey in post-operative patients. Methods: This study used a quasi-experimental method with a post-test only with control group design, a sampling technique with purposive sampling with inclusion criteria involving 30 participants who were divided into control and intervention groups. The intervention group was given snakehead fish extract ointment and black honey for 2 weeks. Observations of the wounds were carried out before and after the application of the ointment in both groups. Pre and post intervention scores were measured using the REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation) instrument, with a score range of 0-2 for good wounds and 9-15 for bad wounds. Statistical analysis used the Paired T-test with a significance level of p<0.005. Results: The results showed that patients who received the intervention experienced an increase in wound healing scores. In the intervention group, 7 respondents (56.7%) showed good wound healing and 8 respondents (53.3%) showed moderate healing. Concentration F1 was proven to be more effective than F2 and F3. Based on statistical tests, there was a significant difference between the intervention and control groups, with the Paired Sample Test showing a p value <0.000 in the intervention group, while the control group was not significant (p>0.334) with an average intervention value (12.86) and control (11.53). Conclusion: Ointment based on snakehead fish extract combined with black honey has been proven to be effective in accelerating wound healing in postoperative patients.

The Effect of Cupping Therapy Towards Aggressive Behavior and Sleep Quality among Autism Spectrum Disorder (ASD) Patients

Hendra Sutysna — 2024-11-14

Autism Spectrum Disorder characterized by behavioral issues like aggression, starts before age 3 and is linked to lead buildup. Poor sleep quality in ASD is due to circadian disruptions. Ongoing therapy is needed, and cupping therapy, releasing toxins like lead and affecting sleep quality via Nitric Oxide, is a complementary option. Objective: This study aimed to determine the effect of cupping therapy on sleep quality in people with Autism Spectrum Disorder (ASD). Methods: Observational correlative analysis with a prospective cohort study approach, the research sample was patients suffering from ASD in the city of Medan in 2023. Results: Based on the results of the Wilcoxon statistical test, the Sig. (2-tailed) 0.000 (p-value <0.05) which means there is a significant difference in aggressive behavior and sleep quality before and after being given cupping therapy in ASD sufferers. Conclusion: There is an effect of cupping therapy on aggressive behavior and sleep quality of Autism Spectrum Disorder (ASD) sufferers in the city of Medan in 2023.

Antifertility Activity and Chemical Content of Moringa Oleifera Lam Plant Extract on The Reproductive System of Male and Female White Rats

Munawir Munawir — 2024-11-14

Research shows that Moringa extract possesses anti-fertility effects on the reproductive systems of male and female rats. This study investigates Moringa's active chemical compounds and their impact on reproductive parameters such as sperm concentration, motility, morphology, and seminiferous tubule diameter, along with hormone levels (progesterone, LH, FSH), estrogenic activity, and the estrous cycle. The research, a literature review, compiles findings from quality international (Scopus) and national (SINTA) journals, Translation and proofreading: there are 8 articles that meet the research inclusion criteria, selected within a range from the year 2010 to 2024. Key active compounds identified in Moringa include alkaloids, tannins, flavonoids (kaempferol and quercetin), and benzyl isothiocyanate, all of which demonstrate anti-fertility effects. These compounds were observed to reduce sperm concentration, motility, and morphology, and to decrease seminiferous tubule diameter in males, while also impacting hormone levels and the estrous cycle in females. The findings support Moringa’s potential as an anti-fertility agent, highlighting its impact across various reproductive parameters in both genders.

Analysis of Nutritional Status in Toddlers and Malaria Incidence

Christina Tien Popang — 2024-11-14

Poor nutritional status in toddlers and the high incidence of malaria are two major health issues that continue to be significant challenges in Indonesia, particularly in tropical regions such as Papua. Children's health is heavily influenced by these two factors, where malnutrition can weaken the immune system, making them more vulnerable to infectious diseases like malaria. Toddlers with poor nutritional status, such as stunting and undernutrition, are more likely to contract malaria, which in turn worsens their health condition and can lead to various long-term complications. This study aims to explore the relationship between the nutritional status of toddlers and malaria incidence at Kimi Health Center in Nabire Regency in 2024. Using a descriptive-analytic approach with a cross-sectional design, The population of this study consists of 804 toddlers at Kimi Health Center, with 118 samples selected using purposive sampling. The instrument used in this study is a standardized questionnaire, which includes questions about the respondents' characteristics and factual information regarding their condition, as well as the results of laboratory malaria tests with positive results, the study will analyze data using the Kendall Tau test. The findings highlight that poor nutritional status, including conditions like Protein-Energy Malnutrition (PEM), increases the risk and severity of malaria, impairing the immune response and exacerbating complications such as anemia. Conversely, excess nutrition, such as obesity, can also compromise immunity, increasing malaria risk. Nutrient deficiencies, such as in iron, vitamin A, and zinc, further affect immune function and vulnerability to malaria. Improving nutritional status is crucial for reducing the risk and impact of malaria, particularly in endemic areas like Nabire.

The Influence of Regional Language Leaflets about Stunting on Increasing the Knowledge of Mothers of Toddlers

Inggrit Rita Uli Manik — 2024-11-14

Stunting is a serious health issue affecting children's growth and development, particularly in areas with limited access to nutritional and health information, such as Biak Regency in Papua Province. This study aims to measure the impact of regional language leaflets on increasing mothers’ knowledge of stunting. The use of local language is expected to strengthen mothers' understanding of the causes, impacts, and prevention of stunting, as well as to enhance the effectiveness of health communication at the community level. This quantitative pre-experimental study employed a one-group pretest-posttest design with 20 mothers from Samau Village, selected through total sampling. Data collection used a validated and reliable stunting knowledge questionnaire with a Cronbach's Alpha of 0.908. The results were analyzed using the Wilcoxon Signed-Rank Test. Findings indicated that most respondents were aged 20-35, had high school education, were housewives, and had multiple children. Before the intervention, 95% had limited knowledge about stunting, but after the intervention, 75% demonstrated good understanding. The Wilcoxon Signed-Rank Test yielded a p-value of 0.000, confirming the effectiveness of using local language leaflets to improve stunting awareness.

Factors Influencing the Occurrence of Pulmonary Tuberculosis in the Productive Age Group

Anisa Nanang Sulistiyowati — 2024-11-14

Tuberculosis (TB) remains a major public health issue, particularly in developing countries like Indonesia, which ranks third globally for TB cases. In Papua, the number of TB cases has been steadily increasing, especially among the productive age group (15-50 years). This study aims to analyze the factors influencing the occurrence of pulmonary tuberculosis in Nabire District, Central Papua, using an observational analytic design with a case-control study. The case population in this study consists of all patients diagnosed with pulmonary tuberculosis (TB) BTA (+) residing in the working area of Sriwini Health Center, totaling 50 individuals. The control population includes patients diagnosed with negative pulmonary TB, totaling 100 individuals, with a total sample size of 150, selected using the total sampling technique. The instrument used in this study is a questionnaire, which contains a list of questions related to the respondent's identity and the variables of the study, including age, gender, occupation, smoking status, alcohol consumption, housing density, house lighting, and household contact history. The questionnaire used is standardized with a Cronbach's alpha value of 0.937, so no validity or reliability testing was conducted. The data from this study were analyzed using the chi-square test. The results provide valuable insights into the local epidemiology of TB and underscore the need for targeted public health interventions to address these risk factors. Improving TB detection, treatment adherence, and public awareness are essential for controlling the TB burden in Nabire and similar areas in Central Papua.

The Unique Properties of Moringa Oleifera Extract in Soap Optimization: A Scientific Approach

Diah Miftahul Aini — 2024-11-14

Moringa leaves (Moringa oleifera), a valuable source of bioactive compounds, including flavonoids, phenolic acids, tannin, and terpenoids. These compounds provide significant benefits to the skin, due to their antioxidant, anti-inflammatory, and antimicrobial properties. The chemical composition of these leaves has been demonstrated to enhance dermal hydration and provide protection against environmental stressors. By balancing Moringa with other natural ingredients such as coconut, olive, and palm oil, the efficacy of skincare formulation can be optimized, resulting in improved texture, stability, and consumer appeal. This research aims to optimize the soap's effectiveness by enhancing its properties, such as cleansing, moisturizing, and antimicrobial functions, using the unique characteristics of Moringa oleifera. The initial step involved of an ethanol extract of Moringa leaves, which was then subjected to analysis using Gas Chromatography-Mass Spectrometry (GC-MS). The analysis revealed that Moringa leaves contain eight key compounds, including 2.4(1H,3H)-pyrimidineodione, glycerol, 2,3-dihydro-3,5-dihydroxy-6-methyl-, 4,3-allyl-6-methoxyphenol, epoxylinalool, 1H-pyrrole, 2-(2,4,6-heptatrienyl), tetradecanoics acid, and hexadecanoic acid. The aforementioned compounds were used to formulate a soap base containing Moringa leaves. The resulting soap exhibit a pleasant fragrance, a dense texture, yellow slightly white in color, and a pH of 10, as confirmed by organoleptic and pH test. The recent focus resulting in the development of Moringa-based skincare product that are not only effective but also eco-friendly. Present study represents a promising approach to natural solution that cater to diverse skin types and consumer preferences.

The Relationship between Family Support and Diet Compliance in Hypertension Patients

Cindy Ratna Ardella — 2024-11-14

Family support is one factor that cannot be ignored because it has a significant contribution and is a strengthening factor that influences patient dietary compliance hypertension. This research seeks to explore the relationship between family support and dietary adherence among individuals suffering from hypertension at the UPDT Gambirsari Health Centre. This study employs a quantitative research method featuring a correlational descriptive design, utilising a cross-sectional research approach. The research sample was a number of hypertension sufferers obtained from calculations using the Slovin formula (5%) and in accordance with the researchers' criteria, namely 87 respondents. Data collection was carried out using a questionnaire that measured the level of family support, namely with the results of the validity and reliability of the cronbach alpha results of 0.917 for 17 valid questions and hypertensive dietary adherence, namely with the results of the validity and reliability of the cronbach alpha value of 0.755 with 12 valid questions.. Bivariate analysis used the Spearman Rank correlation test. The results of collecting data on family support with the most categories, namely the sufficient family support category, were 54 respondents (62.1%), and the highest category of diet compliance was quite obedient, namely 49 respondents (56.3%). The research results showed a significant Spearman test of 0.05, the correlation between family support and hypertension diet compliance, obtained a probability number (p-value) = 0.001 (significant value for both variables 0.001<0.05), In other words, the null hypothesis (H0) was rejected. Thus, it can be concluded that this value indicates a relationship between family support and dietary compliance among hypertension sufferers at the Gambirsari Community Health Centre UPTD.

The Relationship between Self-Efficacy and Quality of Life in Hemodialysis Patients

Namira Anfi Normalitasari — 2024-11-14

Self efficacy can strengthen adherence to treatment, which in turn increases the level of recovery and self-confidence, thus improving the quality of life of individuals. The objective of this research was to explore how self-efficacy correlates with the quality of life among individuals suffering from chronic kidney failure who are receiving haemodialysis treatment at Pandan Arang Hospital. Employing a cross-sectional methodology, the study utilised an Accidental Random Sampling method. A total of 121 participants were involved in the sample, with Self-efficacy is assessed through the utilisation of the General Self-Efficacy Scale questionnaire and quality of life assessed through the Kidney Disease Quality of Life. GSES validity and reliability results Cronbach Alpha 0.917 with 10 valid questions and KDQOL 36 validity and reliability results Cronbach Alpha 0.925 with 36 valid questions. The analytical method employed in this research involved the Spearman test to determine the relationship between self-efficacy and quality of life. The results showed respondents with self-efficacy are those with high self-efficacy, namely 90 respondents (74.4%). And the most quality of life is with moderate quality of life, namely 77 respondents (63.6%). The results of the tests revealed a significant p value of 0.001 (p < 0.05), indicating a meaningful connection between self-efficacy and quality of life. In summary, this study verifies the existence of an association.

Scoping Review: Obstacles in Implementing Supplementary Food Program for Pregnant Women

Erni Yuliati — 2024-11-18

The percentage of pregnant women with Chronic Energy Deficiency (CED) in Indonesia is still quite high. This will give a negative impact on the mother’s and baby’s health. Indonesian government overcomes the problem of CED pregnant women through the provision of supplementary food. The identified obstacles in implementing supplementary food program for pregnant women can be used as consideration in planning, implementation, monitoring and reporting at the Community Health Center. The method used in this study is scoping review. Article identification uses two databases, namely Google Scholar and Garuda. The article searched in the database was 919 articles. After screening with inclusion and exclusion criteria, there were 7 eligible articles. In the input aspect, deficiencies were found in the quantity and quality of health human resources, funds and facilities. In the process aspect, the distribution of PMT from the center was uncertain and there was no monitoring of the use of PMT by the target. Some CED pregnant women were also less compliant in taking PMT and consuming PMT. In the output aspect, the system of program’s monitoring and evaluation at the Community Health Center was not carried out well.

Effectiveness of Early Mental Health Detection to Prevent Emotional Mental Disorders in Islamic Boarding School Students Experiencing Bullying: A Scoping Review

Citra Hanwaring Puri — 2024-11-18

The increasing prevalence of mental health issues among students, particularly those who experience bullying, underscores the need for early detection strategies. This study examines the significance of early detection of mental health issues in santri (Islamic boarding school students) who face bullying. Purpose: The purpose of this study is to analyze the impact of bullying on the mental health of santri and to highlight the necessity for effective early detection methods. Method: A qualitative approach was employed, involving interviews and focus group discussions with santri, educators, and mental health professionals. Data were analyzed thematically to identify common patterns and insights. Result: The findings reveal a significant correlation between experiences of bullying and the emergence of mental health issues among santri. Participants reported symptoms of anxiety, depression, and low self-esteem, emphasizing the urgent need for intervention. Conclusion: The study concludes that implementing early detection mechanisms is crucial in addressing mental health issues among santri who experience bullying. Educational institutions should prioritize mental health awareness and provide necessary support systems.

The Effect of Midline Exercise Therapy on Global Delayed Development Children’s Gross Motor

Khabib Abdullah — 2024-11-18

Global delayed development (GDD) is a developmental disorder in children characterized by delays in gross motor development. Gross motor development is based on the development of an optimal midline position, and in GDD this does not happen. This reseaarch objective to determine the effect of midline exercise therapy on improving gross motor skills in children with GDD at Haji Hospital Surabaya. This is experimental research purposive sampling research on 15 GDD children at RSUD Haji Surabaya with a one-group pre and post-test design. Midline exercise therapy is carried out twice a week for 6 weeks consisting of relaxing the neck extensors, adjusting the position to the middle of the body, and cortical level exercises. Tool for measuring children's gross motor skills with GMFM (gross motor functional measurement) sector A/lying down with scale 0-51 measured pre and post treatment. Data analysis with univariate and bivariate SPSS. For the results 3 subjects were boy and 12 girl with an average age of 13.1 months. There was an increase in the mean GMFM score from 4.2 to 6 (paired t-test p=0.000) after 12 physiotherapy sessions.

The Effect of Lavender Essential Oil as A Pain Relief Post Debridement Patient

Febriza Kharisma Putri — 2024-11-19

Pain is a multidimensional individual experience that can cause disruption to quality of life and chronic stress. Lavender aromatherapy combined with deep breathing is a form of non-pharmacological pain relief technique. The purpose of the study was to determine the effectiveness of lavender aromatherapy combined with deep breathing on reducing the pain scale of post-debridement patients. The method used in the study was a case study which raised a single topic with 1 subject used and had been in accordance with the predetermined criteria, and the analysis used the one group pre-test and post-test method, with pain measurement using the Numerical Rating Scale. The results of the study that had been conducted were found to show changes on the first day with a score of 8 to 7, on the 2nd day the score was 7 to 5 and on the 3rd day showed a decrease in the score from 5 to 3. The conclusion of the study that had been conducted was that lavender aromatherapy combined with deep breathing was effective in reducing pain in patients with post-scrotal debridement.

Environmental Health Risk Analysis of Sulfur Dioxide (SO2) Exposure in Ambient Air on Lung Function of Officers and Communities Around Public Fuel Filling Stations (SPBU)

Rahman Tri Cahyono — 2024-11-20

Air pollution is a serious problem globally, especially in urban areas where the transportation sector is one of the main contributors to sulfur dioxide (SO₂) emissions. Public filling stations (SPBU) that are centers of vehicle activity can produce SO₂ in ambient air that endangers lung function for individuals exposed in the long term, including workers and the surrounding community. This study examines SO₂ exposure at gas stations in Ogan Ilir Regency that can have an impact on health. The research method used two research methods, namely environmental health risk analysis (EHRA) with a deterministic approach and environmental health epidemiology with a cross-sectional approach. Sampling was conducted on 78 respondents using the Total Sampling method and air measurements using the Impinger Air Sampler tool. The average SO₂ concentration in the three gas station locations was 30,0 µg/m³ which exceeds the safe threshold. The daily intake level was 0,003 mg/kg/day, higher than the safe reference concentration (RfC) of 0.025 mg/kg/day, with a Risk Quotient (RQ) of 0,12, does not present a significant health risk. Furthermore, the results showed that impaired lung function was found in 73 respondents (93.6%), additional risk factors such as smoking habits and medical history were found to affect respiratory health. This research shows that there is no significant relationship between body weight, exposure, smoking, history of disease, or allergies and impaired lung function of officers and the community around the Ogan Ilir gas station.

Characteristics of Students with Disabilities, Parents, Teachers in Sexual Violence Prevention Education

Ayu Nabilla Azaara — 2024-11-23

This study aims to identify the characteristics of students with disabilities, as well as the role of parents and teachers in the prevention of sexual violence in extraordinary schools in Bengkulu City. The method used is qualitative descriptive, involving students with disabilities, parents, and teachers in SLBN 1 and SLBN 4 Bengkulu City. The number of samples in this study was 214 people using the purposive sampling technique was selected to ensure the participation of relevant individuals. Data were collected through semi-structured interviews and observations, and then analyzed thematically to identify key themes. The results showed that the majority of respondents with disabilities were in grade VI, with variations in the types of mild and moderate disabilities. The role of parents, especially housewives with high school education, is very influential in supporting sexual education programs. On the other hand, teachers who have a S1 education and work as civil servants are key actors in the implementation of this education, although they still face challenges such as the lack of special training. The use of interactive educational media, such as animated videos, has been identified as an effective tool in improving the understanding of students with disabilities. The study concludes that collaboration between students, parents, and teachers is essential for the success of sexual violence prevention programs. The recommendations submitted include increasing teacher training and developing educational materials that are in accordance with the cognitive needs of students with disabilities. A holistic approach involving schools, families, and communities is also recommended to create a safe and supportive learning environment.

Breastfeeding Practice Associated with Stunting in Urban and Rural Areas, Scooping Review

Dwi Atikah Nuriyana — 2024-11-23

Breastfeeding especially exclusive breastfeeding is one of the factors that can prevent the risk of stunting in children. However, breastfeeding practices are often not optimized due to various factors that become obstacles. Factors that influence can include the area of residence such as disparities that can be found in urban and rural area, access to education, access to health services, fulfillment of nutrition and regional inequality. Objective: This scoping review aims to explore breastfeeding practices on the incidence of stunting by urban and rural areas. Method: The authors have systematically analyzed studies published between 2019 and 2024 through the identification of articles in Scopus, Pubmed, and Science Direct database. The keywords used to support the articles search were “experience OR practice” AND mother AND breastfeeding AND “stunting OR malnutrition”. Results: A total of 10 articles were analyzed and several themes were obtained, namely: 1) exclusive breastfeeding with the incidence of stunting, 2) factors that influence exclusive breastfeeding, and 3) the benefits of breast milk, 4) the effect of region of residence on the incidence of stunting. Conclusions: This study concluded that breastfeeding practices can be influenced by the mother’s experience when breastfeeding, education, age of the mother when breastfeeding as well as the area of residence and the environment around the mother. So it is necessary to improve the services needed so that it can reduce the incidence of stunting.

The Relationship between the Level of Knowledge about Hypertension and Efforts to Prevent Hypertension Complications in the Elderly

Refansa Desfa Dinata — 2024-11-23

Hypertension is one of the non-communicable diseases caused by multifactorial and is one of the causes of mortality in the world. Based on information from the Surakarta City Health Office in 2023, it was stated high blood pressure cases in Surakarta City touched 67.355 cases. The goal of this study is to ascertain how attempts to prevent hypertension issues in the elderly at the Gambirsari Health Center relate to the degree of knowledge on hypertension. This kind of study is quantitative with a correlative descriptive method through a cross sectional approach. The population in this study was all elderly with high blood pressure who visited the Gambirsari Health Center, while the study sample was collected using a simple random sampling technique totaling 87 people. Data collection will be carried out in August 2024. The data was analyzed using the chi square test. The finding of the chi square statistical test obtained a value of p = 0.000 (p value < 0.05) so that H0 was rejected. The study's conclusion is that there is a relationship between the level of knowledge about hypertension and efforts to prevent hypertension complications in the elderly at the Gambirsari Health Center. Therefore, The findings of this study can serve as a reference for future scholars with different methods and as a reference for health facilities in developing relevant programs for hypertension patients.

The Effect of Spiritual Emotional Freedom Technique and Music Therapy on Reducing Anxiety in Cardiovascular Patients in the Emergency Department

Ahmad Muzaki — 2024-11-23

Patients and crowded procedures have the potential to increase discomfort and cause patient anxiety in the emergency room. SEFT therapy is a spiritual therapy that can reduce anxiety without risk. The development of music therapy has a therapeutic effect in overcoming anxiety disorders. Objective: This study aims to determine the effect of SEFT therapy and music therapy on reducing anxiety in cardiovascular patients in the emergency room at Prembun Regional Hospital. Method: The design in this research uses a pre-experiment with a one group pre-post test design approach. The total sample of 25 people was taken using purposive sampling technique. The data analysis used was a paired sample t-test. Results: Cardiovascular patient anxiety before being given SEFT therapy and music therapy was in the category of moderate anxiety disorder (40.0%). Most of the patient anxiety after being given SEFT therapy and music therapy was at a non-anxious level, namely 14 people (56%). Conclusion: Based on the results of the study, it was found that there was a decrease in the level of anxiety in patients after being given SEFT therapy and music therapy with a p-value of 0.000.

Navigating Moral Cleansing: the Role of the 'Macbeth Effect' in Decision-Making Among Leaders of Private Nursing Schools

Imelda Ingir Ladjar — 2024-11-23

Private nursing schools in South Kalimantan face increasing pressure to produce high-quality, ethically driven nursing professionals, aligning with Indonesia’s “Golden Vision 2045.” Within this context, the "Macbeth effect"—a psychological phenomenon where individuals experience guilt, anxiety, or a compulsion to "cleanse" themselves after confronting morally ambiguous situations—poses a challenge to ethical leadership. This study investigates the manifestation of the "Macbeth Effect"—the compulsion to morally cleanse oneself following ethically ambiguous situations—among leaders of private nursing schools in South Kalimantan, Indonesia. Using a qualitative case study approach, in-depth interviews were conducted with five school leaders to capture their experiences and perceptions of moral responsibility and ethical decision-making. Thematic analysis was employed to identify key themes, focusing on how the Macbeth Effect shapes leadership behavior, decision-making processes, and organizational dynamics within nursing education institutions. Findings reveal that leaders frequently exhibit moral cleansing behaviors, such as self-evaluation, transparency in decision-making, and using mediators to handle conflicts. While the Macbeth Effect enhances ethical leadership practices, it also introduces challenges that may impact mental well-being and leadership efficacy. Practical strategies, including promoting a culture of transparency, emotional support, and task delegation, are recommended to mitigate the psychological burden associated with moral cleansing. This research contributes to understanding ethical leadership in nursing education and highlights the need for support systems to sustain leaders’ mental resilience and ethical commitment.

The Effect of Breastfeeding Technique Education on the Smoothness of Milk Production in Breastfeeding Mothers of Infants 0-6 Months of Age

Refliya Halipah — 2024-11-23

The correct breastfeeding technique is a way of giving breast milk to the baby with the correct attachment and position of the mother and baby. If the breastfeeding technique is wrong, it can cause nipple blisters, poor milk production and pain that arises when the mother stops breastfeeding with less care. The wrong breastfeeding technique is also one of the factors that cause the milk to come out to be not optimal, thus affecting milk production, causing the baby to not want to suckle. At Puskesmas Sungai Tabuk 2, the exclusive breastfeeding coverage in 2019 was 71.20%, an increase in 2020 to 81.8%, and in 2021 it decreased to 49.6%, one of the causes was due to a lack of knowledge about breastfeeding techniques.Objective: To determine the effect of breastfeeding technique education on the smooth production of breast milk in breastfeeding mothers of infants aged 0-6 months in the Sungai Tabuk 2 Puskesmas working area. Methods: Analytical observational research using case control design with total sampling technique as many as 30 people. The research instrument used leaflets and breast milk fluency questionnaires. The questionnaire has undergone validity testing and obtained a value of reasonable (>0.361) and reliable (0.79). Results: Statistical tests using the chi square test obtained a p value of 0.044 (<0.05) which means that there is an effect on the provision of breastfeeding technique education on the smooth production of breast milk in breastfeeding mothers of infants aged 0-6 months in the working area of Puskesmas Sungai Tabuk 2 Conclusion: The importance of education about breastfeeding techniques from health workers that can be done in posyandu or health services to increase knowledge and understanding of pregnant and lactating women.

Correlation between Lifestyle Factors, Body Fat Composition and Biological Age

Muti Indah Asmira — 2024-11-24

Living a healthy lifestyle considers various components that influence daily life. In contrast, an unhealthy lifestyle may lead to changes in body fat composition and biological age. This study aims to analyze the relationship between lifestyle with the distribution of body fat components and biological age. This cross-sectional quantitative was carried out in Cihanjuang Rahayu Village on men and women aged 30-60 years. Using the purposive sampling technique, 157 respondents was selected based on the predetermined age criteria. Data collection involved a questionnaire to assess lifestyle data, while an Omron device measured body fat composition. The data were analyzed using the Spearman correlation test with a significance level of 0,05. This study found no significant relationship between lifestyle and body fat composition in the subcutaneous tissue and legs (P-value > 0,05). However, a significant relationship was observed between a healthy lifestyle and body fat composition in trunk, arms, and biological age (P-value < 0,05). The findings of this study demonstrate a significant association between a healthy lifestyle and body fat distribution, especially in the trunk, arms, and biological age. Conversely, no significant relationship was found between lifestyle and body fat composition in the subcutaneous area or legs. These findings suggest that a healthy lifestyle can influence specific aspects of body composition, particularly in certain body regions.

Correlation between Physical Activity, Muscle Mass, Body Fat, and Biological Age

Mely Juwita Limbong — 2024-11-24

Physical activity plays a crucial role in maintaining a healthy and balanced body, particularly in relation to body composition, including muscle mass, body fat percentage, and biological age. This study aims to analyze the relationship between physical activity levels and muscle mass, body fat and biological age within the population of Cihanjuang Rahayu Village. This research employed an observational design with a cross-sectional approach. Data collection was conducted using the Global Physical Activity Questionnaire (GPAQ), a bioimpedance device (BIO Omron), and height measurements. The Chi-Square test was utilized for data analysis to assess the relationships between the variables. The total population for the study consisted of 242 individuals, based on predetermined inclusion and exclusion criteria. A sample of 151 respondents was selected using the Slovin formula with a 5% margin of error. Based on the physical activity scores from the population of Cihanjuang Rahayu Village, the highest score was from learning/working activities, with an average value of 4.89. The distribution of muscle mass among the community members showed that 59.6% fell into the moderate category, with muscle mass ranging from 19.9 to 29.7 kg. Regarding body fat, 36.4% of the community was categorized as having healthy body fat. The biological age of the community members was mostly in the early elderly category, representing 33.1% of respondents. From the Chi-Square test, the relationships between physical activity and muscle mass (p-value > 0,05), physical activity and body fat (p-value > 0,05), and physical activity and biological age (p-value > 0.05) showed no significant associations between physical activity and these body components. Although there was no significant relationship found between physical activity and muscle mass, body fat, or biological age, physical activity still plays a vital role in promoting overall health and well-being.

Implementation of Educational Interventions for Prevention Diabetic Foot Complications

Martuti Dwi Handayani — 2024-11-24

Diabetic Foot Care is primary prevention in diabetic foot management to prevent injury to the occurrence of wounds on the feet of people with diabetes mellitus. Objective: To prove that educational interventions can prevent chronic complications, namely diabetic neuropathy (motor, sensory and autonomic) or death of the nerves in the feet, often exacerbated by infection. Method: This study used the Quasi Experiment method with the One Group pretest and posttest design method . Data collection was carried out using NAFF (Nottingham assessment of Functional Footcare) and the Attitude instrument modified by the Knowledge, Attitude and Practice (KAP) questionnaire. Determination of the sample using the accidental sample method of 24 people in Type 2 Diabetes Mellitus patients. Results: This study showed an increase in value of 11.12 points on NAFF and an increase of 1.41 points on attitudes after educational interventions related to diabetic foot care were carried out from May 30, 2024 to June 7, 2024. Conclusion: Diabetic Foot Care Education Intervention has been proven effective in reducing complications in diabetic feet and can be used as an evidence-based intervention in preventive care of diabetic feet in patients with Diabetes Mellitus.

The Role of Case Managers in Hospitals: Scoping Review

Wahyu Fajar Rosaningtyas — 2024-11-24

Patient-centred care‘ refers to an approach to healthcare that is caring and responsive to patients’ preferences, needs and values, where patients are involved in discussions about their health condition. Experts have endorsed a case management-based nursing model to fulfil patients' preferences and rights to make care choices that meet their needs and expectations. One of the solutions developed to create more patient-centred care is the appointment of a case manager. This study aims to determine how case managers have implemented their role in hospitals in Indonesia and abroad. This study used a scoping review method. Articles were collected from online databases including ScienceDirect, PubMed, and Garuda with the keywords ‘role’ AND ‘case manager’ OR ‘nurse case manager’ OR ‘case management’ AND ‘hospitals’. Article selection was based on the PRISMA Extension for Scoping Review (PRISMA-ScR) guidelines. The results showed 11 articles that met the inclusion criteria. The results concluded the weaknesses and advantages of the case manager role. This study concluded that the roles of case managers both in Indonesia and abroad have similarities, but still have weaknesses and advantages of each.

Barriers to Report Patient Safety Incidents in Hospital: Scoping Review

Rosiana Kusuma — 2024-11-24

Patient safety incident reporting is part of the patient safety programme. At the hospital level, this reporting is to find out the causes of patient safety incidents and find the root causes to anticipate that the incident will not happen again. According to the National Reporting and Learning System (NRLS) report, from August 2021 to July 2022, there were 2,410,311 reports of patient safety incidents in the UK. According to Malaysian Ministry of Health (MoH) data, there were 151,225 reports of patient safety incidents in 2021. The purpose of this scoping review is to evaluate the current literature on barriers to reporting patient safety incidents and summarise evidence relating to differences in barriers to reporting patient safety incidents in Indonesian and overseas hospitals. This research uses the scoping review method. Scoping review is a method used to identify literature comprehensively through various sources with various research methods and related to the research topic. The results showed that the barriers in reporting patient safety incidents are Management Support, Lack of Education and Training, Patient Safety Knowledge, Safety Motivation, Workload, Coworker Support. Barriers to reporting patient safety incidents, both in hospitals in Indonesia and abroad, have similar problems.

Scooping Review: The Influence of Socioeconomic Status on Adolescent Fatherhood in the Bajo Tribe and Child Health

Rismanudin Rismanudin — 2024-11-25

The Bajo Tribe, known for its unique cultural heritage and lifestyle, presents an interesting case for examining the interplay between socioeconomic status and parenting practices among adolescent fathers. This demographic is increasingly relevant as adolescent fatherhood has implications for both child health outcomes and family dynamics. This review aims to synthesise existing literature on how socioeconomic factors influence adolescent fathers' parenting styles within the Bajo Tribe and the subsequent health outcomes for their children. Method: A systematic search was conducted using the PRISMA-SCR guidelines. Databases such as PubMed, Scopus, and Google Scholar were queried for peer-reviewed articles published within the last ten years that focus on socioeconomic status, adolescent fatherhood, and child health, particularly in indigenous communities. Inclusion criteria focused on qualitative and quantitative studies highlighting the Bajo Tribe. Preliminary findings suggest a significant correlation between lower socioeconomic status and adverse parenting practices among adolescent fathers, which in turn negatively affects child health outcomes. Key themes identified include limited access to resources, education levels, and community support systems that directly impact parenting efficacy. The findings highlight the urgent need for targeted interventions that address socioeconomic disparities to improve parenting practices among adolescent fathers in the Bajo Tribe, ultimately enhancing child health outcomes.

Zinc Serum Levels as A Protective Factor in Type 2 Lepra Reaction in Patients with Leprosy in East Nusa Tenggara, Indonesia

Christa Adelia Suvianto — 2024-11-25

Leprosy, caused by Mycobacterium leprae, can lead to severe inflammatory reactions, known as type 2 reactions or erythema nodosum leprosum (ENL). Zinc, a crucial micronutrient for immune function, may influence the incidence of these reactions. This study investigates the relationship between serum zinc levels and the occurrence of type 2 reactions in leprosy patients in East Nusa Tenggara, Indonesia. Objective: To assess whether low serum zinc levels are associated with an increased risk of type 2 reactions in leprosy patients in East Nusa Tenggara.Method: A prospective cohort study was conducted involving leprosy patients at health centers and hospitals in East Nusa Tenggara. Serum zinc levels were measured using atomic absorption spectrophotometry. Patients were monitored for the development of type 2 reactions over a 12-month period. Data were analyzed using descriptive, bivariate, and multivariate statistical methods to explore associations between zinc deficiency and type 2 reactions. Results: The study found a significant association between low serum zinc levels and an increased risk of type 2 reactions. Patients with deficient zinc levels were more likely to experience severe inflammatory responses compared to those with normal zinc levels. Multivariate analysis confirmed that zinc deficiency was an independent risk factor for the occurrence of type 2 reactions. Conclusions: Zinc deficiency is linked to an increased risk of type 2 reactions in leprosy patients. Addressing zinc deficiency through supplementation could be an effective strategy to reduce the incidence and severity of these reactions. Incorporating zinc status assessments into leprosy management programs may improve patient outcomes and help control disease complications.

Optimizing the National Health Economy: Utilizing Tobacco Excise to Improve Universal Health Coverage

Ni Luh Ayu Citra Mutiarahati — 2024-11-25

Tobacco Excise Tax (TET) plays a strategic role in increasing state revenue, which can be utilized to strengthen the National Health Insurance (NHI) system. This study aims to analyze the impact of raising tobacco excise taxes on the national health economy and the sustainability of health financing. A Systematic Literature Review (SLR) approach was employed, reviewing 20 journal articles published between 2018 and 2023. These articles were selected through a systematic process based on inclusion criteria such as topic relevance, applied methodology, and geographic focus.The findings reveal that increasing tobacco excise taxes is an effective strategy for enhancing public health and supporting economic development. Revenue from tobacco excise can serve as a sustainable source of funding for health initiatives, including addressing the JKN deficit, which amounted to IDR 31.7 trillion (USD 2.2 billion) as of May 2020. This funding shortfall, exacerbated by the COVID-19 pandemic, underscores the urgent need for alternative solutions. Additional revenue generated through increased tobacco taxes could be allocated to reduce the deficit and expand health service coverage.By raising excise tax rates, the government can simultaneously increase state revenue and encourage healthier behavior by reducing tobacco consumption. Thus, this policy has a dual role in improving public health indicators while strengthening the financial stability of NHI. A synthesis of the 20 reviewed articles indicates that such policies, if implemented consistently, could significantly reduce the JKN deficit and support the long-term sustainability of the national health system.

Transitional Care for Improving Health Care Quality in Hospital: A Literature Review

Debie Saktyana Iriawandani — 2024-11-25

The transition of care from hospital to home is a critical period for patients, especially those with chronic conditions such as heart failure. During the transition period, patients often experience difficulties managing their disease, which can lead to an increased risk of rehospitalization. This literature review aims to analyze scientific evidence about the effectiveness of transitional care interventions in improving the quality of health care in hospitals, especially for patients with chronic conditions. The method of this study is a literature review. This study used electronic databases such as PubMed, ScienceDirect and Google Scholar. The selected articles are quantitative research articles published within the last 5 years available in full text and not the result of a review. The results of the review show that transitional care interventions have a significant positive impact on the quality of health care. This intervention can increase self-management, treatment adherence and patient satisfaction with heart failure. Some components of effective interventions include patient education, care coordination, outpatient follow up and social support. Transitional care interventions are an effective strategy to improve the quality of health care, especially in patients with chronic conditions. The implementation of a comprehensive transitional care program in hospitals needs to continue to be improved to achieve optimal results.

Slow Stroke Back Massage and Lavender Aromatherapy to Improve Sleep Quality CKD Undergoing Hemodialysis

Tri Wahyuni — 2024-11-25

Chronic Kidney Disease (CKD) patients who undergo hemodialysis experience various complaints, one of which is sleep disturbances are the most complained symptoms by CKD patients undergoing hemodialysis. Proper therapy needs to be given to overcome the patient's sleep disorder problem. Aim: This study aims to explore the effect of the combination of Slow Stroke Back Massage (SSBM) and Lavender Aromatherapy on sleep quality in CKD patients undergoing hemodialysis. Methods: The sample in this study was 40 Hemodialysis Patients consisting of 20 intervention groups (treatment) and 20 control groups (standard treatment), sampling was carried out by non-prxobability sampling with purposive sampling technique. The research uses a quasi-experimental method with a pretest and post test conrol group design approach. Respondents will be given a pretest to assess their sleep quality, then respondents are divided into treatment groups given intervention and control groups not given intervention. The treatment group was given the intervention twice a week for four weeks. The next stage is to assess the posttest sleep quality of CKD patients in both the treatment group and the control group. The research data was obtained from guided interviews using the Pittburgh Sleep Quality Index (PSQI) questionnaire. Data analysis uses a comparative test from 2 measurement results in the same group, the data is normally distributed so that the Paired t-test is used.This study will outline the results of interventions carried out in the form of SSBM therapy and lavender aromatherapy with atomization technology in the form of diffusers in patients undergoing hemodialysis. Results: Based on the results of the study, it was found that SSBM therapy was significant in reducing sleep disorders in CKD patients undergoing hemodialysis with p=0.000 (p>0.05) while the control group was obtained p=0.09 (>0.05). Conclusion: SSBM therapy is expected to be applied as one of the interventions that can overcome sleep disorders in CKD patients undergoing hemodialysis.

Effectiveness of Starfruit Leaf Tea in Reducing Blood Pressure in Pregnant Women with Hypertension

Septy Ariani — 2024-12-01

Hypertension is a cause of maternal morbidity and mortality. Hypertension in pregnancy can cause complications such as thrombocytopenia, myocardial infarction, pulmonary edema, maternal death. The impact on the fetus is death and low birth weight (LBW). The impact of hypertension that can be dangerous and life-threatening, so it is necessary to do early treatment by providing pharmacological and non-pharmacological treatment. Starfruit leaves have several compounds such as potassium citrate which functions as a diuretic so that it can help to lower blood pressure, also has the potential as an antioxidant to lower blood pressure. The purpose of this study was to determine the effectiveness of giving starfruit leaf tea on reducing blood pressure in pregnant women with hypertension. The research method is Quasi Experiment pre-test and post-test with control group design, the study was conducted in Pasar Kemis District, Tangerang Regency, a sample of 30 respondents, namely 15 pregnant women as the intervention group and 15 pregnant women as the control group. Researchers conducted pre-tests and post-tests on respondents by measuring blood pressure. Researchers gave starfruit leaf tea to the intervention group for 7 days as much as 200 cc, data analysis using SPSS by conducting univariate and bivariate analysis using the Mann Whitney test. The results of the Mann-Whitney test of starfruit leaf tea intervention obtained a p-value of 0.001 for systolic pressure and diastolic pressure of 0.002 (<a = 0.05). This means that there is effectiveness between blood pressure before and after starfruit leaf tea is given to pregnant women with hypertension.

Relationship between HIV Status, DM Status, and PMO Presence with the Success of Treatment of Productive-Age Pulmonary TB Patients

Vita Olivionita — 2024-11-25

Data from the Semarang City Health Office shows the treatment success rate at the dr. Adhyatma, MPH Regional Hospital has decreased significantly from 2021 to 2022. Factors that influence TB treatment outcomes are important indicators of the success of the TB control program. Objective: This study aims to see the relationship between HIV status, DM status, and the presence of PMO with the success of treatment of productive-age pulmonary TB patients. Method: This study uses a retrospective cohort study design. The population in the study was 324 patients. The sampling technique used is the total sampling technique. The sample in this study were productive-age pulmonary TB patients undergoing treatment who were recorded in medical records met the inclusion and exclusion criteria totaling 79 patients. Data analysis used is the chi-square test. Results: The results of the study obtained were that there was a significant relationship between HIV status (p-value = 0.007; OR = 1.816; 95% CI = 1.467-2.247), DM status (p-value = 0.027; OR = 1.501; 95% CI = 1.086-2.075 ), and the presence of PMO (p-value = 0.028; OR = 1.486; 95% CI = 1.043-2.117 ). Conclusions: From the research that has been conducted, it can be concluded that there is a significant relationship between HIV status, DM status, and the presence of PMO with the success of treatment of productive-age pulmonary TB patients at dr. Adhyatma, MPH Regional Hospital.

Relationship Between Knowledge and Compliance of Iron Tablet Consumption During Menstrual Cycle Among Nursing Students

Feby Margareta — 2024-11-25

Adolescence in girls is marked by increased iron requirements due to the development of sexual organs and menstruation, making them more susceptible to anemia. Increasing compliance with taking iron tablets is very important to reduce the risk of anemia and maintain the health of adolescent girls. The purpose of this study was to determine the relationship between knowledge and compliance with taking iron tablets during the menstrual cycle. The method used was quantitative observational analytical research with a cross-sectional approach, at the Muhammadiyah University of Surakarta in July 2024. The sampling technique was total sampling, namely 145 nursing students from the Muhammadiyah University of Surakarta class of 2023. Data collection was carried out using a demographic data questionnaire, knowledge of iron supplements and compliance with taking medication (MMAS-8). Univariate data analysis and bivariate statistical tests used Spearman rank. The results of data processing showed that the level of knowledge of the respondents was mostly in the moderate category with a percentage of 50.3% (73 respondents). The level of compliance was in the low category with a percentage of 66.2% (96 respondents). Based on the analysis using Spearman rank, a significance value of 0.001 was obtained, which means that there is a relationship between the level of knowledge about iron tablets and compliance in taking iron tablets during menstruation in female students, while the correlation coefficient is 0.282, which means that there is a significant relationship between the level of knowledge about iron tablets and compliance in taking iron tablets during menstruation in female students.

The Relationship Between Knowledge and Attitudes of Pregnant Women by Preventing the Transmission of HIV/AIDS from Mother to Child

Fathia Fakhri Inayati Said — 2024-12-01

Human Immunodeficiency Virus (HIV) is an infection that attacks the body's immune system, more specifically white blood cells called Cluster of Differentiation 4 (CD4) cells. World Health Organization (WHO) data Based on SIHA Ministry of Health data, HIV cases up to March 2022 totaled 466,978 cases. Papua itself is in 5th position after DKI Jakarta 76,103, East Java 71,909, West Java 52,970, Central Java 44,649 and Papua 41,286. Meanwhile, for cases of AIDS sufferers, Papua has the highest number of cases, namely 137,397 people (Ministry of Health of the Republic of Indonesia, 2020) Research Objectives: To determine the Relationship between Knowledge and Attitudes of Pregnant Women with HIV/AIDS Prevention at the Harapan Health Center. Research Methods: The type of research used is quantitative research using correlation studies. Sampling technique Total sampling of 38 respondents. Results: Data analysis with Multiple Regression test found that there is a relationship between Knowledge and Attitude with the prevention of HIV/AIDS transmission from mother to child unit. Conclusion: There is a Significant Relationship between Knowledge and Attitude and Prevention of HIV/AIDS Transmission from Mother to Child.

The Effect of Progressive Muscle Relaxation on Blood Pressure Stability in Hypertension Patients

Ainal Mardhiah — 2024-12-01

Hypertension is a major global challenge, contributing to the burden of heart disease, stroke and kidney failure, as well as causing early death and disability. This study was to determine the effect of progressive muscle relaxation on blood pressure stability in hypertension patients. The method used was a quasi-experimental pre-and post-test group design without a control group. The sample was 35 hypertension patients using a consecutive sampling technique data analysis using the paired t-test. Participants were excluded if they were receiving other treatments for hypertension or had musculoskeletal conditions, such as joint diseases or fractures, while those who had a history of hypertension within the previous 12 months, were not taking antihypertensive medication, and were not undergoing any other therapeutic interventions were included. Participants were excluded if they were receiving other treatments for hypertension or had musculoskeletal conditions, such as joint diseases or fractures, while those who had a history of hypertension within the previous 12 months, were not taking antihypertensive medication, and were not undergoing any other therapeutic interventions were included. Based on the results of the bivariate analysis, it was found that there was an effect of progressive muscle relaxation on the stability of blood pressure in hypertension patients (P value = 0.000 <0.05). Conclusions: Progressive muscle relaxation can reduce tension in the body, and increase the relaxation response. When the body feels the relaxation response, it will slow down the heart rate so that pumping blood throughout the body becomes effective and blood pressure decreases.

Discharge Planning Method of Diatohc (Diabetes Transition of Hospital Care) for Readmission Prevention

Yeni Hartati — 2024-12-01

Diabetes mellitus is a metabolic disorder characterized by increased blood sugar levels (hyperglycemia) caused by lack of insulin, inability of insulin to work or both. Lack of education or information from health workers can have an impact on patient compliance with treatment, which will result in repeated treatment. This innovation program aims to reduce the risk of readmission in Diabetes Mellitus patients by providing integrated education using the DiaTOHC method, patients who are screened using the DERRI application if the score is > 27%, patients are at risk of readmission, then they will be given education using the DiaTOHC method, which is integrated education. When patients are treated, they will be given education on the 5 pillars, after the patient goes home during the control, they will be reviewed whether there are any obstacles or obstacles in the treatment, then in weeks 2, 3 and 4 the patient will be contacted by telephone for re-education and evaluation of treatment. The results of the trial of this program from 17 samples were successful, all of which were readmissions, it was concluded that there was effectiveness in providing education using the DiaTOHC method in Diabetes Mellitus patients to reduce the risk of readmission. Data is collected by interview, observation and filling out questionnaires, after the data is collected, data analysis is carried out by inputting all data found in excel software and then assessing the percentage of patients who are readmitted.

The Effect of Kangaroo Mother Care on Body Temperature in Infats with Low Birth Weight

Pryati Rihi — 2024-11-26

The main problem experienced by babies born with low birth weight is due to the immaturity of the baby's organs as a whole. Infants who are unable to maintain body temperature due to lack of subcutaneous fat will experience hypothermia. Kangaroo mother care is an innovation with an approach between mother and baby. The purpose of this study was to determine the effect of KMC on increasing the body temperature of infants with LBW. Method: This research uses a quantitative method, Quasy Experiment design with One-group pretest and post test. Results: The results of temperature measurements after the kangaroo method intervention have increased in 30 respondents or all respondents and the ρ-value= 0.000 <0.05 from the table shows the Asymp. Sig 0.000 <0.05 which means H1 is accepted and H0 is rejected. Conclusions : Kangaroo Mother Care is done only once in low birth weight babies, there is a difference in body temperature before and after being given Kangaroo Mother Care which is done for 1 hour (60 minutes).

Model of Strategy to Increase Patient Interest in Visiting Hospitals after the Covid-19 Pandemic

Niluh Desy Purnamasari — 2024-11-26

The COVID-19 pandemic has caused a significant decrease in hospital visits due to fear of virus transmission. RSUD Anuntaloko Parigi, experienced a decrease in patient visits after the pandemic, requiring strategies to increase patient interest. This study explores the TOWS matrix, which evaluates internal factors (strengths and weaknesses) and external factors (opportunities and threats). Objective: This study aims to find strategies increase patient visit interest in the Regional General Hospital (RSUD) after the Covid-19 pandemic period. Method: A quantitative descriptive study with a cross-sectional design was conducted involving 12 respondents through structured interviews. Data were analyzed usinga TOWS analysis framework was applied in excel program and Descriptive analytics. Results: Results indicated that external opportunities outweighed threats, scoring 5.51, while internal strengths surpassed weaknesses, scoring 11.64. The hospital is positioned in the progressive quadrant, suggesting it can leverage its strengths to seize opportunities. Key strategies identified include improving comfort, and cleanliness, collaboration with BPJS, and program knowledge, patient education and utilizing social media for digital engagement. Conclusions: Anuntaloko Parigi Hospital has great opportunities, in a progressive position. Relevant strategies are improving comfort, cleanliness, and cooperation with BPJS, as well as program introduction, patient education, and utilization of social media in promotion.

Bullying's Impact on Mental Health of Islamic Boarding School Students in Dormitories

Lisa Puspa Karmila — 2024-12-01

Islamic boarding schools as religious-based educational institutions have an important role in shaping the character and personality of students. However, increasingly intensive interactions in the dormitory environment and social pressure between students often create conditions that are vulnerable to bullying behavior, both verbal and physical. This study highlights the impact of bullying on the mental health of students in the Islamic boarding school environment, where intimidation behavior can trigger anxiety disorders, depression, and decreased self-esteem. Methods The study used a systematic review method using PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis). database search by searching for articles from 3 databases, namely Google Scholar, Science Direct and Scopus. Obtained 162 articles with the keywords "Impact of Bullying", "Mental Health", and "Boarding School". Bullying victims experience various psychological disorders, such as trauma, stress, fear, and the desire to leave the Islamic boarding school. Bullying also has a direct effect on increasing depression, anxiety, and decreased self-esteem of victims. In addition, negative emotions such as anger and the urge to take revenge can cause victims to become perpetrators, creating a continuous cycle of revenge. Bullying victims often show signs of anxiety, loss of enthusiasm for learning, and difficulty rebuilding a sense of security in their social environment.Bullying in the Islamic boarding school environment has a significant impact on the mental health of students, including trauma, anxiety, stress, and decreased self-esteem. In addition, some victims show defensive behavior that develops into aggression, creating a cycle of revenge. The long-term effects of bullying not only affect psychological well-being, but also disrupt the social and academic lives of victims. Therefore, a comprehensive approach is needed in the form of emotional support, protection, and effective policies to minimize the negative impacts of bullying in the Islamic boarding school environment.

Effects of Digital Intervention on Improving Self-Management Patients with Peritoneal Dialysis: A Systematic Review

Cahyaningsih Efendi — 2024-11-26

Continuous Ambulatory Peritoneal Dialysis (CAPD) is an effective alternative for renal failure patients to undergo treatment with more independence and flexibility. However, the success of CAPD is highly dependent on the patient's skills and knowledge. Many patients lack sufficient information, which may hinder the effectiveness of the dialysis process. The Objectives of this study is to determine the best way to use digital interventions to enhance self-management capabilities in peritoneal dialysis patients. A systematic review following the PRISMA 2020 guidelines was conducted. Article selection used PICO. The research focused on peritoneal dialysis patients and how the use of applications to improve self-management skills. article searches in 2015-2024 in 4 databases, namely EBSCO, Proquest, Scopus, and Pubmed databases. MeSH was used in the medical domain for keyword search. Papers were evaluated for quality using the Jonna Briggs Institute (JBI) framework. There were 7 relevant papers found in the literature search. Implementing digital interventions in healthcare in peritoneal dialysis patients has been used worldwide. Digital interventions used include the use of mobile health text messages, websites and apps. Significant improvements in peritoneal dialysis-related knowledge as well as patient satisfaction are characteristic of most therapies. The resulting impact of digital interventions varies widely with the attitudes and decision-making of individuals undergoing peritoneal dialysis. Digital interventions present a new approach to enhancing self-management capabilities in patients with chronic kidney disease who use peritoneal dialysis. The use of technology can provide the necessary support to manage their condition effectively.

Assessing Disability Magnitude using Whodas in Schizophrenia Patients in A Regional Mental Health Hospital

Sitti Rahma Soleman — 2024-11-26

Schizophrenia is a chronic mental disorder that significantly contributes to global disability. Schizophrenia patients experience impairments in multiple functional areas such as cognition, mobility, self-care, social interaction, and participation in daily life activities. Evaluating the magnitude of these disabilities is crucial for designing targeted interventions and improving patient outcomes. Objective: This study aims to assess the level of disability in schizophrenia patients using the WHO Disability Assessment Schedule (WHODAS 2.0) at Dr. Arif Zainudin Regional Psychiatric Hospital, Surakarta. Method: A quantitative descriptive study using an observational-analytic approach was conducted with 106 patients with schizophrenia. Data were collected using the WHODAS 2.0 questionnaire, which assesses six functional domains: cognition, mobility, self-care, getting along, life activities, and participation. Data were analyzed using SPSS 26 software. Results: The study found that usual to mild impairment was observed in all domains. Cognitive impairments were seen mainly in problem solving and concentration. Mobility and self-care tasks were manageable, but independence was slightly impaired. Social interaction and community participation were limited by emotional and environmental factors. Conclusions: Patients with schizophrenia exhibit mild disability across multiple domains, particularly in social and emotional aspects, highlighting the need for targeted interventions to improve their functional outcomes.

The Relationship between Fatigue and Activities of Daily Living in Chronic Kidney Failure Patients Undergoing Hemodialysis

Zahra Khoirunnisa — 2024-12-01

Patients with chronic kidney failure undergoing hemodialysis often experience decreased ability to perform activities of daily living. Fatigue is a common symptom that could influence the reduction of these activities. This study aims to analyze the relationship between fatigue and the level of independence of daily living activities in chronic kidney failure patients undergoing hemodialysis. This study used a descriptive correlative design and a cross-sectional approach with a population of 175 hemodialysis patients, which then obtained a sample of 121 people using the accidental random sampling technique. Data was collected using the FACIT Fatigue Scale and Katz index questionnaires, while the correlation test used Rank Spearman. The results showed a significant positive relationship between fatigue and the level of independence of daily living activities with a p-value = 0.001. The higher the fatigue value, the higher the level of dependence of a person on performing daily living activities. Early identification is needed to assess the fatigue status experienced by hemodialysis patients as a strategy to increase independence, which ultimately impacts quality of life.

The Effect of Health Education on the Knowledge of Pregnant Women in the Handling of Emesis Gravidarum

Yenny Aulya — 2024-12-01

Emesis gravidarum is a natural thing and is often found in pregnancy, especially in the first trimester pregnancy usually occurs 6 weeks after the first day of the last menstrual period and lasts approximately 10 weeks due to an increase in the levels of estrogen and progesterone hormones produced by Human Chorionic Gonadotropin (HCG) in the serum from the placenta, but in cases it can continue until the second and third trimester of pregnancy. Objective to determine the influence of health education on the knowledge of pregnant women in the treatment of emesis gravidarum in the Working Area of the Batujaya Health Center, Karawang Regency. Quasi experimental research design one group pre-post test design. The sample in this study was 39 pregnant women in the first trimester who experienced emesis gravidarum. Technique of using Proportional Accidental Sampling. The questionnaire in this study has been tested for validity and reliability. Data analysis using descriptive statistics and paired t-test. Results: Showing the average value of knowledge before and after the intervention was 21.23 to 27.56. The results of the statistical test using the paired t-test obtained a value of p value = 0.000, meaning that there is an influence of health education on the knowledge of pregnant women in the treatment of emesis gravidarum. There is an effect of health education on the knowledge of pregnant women in the treatment of emesis gravidarum in the Working Area of the Batujaya Health Center, Karawang Regency.

Determinants of Menstrual Hygiene Practices in Rural Adolescents: A Systematic Review

Siti Lomrah — 2024-12-01

According to a 2017 WHO report, more than 2.3 billion women and girls worldwide face serious challenges in managing their periods. According to a UNICEF report, 10% of girls in African schools miss their periods. The limited hygiene facilities in schools, the lack of hygienic sanitary napkins, and the use of unhygienic materials make them stressed, anxious, and skip classes because they are worried about unpleasant Odors. Research shows that unhygienic practices during menstruation increase the risk of infections in the reproductive tract and genitourinary tract. The purpose of this systematic literature review is to find out what factors are obstacles for adolescents in the practice of menstrual hygiene. The research is in the form of a systematic literature review by identifying all published literature using relevant keywords. The selected articles are those published in the last 5 years which are complete texts, then selected based on titles and abstracts, which in the end found 17 articles that meet the inclusion criteria and have high quality. The low level of knowledge among the participants was seen in their unpreparedness when entering the menarche period and their strong view of menstruation as a socially taboo and can be judged by the various restrictions they have, due to strong socio-cultural beliefs and practices. So there is a relationship between age, maternal education, culture and beliefs, economic status and the practice of menstrual hygiene in adolescents. The factors hindering adolescents in practicing menstrual hygiene are interconnected. Age, maternal education, cultural and belief factors, as well as economic status, all play a role in influencing menstrual hygiene practices among adolescents.

The Effectiviness of Soursop (Annona Muricatal) Leaves Decortion Water on the Leucorrhea

Santi Yulianti — 2024-12-01

Garut Regency in 2021, women who experienced vaginal discharge were 318,976 or 29.73%. The high number of cases of vaginal discharge in women of childbearing age and the frequent occurrence of less serious treatment when vaginal discharge occurs are of particular concern among women. One way that can be done to treat vaginal discharge is to use a decoction of soursop leaves because they contain antiseptic substances that can kill germs, namely phenol, which has antiseptic properties 5 times more effective than ordinary phenol. Objective: To determine the effectiveness of soursop leaf decoction (Annona muricata L) on vaginal discharge in women of childbearing age in the Karangmulya Health Center Working Area, Garut Regency. Methodology: This study used a quasi-experimental pre-test-post-test with control design. The population in the study were all those who experienced leucorrhea with a score of >5 or 50 people. The sample in the study used total sampling which was divided into two groups, 25 respondents in the experimental group and 25 respondents in the control group. The instruments used were observation sheets and technical instructions about the use of soursop leaf decoction. Data analysis used the Wilcoxon and Mann Whitney tests. Results: The average score of vaginal discharge in the experimental group before the intervention was 10.32 and after the intervention was 6.84, while the average score in the control group in the first measurement was 10.36 and in the second measurement was 9.04. The bivariate results showed a p-value in the experimental group of 0.000, a p-value in the control group of 0.000 and a p-value comparison of the experimental and control groups of 0.000. Conclusion: Soursop leaf decoction has been proven effective in treating vaginal discharge in women of childbearing age, so there is a difference in vaginal discharge experienced by women of childbearing age after being given soursop leaf decoction between the experimental and control groups. Suggestion: It is hoped that women of childbearing age can handle or treat vaginal discharge independently by using soursop leaf decoction.

The Predictors of Diabetic Nephropathy in Adult Patient with Diabetes: Systematic Literature Review

Nurul Azizatunnisa — 2024-12-02

Diabetes is a type of chronic disease that progresses over time and can lead to various complications, one of which is diabetic nephropathy. The prevalence of kidney disorders in individuals with diabetes at a productive age in Indonesia is 4%, but only 0.6% have been diagnosed. This systematic review provide information about many factors affecting diabetic nephropathy, both physical and psychological factors in adult patient with diabetes. This systematic literature review utilizes several databases, i.e EBSCO, Oxford Journal, ProQuest, PubMed, Sage Journal, Science Direct, and Springer Link which published in the past five years (2019-2024). We used PICO in literature searching process, i.e. diabetic nephropathy (population), self-care OR family support OR risk factor OR primary assessment OR early warning signs (intervention), standard care (comparison), diabetic nephropathy OR diabetic kidney disease OR glomerulosclerosis, diabetic (outcome). Articles were selected based on inclusion and exclusion criteria and are presented using the PRISMA diagram. There were 10 relevant articles were identified. The sample size in this study was 7.892 from many health care areas from primary health care, outpatient clinic, and emergency department. Diabetic patients in this study include prediabetes, type 1 diabetes, and type 2 diabetes, DM ESRD and asymptomatic severe hypertension that potential to suffer kidney disfunction. The physical factors of diabetic nephropathy were body mass index (BMI), duration of diabetes diagnosis, vital signs, laboratory examination and comorbidity. Psychological factors include family support, self-care, diabetes control and education, Quality of Life (QoL) or Well-Being Index. There were six physical factors and four psychological factors that could be predictors of diabetic nephropathy.

The Relationship Between Physical Activity and Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialysis

Zulfiana Nurlaili — 2024-12-04

Patients undergoing hemodialysis often report lower quality of life. Many factors cause this decline, and physical exercise is one of them. Doing physical activity helps patients live a better life. This study aimed to analyze the relationship between physical activity and the quality of life of CKD patients undergoing hemodialysis at Pandan Arang Hospital, Boyolali. This research method uses a descriptive correlative design with a cross-sectional approach. The sample of this study consisted of 121 respondents selected using accidental random sampling techniques. Data were collected using the WHOQOL-BREF questionnaire to measure quality of life and IPAQ to measure physical activity, and bivariate test data analysis was performed using the Spearman statistical test. With a significance of alpha = 0.05. The results showed that most patients had high levels of physical activity (69.4%) and high quality of life (66.1%). Physical activity and quality of life were significantly correlated (p-value <0.001), meaning patients' quality of life improved with increased physical activity. A good correlation exists between the quality of life and the physical activity level of hemodialysis patients with chronic kidney disease. Therefore, therapy that emphasizes enhancing the patient's physical activity is strongly advised as part of comprehensive care to improve the quality of life for patients receiving hemodialysis. Health workers should support rehabilitation and physical education programs to achieve the best results.

Early Screening of Pregnant Who Risk of Gestational Diabetes as An Effort to Prevent Stunting Births in Coastal Areas

Yesi Hasneli — 2024-12-04

Stunting is a condition of growth failure in children due to chronic malnutrition during growth and occurs from the womb to the age of two years which has an impact on the physical, cognitive, social development of children. One of the causes of stunting is pregnant women who suffer from Gestational Diabetes. Objective: To conduct an early examination of pregnant women at risk of gestational diabetes in coastal areas. Method: Descriptive with purposive sampling approach. Data collection techniques, namely: Determine the research problem followed by a literature study. The implementation stage of the study was carried out by examining temporary blood sugar, blood pressure, weight, height, abdominal circumference, and arm circumference. Furthermore, a pretest was conducted to assess the level of knowledge of pregnant women regarding the prevention of stunting and understanding related to gestational diabetes. Data analysis with univariate analysis. Results and Discussion: The age of most respondents was 20-35 years (80.8%), Real-time Blood Sugar: > 125 mg/dL (30.7%), 101-125 mg/dL (40.4%) and < 101 mg/dL (28.8%). Systolic Blood Pressure was mostly in the range of 90-120 mmHg (57.7%), Diastolic Blood Pressure 60-90 mmHg (86.5%). The Body Weight of most respondents was 35-60 Kg (55.8%), Respondents Height was 151-168 cm (53.8%), Abdominal Circumference about 92-107 cm (61.5%) and Arm Circumference was 21-27 cm (63.4%). Conclusions: Gestational diabetes can be one of the factors causing the birth of stunted children. Therefore, early examination is needed in pregnant women to find out health problems so that they can be prevented as early as possible such as conducting examinations, blood sugar, blood pressure, weight, height, arm circumference and conditions during pregnancy. Suggestion: Early detection of pregnant women is very important in health facilities such as health centers and hospitals. This right can determine the health condition of pregnant women and identify health problems early, so as to prevent complications. Efforts that can be made include managing a healthy diet, maintaining nutrition for the fetus during pregnancy and are expected to prevent the risk of gestational diabetes complications such as the birth of stunted children.

The Critical Role of Adolescent Girls’ Adherence to Taking Blood Supplement Tablets as A Key to Preventing Early Stunting

Islaeli Islaeli — 2024-12-05

Anemia is a common health problem in adolescent girls that risks causing complications during pregnancy and stunting in children. Blood supplementation tablets are an effective intervention, but the compliance of adolescent girls in consuming them is still low. Objective: This study aimed to analyze adherence to taking blood supplement tablets in adolescent girls. Methods: With a mixed-method design and involving 124 respondents from a total population of 180 adolescent girls, this study used simple random sampling and chi-square statistical analysis to assess the relationship between knowledge variables and the role of parents, as well as in-depth interviews to assess the role of health workers and schools. Results: The results showed that there was a significant association between knowledge (p < 0.001) and parental role (p 0.001) with the compliance of adolescent girls in taking blood supplement tablets. Interview findings also revealed that health workers and schools distribute blood supplement tablets every month to support efforts to increase adherence. Conclusion: knowledge, parental support, and the active role of health and school personnel play an important role in improving the adherence of adolescent girls to taking blood supplement tablets. It is recommended that all parties, especially parents and schools, collaborate to improve adolescents' understanding and adherence to taking blood supplement tablets.

Stigmatization and the Impacts for Indigenous People with HIV/AIDS: A Scoping Review

Suarnianti Suarnianti — 2024-12-05

The global substantial evidence highlights that HIV/AIDS-related stigma is a barrier to HIV prevention programs, treatment, and support services. Overcoming stigma and discrimination is the main guiding principle in HIV prevention and control programs. Such overcoming is crucial, especially for indigenous people with HIV/AIDS because they are often marginalized. Based on this background, this scoping review aims to explore the HIV/AIDS stigma and its impact, especially experienced by indigenous people. : This scoping review was conducted from November 2022 to March 2023 by searching for manuscripts on PubMed, Science Direct, Cochrane Library, Wiley, Directory of Open Access Journals, ProQuest, GARUDA, and Gray Literature databases to identify HIV/AIDS stigma and its impact in indigenous people. Three reviewers independently screened the results. The extracted data were then mapped, categorized, and summarized. This study has identified that HIV/AIDS stigma in indigenous people includes curses, divine vengeance, and infectious diseases. Various impacts arising from stigmatization include concealment, discrimination, powerlessness, unequal life opportunities, and social rejection/isolation. Moreover, the stigma impacts the service system and health service providers. It is necessary to have a complex strategy supported by the involvement of health authorities, health workers, and indigenous communities to overcome the problems of HIV/AIDS stigma and to understand the culture of indigenous people to prevent and treat HIV/AIDS.

Factors Influencing Stress in Mothers Experiencing Domestic Violence: Scoping Review

Indah Qolbiyati — 2024-12-05

Domestic violence is a violation of human rights, a crime against human dignity and a form of discrimination. Violence, whatever the form or reason, is a form of crime that cannot be justified. Domestic violence is a global problem and a serious public health problem throughout the world. According to several scientific studies, risk factors for domestic violence include young age, desire to have children, pregnancy, separation from a partner, low socio-economic status, low education level, unemployment, drug abuse, social and economic inequality, among others. Objectives: Concluding on the factors that influence stress in mothers who experience domestic violence. Method: This article uses three data based science direct, scopus and wiley. The search for this article uses the main keywords, namely factors and and stress and mother and domestic violence combined with supporting keywords, the article is in full text form, in English, limited to the last 5 years and open access as many as 10 articles were reviewed. Result: This review was carried out on 10 articles that were screened and analyzed from 2,801 articles. All articles use qualitative, quantitative and Multivariate logit models, moderation and mediation analysis methods. Factors that influence the level of stress in mothers who experience domestic violence are physical and emotional violence.Conclusion: Emphasizing that handling stress in mothers who experience domestic violence requires a comprehensive approach, involving various sectors, including health, education and social policy. By understanding the factors that influence stress, more effective intervention efforts can be designed and support women in overcoming traumatic experiences of domestic violence.

The Effect of Education with Booklet Media on Pregnant Women's Nutrition Knowledge in Stunting Prevention Efforts

Dewi Mulfiyanti — 2024-12-05

Stunting (short) or failure to grow is a condition that describes the undernutrition status that has a chronic nature during the growth and development of children from the beginning of life. Pregnant women who experience nutritional deficiencies can have an impact on stunting. Therefore, it is necessary to prevent stunting, one of the ways to prevent it with education to increase pregnant women's knowledge about nutrition. Education is obtained from various media, one of which is a booklet. Objective: The purpose of this study is to determine the influence of educational booklet media about nutrition in pregnant women on maternal knowledge in the working area of the Ajangale Health Center. Method: The research design uses Quasi Experiment with a pre-test post test one group design. The sample used was 30 respondents with purposive sampling techniques. This research tool uses nutrition knowledge questionnaires and booklets. In this research, researchers used quantitative data analysis, namely consisting of univariate analysis and bivariate analysis.In this study, univariate analysis was used to determine maternal knowledge about nutrition in pregnant women to prevent stunting. Nutritional knowledge in pregnant women before the intervention using booklet media and nutritional knowledge in mothers after the intervention using booklet media.Results: The results of the study showed that before the knowledge education was carried out, the majority of respondents were in the sufficient category with an average score of 13.90 and after the knowledge education was carried out the majority of respondents were good with an average score of 19.32. The Wilcoxon test obtained a p-value of 0.023 which means that there is an effect of providing health education about nutrition in pregnant women Conclusions The booklet media can be an educational medium to increase the knowledge of pregnant women about nutritional needs during pregnancy.

Midwifery Care through Complementary Postpartum Flipbook Learning Media Innovation with A Contextual Approach

Mutmainnah Mutmainnah — 2024-12-05

Midwifery education is the beginning of the birth of professional midwives. Midwifery education is the starting point and main point that will influence the level of quality of midwives and midwifery services in Indonesia. So lecturers need to think and design teaching materials that suit the interests of the current generation. The development of Flipbook teaching materials is equipped with various multimedia features with contextual methods so that students remain guided and interested in learning even though they are at home. Objective: The sample in this study was 31 level II midwifery students. Method: The study used type of R & D (Research and Development) research with the Borg & Gell development stages, development research with the initial stage of conducting a Focus Group Discussion (FGD) collecting information or data from sources appropriate to their field. To produce website-based products (Flipbooks). Continuing with black-box testing and testing the feasibility of the product using small samples using Quasi Experimental research (Pre-post-test design). Results: The Flipbook feasibility data analysis technique uses the Likert scale that is rated by the validator and Wilcoxon scales for field testing of the products produced. The research results show that the value (p=0.000<0.05) used Wilcoxon test. Conclusions: Conclusion which means that ASKEB Complementary Postpartum learning media innovation has a significant influence on increasing student knowledge.

Suicidal Self-Harm Behaviors in Young Adult Women

Geovanny Serviam Permana Putri Rahamitu — 2024-12-05

Self-harm is a rising concern among young adult women, particularly as it is often linked to an increased risk of suicide. This study aims to examine the patterns, motivations, and psychological impacts of self-harm behaviors within this demographic, focusing on the underlying emotional triggers and contextual factors. Using a qualitative approach, in-depth interviews were conducted with participants aged 18 to 25 years who had experienced self-harming behaviors. The method allowed for a detailed exploration of their personal experiences, revealing that self-harm frequently serves as a coping mechanism to manage intense emotional pain and a perceived lack of control over negative emotions. Participants often reported that self-harm provided temporary relief, though it sometimes led to feelings of regret and shame. Additionally, a significant portion of the participants expressed a tenuous connection between self-harm and suicidal ideation, highlighting a complex relationship between self-harm and mental health risks without a direct intent to commit suicide. This study underscores the need for targeted, empathetic interventions that address the emotional and psychological needs of young adult women struggling with self-harm, providing insights for mental health practitioners to develop tailored support strategies aimed at reducing self-harm and related mental health challenges in this population.

Social Skill Training for Socially Isolated Patients: Concept Analysis

Suhermi Suhermi — 2024-12-05

Patients with social isolation are often found in psychiatric nursing practice, especially those with mental disorders such as schizophrenia, depression, or social anxiety disorder. Social isolation is someone who avoids social interaction and has difficulty communicating or building significant relationships with others. This condition greatly affects the patient's quality of life and worsens the symptoms of mental disorders experienced. The purpose of this concept analysis is to gain a more detailed and in-depth understanding of Social Skill Training in Socially Isolated Patients.This concept analysis uses the Walker and Avant approach with analysis steps including: utilization of attributes in case models, borderline cases, related cases, and opposite cases, explaining antecedents and consequences. Relevant literature findings related to the concept were obtained through concept databases such as Google Scholar, PubMed, Scopus, Science Direct, NCBI, Researchgate, Publish and Perish and ProQuest. Keywords used in the literature search include "Social Skill Training", "Social Isolation", and "Scizophrenia". The inclusion criteria for articles were articles written in English and Indonesian, full text, and articles published in the last 5 years from 2019 - 2024 and open access.The results Social Skill Training(SST) is effective in improving social skills, reducing symptoms of social isolation, and improving the quality of life of patients with mental health disorders. In the context of social isolation, SST provides a structured approach to help patients develop communication skills, manage emotions, and increase their confidence in social interactions..It is expected Nurses should use SST as a standard intervention in treating patients with social isolation, especially those caused by mental disorders such as schizophrenia, depression, and social anxiety.

Mothers' Knowledge about Exclusive Breastfeeding

Komala Sari — 2024-12-05

Exclusive breastfeeding is one of the important pillars in supporting infant health and growth, but its coverage in Indonesia is still low, especially in rural areas such as Palmatak. Mothers' knowledge about the importance of exclusive breastfeeding influences breastfeeding practices, but various factors such as age, education, and occupation can affect their understanding. These obstacles often hinder the adoption of optimal exclusive breastfeeding practices. This study aims to describe mothers' knowledge about exclusive breastfeeding in the Palmatak Health Center area. Methods: The design of this study was descriptive quantitative. The sampling technique used simple random sampling with a sample size of 50 mothers. Data were collected using a questionnaire that measured mothers' knowledge of exclusive breastfeeding, as well as demographic characteristics such as age, education, and occupation. Data analysis was carried out using univariate analysis techniques to describe the frequency distribution and percentage of the variables studied. The results showed that the majority of respondents (76%) were in the non-risk age group, namely 20-35 years. Most mothers had a high school education/equivalent (36%), and most worked as self-employed (30%). Regarding maternal knowledge about exclusive breastfeeding, 52.94% had low knowledge, while 47.06% had high knowledge. Factors such as limited access to health information and the influence of local cultural habits are the main obstacles in increasing maternal knowledge about exclusive breastfeeding. This study concluded that despite high knowledge among some mothers, many mothers still do not understand the importance of exclusive breastfeeding. Health centers and health cadres have an important role in increasing maternal knowledge through community-based education programs that are tailored to local conditions. Interventions based on social and cultural contexts can be more effective in increasing exclusive breastfeeding coverage in rural areas.

The Effect of Progressive Relaxation Techniques on Anxiety Levels in Schizophrenia Patients

Aisyah Nurul Fadhillah — 2024-12-05

One of the mental disorders that can affect self-perception, emotions, behavior, and social functioning is schizophrenia. Schizophrenia patients may experience anxiety, behavioral disorders, cognitive disorders, speech disorders, and perception disorders. By calming the muscles of the head to the legs, progressive relaxation technique interventions are a nonpharmacological way to reduce anxiety. This study aims to determine the effect of the intervention of progressive relaxation techniques on the anxiety level of schizophrenia patients at RSJD Surakarta. The instrument used in this study was the Zung Self-Rating Anxiety Scale (ZSAS) on 30 respondents of schizophrenia patients who were surveyed and treated at RSJD Surakarta. A purposive sampling technique was used to determine the research objectives. The results showed that there was an effect of progressive relaxation technique intervention on the anxiety level of schizophrenia patients, using the Wilcoxon test with a significance result (p-value) = 0.001. In conclusion, the administration of progressive relaxation interventions in schizophrenia patients can have an effect in lowering the level of anxiety felt by patients.

The Active Compounds in Polyscias Scutellaria Identified Based on the Solvent

Dwi Pratiwi Kasmara — 2024-12-06

Polyscias scutellaria, commonly known as bowl leaf, is a medicinal plant belonging to the Araliaceae family, renowned for its diverse therapeutic properties, particularly in Southeast Asia. The plant is traditionally used for its antioxidant, anti-inflammatory, and other health benefits, attributed to its rich array of bioactive compounds, such as phenolics, flavonoids, saponins, and alkaloids. Objective to explore the phytochemical composition and antioxidant potential of various extracts of Polyscias scutellaria to assess its pharmacological significance and therapeutic applications. The study employed qualitative and quantitative analyses to identify active compounds in Polyscias scutellaria extracts, using extraction methods including 96% ethanol, ethyl acetate, and methanol. Phytochemical screening was performed, and antioxidant activity was evaluated using the DPPH method. The phytochemical screening revealed a rich profile of bioactive compounds, including phenolics, flavonoids, saponins, and alkaloids. The 96% ethanol extract showed a phenolic content of 14.67 ± 0.33 mg GAE/g and a flavonoid content of 1.83 ± 0.05 mg QE/g, while the ethyl acetate extract exhibited the highest total phenolic content of 289.813 ± 11.381 mg GAE/g. Antioxidant activity analysis demonstrated significant scavenging effects, with the ethanol extract achieving an IC50 value of 46.28 mg/mL. The methanol extract contained higher concentrations of alkaloids, carbohydrates, and saponins, indicating potential for functional health applications. This study underscores the pharmacological significance of Polyscias scutellaria and its bioactive constituents, highlighting its potential as a natural antioxidant source and functional ingredient. Further research is warranted to validate its therapeutic efficacy and explore its applications in drug discovery and modern health practices.

The Impact of Obesity on Mental Health in Adolescents

Siti Syamsiah — 2024-12-06

Adolescent obesity is a global health issue that continues to rise, particularly among teenagers, with potentially adverse effects on both physical and mental health. The physical impacts of obesity can trigger various mental health problems, such as stress, depression, anxiety, and low self-esteem. Obese adolescents often face social stigma and environmental pressures, which further exacerbate their psychological conditions. This study aims to explore the relationship between obesity and mental health among adolescents in Koja, North Jakarta, and to identify the prevalence of mental health issues within this group. Specifically, the research seeks to analyze the correlation between Body Mass Index (BMI) and mental health parameters, such as stress, anxiety, and depression; investigate the prevalence and severity of mental health disorders in obese adolescents in the region; identify additional factors, such as social support and dietary patterns, that may influence the mental health of obese adolescents; and provide evidence-based recommendations for targeted interventions that integrate weight management and psychological support to improve adolescent mental health and overall well-being. The study employs a quantitative approach with a cross-sectional design. Data were collected from 55 adolescents aged 12–18 years with a BMI ≥ 25 kg/m² using questionnaires. Mental health was assessed using the DASS (Depression, Anxiety, and Stress Scale), and data analysis was conducted using Pearson correlation tests. The results revealed a positive correlation between obesity and mental health issues. A total of 60% of respondents experienced high levels of stress, 45% exhibited symptoms of anxiety, and 30% reported mild to moderate depression. Adolescents with higher BMI scores tended to have higher DASS scores. Other factors, such as social support and dietary patterns, also influenced their mental well-being. Adolescent obesity in Koja, North Jakarta, is strongly associated with mental health issues, such as stress, anxiety, and depression. Holistic intervention programs are essential, including weight management, psychological support, and social assistance, to improve the quality of life for adolescents.

Survey of Sugar Levels and Blood Pressure in Outdoor and Indoor Workers

Herrywati Tambunan — 2024-12-07

Patients with hypertension and diabetes in Indonesia tend to increase every year. Diet and activity patterns are one of the factors causing the disease in addition to heredity. This study aims to determine the level of sugar and blood pressure in workers in open and closed spaces. The sampling technique uses quota sampling, namely 100 respondents who work in open spaces and 100 respondents who work in closed spaces. The instrument used to measure blood pressure is a digital tension meter and to measure blood sugar levels using an easy touch glucometer, both measurements are taken on the same day for each respondent. Data collection was carried out for approximately 3 months, from August to November 2024 in Bireuen Regency. The results of the study were obtained by univariate and bivariate data analysis, univariate results obtained the majority of respondents' age in closed rooms 38-52 years (50%), open spaces 39-53 years (51%). The history of hypertension of respondents in the closed room has no history (78%), open space has no history (68%). There was no history of diabetes in the closed room (68%), no history in the open room (82%), the frequency distribution of respondents' pressure in the closed room (84%) was normal, in the open room (74%) was normal. The results of the examination of blood sugar levels of respondents in the closed room were normal (94%), in the open room normal (77%). The results of bivariate analysis with SPSS through Independent T test for blood pressure of workers in closed and open spaces there is no significant difference with a value of 0.072 (>0.05), and there is a significant difference between blood sugar levels of workers in closed spaces and workers in open spaces with a value of 0.000 (<0.05). Conclusion: the majority of blood pressure and blood sugar levels are within normal limits and there are differences in blood sugar levels between workers in closed spaces and workers in open spaces.

Effectiveness of Physical Exercise Program on Reducing Blood Pressure in Hypertension Patients

Kina Hutajulu — 2024-12-07

Hypertension is a chronic disease, called the silent killer. WHO data shows that the number of people with hypertension continues to increase. In Riau Province, the prevalence of hypertension increased from 20.9% (2013) to 29.1% (2018). Hypertension will cause various complications such as encephalopathy, heart disease, hemorrhagic stroke, kidney failure, heart failure, and others. Action needs to be taken to reduce the increasing number of hypertension cases. Objective: This study examines the effectiveness of a physical exercise program in reducing blood pressure in hypertension patients at the Pangkalan Kuras II Health Center. Method: It used a pre-test and post-test experimental design involving 101 hypertensive patients, primarily aged 46-64 years (85.1%) and mostly female (86.14%). The program included walking three times a week and exercising twice a week for three weeks. Blood pressure was measured using a manual device. The majority of participants had grade II hypertension. Result: The Wilcoxon Signed Rank Test showed significant reductions in both systolic (4.72 mmHg) and diastolic (3.13 mmHg) blood pressure, with a p-value of 0.000. Conclusions: This numbers indicates that regular physical exercise, such as walking and exercise, effectively lowers blood pressure in hypertensive patients.

The Effect of Virgin Coconut Oil (VCO) in Healing and Preventing Pressure Ulcers in Immobilization Patients: A Literature Review

Gusti Pandi Liputo — 2024-12-07

Pressure ulcers or bedsores are a serious problem in patients experiencing long-term immobilization or bed rest. This condition is caused by prolonged pressure on specific body areas, leading to tissue damage and potentially increasing the duration of patient care. Virgin Coconut Oil (VCO) is known to contain lauric acid, antioxidants, and vitamin E, which can help maintain skin moisture, increase elasticity, and prevent irritation and infection. Some studies show that VCO, especially when applied with effleurage massage techniques, has the potential for the prevention and healing of pressure ulcers. Objective: This study aims to review the effectiveness of using VCO as a preventive and therapeutic agent for patients at high risk of pressure ulcers. Method: This study is a literature review of several studies published between 2020 and 2024. Research results related to the application of VCO in immobilized patients were analyzed, focusing on its effects on pressure ulcer risk, Braden score, and tissue healing improvement.Results: The literature review identified eight studies for inclusion in the final analysis. All articles used quasi-experiments. he application of VCO significantly increased the Braden scores of patients receiving care. Effleurage massage with VCO effectively reduced the risk of pressure ulcers and accelerated granulation tissue formation in grade I and II wounds. Additionally, comparisons between VCO and virgin olive oil showed that VCO was superior in reducing the risk of pressure ulcers in ICU patients.Kesimpulan: Virgin Coconut Oil (VCO) has been proven effective as a natural intervention for the prevention and healing of pressure ulcers in patients with limited mobility. The use of VCO in nursing practice can improve patients’ quality of life, reduce the risk of skin complications, and shorten the duration of care. Further research is recommended to explore the use of VCO with additional methods and technology to maximize its benefits in pressure ulcer care.

Education Effectivity in Increasing Adolescent’s Female Awareness in Preventing Anemia

Maulidya Faatihah Rizqii Riswanto — 2024-12-07

Adolescents are more susceptible to anemia resulting from iron deficiency. Diverse initiatives have been implemented to reduce the incidence of anemia, which is rising annually. The undertaken efforts do not instantaneously convert an individual into an expert in anemia prevention. This study seeks to determine young women's knowledge and self-awareness levels, along with the factors that affect self-awareness. The design of this study was quasi-experimental, employing a distinct sample for the pretest and posttest. This study was carried out in SMAN 1 Kebomas from July to September 2024, with participants who matched the inclusion criteria. The study sample comprised 79 individuals selected through a purposive sampling method. The instruments used to conduct research were questionnaires, which was adopted from previous similar researchers and and have been retested with a reliability test result of 0.818 namely about knowledge before and after education, and strengthening self-awareness to prevent anemia. The Paired T-test and Linear Regression were employed for analysis. The study indicates a significant difference in the average levels of knowledge and self-awareness, with a p-value of 0.000 < 0.05. The data indicates a significant correlation between family support and self-awareness, with a p-value of 0.03 < 0.05, as well as between peer support and self-awareness, with a p-value of 0.01 < 0.05. The provision of education can enhance the understanding and self-awareness of young women, bolstered by diverse sources of information, particularly familial and peer support.

The Correlation between Physical Rehabilitation Compliance and Muscle Strength in Post-Stroke Patients with Hemiplegia

Serin Izzatut Taqiyah — 2024-12-07

Post-stroke patients will experience weakness, paralysis, or disability as a result of the stroke attack, thus requiring rehabilitation. The rehabilitation results will be more optimal if supported by the compliance of post-stroke patients in following the rehabilitation program. The purpose of this study was to determine the correlation between physical rehabilitation compliance and muscle strength in post-stroke patients with hemiplegia. The type of research used in this study is using a cross-sectional analytic approach. The study population was post-stroke patients undergoing physical rehabilitation at Ir. Soekarno Sukoharjo Hospital with an average of 73 patients using the Slovin formula. The inclusion criteria in this study were patients who performed physical rehabilitation regularly for 1 month, and patients willing to become respondents in the study by signing a consent form. Exclusion criteria in this study were patients who suddenly re-entered the inpatient clinic, patients who had repeated stroke attacks, and patients who suddenly moved to hospital locations. Collection of rehabilitation compliance data according to the rehabilitation compliance questionnaire. Collection of muscle strength data by existing muscle strength measurements. The results of the Spearman Rho correlation obtained a significance value (p-value) of 0.001 (p<0.05), the majority of respondents were in the age range of 60-74 years, most of the respondents were male, most of the respondents were married, most had undergone rehabilitation for 3 months, and the majority were first stroke patients. This study concludes that there is a correlation between physical rehabilitation compliance and muscle strength of post-stroke patients with hemiplegia at Ir. Soekarno Sukoharjo Hospital.

The Effect of Diabetes Self-Management Education (DSME) on Blood Sugar Control in Patients with Diabetes Mellitus

Laili Nur Hidayati — 2024-12-07

Diabetes mellitus (DM) is a growing global health issue, both in terms of its prevalence and the impact of its complications. Controlling blood sugar levels is a key component in preventing DM complications. However, managing blood sugar remains challenging, primarily due to a lack of patient knowledge and skills in self-management. Diabetes Self-Management Education (DSME) is an educational approach designed to enhance patients' ability to independently manage their condition. This study aims to analyze the effect of DSME on blood sugar control in DM patients at Merauke Regional General Hospital. A pre-experimental design with a pretest-posttest approach without a control group was used. The sample consisted of 21 DM patients selected using probability sampling techniques. The intervention involved DSME delivered over four educational sessions, covering topics such as the concept of DM, dietary regulation, physical activity, and blood sugar monitoring. Blood sugar levels were measured before and after the intervention using a portable glucose meter. Data analysis was performed using repeated measures ANOVA. The average blood sugar levels of the patients decreased from 229 mg/dL before the intervention to 175 mg/dL at the first follow-up and 177 mg/dL at the second follow-up after the DSME intervention. The analysis showed a significant effect of DSME on reducing blood sugar levels (p < 0.05). DSME proved effective in improving blood sugar control in DM patients through structured education that supports self-care. This program also helps patients understand the importance of adopting a healthy lifestyle and adhering to therapy. Continuous implementation of DSME is recommended to improve the quality of care for DM patients and reduce the risk of long-term complications.

Correlation of Family Support on Physical Rehabilitation Compliance in Stroke Patients

Adhisty Fachrine Ayu Saqina — 2024-12-07

As a result of suffering from stroke disease, stroke patients experience disability, lose the ability to live independently, and affect their quality of life and daily activities. Rehabilitation programs are used to improve patient function and overcome the impact of stroke. Family support plays a very important role in the recovery process and rehabilitation compliance of stroke patients. This study aims to determine the correlation of family support to rehabilitation compliance in stroke patients at Ir Soekarno Sukoharjo Hospital. The type of research used in this study is quantitative research. The study sample totalled 73 patients, obtained by using the purposive sampling technique and the Slovin formula. The inclusion criteria for this study were stroke patients undergoing physical rehabilitation at Ir. Soekarno Sukoharjo Hospital, patients without disorientation in time, space, or people, and patients who had undergone physical rehabilitation for 2-3 months and were willing to become respondents. The exclusion criteria for this study were patients who had mental disorders and patients who had congenital physical disabilities. The questionnaires used in this study were the family support questionnaire and the modified Morinsky Medication Adherence Scale (MMAS) questionnaire. Data analysis will be displayed in the form of distribution tables, frequencies, and percentages so that it is easily understood by the reader. The results of this study showed that the majority of respondents had high family support with high rehabilitation compliance as many as 30 people (41.1%), respondents had moderate family support with high rehabilitation compliance as many as 14 people (19.2%), respondents had moderate family support with moderate rehabilitation compliance as many as 12 people (16.4%), respondents had high family support with moderate rehabilitation compliance as many as 1 person (1.4%), and respondents with moderate family support with high rehabilitation compliance as many as 16 people (21.9%). The results of the Spearman Test between family support and physical rehabilitation compliance obtained a P-value of 0.001 with a correlation coefficient value indicate that there is a strong relationship between family support and physical rehabilitation compliance in stroke patients at Ir. Soekarno Sukoharjo Hospital.

Description of Oxygen Saturation in Respiratory Distress Syndrome (RDS) Infants Attached to CPAP with Knee Chest Position

Eka Wahyuni — 2024-12-07

Respiratory Distress Syndrome (RDS) is one of the main causes of neonatal morbidity and mortality, especially in premature infants. Interventional approaches such as Continuous Positive Airway Pressure (CPAP) with the knee-chest position are considered effective for improving oxygen saturation. However, research on the effect of this position on infants with RDS in Indonesia is still limited. This study aims to describe oxygen saturation in infants with respiratory distress syndrome (RDS) who use CPAP with the knee-chest position at Pariaman Regional Hospital. This study is a quantitative study with a cross-sectional design. The population consisted of all infants with RDS who used CPAP in the NICU room at Pariaman Hospital. A total of 15 infants were selected as samples using purposive sampling technique. Data collection was done with a questionnaire to record respondent characteristics (gender, gestational age, birth weight, type of delivery) and an observation sheet to measure oxygen saturation. Data analysis was performed using statistical software with descriptive tests, including frequency distributions and percentages. The majority of infants (66.7%) were male, with a gestational age of 34-37 weeks (80%), birth weight of 1500-2499 grams (66.7%), and delivered by caesarean section (66.7%). Oxygen saturation increased significantly after knee-chest positioning, from a mean of 94.40% before intervention on the first day to 98.73% after intervention on the third day. Statistical analysis showed that the change in oxygen saturation value was statistically significant (p<0.05). The knee-chest position effectively improves oxygen saturation in infants with RDS using CPAP. This intervention can be recommended as part of the neonatal nursing care protocol to improve oxygenation quality and support infant recovery.

Behavioral Study of Diabetes Mellitus Patients in Blood Glucose Control: A Phenomenological Study

Febriyanti Febriyanti — 2024-12-07

The disease pattern in Indonesia is currently shifting from infectious diseases to degenerative diseases. This pattern is accompanied by the problem of a double burden of disease. The incidence of degenerative diseases is increasing along with changes in lifestyle and environmental behavior. One of the threats of degenerative diseases to public health is diabetes mellitus. The prevalence of diabetes in people aged over 15 years increased from 10.9% in 2018 to 11.7% in 2023. This shows that this disease is not only a problem for the elderly but also affects the productive age group. The main causes include unhealthy diet, lack of physical activity, and obesity. This study aims to observe and explore the behavior of people with diabetes in controlling blood glucose while suffering from diabetes. The research method used in this study is qualitative research with a phenomenological approach, with the informant selection technique using the snowball technique of 25 people. The main instrument of qualitative research is the researcher herself. The researcher is a nurse with a Masters in Nursing. The researcher as a facilitator also uses the tools used in the study as data collection instruments, namely the Digital Voice Recorder in this case the researcher's cellphone (Oppo A92) and interview guidelines and field notes and the researcher conducted in-depth interviews for approximately 3 weeks, data processing and data analysis using the Colaizzi method which consists of seven stages. Based on the results of in-depth interviews with 25 informants, 16 themes of the phenomenon of factors causing uncontrolled blood glucose were obtained, including incorrect knowledge about diabetes, the assumption that diabetes is a harmless disease, boredom factors in managing diet, poor behavior in daily eating habits, taking medication not according to the given dose, rarely or not doing sports activities, having an attitude that ignores the rules in following a diet while suffering from diabetes, information obtained from health workers and family is minimal, information from various media such as the internet is not utilized, limited health workers in providing education, feelings of hopelessness while suffering from diabetes mellitus, feeling that they do not get support from family or health workers in treating diabetes while suffering from diabetes mellitus, alternatives to drugs from the hospital are taking herbal medicines. The phenomenon of the dominant factors causing uncontrolled blood glucose is incorrect knowledge about diabetes, as well as the assumption that diabetes is a harmless disease, as well as boredom factors in regulating diet, and poor behavior in daily eating habits, as well as rarely or never doing sports activities, and having attitudes and behaviors that ignore the rules in undergoing treatment while suffering from diabetes.

The Experience of Teenage 19 Years in Dealing with Ovary Cancer Stadium 1B with Understanding Spiritual: Qualitative Study

Wulan Anugrah Pauji Salam — 2024-12-07

Ovarian cancer has a physical and psychological impact. Experience in patients with ovarian cancer is very much needed, especially for those who have successfully gone through several stage so that they can continue to live and control their disease. Teenagers with cancer have complex problems. Adolescents with cancer who are at risk of experiencing developmental phase delays face limitations in carrying out their roles as adolescents. Objective: The purpose of this study was to determine the experience of 19-year-old adolescents in dealing with Stage 1B Ovarian Cancer with Spiritual Understanding. The case study approach uses a qualitative method, data collection using triangulation, individual in-depth interviews, documentation, and observation. Participants in this study amounted to one person. This research was conducted in August- September 2024. In the study of respondents’ experiences in dealing with stage 1B ovarian cancer, there were several discussions including self-acceptance with five stages, starting from denial, anger, bargaining, depression, acceptance, and spirituality that sufferers can take wisdom, the meaning of life and have hope for his future life, and believe that everything comes from God will return to God. Cancer sufferers experience all processes of self-acceptance, this cannot be separated from various social supports, their motivation, and their desire to heal themselves. So that, spiritually, Ovarian cancer sufferers can adapt to the situation and get a new meaning and angle of life.

Drill Method to Improve Students' Knowledge in the Course of Nursing Philosophy and Theories

Meinarisa Meinarisa — 2024-12-07

Critical thinking in the concept of nursing philosophy in nursing is complex and is explained by various different definitions. These various definitions have caused confusion about what is meant by understanding the concept or model of nursing. Many literature reviews have examined nursing model theories and related definitions and measurements, but none offer a new perspective to view the same conclusion. The researcher looked at the use of the drilling method drill method to improve students' knowledge in the course of nursing philosophy and theoriesin. The research design used a pre-test and post-test without a control group, which is a design that treats one group without a comparison group. Respondents numbered 120 students who were members of the nursing theory class which were then divided into 4 large groups. The effectiveness of the treatment was assessed by comparing the post-test and pre-test scores. During this study, respondents will be given 6 learning sessions divided into 12 face-to-face meetings related to nursing theory, namely the theories of Florence Nightingale, Jean Orlando, Martha E Roger, and Watson. The results of the statistical test using the Wilcoxon test obtained a p value = 0.001, there was a significant difference in knowledge between before and after being given the Drilling Method. The knowledge of respondents after being given the Drilling Method showed a significant increase, so it is important to continue using the Drilling Method to improve knowledge and competence. The Drilling Method is an effective learning method to improve competence in the cognitive aspect. In the future, this method is expected to be applied in the learning process to improve the competence of nursing students in other courses.

The Relationship between the Implementation of Patient Safety and Patient Satisfaction in the Adult in Patient Room

Dwi Rohyani — 2024-12-08

Patients who are dissatisfied with nursing services in Indonesia or in several other developing countries are currently a very urgent problem. The quality of service can have an influence on the level of patient satisfaction, when the quality of the service provided is poor, then the level of patient satisfaction will certainly also be bad. The quality of health services that can increase the level of patient satisfaction can be sourced from relatively specific factors, one of which is implementing patient safety targets.

This research is to determine the relationship between patient safety implementation and patient satisfaction in the adult inpatient room at Hospital X Jakarta. This research uses a correlative descriptive design method with a cross sectional approach. The sampling technique uses non-probability sampling with purposive sampling technique. The sample obtained was 74 respondents using the Slovin formula. The statistical test used is chi-square. The research instrument used a questionnaire. This research shows that there is a relationship between the implementation of patient safety and the satisfaction of adult inpatients at Hospital X Jakarta. This was proven by the chi-square test, the p-value was: 0.002 (p<0.05). That the implementation of patient safety can influence patient satisfaction.

Analysis of Factors Influencing Generation Z Visits to Health Service Centers

Edy Gunawan — 2024-12-08

Generation Z's use of technology in health services is very significant in various aspects, including access to information, health services, and interactions with doctors or other health workers. The Republic of Indonesia has guaranteed health for all generations in the implementation of the health service system through the 1945 Constitution and Health Law number 17 of the year. This study aims to determine the factors that influence the level of generation Z sick visits to health service centers in Bima Regency, NTB. The importance of conducting this research is because the level of sick visits by generation Z at health service centers in Bima Regency is not yet optimal and the use of smart phones by generation Z in accessing health information is indicated by the low number of visits by Generation Z which can hinder the realization of the vision of a golden Indonesia 2045. Research according to the level of explanation consists of: Associative research is research that focuses on finding relationships between one variable and other variables. Selection of informants based on theory or theoretical sampling is suitable if the main objective of data collection is to develop a substantive theory. The informants in this research were 23 people. The selection of informants in qualitative research is completely determined by the researcher, so it is often called purposeful sampling, namely selecting informative cases (information rich cases) based on the strategy and objectives that the researcher has set, the number of which depends on the study objectives and resources (Heryana, 2018). Collecting data obtained from the results of interviews and observations as well as documentation recorded in field notes, data reduction with the aim of concluding the data then sorting the data into units of concepts and categories and certain themes, and presenting data which has been reduced and categorized and represented in a form that is easier to understand. This research was carried out by reducing data, displaying data and drawing conclusions to the point of saturation. In Bima, Generation Z who are active in the digital world and social media prefer to seek health information independently through health applications and social platforms such as Tik-tok and Instagram, rather than coming directly to health facilities, especially for minor health problems. in Bima Regency. Factors such as distance, condition of road infrastructure, availability of transportation, and location of health facilities greatly influence the ease or difficulty of access. Generation Z tends to look for health facilities that are close, have complete services, or are more strategic to save time and energy. As a group transitioning towards financial independence, Generation Z tends to consider the cost of health services, availability of insurance, and quality of facilities before deciding on treatment.

Factors of Risk Associated with Bullying in School-Age Children: A Systematic Review

Eni Hidayati — 2024-12-09

Children in school frequently look to others for approval and take pride in their achievements. The Objective: The purpose of this research is to analyze the impact of bullying on mental and physical health and to understand ways to prevent bullying. Methods: Using a systematic review methodology, the study drew information from secondary sources found by using keyword searches in databases like Garuda, Science Direct, Sinta, and PubMed, search for journal articles for 2018-2023, and 15 articles that met the inclusion criteria were reviewed. The journals' classification, language, and year of publication were taken into consideration when selecting the papers. The study topic was formulated using the Pico framework, and search strategies were developed by incorporating Boolean operators (or, and, not) to achieve a more complete search. The search, selection, and analysis of pertinent literature were conducted rigorously in the review by adhering to the prisma. Results: Ten publications in all fulfilled the requirements for inclusion in the systematic review. Psychological problems such despair, anxiety, low self-esteem, social disengagement, feelings of isolation, difficulty focusing, scholastic decline, emotional instability, behavioral changes, and suicidal thoughts were among the many themes discussed in the papers. Furthermore, five research emphasized the detrimental effects of bullying on one's physical health, including headaches, insomnia, digestive troubles, respiratory problems, anorexia, back pain, and chest pain. Conclusion: Bullying has a major negative impact on a child's physical and mental health when they are in school. The risk factors that have been found offer significant insights into the dynamics of bullying behavior, which has implications for methods related to prevention and intervention.

Optimization of Case Reflection Discussion Implementation as Continuous Professional Development for Nurses

Ulfa Khoyrunnisa — 2024-12-09

X Hospital Jakarta is a hospital that has implemented Case Reflection Discussion as a program for the continuing professional development for nurses. However, its implementation has not been optimal. A change is needed to enhance the optimization of the Case reflection Discussion by using Graham Gibb’s reflective cycle approach. Pilot Project method. It begins with problem identification, problem analysis, prioritization of issue, development a plan of action, implementation, and evaluation. There was a 70% increase in nurses who achieved a good level after the socialization. The evaluation of skill levels from each team showed that each team had an excellent skill level. The implementation of Case Reflection using Graham Gibb’s reflection cycle appoach has the potential to greatly benefit for nursing professional development. X hospital should distribute and socialize guidelines for the implementation of continuing professional development for nurses and Standard Operating Procedure for Case Reflection Discussion using Graham Gibb’s reflective cycle approach to all care units.

Assessment of Stressors and Coping Sources of Inmates in Class II A Corrective Institutions

Anastasia Maratning — 2024-12-09

Inmates at Class IIA Penitentiary in Banjarmasin face various stressors, including loss of freedom, family isolation, and adaptation to the structured prison environment, which may trigger anxiety and depression. The purpose of this study is to assess stressors and coping sources of inmates in Class II A Corrective Institutions in Banjarmasin City. This study uses a cross-sectional design approach on 75 selected respondents. The sampling technique was purposive sampling. Data were collected through validated questionnaires addressing cognitive, affective, physiological, behavioral, and social aspects and personal, social, material, and spiritual coping resources. Validity was tested using product moment correlation, with coefficient results >0.361, indicating that the instrument is valid. Reliability testing using Cronbach's Alpha produced a value of 0.807 for the stressor questionnaire and 0.703 for the coping source questionnaire, so it was declared reliable. Data analysis was carried out descriptively to describe the frequency distribution and percentage of research variables with the results revealed that 56% of inmates negatively evaluated their stressors, with common symptoms including sleep disturbances (56%) and appetite loss (40%), coupled with low social interaction. Only 8% demonstrated effective coping resources, primarily through prayer, while participation in social activities was minimal. This study shows that inmates at Class IIA Penitentiary in Banjarmasin City The majority of respondents have a negative assessment of the stressors they experience, which reflects an inability to manage stress adaptively. In addition, the coping resources used by most respondents are classified as poor, with reliance on ineffective coping mechanisms and low participation in social and productive activities.

Transcultural Nursing Approach in Designing the Multisensory Room for Older Adults: Sensory Utilities and Activity Exploration

Umi Hani — 2024-12-09

Multisensory space applies sensory stimulation that helps train cognitive and motor functions through elements that stimulate the senses in the elderly. This concept is identified for people with moderate to severe cognitive decline and neurodegenerative pathologies. Aim: This study aimed to identify sensory utilities and activities in designing a multisensory space with a transcultural nursing approach. Methods: Researchers collected data qualitatively using the Focus Group Discussion (FGD) technique to explore elements related to the function of the multisensory space. The FGD also identified transcultural nursing aspects that could be applied to the room concept. The FGD involved five participants selected according to the research objectives to explore the needs and activities of multisensory stimulation for the elderly. The FGD was conducted for two hours. Participants were the health service officer, geriatric nurses, one Alzheimer's dementia activist, one architect, and one cultural figures. The results of the FGD were analyzed using the Colaizzi method approach by transcribing data from the FGD results, reading the FGD transcripts several times, and analyzing themes using Atlas.ti. Transcripts and meaningful statements were returned to participants to form categories, subthemes, and themes. Results: The themes analyzed were related to elements in the multisensory room which included both equipment and activities that supported sensory stimulation. Discussion: The identification of spatial elements and research partners in the development of multisensory space design supports the fulfillment of the needs of applicable and innovative elderly health services, especially in applying the concept of transcultural nursing for multisensory rooms for the elderly Conclusion: Cultural considerations play a significant role in the effectiveness of sensory elements, as sensory experiences that resonate with an individual’s cultural background can evoke positive emotions and memories.

The Relationship Between Knowledge of Reproductive Health and Adolescents Attitudes to Premarital Sexuality

Selvia Nur'aini — 2024-12-09

Adolescents who do not understand reproductive health will more easily develop negative views about premarital sex. This can influence casual sexual behavior. Previous studies confirmed that school educational institutions had conducted sexual education outreach with students during the introduction period to the school environment. However, school educational institutions do not know about the behavior of students outside the school area. Objective: The aim of this research was to find out whether there was a correlation between premarital sexual attitudes and reproductive health knowledge at SMK 1 Juwiring, Klaten Regency. Method: This cross sectional analytical observational study involved 90 respondents selected using stratified random sampling. In the following research, insights related to reproductive health are the independent variable and teenagers' premarital sexual attitudes are the dependent variable. Results: After data was collected through a questionnaire, the relationship was tested using the chi-square test with the result p-value=0.037 (α<0.05). Conclusions: The research results confirm that knowledge related to reproductive health and premarital sexual attitudes of adolescents are correlated with each other.

Effects of Aerobic Exercise on Physical Condition in Chronic Kidney Disease Patients: Scoping Review

Iftinan Nida Firdaus — 2024-12-09

Chronic kidney disease (CKD) can cause changes in physical condition and cause cardiovascular problems to death. The development of CKD can be prevented by doing physical activity, one of which is aerobic exercise. Studies related to the effects of aerobic exercise on physical condition, especially in patients with chronic kidney disease, are still limited, so further studies are needed. The purpose of this study was to determine the effect of aerobic exercise on physical condition in patients with chronic kidney disease. The method used is a scoping review based on the PRISMA flow diagram. Article searches were conducted using electronic databases or internet searches, some databases used as article selection are ScienceDirect, Pubmed, and Springerlink. In conducting the search using the keywords "Aerobic Exercise" and "Chronic Kidney Disease" and "physical condition". Where in the screening or filtering of articles are given the filters "2020-2024", "Free full text" and "research article". The scoping review analysis was carried out using the Arksey and O'Malley theory approach which has been modified by Levac. From 4 databases, 6 articles were analyzed and focused on the effect of aerobic exercise on physical conditions in patients with chronic kidney disease. The results of the analysis showed that aerobic exercise significantly increased the SPPB (Short physical performance battery) value, increased the HRV (heart rate variability) index within the normal range, increased vagal activity leading to sympathovagal balance, improved systolic and diastolic values, increased physical activity levels, and decreased blood glucose and increased hematocrit.The effect of Aerobic exercise on the physical condition of patients is divided into physiological and biochemical effects. The effect of Aerobic exercise on physical conditions physiologically is to improve physical function, functional capacity and activity of the autonomic nervous system of the heart, increase blood flow, reduce risk factors for cardiovascular disease, increase cardiorespiratory capacity and muscle strength of the upper and lower body, and have a more comprehensive range in activities. The effect of Aerobic exercise on physical conditions biochemically is to maintain stable blood levels.

Utilization of Medicinal Plants as Galactagogues to Increase Breast Milk Production as An Effort to Achieve Exclusive Breast Milk in Realizing the Golden Generation of 2045

Niki Astria — 2024-12-09

Providing breast milk to babies has a direct impact on the nutritional status and health of children. The various benefits provided by breastfeeding for mothers and children affect the child's immunity, nutrition, body and psychological status. Breastfeeding mothers must pay attention to several things to improve the quality and quantity of their breast milk, one of which is by consuming vegetables as galactogogues which are relatively safe to use. Synthetic galactogogue drugs are known to have side effects if consumed long term. The aim of this research is to determine the benefits of medicinal plants as galactagogues to increase breast milk production as an effort to achieve exclusive breast milk in realizing the Golden Generation 2045. The research method was carried out experimentally using medicinal plants, namely Moringa oleifera leaves, Musa paradisiaca, and Sauropus androgynous L. consisting of 3 groups that were given treatment, while the control group was not given treatment. Data was taken using direct measurements of the amount of breast milk production of respondents in both groups receiving intervention I (Moringa Leaves), Intervention II (Banana Heart), Intervention III (Katuk Leaves) and in the Control group. Then the results The research was analyzed using the Kruskal-Wallis statistical test. The results of the study show that there is a difference in breast milk production in the intervention group and the control group with a p-value of 0.046 (<0.05). Thus, in the future, this research will be able to contribute to optimizing breast milk production as a first step in preventing various health problems, especially stunting and wasting, so that a golden generation can be realized.

Evaluation of the Use of ESS BAR (Entebe Smart System) Based on Android as A Sajiwa Program Screening Application

Nur Arifatus Sholihah — 2024-12-10

Mental health problems are currently considered a serious problem that requires comprehensive treatment. In this context, the development of ESS-BAR applications has become an interesting and important research topic. The aim of this research is to evaluate the use of the ESS-BAR application as an appropriate SAJIWA (Mental Health Awareness) Program screening application both in terms of measurement content and accuracy values The method used is evaluation of Android-based application development, which is then measured for accuracy and program evaluation using the End User Computing Satisfaction (EUCS) method. This research involved 10 key informants to obtain an evaluation of the application being developed. The research findings show that the evaluation of the Black Box testing of the application being developed went according to the evaluation checklist sheet. Then, testing the accuracy of mental health screening results involving 10 key informants showed that 75% of respondents strongly agreed that the application could be used as a screening measure for someone's mental health. However, in developing ESS-BAR, further evaluation still needs to be carried out regarding personalization and adjustment of user data Conclusions So further development is still needed. The benefits of this program are expected to increase the use of technology in providing mental health services so that follow-up can be done to receive counseling services and subsequent intervention plans according to the problems faced.

Effectiveness of Early Cardiac Rehabilitation in Improving Quality of Life for Acute Coronary Syndrome Patients: A Systematic Review

Rany Novia Wardin — 2024-12-10

The provision of early cardiac rehabilitation intervention in patients with cardiovascular disease is necessary as it can accelerate recovery and determine the needs for the subsequent phases of cardiac rehabilitation. This study aims to identify the effectiveness of early cardiac rehabilitation on the quality of life of patients with acute coronary syndrome (ACS). The method used is a systematic review by searching articles in five journal databases: Clinical Key Nursing, ProQuest, PubMed, ScienceDirect, and Scopus. Article analysis used the PRISMA (Preferred Reporting Items for Systematic-Reviews and Meta-Analyses) method. The results of the study indicate that early cardiac rehabilitation significantly improves cardiac function, hemodynamic parameters, and patients mental health. Additionally, the use of innovative educational technologies, such as augmented reality and mobile applications, has been shown to enhance self-efficacy, exercise tolerance, and adherence to rehabilitation programs. Cardiac rehabilitation also provides additional benefits for patients with Diabetes Mellitus (DM) complications, improving cardiorespiratory function, exercise capacity, and quality of life. The conclusion from the ten analyzed articles suggests that comprehensive and structured early cardiac rehabilitation is effective in improving the quality of life of ACS patients and provides long-term benefits in the secondary prevention of cardiovascular diseases.

Mental Health Status of Inmates in Indonesia

Nia Aulia — 2024-12-11

Mental health disorders are conditions of a person who experiences disorders related toclinical,cognitive function, emotional regulation, and behavior. The purpose of this study was to explore in depth the mental health of assisted citizens in class III Lhoknga prison, Aceh Besar Regency. This study used qualitative research design with a phenomenological descriptive approach. Data collection with semi-structured interviews. The informants in this study amounted to nine informants of assisted citizens in one of the prisons in Aceh. Data analysis using Michael Huberman's model starts from data collection, data reduction, data presentation, conclusion drawing and verification. The results of the study found four research themes, including feelings about mental health while in prison with sub-themes of fostered citizens' opinions on mental health, and mental health conditions while serving sentences. Personal conditions that are haunted by guilt with the sub-theme of self-acceptance, events that result in fostered residents feeling trauma and feelings that can affect the mental health of fostered residents. It is expected that the prison will provide services and education related to mental health that can be utilized by assisted residents and can be carried out sustainably to fostered residents. The mental health condition of the inmates when viewed from the BPS aspect, namely biological, psychological, social, all inmates experience problems both from a biological, psychological and social perspective. The trigger for this happened was because there were no mental health services in prison.

Policy Analysis of Budget Utilization in Stunting Programs Based on District Health Account

Yeri Sanjaya — 2024-12-11

Stunting, a chronic nutritional issue with significant impacts on the quality of human resources, remains a major health challenge in Indonesia. This study analyzes the policy on budget utilization for stunting programs based on the District Health Account (DHA) to enhance the effectiveness and efficiency of health financing. The research was conducted at the Aceh Jaya Health Office, Aceh Province, using a quantitative method with a comparative program evaluation approach. Data were collected through a review of stunting budget documents from 2017 to 2023 and direct observations of budget distribution. The findings reveal an increasing trend in the stunting budget since the implementation of the stunting reduction acceleration policy in 2020, peaking at IDR 5.316 billion in 2023. Prior to this policy, budget allocations were fluctuating and lacked clear priorities. The use of DHA provided a comprehensive overview of financial flows, funding sources, and their utilization. DHA also identified that most funds were allocated to indirect activities, such as maternal health management and community nutrition, while direct allocations for stunting patients tended to decrease. This study supports the effectiveness of DHA in optimizing budget allocation for stunting programs, ensuring more targeted use of funds, and improving financing efficiency. DHA has the potential to become a critical instrument for local governments in data-driven budget planning to achieve the national stunting prevalence target of 14% by 2024.

The Impact of Applying Relaxation Techniques in Reducing Stress in Menstruating Adolescents in the Coastal and Island Areas

Irma Ika Sari — 2024-12-11

Menstruation is the periodic and cyclic discharge of blood, mucus, and cell debris from the uterine mucosa, accompanied by the shedding (desquamation) of the endometrium, which starts about 14 days after ovulation. The objective of this study is to examine the effect of applying relaxation techniques in reducing stress among menstruating adolescents at SMA Negeri 1 Waisala, Seram Bagian Barat District in 2023. The research design used is an experimental design with a one-group pretest-posttest approach. The research was conducted at SMA Negeri 1 Waisala in August 2023. The sampling technique used in this study follows Slovin's formula, which represents 30% of the total students, or 30% of 167 students, resulting in a sample of 56 participants. The research instrument used is a questionnaire. There are 56 students who are menstruating at SMA Negeri 1 Waisala. The data analysis was conducted using a dependent t-test (t-paired) if the data followed a normal distribution. The results show a significant effect of applying relaxation techniques in reducing stress among menstruating adolescents at SMA Negeri 1 Waisala, with a p-value of 0.000.

The Influence of Education on Pregnancy Danger Signs on the Knowledge of Pregnant Women in the Coastal and Island Areas

Windatania Mayasari — 2024-12-11

Pregnancy is a normal and natural process in a woman, during which physical, psychological, and social changes occur. Complications during pregnancy are one of the factors contributing to the increase in maternal mortality rates. Maternal knowledge plays a crucial role in efforts to reduce maternal mortality; a lack of knowledge in recognizing the danger signs of pregnancy can lead to insufficient and delayed anticipation during pregnancy. The objective is to analyze the effect of education on pregnancy danger signs on the knowledge of primigravida pregnant women in the coastal and island areas of Talaga Kambelo, Huamual Subdistrict, West Seram Regency. This study employs a quantitative research method with a quasi-experimental design. The research design used is the One Group Pretest-Posttest Design, where a single group is given the same intervention, and tests are conducted before and after the intervention. Providing education about the danger signs of pregnancy to primigravida mothers in coastal and island areas of Talaga Kambelo has a significant impact, as there is an improvement observed before and after conducting health education.

Comparison of Counter Pressure Massage and Hegu Point Cold Compress on Active Phase I Labor Pain

Reka Julia Utama — 2024-12-13

Labor pain can cause it weakness of the uterine muscles, obstruction of the birth canal and increased maternal anxiety. Anxiety can produce catecholamine hormones that cause tension in the pelvic muscles and affects the mother's pushing force during childbirth so that the pain increases and lengthens the delivery time increases the risk of maternal and fetal death. The purpose of this research is to determine the comparison of counter pressure massage (CPM) and Hegu point cold compresses for labor pain during the 1st active phase. The research method uses a randomized control trial design with two group pretest-posttest plan. Population in this study namely mothers who will give birth in the active phase of the 1st stage with the number of samples A total of 126 people were divided into 2 groups each CPM treatment and cold compresses will be given to the Hegu point. The measuring instruments used are the numerical pain rating scale (PNRS) and pain level recording sheets which have been proven valid and reliable, and have been widely used to measure pain levels. The analysis that will be used is univariate and bivariate analysis paired t test and independent t test. The results of the study showed that there was a difference in the intensity of labor pain during the first active phase before and after counter pressure massage (p=0.000) and cold compress at the hegu point (p=0.000). And there was no difference in the intensity of pain during the first active phase of labor between the counter pressure massage and cold compress groups in the Hegu point group (p=0.546>0.05). Cold compress counter pressure massage on the Hegu point is effective in reducing pain in the first stage of labor and counter pressure massage and cold compresses on the Hegu point group are equally effective in reducing labor pain.

Cervical Cancer Patient Experiences with Chemotherapy in Conducting Their Role as Wives

Jamila Rambe — 2024-12-14

Wives who suffer from cervical cancers and receive chemotherapy treatment potentially have the potential to experience a decrease in the reproductive function of the organs so that the role as a wife experiences changes such as impaired gynecological functions which result in nonfulfillment of sexual desires, pain during intercourse, bleeding, emotional disturbances, and fatigue so that the daily activities of cervical cancer sufferers experience a significant decrease. Objective to understand cervical cancer patients' experiences with chemotherapy in conducting their role as wives. the study was a qualitative design with a phenomenological approach. Data were collected using an interview with 8 participants and analyzed using colaizzi. Then, it is transcribed and analyzed repeatedly. The second step, analyzing, is conducted by extracting significant statements, categorizing, and understanding the essential meaning. In the third step, describing, the researcher communicates, concludes, and defines the phenomenon. 6 Themes are found in this research: 1) conducting the role as a wife part, 2) sexual relationship disorders, 3) self –concept disorder 4) anxiety of cancer 5) medication side effects, 6) getting the family support. The study result indicates that despite the side effects of chemotherapy experienced by wives who suffer from cervical cancer, they still can conduct their role as wives supported by the family.

Relationship between Nurses' Work Motivation and Nurses' Interprofessional Collaboration Practice toward Patient Satisfaction

Hezlin Ivana Miryam Marbun — 2024-12-14

Nurse work motivation is the internal and external forces that drive work behaviors, such as commitment and performance, by determining their direction, intensity, and duration. Interprofessional collaboration in nursing practice involves partnerships between nurses, healthcare teams, and patients with shared decision-making based on professional expertise. Patient satisfaction reflects perceptions of the quality of care compared to their expectations. This study aims to analyze the relationship between nurses' work motivation and patient satisfaction and the relationship between interprofessional collaboration in nursing practice. The study was quantitative with a correlation approach. 99 inpatients were involved in this study using convenience sampling. Data were collected using a questionnaire and analyzed using the Spearman rank statistical test. The results of the study showed that there was a relationship between nurse work motivation and patient satisfaction (0.027<0.05). There was a relationship between nurse interprofessional collaboration practice and patient satisfaction 0.007<0.05). It is expected that the work motivation and interprofessional collaboration practice of nurses can be further improved in services so that patient satisfaction increases and patient needs are met well.

Positive and Negative Syndrome Scale and High-Density Lipoprotein Cholesterol Levels

Arneil Sitepu — 2024-12-14

Schizophrenia is a chronic psychopathological disorder characterized by distortions in cognition, emotion, perception, and behavior. In addition, patients with schizophrenia have a higher risk of cardiometabolic problems, such as obesity, type 2 diabetes, hypertension, hyperglycemia, and dyslipidemia, compared to the general population. Objective to determine the correlation between the total score of the Positive and Negative Syndrome Scale (PANSS) and High-Density Lipopretein-Cholesterol (HDL-C) levels in men with chronic schizophrenia. The sampling method is non-probability sampling with consecutive sampling type with a total of 77 people. Samples that meet the inclusion criteria and are willing to participate in further research, will be interviewed with the Mini International Neuropsychiatric Interview (MINI) ICD-10 (A1) version where the diagnosis is made using diagnostic guidelines based on PPDGJ-III. If they meet the criteria, they are asked to fill out the PANSS questionnaire. This analysis uses the Pearson Correlation. The results with the correlation test between HDL-C level and total PANSS score were tested using the Pearson test. From the results above, it was obtained p-value<0.001 which indicates that there is a very significant correlation between PANSS score and HDL-C level. The Pearson correlation value of r=-0.68 suggests a negative correlation with strong correlation strength, this indicates that the lower the HDL-C level, the higher the total PANSS score. We found a negative correlation with a strong correlation, this suggests that the lower the HDL-C level, the higher the total PANSS score.

The Influence of the Glenn Doman Method on Social Interaction Ability of Children with Autism: A Quasi-Experimental Study

Reska Handayani — 2024-12-14

Autism is a spectrum disorder autism disorder (ASD) that experiences impaired social communication, repetitive behavior, very limited interests, and sensory behaviors that begin early in life. One of the methods used in autism intervention is the glenn doman method. This study aims to determine the influence of the gleen doman method on the social interaction ability of autistic children at SLB Autisma YPPA Padang City. The research method used is quasi-experimental with a one-group pretest and postest design. Assessment of children's Social Interaction skills using ATEC (Autism Treatment Evaluation Checkliest) observation sheets. The research was carried out in July-August 2023 with a sample of 15 people. The results of the statistical test obtained a value of 0.000, there was a significant difference between the social interaction of autistic children that there was an influence of the Glenn Doman Method on the social interaction of autistic children. The implementation of learning for children with autism using the gleen doman method needs support and motivation from all parties, both schools and families, so that the learning program can run continuously so that there is an increase in social interaction of children with autism.

Systematic Review: Analysis of Factors Shaping Safety Culture in the Mining Industry

Sri Yuli Rahayu — 2024-12-15

The mining industry plays an important role in economic development, but also presents significant occupational safety risks. Strengthening safety culture is crucial to protect workers and ensure the sustainability of company operations. This study aims to analyze the main factors that shape safety culture in the mining sector through a systematic review approach. This research method follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines by reviewing relevant literature published in the last five years. The analysis identified five main factors that influence safety culture: (1) management commitment, (2) safety training, (3) worker involvement, (4) effective communication, and (5) safe working environment. Strong management commitment has been shown to improve the provision of safety resources, such as personal protective equipment (PPE) and consistent supervision. Regular and innovative safety training can improve worker compliance with safety procedures. Active involvement of workers in safety-related decision-making promotes a sense of shared responsibility. Effective communication between management and workers improves understanding of occupational risks and safety procedures. In addition, ergonomic work environments and standardized equipment reduce the potential for accidents. This research confirms the importance of a holistic approach in strengthening safety culture in the mining industry. The integration of management leadership, comprehensive training, worker involvement, good communication, and supporting infrastructure are key in minimizing workplace accidents and creating a strong safety culture.

The Effect of the Use of Maternity Pillows on the Sleep Quality of Pregnant Women in the 3rd Trimester

Dwi Rahmawati — 2024-12-15

Sleep problems are common in most pregnant women. Physical, psychological and hormonal changes make women more pregnant may suffer from sleep disorders. The impact of sleep disturbances during pregnancy has been linked to an increased risk of premature birth, small babies for gestational age, and high blood pressure. The purpose of this study is to determine the effect of the use of maternity pillows on the sleep quality of pregnant women TM III. The research method used a quasi-design non-equivalent control group experiment. This research was conducted in the city of Jambi. The sampling technique used was purposive sampling with a total sample of 30 samples, 15 experimental groups and 15 control groups. Data analysis using T-Test. The results of the statistical test showed that the p-value was 0.020 <0.05, so it can be concluded that there was a significant difference in sleep quality between pregnant women who were given maternity pillows and pregnant women who were not given maternity pillows.

Comparison of the Effect of Apium Graveolens L Decoction and Annona Muricata L Decoction on Blood Pressure Reduction in Pre-Elderly

Andi Bintang — 2024-12-15

Hypertension is a non-communicable disease and is a major factor in health problems in the world because of its high prevalence. In general, a person is considered to have hypertension if his blood pressure is more than 140/90 mmHg. So hypertension is a big challenge in Indonesia because it is often found in primary health services or in health centers. This study aims to determine the comparison of the Effect of Apium Graveolens L Decoction and Annona Muricata L Decoction on Reducing Blood Pressure in the Pre-Elderly at the Bajoe Health Center, Bone Regency. This study is a quasi-experimental study with a non-equivalent pretest-postest design with control group. The sample in this study is Pre-Elderly aged 45-59 years with a diagnosis of hypertension as many as 40 people at the Bajoe Health Center, Bone Regency. divided into two groups, namely the Apium Graveolens L decoction intervention group of 20 people and the Annona Muricata L decoction intervention group of 20 people according to the inclusion and exclusion criteria. Based on the dependent t-test statistical test, it can be seen that there is an effect of Apium Graveolens L decoction on the decrease in blood pressure with a p- value of 0.000 (p<0.05), while the results of the dependent t-test statistical test can be seen that there is an effect on the decrease in systolic blood pressure with a value of p 0.000 (p<0.05). Meanwhile, diastolic blood pressure has no effect with a value of p 0.106 (p>0.05). So it can be concluded that there is a comparison of the effect of Apium Graveolens L decoction and Annona Muricata L decoction on the reduction of blood pressure in the pre-elderly.

The Relationship between Education Levels with Knowledge, Attitudes, and Practice in Hypertension Patients

Nimas Citra Nur Baety — 2024-12-16

Hypertension is called a “silent killer”, many hypertension sufferers do not realize that they have hypertension because hypertension is often asymptomatic so, hypertension sufferers only realize that they have hypertension after they experience complications. This study focuses on examining the relationship between education level with the knowledge, attitudes, and practices of hypertension patients. This study uses quantitative research, with the research design using a cross-sectional study. The sampling technique used is a purposive sampling technique. The samples taken were 100 samples of hypertension patients at dr. Soeratno Sragen Regional Hospital. The research instrument used the knowledge, attitude, practice (KAP) questionnaire. The results of the study showed that there was a relationship between the level of education with the knowledge and attitudes of hypertensive patients, each of which produced a p-value = 0.029 <0.05 and p-value = 0.002 <0.05. The results of the next study, namely the level of education with the behavior of hypertensive patients, showed no significant relationship with p-value = 0.459> 0.05. The higher the level of education affects a person's knowledge and attitude, the better the level of education, the better the level of knowledge and attitude. While from the statistical test between the level of education and practice, there is no relationship between the two, this shows that someone with a high level of education does not necessarily have a good practice. Practice can be formed from many factors, not only from the level of education.

Sleep Duration and Parenting Styles' Effects on Children's Development and Growth

Nabila Retno Putri Budiyanto — 2024-12-16

Continuous growth and development, several influencing factors are sleep duration and parenting style. Children's mental, physical, and emotional health all depend on getting enough good sleep. Academic success, emotional control, and overall well-being are all enhanced by getting enough sleep. The purpose of this research is to ascertain whether parenting styles and sleep duration have an impact on the growth and development of children. Cross-sectional study design was used. The Denver Development Screening Test sheet, the Pittsburgh Sleep Quality Index (PSQI), and the Parenting Styles and Dimensions Questionnaire (PSDQ) were the measurement tools utilized. There were twenty-one children in the sample, ages four to five. Purposive sampling was used in the sampling procedure. Statistical test results of sleep duration with growth (p value: 0.323), sleep duration with development (p value: 0.696), parenting style with growth (p value: 0.247) and parenting patterns with development (p value: 0.497). There is no relationship between sleep duration and parenting style on the growth and development of children aged 4-5 years.

The Effect of African Leaf Tea on Changes in Hematocrit and Blood Pressure

Yayan Hartika — 2024-12-19

Hypertension is a non-communicable disease that often presents without symptoms and is one of the leading causes of death worldwide. The prevalence of hypertension is significantly higher in women compared to men. Among women of childbearing age, hypertension increases the risk of complications during pregnancy, such as preeclampsia and bleeding. Elevated hematocrit levels are strongly associated with hypertension in women, contributing to increased vascular resistance and blood pressure. Efforts to manage hypertension include pharmacological and non-pharmacological therapies. In North Maluku, one of the traditional healing practices passed down through generations for lowering blood pressure involves the use of African leaves (Vernonia amygdalina). This study aims to analyze changes in hematocrit levels and blood pressure in women of childbearing age with hypertension before and after consuming 2.4 grams of African leaf tea (Vernonia amygdalina) for 14 days as a companion to antihypertensive medicine. This research employed a true experimental design with a pretest-posttest control group format. The population consisted of 97 hypertensive women of childbearing age in the service area of the Sanana Public Health Center, Sula Islands, North Maluku. A total of 32 participants were randomly selected. The intervention group received Amlodipine 5 mg as an antihypertensive medication along with 2.4 grams of African leaf tea consumed once daily for 14 days. Blood pressure measurements and venous blood sampling for hematocrit level analysis were conducted on days 8 and 15. Data were analyzed using the General Linear Model Repeated Measures (GLM-RM) approach. The findings demonstrated significant reductions in hematocrit levels and blood pressure among hypertensive women of childbearing age in the intervention group, with a p-value of 0.000. The administration of 2.4 grams of African leaf tea (Vernonia amygdalina) daily for 14 days, as a complementary therapy to antihypertensive medication, is effective in reducing hematocrit levels and blood pressure in women of childbearing age with hypertension.

The Effect of Mindfulness-Based Cognitive Therapy on Anxiety and Depression Levels in Breast Cancer Patients: A Systematic Review

Norwinda Norwinda — 2024-12-19

Cancer is closely associated with several anxiety issues and depression is the most common comorbidity of cancer. It has been stated that 60% of individuals with cancer have psychological symptoms (depression and anxiety) related to cancer and according to the American Cancer Society, more than 25% of cancer patients suffer from symptoms of clinical depression. Methods: This study is a systematic review that analyzes 11 articles that are relevant to the topic, articles are searched through Pubmed, SpringerLink, Sciencedirect and Google Scholar from 2019-2023. Keywords used ((“Mindfulness Based Cognitive Therapy” OR “MBCT”) AND (“Anxiety” OR “Anxiety Disorders”) AND (“Depression” OR “Depressive Disorder”) AND (“Breast Cancer” OR “Breast Neoplasm” OR “Breast Carcinoma” OR “Breast Tumor'')).Results: The provision of mindfulness based cognitive therapy in 11 articles applied to various ages and to patients experiencing anxiety and depression in various countries with results showing effectiveness in preventing relapse and overcoming anxiety and depression by providing therapy for 8 weeks with a single administration for 90 minutes. Conclusion: The provision of mindfulness based cognitive therapy for 8 weeks with a single administration for 90 minutes can prevent and overcome anxiety and depression. Therefore, it is expected that nurses can apply this evidence based nursing as a preventive and curative effort.

The Relationship Between the Level of Knowledge and Adherence to Taking Medication for the Prevention of Hypertension

Dhuma Aza Alwintara — 2024-12-19

High blood pressure or hypertension is a condition where blood pressure always exceeds normal limits, with systolic blood pressure exceeding 140 mmHg and diastolic blood pressure exceeding 90 mmHg. The aim of this research is to identify whether there is a relationship between the level of knowledge and compliance in taking medication in elderly people who suffer from hypertension. This research applies a quantitative approach with a sample of 96 respondents, selected using a random sampling technique (random sampling). The data in this study were analyzed univariately and bivariately, by applying the Spearman test to assess the relationship between all the variables studied. Data collection was carried out using a questionnaire that measured the level of knowledge, namely, with the validity and reliability of Cronbach alpha values of 0.856 for 21 valid questions, and compliance with taking medication, namely, with the validity and reliability of Cronbach alpha values of 0.728 for 8 valid questions. Two questionnaires were used in this study: Compliance Level and MMAS 8. The results of the analysis of respondents' level of knowledge revealed that the majority of respondents had good knowledge, namely 66.7%, followed by sufficient knowledge at 30.2%, and insufficient knowledge at 3.1%. Meanwhile, for the level of compliance with taking medication, the majority of respondents were compliant (71.9%), followed by moderate (25.3%) and low (3.1%) levels of compliance.Reviewing the results of the Spearman Rank (Rho) statistical test, we obtained a value of 0.075 with a p-value = 0.05, which indicates that there is no significant relationship between the level of knowledge and compliance in taking medication.

Effectiveness of Supportive Care Interventions on Psychological Distress in Breast Cancer Patients

Desi Lianti Sari Hasibuan — 2024-12-19

Supportive care interventions (SCI) are interventions used as symptom management of the side effects of breast cancer disease and treatment. This study aims to analyze the effectiveness of supportive care interventions on psychological distress in patients diagnosed with breast cancer. The research method used a quasi-experimental non-equivalent design with control group pretest-posttest, the research sample was 50 respondents consisting of two groups with each group of 25 respondents. Psychological distress (PD) was assessed using the Hospital Anxiety and Depression Scale (HADS. The bivariate analysis used was paired t-test and independent t-test. The results showed that there was a significant difference in psychological distress in the intervention group and control group after supportive care interventions with an average value of psychological distress (anxiety) in the intervention group (Mean = 4.16; SD = 1.700) and the control group (Mean = 0.24; SD = 0.879), while the average value of psychological distress (depression) in the intervention group was (Mean = 3.24; SD = 1.53) and the control group (Mean = 0.28; SD = 0.76). Statistical results obtained p=0.001 (<0.05). The conclusion of this study is that there is an effectiveness of supportive care interventions on psychological distress of breast cancer patients.

The Impact of Loneliness on Electronic Cigarette use Among Adolescents: A Scoping Review

Zulkifli Zulkifli — 2024-12-20

Loneliness is increasingly recognised as a significant factor affecting adolescent health behaviours. Recent studies have indicated a potential link between feelings of loneliness and the rise in electronic cigarette (e-cigarette) usage among teenagers. This scoping review aims to systematically explore and synthesize the literature regarding the influence of loneliness on e-cigarette use among adolescents, identifying gaps and areas for further research. A comprehensive literature search was conducted following the PRISMA-ScR guidelines. Databases such as PubMed, Scopus, and Web of Science were utilised to locate peer-reviewed articles published in the last 10 years. Inclusion criteria focused on studies discussing loneliness and e-cigarette use among adolescents. Data extraction involved thematic analysis to identify recurring themes and outcomes. Preliminary findings indicate a positive correlation between feelings of loneliness and increased e-cigarette consumption in adolescents. The review highlights various psychosocial factors, including peer influence and mental health, contributing to this trend. The findings underscore the importance of addressing loneliness as a critical determinant in the promotion of e-cigarette use among youth. Future interventions should consider targeting social connectedness to mitigate the impact of loneliness on health behaviours.

Concept Analysis of Vasectomy Method Selection Decisions: A Literature Review

Wahyu Wahyu — 2024-12-20

Indonesia faces a significant challenge with a high population growth rate that affects development quality and family welfare. One solution is to increase male participation in the family planning program through contraceptive methods such as vasectomy. However, the acceptance rate of vasectomy is still low due to various factors. This study analyzes the factors influencing vasectomy acceptance by identifying its attributes, antecedents, and consequences. This study used Walker and Avant's concept analysis approach. The literature analyzed came from various databases, such as PubMed and ProQuest, with publications from 2019 to 2024. A total of 129 articles were found, and 24 articles met the inclusion criteria for further review. The analysis identified four main attributes that influenced the decision to choose vasectomy: knowledge, wife support, economic factors, and planning for the number of children. Antecedents such as age, education, and occupation shaped the level of knowledge, which, together with wife support and economic factors, influenced the family's decision to choose vasectomy. Consequently, vasectomy is accepted as an effective, safe, and cost-effective family planning method. This analysis highlights the need for comprehensive information and support to enhance men's participation in family planning programs through vasectomy.

Effectiveness of Telenursing as Psychoeducation on Family Burden and Knowledge Level on Schizophrenia Patient: A Literature Review

Putu Cintariasih — 2024-12-20

Schizophrenia patients often experience significant challenges in daily functioning, leading to dependence on caregivers and imposing a substantial burden on families. This literature review aims to examine the effectiveness of telenursing-based psychoeducation in improving family knowledge and reducing family burden in the care of schizophrenia patients. A comprehensive literature review was conducted, analyzing 15 articles published between August 2014 and August 2024. Articles were sourced from Google Scholar and PubMed for English-language studies, and Google Scholar for Indonesian-language studies. The PRISMA framework and PICO methodology guided the selection and analysis of relevant studies. The findings from the 15 selected articles demonstrate that telenursing-based psychoeducation effectively reduces family burden and enhances caregivers' knowledge in managing schizophrenia patients. Various approaches, including telenursing interventions, technology-based applications, and traditional psychoeducation methods, provide significant benefits and can be integrated into mental health care practices. The successful implementation of telenursing-based psychoeducation requires active commitment, resilience, and collaboration from both nurses and family members involved in the care of schizophrenia patients.

The Influence of Work Climate on Nurse Performance: A Scoping Review

Aulia Haerda Diantika — 2024-12-21

Health is a very vital aspect of human life, and the role of nurses is very central in providing quality health services. Nurses must not only have high levels of clinical competency but must also operate in a supportive, positive, and inclusive work environment. However, understanding of the impact of work climate on nurse performance is still limited, especially in hospital environments and health care facilities. This study aims to explore the influence of work climate on nurse performance in the context of health services. The scoping review method was used to identify and summarize relevant literature. We searched for articles from the Google Scholar database and the Garuda Portal from January 2018 to September 2023 using the keywords ‘work climate’ OR ‘performance’ AND ‘nurse performance.’ Inclusion and exclusion criteria were applied to select appropriate articles, and finally, we analyzed the findings of seven articles that met these criteria. The research results show that work climate has a significant impact on nurse performance in various hospital contexts. This finding is strengthened by previous studies that confirm that a positive work environment can increase nurses' motivation and performance.

Relationship between Knowledge and Patient Attitude in Preventing Complications of Diabetes Mellitus Foot Wounds

Danisa Bella Syaharani — 2024-12-22

Diabetes mellitus is a disease that can cause serious complications, including foot wounds which can lead to diabetes mellitus and amputation. Therefore, the aim of this research is to determine the relationship between knowledge and patient attitudes in preventing complications of diabetes mellitus at the Kartasura Community Health Center, Sukoharjo Regency. The instrument used in this research was a structural questionnaire to measure the patient's level of knowledge and attitudes with validity and reliability values of 0.621-0.633. Respondents in the study involving patients diagnosed with diabetes mellitus and currently undergoing treatment at the Kartasura Health Center, totaling 70 respondents, used a purposive sampling technique. This research shows that there is a relationship between the level of knowledge and attitudes of patients in preventing complications of foot wounds due to diabetes mellitus, with a significant parameter value (p-value) = (0.04) which shows a fairly strong correlation with an r value of 0.342. By using the Spearman Rho test, the results of research conducted by researchers show that there is a relationship between knowledge and patient attitudes in preventing complications of diabetes mellitus foot wounds. In conclusion, the higher the patient's knowledge, the more positive the patient's attitude is in implementing preventive measures against complications of foot wounds due to diabetes mellitus.

Nurse Recruitment in Conflict-Prone Areas: Systematic Review

Basri Basri — 2024-12-22

Recruitment of nurses in conflict zones often raises issues, and recruitment techniques are always difficult to adapt to the challenges that may arise in conflict environments (Sadhaan et al., 2022). The recruitment process of nurses in conflict areas often focuses on staffing needs, without considering other important criteria such as lack of information, transparency about the work environment, minimal security support, and lack of recruitment standards that are more appropriate to conflict conditions. (The lack of nurses' desire to work in conflict areas is a multifaceted problem that is influenced by various factors, including conflict management, working conditions, career expectations and systemic barriers (T. Pono et al., 2023). The purpose of this systematic review is to determine the impact of nurse recruitment for conflict areas. This study was conducted using 15 literature selections using the PRISMA approach to analyze 15 articles taken from 4 databases: Clarivate, SAGE, Pubmed, Scopus in 2019-2024. The keyword combinations used were: (“Conflict Impact” OR “Conflict Area” AND “Nurse Recruitment”). In assessing the bias and methodological quality of the articles obtained, this study used the Joanna Briggs Institute (JBI) critical assessment with a bias score range of 75-100%. Out of 856 articles, 15 research articles met the inclusion criteria of nurses' experience working in conflict areas. The conclusion of this study is that the recruitment of nurses in conflict-prone areas shows that the main challenges include security, the urgent need for medical personnel, and specialized skills in handling crisis situations. in this case, recruited nurses must have high adaptability and training in stress management and medical techniques in emergency conditions.

Health Policy Implementation Survey on Residential Health Assessment in the West Lombok

Arif Sofyandi — 2024-12-22

A healthy home is a place of refuge or shelter and a place to rest so as to create a perfect life both physically, spiritually and socially. This research uses healthy home survey research using observation and interview techniques. The instrument in this research was to use the healthy house requirements form according to the Indonesian Ministry of Health No.829/Menkes/SK/VII/1999 concerning residential health requirements. The population in this study were all residents in Selamat Village. This research is a qualitative descriptive research, sampling using a purposive sampling technique. The sampling technique that is in accordance with the wishes of the researcher is purposive sampling. Purposive sampling is a technique for determining research samples that is based on the researcher's consideration of samples that are considered appropriate and representative. The informan in this study was 15 people. The research location is Gunung Jae Hamlet, Sheet Village, Sheet District, West Lombok Regency. As a result of the research, the assessment of healthy houses is seen from 3 aspects, namely house components, sanitation and the behavior of the occupants. Of the 15 houses, there is 1 house that is in the healthy category and 14 houses that are in the unhealthy category.

Evaluation of the Implementation of Community-Based Interventions (CBI) in Drug Abuse Prevention Programs in North Sumatra Province

Tiara Rajagukguk — 2024-12-22

North Sumatra Province has the highest number of drug cases in Indonesia, with 2,049 cases until the first quarter of 2021. The dangers of drug abuse have spread to school-age children, based on the results of the 2021 BNN National Survey, there was an increase in drug exposure in the 15-24 year age group. The Community-Based Intervention (IBM) Program reflects the government's serious attention to efforts to deal with drug abuse in the community. Although since 2021 the North Sumatra BNNP has implemented the IBM program, the prevalence of drug abuse in North Sumatra Province is still high. Therefore, this study was conducted with the aim of 1) evaluating the effectiveness of the IBM program as a drug abuse prevention program. 2) to find out what are the inhibiting and supporting factors in implementing the IBM program . The research method used is a qualitative method that is evaluative in nature. Data collection uses three methods, namely observation, interviews and documentation. The selection of informants using the purposive sampling technique to be interviewed, namely the researcher selects informants who have the appropriate criteria to be interviewed. The theory used is the socialization theory by George Herbert Mead in analyzing and discussing the existing findings. The evaluation of the IBM program is expected to provide significant contributions to the literature on drug abuse prevention in the community and provide practical insights for Recovery Agents (AP), Practitioners, and BNN. The results of the study and discussion explain that 1) That the IBM program in the North Sumatra Province is quite effective, this is due to the maximum cooperation of the North Sumatra Province BNN with the community and Recovery Agents. 2 Internal barriers include lack of human resources, facilities, and program adjustments to the community. External barriers include social stigma, lack of family support, and environmental influences such as friends and drug dealers. Both of these factors hinder the effectiveness of rehabilitation programs.

Overview of Family Functions in Bola Hamlet, Bola Village

Gabriel Mane — 2024-12-24

The family serves as the foundational unit of society, playing a critical role in maintaining the physical, mental, and social well-being of its members. This includes responsibilities for caregiving, particularly for children, parents, and members requiring special attention. Families are tasked with meeting physical, emotional, and social needs while ensuring access to appropriate health services. Additionally, they provide a safe and nurturing environment, fostering the holistic development of children. Families act as the first line of defense against harm, violence, and abuse and are especially vital in protecting vulnerable groups such as children, pregnant women, and the elderly. According to data from the Sikka Regency Health Office, there are 106,627 families in the region, including 118 families in Bola Hamlet. Objective to examine the functions of families in Bola Hamlet. This quantitative research employs a descriptive design aimed at understanding and outlining current conditions within a community. The study involved a population of 168 families and utilized an incidental sampling technique for data collection, with questionnaires as the primary instrument. Data yang di kumpulkan di klarifikasi dan di tabulasi, kemudian di olah serta disajikan dalam bentuk table frekuensi atau variabel penelitian di interpretasikan dengan menggunakan skala ordinal yaitu. Baik > 75 – 100%, cukup 50 – 74 %, kurang < 49 % The findings reveal that the most prominent family function is the socialization function, with 60 respondents (50%) categorized as sufficient. This is followed by the affective function, with 50 respondents (42%) in the sufficient category; the religious function, with 48 respondents (41%); the economic function, with 58 respondents (49%); and, lastly, the family care function, which showed the lowest performance, with only 33 respondents (27%) categorized as sufficient. This study provides an overview of family functions, including affective, socialization, economic, religious, and family care functions, concerning demographic factors such as age, gender, education, and occupation.

Coping Mechanisms in Schizophrenia Patients: Concept Analysis

Asriyani Asriyani — 2024-12-24

Coping mechanisms greatly help schizophrenia patients deal with psychotic symptoms such as hallucinations, delusions, and disorganized thoughts, as well as manage the emotional and social effects of their illness. The purpose of this concept analysis is to gain a more detailed and in-depth understanding of the use of coping mechanisms as part of schizophrenia therapy. This concept analysis uses the Walker and Avant approach with relevant literature findings related to the concept were obtained through concept databases such as Google Scholar, PubMed, Scopus, etc. Keywords used in the literature search include "Coping mechanisms", and "Scizophrenia". The inclusion criteria for articles were articles written in English and Indonesian, full text, and articles published in the last 5 years from 2019-2024 and open access as many as 7 articles. The results Adaptive coping mechanisms, such as problem solving and seeking social support, can help patients deal with stress, reduce symptoms, and improve their quality of life. Conversely, maladaptive coping strategies, such as avoidance or denial, actually risk worsening the patient's condition, increasing social isolation, and increasing the likelihood of symptom recurrence. It is hoped that more in-depth education about effective coping mechanisms needs to be included in nurse training and patient counseling.

Mothers' Knowledge about Feeding Children Aged 6-24 Months

Erniawati Pujiningsih — 2024-12-25

Proper provision of complementary foods starting from the age of 6-24 months and continuing breastfeeding until the age of 2 years must be optimized by increasing maternal knowledge. This is because mothers have an important role in the growth and development of children, especially maternal knowledge has an influence on the mindset and level of concern to provide the right food intake for their children. The purpose of this study was to identify the characteristics of respondents based on age, education and occupation. Identify mother's knowledge about complementary feeding for children aged 6-24 months in Giri Madia village. This study used descriptive method. The sample size was 44 people with sampling using simple random sampling technique. Data collection using a questionnaire, where the questionnaire has been used during preliminary studies by showing very good results, namely 6 out of 10 respondents said that complementary foods should be given at the age of 6 months. Respondents were asked to select one of the available answers by ticking, namely: true or false. Data processing was carried out with several stages, namely editing, coding, tabulating, and cleaning. The results showed that the characteristics of respondents based on age were mostly early adulthood as many as 23 respondents (52%), education almost half had a junior high school education as many as 21 respondents (47.7%), the occupation of almost all respondents was working.

The Effect of Benson Relaxation and Peppermint Aromatherapy on Emotional Mental Disorders in Hypertension Patients

Wahyudi Qorahman MM — 2024-12-25

Emotional mental disorders in individuals with hypertension can worsen their physical condition and reduce the success of their treatment. Effective interventions are needed to address emotional mental disorders in hypertension patients. One non-pharmacological method that has been studied is the combination of Benson relaxation techniques and peppermint aromatherapy. Objective: This study aims to evaluate the effects of Benson relaxation and peppermint aromatherapy on emotional and mental disorders in hypertension patients. Method: This research used a quasi-experimental design with a pre-test and post-test control group. A total of 30 hypertension patients with emotional mental disorders were selected through random sampling and divided into intervention and control groups. The intervention consisted of Benson relaxation techniques and peppermint aromatherapy. Measurements were conducted using the SRQ-20 questionnaire to evaluate emotional mental disorders before and after the intervention. Data analysis included paired-sample T-tests to compare pre-test and post-test results, as well as Mann-Whitney tests for comparisons between the intervention and control groups. Results: The study results showed that Benson relaxation and peppermint aromatherapy were significantly effective in reducing emotional mental disorders in hypertension patients, with a P value = 0.001 (P ≤ 0.05). There was a significant difference between the intervention and control groups, with the intervention group demonstrating better results in reducing emotional mental disorders. Conclusions: This study concludes that Benson relaxation and peppermint aromatherapy are significantly effective in reducing emotional mental disorders in hypertension patients. This intervention can serve as a potential non-pharmacological approach and complement conventional medical treatments, offering holistic benefits in hypertension management.

The Effect of Spiritual Group Therapy on Reducing Death Anxiety in Patients with Chronic Kidney Failure

Zuliya Indah Fatmawati — 2024-12-25

Chronic kidney failure can cause various complications, including complications in physiological disorders and psychological disorders. Complications in terms of psychology can be influenced by predisposing factors, including feelings of uncertainty about health conditions, choices and treatment results. Every one patients with chronic kidney failure undergoing hemodialysis usually has a different response to the disease process being experienced, especially from a psychological perspective. The patient's understanding of the limited time they have makes the patient death anxiety experience. Objective: The aim of this study was to reduce death anxiety in patients with chronic kidney failure undergoing hemodialysis Results: There is a difference in DAS (death anxiety scale) before and after the intervention. The results of the study using the Mann-Whitney statistical analysis test showed a difference in the Death Anxiety Scale (DAS) with a P value of 0.000 between the intervention group and the control group after treatment.. Conclusions : Spiritual group therapy is effective in reducing DAS levels in patients with chronicrenal failure undergoing hemodialysis. In accordance with the purpose of providing group spiritual therapy, the mechanism for reducing anxiety by involving patients with chronic kidney disease includes discussion sessions where patients can encourage each other, exchange information, and pray together, thereby helping to alleviate the mental burden that causes anxiety.

The Activity Antihiperglikemi Fraksi- fraksi Extract Ethanol Leaves Sembung (Blumea Balsamifera (L. ) DC) in Rats Induced Streptozotozin Nikotinamid

Joseph Billi — 2024-12-25

Diabetes mellitus (DM endokrinologis) is a disease or abnormality metabolic disorder is a group of heterogeneous where impaired insulin secretion can cause high blood glucose levels (abnormal settled) and glucose intolerance. It is characterized by abnormally high blood sugar (hiperglikemia). Hiperglikemia is a situation where patients fasting blood sugar levels rose above 110 mg / dl blood sugar levels and 2 hours after eating (PP) above 140 mg / dl. The discovery of herbal ingredients for antihyperglycemia is very necessary because diabetes is one of the most common diseases in the world. Blumea balsamifera leaf extract (BBLE) is known to be able to lower blood sugar levels because it has metabolite compounds that play a role in lowering blood sugar levels. Objective to evaluate the antihyperglycemic activity of ethanol extract and various fractions of sembung leaves (Blumea balsamifera) against streptozotocin-nicotinamide-induced rats. Method: This study used a randomized post-test only control group. Extraction was carried out using ethanol, then evaporated. Fractionation was carried out using the liquid-liquid extraction method, using water, ethyl acetate and n-hexane as solvents. For 10 days, 30 male Wistar rats were adapted, then their blood sugar levels were measured 2 hours after measuring their blood sugar levels, the test animals were given stz-na then left for 2 weeks after being given stz-na, when the blood sugar levels of the test animals were above 200 then given ethanol extract, water fraction, ethyl acetate fraction, n-hexane fraction and glibenclamide as positive controls and observed for 2 weeks until the blood sugar levels of the test animals could return to normal or below 200. Ethanol extract, n-hexane fraction, ethyl acetate fraction, water fraction and positive control are able to reduce blood sugar levels as seen from the following percentage reduction extract of 47.46 on day 17 and percentage reduction on day 24 of 75.62. n-hexane fraction of 46.19 on day 17 and percentage reduction on day 24 of 74.22. Ethyl acetate fraction of 51.22 on day 17 and percentage reduction on day 24 of 82.47. Water fraction of 56.46 on day 17 and percentage reduction on day 24 of 84.48. Positive control (glibenclamide) of 54.85 on day 17 and percentage reduction on day 24 of 83.17. Ethanol extract and fractions of sembung leaves (Blumea balsamifera (L.) DC) have antihyperglycemic activity against streptozotocin-nicotinamide-induced mice, and the best in reducing blood sugar levels in mice is the water fraction group followed by positive control and the next sequence is the ethyl acetate

The Effectiveness of Hypnotherapy Movement and Affirmation (HYMA) on Anxiety Status with A Review of Changes in Blood Profiles and Cortisol Hormone Levels in Schizophrenia Patients

Ade Sucipto — 2024-12-25

Schizophrenia is a condition characterized by abnormal social behavior and an inability to understand reality. Mental health Schizophrenia is a severe and serious mental disorder that can become chronic from a young age because it involves changes in physical, psychological and socio-cultural aspects. Inappropriate treatment of schizophrenia patients will always have an impact on anxiety conditions, slurred or confused thinking, decreased auditory hallucinations, reduced social involvement and emotional expression, and lack of motivation. Management is carried out with pharmacological and non-pharmacological complementary, one of which is Hypnotherapy Movement And Affirmation. Objective: The study aims to analyze the effect of Hypnotherapy Movement And Affirmation (HYMA) On Anxiety Status With A Review Of Blood Profile Changes and Cortisol Hormone In Schizophrenia Patients. Method: The research design used quasi-experimental with a pretest - posttest approach with control group design. The research population was Schizophrenia patients with purposive sampling. The sample in this study was 18 respondents, divided into an experimental group of 9 respondents and a control group of 9 respondents. The experimental group was given Hypnotherapy Movement and Affirmation with the implementation of the action carried out for 2 weeks and each session was carried out for 20 minutes, while the control group only received basic treatment from the Health Center. Result: Based on the Mann Whitney test of the experimental group of cortisol measurements obtained significant results of 0.017 (p <0.05), Erythrocyte measurements obtained significant results of 0.507 (p> 0.05), and Leukocyte measurements 0.930 (p> 0.05). It can be concluded that there is a significant difference in the Complementary Hypnotherapy Movement And Affirmation (HYMA) combination group on cortisol hormone measurements, while there is no significant difference in the measurements of erythrocytes and Leukocytes of respondents. Conclusions: Combination of Hypnotherapy Movement And Affirmation (HYMA) therapy is able to reduce anxiety scale and cortisol hormone levels. Although the profile of Erythrocyte and Leukocyte values has not shown significant changes and associations with schizophrenia in the experimental group or the control group.

Effectiveness of Complementary Yoga and Lemon Aromatherapy Therapy on Scores of Burnout Signs and Symptoms in Health Workers in Hospitals

Eko Budi Laksono — 2024-12-26

The Influence of Health Education in Increasing Knowledge of Preventing Urinary Tract Infections (UTIs) in Children

Erina Anindya Putri — 2024-12-26

Increasing knowledge about the prevention of urinary tract infections (UTIs) in children is very relevant to nursing. UTIs are common in children, potentially affecting their quality of life and causing significant complications if not treated or prevented properly. Health education plays a crucial role in empowering caregivers and children to adopt preventive measures. This health education aims to increase children's awareness, improve their quality of life, and reduce the incidence of urinary tract infections (UTIs). This study is a quantitative research, using a pre-experimental study with a one-group pretest posttest design. The research sample included 22 children selected based on purposive sampling. The data collected includes demographic data and pretest-posttest data. The data analysis will be displayed in distribution, frequency, and percentage formats. The results of this study showed that of the 22 respondents, the average pretest score was 5.45, which increased to 8.55 after the intervention. The results of the pretest-posttest showed an increase in knowledge with a percentage of 18.4%. Statistical analysis showed that the pretest-posttest assessment resulted in a p-value of 0.000 (< 0.05) and a t-value of -15.739. These results show a significant increase in knowledge after the health education intervention.

The Relationship between Maternal Knowledge and Attitude and Compliance with Basic Immunization in Infants 0-12 Months

Viony Ersantyas Rosanery — 2024-12-26

Since 1956, the Indonesian public health program has carried out a health program, namely immunization. Immunization is a government health measure that has been proven effective in overcoming six diseases that can affect children, namely : tuberculosis, diphtheria, pertussis, measles, tetanus, and polio. The Indonesian Ministry of Health stated that in December 2023 and January 2024 there were cases of poliomyelitis or exposure to the VDPV TYPE 2 virus. The level of knowledge, attitude and compliance of mothers is very important for the provision of immunizations routinely to their children. Objective to observe the relationship between maternal knowledge and attitudes and compliance with basic immunization in infants 0-12 months at the Kartasura Health Center. This research is included in the quantitative type and the information is measured using a questionnaire measuring tool. This research is cross-sectional and data collection is obtained by purposive sampling. The community involved were as many as 93 mothers who had babies aged 0-12 months who came to the Kartasura Health Center. The level of knowledge, attitude and compliance of mothers is measured by the knowledge, attitude and practice questionnaire (KAP). In addition, the KAP instrument has been tested for reliability and validity, Cronbach's alpha coefficient was found to be 0.703. This questionnaire was made to assess the role of the following parameters to understand the knowledge, attitudes and practices (KAP) of mothers regarding basic immunization such as filling in maternal demographic data, age of the child, how many children to be to, name of the vaccine given, vaccine dose, continuing vaccination after immunization reaction, adhering to the immunization schedule. The findings showed that as many as 83 respondents (62.9%) had strong knowledge in basic immunization, 72 respondents (54.5%) had a good attitude towards basic immunization, while 75 respondents (51.8%) had good adherence to basic immunization. The results of the p value of 0.2373 were obtained, the results of the study stated that there was no relationship between the level of basic immunization knowledge and compliance with the administration of basic immunization in infants at the Kartasura Health Center. In addition, in the Kartasura Health Center, there was a correlation, related to the p value of 0.0005, between attitudes towards basic immunization and compliance with the administration of basic immunization to newborns.

Analysis of the Demographic Status of Diabetes Mellitus Patients in Participation in the Non-Communicable Disease Management Program

Ricko Dwi Haryanto — 2024-12-26

NCD (Non-Communicable Diseases) activities support the proactive management of DM. This activity includes medical consultation, group education, home visits and health screenings for participants, and health education and counselling. Diabetes can be controlled using serious attention from all parties to improve the patient’s quality of life. So, NCDs (Non-communicable diseases) effectively improve the status of patient self-health maintenance. Objective to analyse the demographic status of diabetic Mellitus patients using the NCD (Non-Communicable Disease) Management program at the Nagrak Health Center, Cianjur Regency Correlative descriptive research method with a cross-sectional approach. A sample of 330 patients was taken using the random stratified sampling technique conducted in September 2023. The demographic status of the age group is related to the p-value (<0.001) on the level of utilisation of NCD (Non-Communicable Diseases) services in the Working Area of the Nagrak Health Center, Cianjur Regency by obtaining from 307 respondents with productive age to pre-elderly (37-59 years), there are 218 people (71%) whose utilisation rate of prolanis services is high, while from 23 respondents with elderly age up to high-risk elderly (60-80 years old), there are seven people (30.4%) whose utilisation rate of NCD (Non-Communicable Diseases) services. Factors affecting the coverage of participation of patients with diabetes mellitus in the NCD (Non-Communicable Disease) program are age and gender.

Telenursing Education Based on Health Belief Model Improves Self-Care for Hypertension Patients

Emdat Suprayitno — 2024-12-26

Non-communicable diseases (NCDs) are prevalent in society, especially in Indonesia, including hypertension. The emergence of health problems here is caused by individual negligence, such as unhealthy eating patterns and can also be caused by public ignorance about maintaining health. The purpose of this study was to determine the effect of telenursing education on self-care management in hypertension patients in the Manding Health Center work area. The research method used in this study uses quantitative research using design Quasi Experimental, with control group (pretest-posttest with control group design). The sampling method used in this study was simple random sampling. Data collection used a questionnaire with the Borg Scale and Leiceste Cugh Questionnaire instruments. This study began with a pretest then provided telenursing self-care management education once a week for one month in the treatment group and continued with a posttest. The results of this study indicate that there is an influence before and after being given telenursing education on the treatment group. Based on the Wilcoxon test in the treatment group before and after being given education, p = 0.000 (p <α) was obtained, which means that there is an influence of Telenursing Self Care Management Education on Self Care Management in hypertension patients. Seeing the results of this study, it is recommended for hypertension sufferers to pay more attention to their health and carry out all components of hypertension control in a disciplined manner.

The Effect of Physical Activity on Reducing Blood Sugar Levels in Type-2 Diabetes Mellitus Patients: Systematic Review

Geladis Titanik — 2024-12-27

Diabetes mellitus is a metabolic disease characterized by hyperglycemia due to abnormal insulin secretion. Diabetes mellitus is characterized by increased blood sugar levels exceeding normal limits, due to a deficiency of the insulin hormone produced by the pancreas, causing a decrease in blood sugar levels. This study aims to determine the effect of physical activity on reducing blood glucose levels in patients with type 2 diabetes mellitus. Methods: Literature searches were conducted on the following databases: PubMed, Embes, Web of Science, and Scopus. By including all observational studies, randomized controlled trials, quasi-experiments, case controls, and pre-experiments and radiating their quality using the Joanna Briggs Institute tool often referred to as (JBI). Criteria: Articles in English, published in internationally recognized journals, and discussing physical activity in relation to lowering blood glucose levels. Results: Fifteen studies ranging in size from 28 to 100 participants physical activity is effective in lowering blood glucose levels with regular exercise three times a week physical exercise can be applied to the age range of 30-85 years. Conclusion: For people with type 2 diabetes mellitus, physical activity plays a very important role in controlling blood glucose levels. When exercising, blood sugar levels are much lower than when not exercising. It can be concluded that physical activity can lower blood sugar levels in people with type 2 diabetes.

The Role of Digital Technology in Increasing the Effectiveness of Health Promotion in Hospitals

Ni Made Ary Lisnawati — 2024-12-27

The development of digital technology has changed many aspects of the world of health, including in the field of health promotion in hospitals. Health promotion that was previously carried out through conventional methods is now transformed using digital technology that allows for faster and more effective dissemination of information. This study aims to determine the role of digital technology in increasing the effectiveness of health promotion in hospitals. This study is a literature review that collects and analyzes various articles, journals, and studies that discuss the application of digital technology in health promotion in hospitals. The selected literature covers various types of digital technology used, such as social media, mobile applications, and hospital websites, and discusses their impact on the effectiveness of health promotion. The results of the literature review indicate that the application of digital technology in hospitals can improve the effectiveness of health promotion in various ways. Technology allows hospitals to provide timely health information, improve interaction with patients, and disseminate health messages to a wider audience. Social media and health applications, for example, can provide more personalized and easily accessible education. However, challenges such as data privacy issues, lack of access to technology in certain areas, and low digital literacy are still obstacles that need to be considered. Digital technology has great potential in improving the effectiveness of health promotion in hospitals. Despite facing some challenges, the adoption of appropriate technology can support hospitals in providing better health services and reaching more people with useful information.

Addiction to Gadget Use with Sleep Quality and Adolescent Achievement Index in Adolescents

Faisal Faisal — 2024-12-27

Generation Z today cannot go a day without gadgets. Over time, Generation Alpha is likely to become similarly preoccupied with gadgets, as they have been influenced by technology since birth and view it as an essential tool for both school and other activities. Excessive gadget use negatively impacts the quantity and quality of sleep. This study employed a cross-sectional design to analyze the relationship between gadget addiction, sleep quality, and academic performance among adolescents in the coastal and mountainous areas of Pidie Regency. The sample consisted of 337 students from Kembang Tanjong High School and 159 students from Tangse High School, selected using a total sampling technique. Data were analyzed using the Mann-Whitney test and linear regression. The results showed no significant differences in the average sleep quality and gadget addiction levels between adolescents in coastal and mountainous regions. However, there was a significant difference in the average academic performance between these two groups. Factors associated with sleep quality included age, male gender, mothers’ lower education level, gadget addiction, and anxiety. Meanwhile, factors influencing academic performance were male gender, gadget addiction, social media motives, ease of gadget access, depression, and anxiety. Adolescents are encouraged to reduce gadget usage, as it adversely affects sleep quality and academic performance. They can replace gadget usage with positive activities such as physical exercise, playing sports, socializing with peers, studying together, and other productive activities.

Family Support with the Occurrence of TB Treatment Compliance

Ferdi Riansyah — 2024-12-28

Tuberculosis has been known for more than a century since the discovery of the germ that causes Tuberculosis by Robert Koch in 1882. WHO in 1993 said that TB is a very important and serious public health problem throughout the world and is a disease that causes a global emergency, because one in three of the world's population is estimated to have been infected with Mycobacterium tuberculosis (also called Acid-Fast Bacillus = AFB) as the germ that causes TB as evidenced by the Mantoux test. Geographically, the most cases of TB are in Southeast Asia (45.6%), Africa (23.3%) and the Western Pacific (17.8%), and the smallest in the Eastern Mediterranean (8.1%), The Americas (2.9%) and Europe (2.2%). This study uses a quantitative approach, by formulating a hypothesis which is then subjected to statistical testing to accept or reject the hypothesis. This study aims to determine the relationship between family support and treatment compliance in tuberculosis patients. Based on the table above about instrumental support shows that less instrumental support (10%) in non-compliant patients is lower compared to good instrumental support (57.1%). Based on statistical tests, the p-value on instrumental support is 0.001 which means there is a significant relationship between instrumental support and tuberculosis treatment compliance.

Predictors of Midwives' Anxiety During the COVID-19 Pandemic

Suhermawan Suhermawan — 2024-12-28

Midwives are healthcare workers who make the first physical contact with newborns during delivery. They bear significant responsibilities in preventing COVID-19, which can contribute to increased anxiety levels. Many factors are associated with healthcare workers' anxiety, yet studies specifically focusing on predictors of anxiety among midwives remain limited. This analytical study utilized a cross-sectional approach to identify predictors of anxiety among midwives during the COVID-19 pandemic in Nagan Raya District. The study involved a sample of 533 midwives, with data collected via Google Forms. Multivariate analysis was conducted using multiple logistic regression tests with a 95% confidence level. The study found that 43 midwives (81.24%) experienced anxiety during the COVID-19 pandemic. Factors significantly associated with anxiety included age ≥32 years (p-value = 0.006; OR = 1.86; 95% CI: 1.20–2.89), workload (p-value = 0.000; OR = 2.43; 95% CI: 1.53–3.84), independent midwifery practice (p-value = 0.044; OR = 4.44; 95% CI: 1.04–18.95), and acting as the primary birth attendant (p-value = 0.032; OR = 1.61; 95% CI: 1.04–2.49). The most dominant factor associated with anxiety was high workload (p-value = 0.000; OR = 2.35; 95% CI: 1.46–3.79). Midwives with high workloads were 2.35 times more likely to experience anxiety during the COVID-19 pandemic compared to those with lower workloads. It is recommended that midwives reduce their workloads and manage their tasks by creating structured work plans. Additionally, midwives should improve their managerial skills to distribute workloads effectively among team members.

Quality of Life Among Independent Elderly Residents in A Nursing Home in Banten Province, Indonesia

Yosi Marin Marpaung — 2024-12-28

The elderly group, particularly those in nursing homes, is at a higher risk of experiencing a lower quality of life compared to elderly individuals who live at home or within the community. Therefore, monitoring the quality of life in nursing homes is essential to assess the wellbeing of the elderly and provide input for more targeted efforts to meet their needs. Objective: This study aims to provide information on the quality of life of the elderly, focusing specifically on the independent elderly group at nursing home X, located in Pamulang, Banten Province. Method: The study employed a quantitative approach with a cross-sectional design. A total of 45 out of 51 independent elderly individuals residing at nursing home X during the study period were involved. The WHOQoL-BREF instrument was used to measure the quality of life. Results: The findings revealed that the overall average quality of life score was categorized as good (60.2 ± 8.65). However, the average scores for each domain were as follows: physical domain 53.8 ± 10.6, psychological domain 59.2 ± 9.77, social relationship domain 61.7 ± 16.45, and environmental domain 66.1 ± 11.37. These scores indicate that the quality of life in the physical and psychological domain was predominantly unsatisfactory. Furthermore, the quality of life in the social domain also demands improvement. In addition, this study found a significant relationship between the quality of life and both the educational background (pvalue=0.009) and economic status (pvalue=0.025) of the elderly. Conclusions: Efforts to improve physical well-being require serious attention at nursing home X. Additionally, psychological, and social support initiatives are necessary. Further research exploring the challenges within each domain in greater depth and developing integrated interventions in collaboration with various stakeholders, including partners of the nursing home, is essential to enhance the well-being of the elderly.

Determinant Factors of Bullying in Adolescent

Endang Caturini Sulistyowati — 2024-12-28

Adolescence has great energy and turbulent emotions but rudimentary self-control. Many cases of bullying occur during this period due to internal and external factors. Identifying determinants and factors affecting bullying behaviour is crucial in preventing bullying incidents. Objective: The study aimed to identify the determinant factors of adolescent bullying behaviour. The design of this study used a correlation descriptive survey with a simple random sampling technique. The respondents are 7th-grade Senior High School students in Surakarta, with a total respondents 88 students. The instruments used were the Olweus Bully Victim Questionnaire, Rosenberg Self-Esteem Scale, personality questionnaire, self-actualization questionnaire, emotion regulation questionnaire, social support questionnaire, social media questionnaire, and DASS. The data analysis used the Pearson correlation (parametric data) and the Spearmen-rho test (non-parametric data). The results of the study indicated that the majority of respondents were female, which was 52.3%. There was no significant association between depression-anxiety-stress, self-actualization, personality, self-concept, family support, social media, and emotional regulation. Peer support has a significant relationship with bullying behaviour. Peer support tends to reduce the risk of bullying behaviour among adolescents. This result suggests that peers have a significant impact on bullying behaviour.

Effectiveness of Distraction Techniques Watching Movies on Menstrual Pain Levels of Adolescent Girls

Dwi Elka Fitri — 2024-12-29

Dysmenorrhea is not merely a common gynecological issue but a significant health concern that can lead to psychological distress, impaired daily functioning, and increased health risks. Prevalence dysmenorhea in Pekanbaru, with rates reaching as high as 94.4% among adolescent girls. Distraction techniques involving movie-watching have demonstrated significant potential in reducing pain. The purpose of this study was to determine the effectiveness of distraction techniques watching movies on the level of menstrual pain in adolescents girl. This research is a quantitative study using a quasi-experimental approach with a one group pre and post test research design. The sample in this study amounted to 30 respondent with purposive sampling technique. The implementation. The implementation of this study was carried out by giving a pre-test first, then proceeding with the intervention of watching a movie for 120 minutes, then giving a post-test. from the results of the Paired sample T test analysis test, the P value = 0.000, where the Pvalue is smaller than the Apha value (0.05). It can be concluded that distraction techniques watching movies is effective in reducing menstrual pain in adolescent girl at Public High School 14 Pekanbaru.

Rosa Damascena Extract on Angiotensin-Converting Enzyme Activity in Wistar Rats Receiving Sodium Diet

Novita Rachmasari — 2024-12-30

The prevalence of hypertension continues to rise in line with lifestyle changes. Often referred to as "the silent killer," hypertension can develop without warning. One of its contributing factors is excessive sodium intake, which disrupts the body's fluid balance regulated by the renin-angiotensin-aldosterone system. Elevated activity of the Angiotensin-Converting Enzyme within the Renin Angiotensin Aldosterone System mechanism can further lead to the development of hypertension. This study aims to investigate the impact of administering ethanol extract of Rosa damascena on the activity of Angiotensin-Converting Enzyme in Wistar rats fed a sodium-enriched diet. This experimental study utilized a post-test-only control group design. The subjects were 30 male Wistar rats, divided into five groups: 1) P0=control group; 2) P1=8% NaCl+RDEE 500mg/kgBW; 3) P2=0.35% NaCl+RDEE 500mg/kgBW; (4) P3=8% NaCl; and (5) P4=0.35% NaCl. The treatments were administered over 28 days. After the treatment period, the rats were anesthetized using a combination of Ketamine and Xylazine. The data were analyzed using a One-Way ANOVA test to assess differences among the treatment groups. A significant difference in Angiotensin-Converting Enzyme activity was observed in Wistar rats before receiving a sodium-enriched diet, with a p-value of <0.05. The ethanol extract of Rosa damascena was proven effective in reducing ACE activity in these rats, with a p-value of <0.05. The ethanol extract of Rosa damascena has demonstrated nephroprotective properties.

Evaluation of the Success Supplementary Feeding Program (PMT) for Toddlers with Undernutrition

Farida Hendriana — 2024-12-30

Good nutritional status is a determining factor for the success of developing quality human resources. Toddlers are one of the groups vulnerable to nutrition that need special attention. Efforts made to overcome malnutrition in toddlers are by providing additional food (PMT) based on local food ingredients. Objective: This study aims to spark the success of the local food-based additional food program for malnourished toddlers at the Glagah Health Center, Lamongan Regency. The design of this study was experimental with pretest and posttest. The location of the study was in the Glagah Health Center work area, Lamongan. Based on data from the PMT monitoring report, the study population involved 100 toddlers aged 19-60 months with malnutrition status with total based on the weight to height (BB/TB) indicator used in assessing nutritional status. Use total sampling techinc. Statistical tests were carried out using the Paired Sample T-test with a significance value of <0.05. The study showed a significant increase after 56 days of receiving PMT and monitoring was carried out which showed a difference in BB/TB before and after the PMT was given with a p value = 0.000. There is effectiveness in providing additional food based on local food ingredients to toddlers with poor nutritional status in the Glagah Health Center work area, Lamongan.

Relationship between Social Media Information and Attitudes Toward Avoiding AIDS and Promiscuity

Angela Librianty Thome — 2024-12-30

Currently, there are cases of AIDS transmission due to HIV in teenagers and it has become a serious global problem. Teenagres are quite exposed to information media, making it possible for teenagers to know things related to health. So this research aims to analyze and explain wheter or not there is a relationship between exposure to social media information by teenagers and attitudes towards preventing AIDS and promiscuity. The research design used cross-sectional where samples were taken using Proportionate Stratified Random Sampling. Questionnaires for each variable were administered and tested using Spearman’s Rho Correlation. There is a relationship between exposure to social media information and attitudes towards avoiding AIDS and promiscuity with a significance value of <0.05. Exposure to information on social media turns out to be related to teenagers’ attitudes towards avoiding AIDS and promiscuity where information via social media about this matter.

The Effect of Dysmenorhore Exercises with Traditional Kalimantan Music in Reducing the Scale of Pain in Adolescents

Endras Amirta Hanum — 2024-12-30

Dysmenorrhea occurs because the endometrium contains high amounts of prostaglandins which have an impact on the systemic response, which can affect various processes in the body, one of which is increasing the activity of the large intestine, causing symptoms of nausea, diarrhea, headaches, emotional changes and a burning sensation that accompanies pain during menstruation. The impacts that occur if dysmenorrhea is not treated are disruption of daily life activities, Retrograde menstruation (menstruation that moves backwards), infertility (sterility) and infection. In addition to the above impacts, emotional conflict, tension and anxiety can all play a role and cause feelings of discomfort and unfamiliarity. Tension usually worsens a bad situation at any time. A little discomfort quickly develops into a big problem with all the annoyance that accompanies it. Thus anxiety, feelings of unhappiness or even feelings of pressure are all not uncommon. Therefore, dysmenorrhea must be treated so that impacts such as the above do not occur. The nature and degree of this pain vary, from mild to severe. This research is quasi-experimental with a non-equivalent design with control group (two group pre test – post test). The population of all female students at SMA Nusantara Class I and II is 61 people, with a sample of 19 people taken using simple random sampling. The measuring tool for identifying dysmenorrhea uses a numerical pain scale. The treatment given is dysmenorrhea exercises with Traditional Kalimantan Music 3 times in a row a week before the female students menstruate, efore conducting the t-test, a normality test was conducted to determine whether the data was normally distributed or not. The Shapiro-Wilk test was used. The results obtained from the p-value normality test are 0.96, because the p value > 0.05 then the data is normally distributed. So the data for both groups are equally normally distributed. The mean pain scale before the intervention was given in the treatment group was 5.89 (moderate pain), in the control group it was 5.33 (moderate pain) while the mean pain scale after dysmenorrhea exercises in the treatment group was 2.33 (mild pain) and in the the control group was 5.0 (moderate pain). Statistical test analysis using the Independent T-test showed that the p-value was 0.006 < α=0.05, indicating that there was a significant influence of dysmenorrhea exercise on reducing dysmenorrhea in class I and II female students at SMA Nusantara Balikapapan. Doing dysmenorrhea exercises 3 times in a row a week before menstruation can reduce pain in female students. So it is necessary to encourage women who experience dysmenorrhea to do dysmenorrhea exercises with Traditional Kalimantan Music.

Comparison of the Antioxidant Activity of Traditional Herbal Loloh from Bali as an Immunity Booster

Ni Putu Widayanti — 2024-12-30

Loloh is a local wisdom product of the Balinese people that has been passed down from generation to generation, processed from plant leaves. Consumption of loloh is utilized by the community as a preventive measure to prevent disease and increase body immunity. This has great potential to be applied in facing the growing disease trends in the future, starting from infectious diseases and non-infectious diseases (degenerative). Herbal drinks in general made from ginger, turmeric and temulawak have been widely studied. However, until now, the antioxidant power of loloh from Bali is not yet known. The purpose of this study was to determine the comparison of the antioxidant power of traditional Balinese loloh.This study used a descriptive explorative and experimental design by applying the DPPH (2,2-diphenyl-1-picrylhydrazyl) method to determine the antioxidant power of each loloh sample by looking at its IC50 value. The data collection technique uses purposive sampling. The number of samples studied in this study was ten samples including loloh cemcem, beras kencur, rosella, telang, mengkudu, kelor, kunyit asam, temu kunyit, kunyit asam sirih, and cincau hijau. Data analysis was conducted using regression equations. The results of IC50 measurements showed that the traditional loloh that had very strong antioxidant activity was loloh kelor leaves with an IC50 value of 98 ppm, weak antioxidant activity was possessed by loloh rosella flower tea and cincau leaves with IC50 values of 168 ppm and 198 ppm while very weak antioxidants were possessed by loloh telang flowers, cemcem, beras kencur, mengkudu, kunyit asam, temu kunyit, and kunyit asam sirih with IC50 values > 200 ppm.

Factors Determining Caring Behavior of Nurses in the Inpatient Rooms

Susan Irawan Rifai — 2024-12-30

Caring behavior is a very important aspect of nurse practice, because through this behavior nurses can show care, empathy, and concern for patients. Nurses' caring behavior not only has an impact on patient satisfaction, but also on faster patient recovery, adherence to care, and improved treatment outcomes. There are several factors that influence caring behavior, including nurse characteristics, rewards, personality type and work motivation. This study aims to analyze factors associated with caring behavior in nurses. The research design used descriptive correlation with a cross sectional approach to 56 nurses in the inpatient room with a sampling technique using proportionate random sampling. The characteristics of nurses consisted of age, gender, length of service, education level and marital status. The instrument to measure caring behavior uses the Caring Behavior Inventory (CBI-24), while the Eysenck personality inventory contains 24 question items to measure personality type. The results showed that length of work (p=0.015) and work motivation (p=0.015) had a significant relationship with caring behavior, while age (p=0.507), gender (p=0.634), marital status (p=0.146), education (p=0.244), employee status (p=0.529), reward (p=0.737) and personality type (p=0.152) were not related to caring behavior. These results indicate that the longer the nurse works and has high work motivation, the better the nurse's caring behavior will be. Therefore, there is a need for a preceptorship program for new nurses and efforts to increase nurses' work motivation through strategies that support their intrinsic needs and professionalism, especially caring behavior.

Benefits of Implementing Mobile Phone-Based Self-Management Interventions in Coronary Heart Disease Patients on Medication Adherence and Reducing Blood Pressure

Risa Oktavina — 2024-12-30

Coronary Heart Disease (CHD) is a non-communicable disease that is a public health problem and the number is increasing both in the world and in Indonesia. So good self-management skills are needed in effort to improve the patient's ability to manage CHD risk factors, compliance with taking medication and achieving reduced blood pressure. The development of technology makes the use of mobile phones a necessity. Therefore, mobile phone-based self-management interventions are expected to be effective in improving patients' ability to self-manage to achieve medication compliance and reduce blood pressure. Increased compliance with taking medication and a decrease in blood pressure. The design used is a case study with an innovative design in the form of applying research results regarding mobile phone-based self-management interventions for coronary heart disease patients. The self-management intervention took the form of personal education using e-booklets and short WhatsApp text messages for 8 weeks. And the standard questionnaire consists of MMAS8 and SCC HDI. It is known that there is a decrease in systolic blood pressure (SBP) and diastolic blood pressure (DBP), as well as a decrease in total cholesterol levels. Apart from that, there was an increase in patient medication adherence scores and an increase in the self-management ability of CHD patients. There was a significant effect of mobile phone-based self-management intervention on medication adherence, SBP and DBP values, total cholesterol, and self-management abilities.

The Relationship between the Length of Time Suffering from Cancer and the Quality of Life of the Family Caregiver of Cancer Patients in the Oncology Room

Anastasia Diah Larasati — 2024-12-30

The number of cancers increases every year, with the chemotherapy treatment that must be undergone, the stage of cancer and the length of time the patient must undergo cancer can affect the quality of life of the accompanying family. The aim of this research is to look at the length of time suffering from cancer and the quality of life of the family accompanying cancer patients. This research is a quantitative descriptive study with a consecutive sampling technique of 40 respondents. Data was taken in the oncology inpatient room at RSD X in Semarang City. This research has passed the Ethical Clearance test from the local hospital. Data was collected using the WHO QOL BREF questionnaire and patient identity sheet. Data were analyzed using the Fisher test statistical test. The number of families who have a moderate quality of life with a family member who has had cancer for ≤ 2 years is 22 (55%). The results of the p value show that there is no relationship between the length of time a patient suffers from cancer and the quality of life of the family accompanying the cancer patient in the oncology room with the psychological and social domains being the most disturbed of the other four domains.

HIV/AIDS Prevention through Pocketbook to Increase Knowledge and Attitudes Among Adolescents

Rafika Fajrin — 2024-12-30

Adolescent reproductive health is a health condition that concerns to reproductive system, functions, and processes owned by adolescents. HIV attacks the immune system then AIDS is a symptom of reduced self-defense caused by the entry of HIV. Objective: to determine the effect of communication, information, and education methods using pocketbooks to increase adolescents' knowledge and attitudes about health as a preventive effort for HIV/AIDS at SMA Negeri 4 Semarang. Method: This quantitative research used the quasi-experimental method with one group pre-post test design. The sampling technique was a total sampling of 52 students. The instrument used was a questionnaire measuring the knowledge and attitude of adolescents. Results: statistical tests using the Wilcoxon Test with a Paired T-test. The majority of those aged 15-18 years (69%) and dominated by women (52%) showed that before the intervention with education using pocketbook, the level of knowledge was good and sufficient at 50% each. After the intervention, there was an increase in good knowledge to 73.1%. Before the intervention, the majority of respondents had a good attitude of 65.4% but after the intervention, there was an increase to 73%. Bivariate analysis showed the effect of pocketbook media on increasing knowledge and attitudes of adolescents about HIV/AIDS with a p-value of 0.116 and 0.023, respectively. Conclusions: Using pocketbooks significantly improves adolescents' knowledge and attitudes regarding HIV/AIDS, highlighting their effectiveness in conveying health information.

Mentosternal Contracture Reconstruction with ALT Free Flap, Z-Plasty, and Stsg: A Case Report

Chandra Wijaya Setiawan — 2025-01-03

The consequences of post-burn neck contractures are considered the greatest challenge in reconstructive surgery. This deformity affects the neck area thereby limiting head movement. These complications can be associated with loss of articulation, cosmetic disfigurement and psychological changes that impair quality of life and result in loss of productivity. Therefore, an appropriate surgical management are essential to obtain optimal results. ALT (anterolateral) free flap can be used to resurface the defect, this technique provides a long pedicle with adequate lumen diameter of blood vessels. The z-plasty technique is useful for redirect a scar into better alignment with a natural skin fold or the lines of least skin tension. Split-thickness skin graft (STSG) is a preferred technique for large wound areas and relatively avascular sites. This study aims to report our experience in reconstructing burnt mentosternal contractures with ALT free flap, z-plasty and STSG. We present a clinical case of a thirty-five years old male with post-burn mentosternal contracture ONAH classification type III, dermogenic type diffuse flexion contracture of the colli region, anterior thorax region, and left and right superior extremity regions, dermogenic type linear contracture of the left and right anterior axillary regions, and burned ear deformity in the left and right auricular due to a history of burns from twenty-four years ago. A contracture release procedure was performed with ALT free flap reconstruction, z-plasty and STSG. After the reconstruction, a pleasing outcome was accomplished in terms of both functionality and esthetics. A severe mentosternal contracture was released, and the limited movement of the neck and both extremities was greatly lessened. Mentosternal contracture reconstruction with ALT free flap, z-plasty and STSG showed a good outcome in this case.

Early Diagnosis of Eye Disease Using an Expert System-Based Chatbot

Adie Wahyudi Oktavia Gama — 2024-12-30

Chatbots have emerged as popular tools across various domains, including expert systems for disease diagnosis. This research aims to develop a chatbot leveraging the Naive Bayes method within an expert system for diagnosing eye diseases. The Naive Bayes method was chosen for its efficiency in handling data classification and its ability to provide the necessary class probabilities in diagnosis. The resulting chatbot is designed to simplify the diagnosis process for users by providing a user-friendly and easily understandable interface. Evaluation of the system demonstrated an 87% accuracy rate in initial diagnoses when compared against specialist evaluations. Additionally, the User Acceptance Test revealed a high acceptance rate, with an average score of 84.75%, indicating strong user satisfaction with the system’s performance and ease of use. These findings suggest that deploying a chatbot with the Naive Bayes method in an expert system for diagnosing eye diseases has the potential to serve as a valuable platform in supporting medical practitioners in diagnosing eye diseases more efficiently and accurately.

The Effect of Mind Fullness Parenting (Mindting) Module on Father's Parenting Patterns

Dian Lestari — 2024-12-30

Parental care greatly influences the growth and development of children. As a country with a strong patriarchal culture, the role of fathers in parenting is minimal. Mindfulness parenting is a pattern of parenting that consciously gives attention to children. The mindfulness parenting module (Mindting) has been previously developed and found suitable for use in this study. This study aims to assess the effect of this module on the parenting of fathers with children under five years old. This research method uses quasi-experimental with one group, pre-post test. The subjects of this study were fathers who have children under five years old totaling 35 results: There is an effect of the Mindting module with changes in father's parenting (p-value: 0.013). The Mindfulness Parenting (Mindting) module affects the father's parenting pattern significantly.

Independent Foot Care Implementation for Patients with Type II Diabetes Mellitus

Maria Kornelia Ringgi Kuwa — 2024-12-30

Food care is a practice for individuals with normal or high blood sugar levels, performed regularly to maintain personal hygiene, especially to kill or inhibit the growth of germs/ bacteria on the skin and other body tissues. Proper food care aims to educate diabetes Mellitus patients about the risk factors for diabetic wounds and reduce the incidence of complications among high-risk patients. Objective to examine and implement independent foot care for patients with type II diabetes mellitus. This study employed a case study design with a single respondent. Data were collected using interview sheets to evaluate the outcomes. The findings indicate that implementing independent foot care is highly effective. According to the researcher’s observations, this intervention helps prevent complications such as gangrene. Post-treatment results showed significant improvements: the respondent’s feet appeared clean and moisturized, nails were neatly trimmed, calluses were reduced, and overall foot health was enhanced.

Description of the Anxiety Level of Pre-Operative Patients with the Provision of Spiritual Therapy

Diny Kusumawardani — 2024-12-30

Perioperative is a combined term that includes three phases of the surgical experience, namely preoperative, intraoperative, and postoperative. During pre-operation, of course the patient will experience anxiety. One effort to reduce anxiety levels is by providing spiritual therapy. This research aims to determine the preoperative anxiety level of patients who are given spiritual therapy. The research used was descriptive which was carried out for 2 weeks. The population and sample in this study were Muslim patients who were going to undergo surgery at the Mataram City Regional Hospital, totaling 33 respondents. The sampling technique is accidental sampling. Data collection in this study used the HARS (Hamilton Anxiety Rating Scale) questionnaire with 14 questions and the SOP for implementing spiritual therapy (Sholawat Thibbil Qulub). The way to assess anxiety is by giving a score in categories: 0= no symptoms at all, 1= one symptom present, 2= moderate/half of the symptoms present, 3= severe/more than half of the symptoms present, 4= very severe all symptoms exist. If you get a score of less than 14 = no anxiety, a score of 14-20 = mild anxiety, a score of 21-27 = moderate anxiety, a score of 28-41 = severe anxiety. Based on the description of the anxiety level of pre-operative patients with the provision of spiritual therapy, 0 respondents (0%) experienced very severe anxiety/panic, 2 respondents (6.0%) experienced severe anxiety, 14 respondents (42.5%) experienced moderate anxiety. , mild anxiety as many as 15 respondents (45.5%), no anxiety as many as 2 respondents (6.0%). The results of this spiritual therapy research were able to reduce the level of anxiety felt by pre-operative patients.

Multifactors on Adolescents’ Sexual Behavior

Sriama Muliani — 2024-12-30

One of the challenges encountered during this period is the feeling of being interested to the opposite gender and being curious about new things. These unhealthy premarital sexual behavior can lead to several effects including STIs, unwanted pregnancies, infections, infertility, child neglect, and early marriage. Related to this matter, this literature review aimed to identify the multifactor related to and affect the adolescents’ sexual behavior. Therefore, researchers aim to identify multifactors that are related to and influence adolescent sexual behavior . This literature study further reviewed 10 articles published in the range of 2014 to 2024, whether it is in google scholar, google pages, google books, book chapters, textbooks, and journals. In this case, the relevant factors affecting the adolescents’ sexual behavior include knowledge, attitude, role of teachers, social environment, media and exposure to pornography, role of parents, as well as role of peers. To overcome these issues, several actions considered able to reduce the tendency of adolescents to engage in sexual behavior prior marriage. These actions include living in a good environment, does not watch pornography, limiting access to media exposing unhealthy sexuality, hanging out with peers with good behavior, having teachers who are able to be role models and provide good supervision and control while in the school environment, and having parents who can provide supervision and affection. Furthermore, it is suggested that all parties, starting from families, schools, and policy makers to formulate an effective method to prevent sexual behavior prior marriage.

Case Report on Pre-Marital Screening, Information Communication, and Reproductive Health Education for Prospective Brides

Shohipatul Mawaddah — 2025-01-07

Premarital screening is one of the government's program strategies for all prospective brides and grooms to find out the risks that will be faced by the couple, and also for their children in the future. Many things can be anticipated by conducting this screening, such as the risk of disease transmission, infertility, maternal and child mortality during childbirth, and birth defects. The purpose of this case study is to conduct premarital screening and assistance in the form of providing health reproductive (communication, information, education). A pair of prospective brides and grooms (calon pengantin) planning to get married in 1 month visit the Health Center for a premarital examination. As per the Health Center's work procedure, they undergo a premarital screening examination and receive follow-up. The results of anamnesis and physical examination of both candidates were normal, laboratory examination results showed that only the bride to be's hemoglobin levels was below normal (10.8 gr/dL). Assistance was provided to both brides and grooms 3 times, 1 time at the Health Center and 2 home visits, midwifery care provided in the form of providing iron tablets and Tetanus Toxoid immunization to the bride and health reproductive (communication, information, education) to both. The final visit showed that the knowledge of both brides and grooms was in the very good category. Both prospective brides and grooms are ideal age biologically and psychologically to get married.

The Level of Housewife's Knowledge about Antibiotic Use

Muhamad Adryan Farabi — 2024-12-30

Low knowledge about medications including the use of antibiotics can lead to the failure of therapy objectives. Improperly use of antibiotics can cause bacterial resistance. The correct use of antibiotics can be influenced by several factors, one of which is the level of knowledge. This study aims to determine the level of housewives' knowledge about antibiotic use in Dasan Tapen Induk Village, Gerung District, West Lombok Regency. Method: This research is a descriptive survey study, using purposive sampling technique. The sample consists of 77 respondents who meet the inclusion and exclusion criteria. Data from the respondents were collected using a questionnaire and analyzed quantitative descriptive. 41 respondents (53.25%) had good knowledge, 30 respondents (38.96%) had sufficient knowledge, and 6 respondents (7.79%) had poor knowledge. It can be concluded that the level of housewives' knowledge about antibiotic use is classified as good (53.25%).

Application of Classical Music Therapy and Finger-Holding Techniques on Patients Experiencing Post-Operative Pain in the Surgical Treatment Root

Hanny Irmaya — 2024-12-30

Postoperative pain is an experience of pain or unpleasantness caused by incision / cutting of tissue in certain parts. Classical Music Therapy Is a therapy that can calm, provide a sense of security and well-being, release joy and sadness, and reduce the pain and anxiety of patients after surgery, one of which is surgery. Finger grasping therapy is a therapy that can reduce pain sensation, pain stimulation due to respondent mediators, and pain. The application of finger grasping therapy and music therapy has advantages in handling the decrease in pain intensity for postoperative patients. The aim of this study was to analyze the application of classical music therapy and finger holding techniques in patients experiencing post-operative pain in the surgical treatment room. This type of research is a description with a case study approach model while the sample is 3 respondents who experience postoperative pain with moderate to severe intensity. Data was collected by measuring pain after the intervention. From the results of observations of pain intensity in all respondents, data was obtained that all respondents experienced pain after surgical operations on the stomach. After the application of classical music therapy and finger holding, the results were obtained, namely on the first day, respondent R stated a pain score of 7 to 0 on the third day. Respondent A said a pain score of 6 on the first day to 0 on the third day. Respondent B stated a pain score of 8 on the first day and became 0 on the third day. Seeing the existing results, the application of classical music therapy and finger holding was successful in reducing the intensity of pain in post-operative pain clients.

Mothers' Knowledge about Exclusive Breastfeeding Increases Self Efficacy in Breastfeeding to Mothers Post Sectio Caesarea

Sri Sat Titi Hamranani — 2024-12-30

Breastfeeding is important interaction between mother and baby. Many mother have experience breastfeeding problems due to lack of knowledge and effect on the mother's psychology. Self-efficacy is one of the factors that influences the psychological level. Purpose to determine the relationship between the level of knowledge about breastfeeding and the level of self-efficacy in breastfeeding mothers after giving birth by caesarean section (SC). This research was conducted cross-sectionally on post-SC mothers at Wonosari Regional Hospital in August – October 2023 with accidental sampling method. Self-efficacy assessment was carried out using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). Assessment of the level of knowledge of breast milk is carried out by assessing four components, namely the understanding, composition, benefits and impact of exclusive breast milk by breastfeeding mothers. Bivariate analysis in this study used statistical tests with the Kendall Tau B test with a p value <0.05 indicating significant results. A total of 58 post-SC pregnant women took part in this study. The average age of respondents was 29.45 ± 6.506 years with an average gestational age of 38.98 ± 0.805 weeks. The majority of respondents had junior high school education (43.1%), were multiparous (58.6%), and did not work (74.1%). As many as 87.9% of respondents had good knowledge with 81% of respondents having a high level of self-efficacy. Kendall Tau analysis obtained a true P value of 0.001 with p < 0.05 with a strength of relationship of 0.435. There is knowledge about breastfeeding increased of self-efficacy in post-SC mothers at Wonosari Regional Hospital.

Implementation of Mindfulness in 66-years-old Female with Diabetic Post Surgery: A Case Report to Inform Nursing Role to Deliver Holistic Care

Ida Widaningsih — 2024-12-30

Currently, there are no suggested psychological interventions or outcomes in the diabetic management guidelines. This case report presents the management of a 66-year-old female patient, Mrs. R, with diabetes mellitus, hypertension, and gastroesophageal reflux disease (GERD) who underwent exploratory laparotomy for retained stone exploration in the common bile duct (CBD). This Case report aimed to explore the implementation of mindfulness in patients post-operative. The patient experienced significant hyperglycemia, with blood glucose levels peaking at 436 mm Hg. Psychological assessment revealed a severe anxiety score of 31, which likely contributed to her unstable glycemic control. Throughout her unstable glycemic control. Throughout her severe condition, the patient was managed with total parenteral nutrition (TPN) due to fasting and green gastric contents, as part of the nursing intervention. Comprehensive nursing interventions, including regular blood glucose monitoring, insulin administration, and psychological support were employed. Mindfulness techniques such as guided meditation and breathing exercises have been introduced to alleviate hospital-induced distress and manage blood glucose levels. Following these interventions, her blood glucose level decreased to 167 mmHg, and the patient reported feeling calmer and more spiritually connected (Hamilton Rating Scale/ HARS 18). This case describes the management of post-surgical diabetic patients, highlighting the benefits of integrating psychological interventions to improve glycemic control and overall patient outcomes. Therefore, psychological interventions, particularly mindfulness, are needed for integration in diabetes management, especially in hospitals.

The Influence and Factors of Nurse Therapeutic Communication on Patient Satisfaction: A Systematic Review

Mery Angreani Safitri — 2024-12-30

Important for nurses to have good therapeutic communication skills so that nurses more easily establish trusting relationships with patients, so as to improve the quality of health services provided. Patient satisfaction is an important indicator for healthcare providers. This study aims to determine the influence and factors of nurse therapeutic communication on patient satisfaction. The research design used was a systematic review, the sample used was a hospital nurse, the variables were therapeutic communication and patient satisfaction. The intervention provided was the implementation of good therapeutic communication of the nurse with the patient. Articles searched was using five databases published since 2019 through 2024. A total of 77,254 articles were identified in five databases, after the screening process, those studies that did not meet the criteria were not included in the analysis. A total of 77,254 articles identified were obtained from five databases, namely Pubmed with 1400 articles, Proquest with 13354 articles, Scince Direct with 10,000 articles, Sage Journal with 45,600 articles, and SpringerLink with 6900 articles. The screening process was carried out based on the year of publication of 55,038 articles, filtering based on language as many as 15,816 articles, filtering by type of article as many as 13,147 articles, and duplicate documents as many as 421 articles. Research screening is continued based on the results of titles and abstracts so that 10 articles can be used in systematic reviews. The reason for exclusion is due to the research point of view. Because it does not match the desired criteria. All of them focus on the influence and factors of nurse therapeutic communication on patient satisfaction. There were 10 cross-sectional articles selected involving 43177 patients who rated hospital service satisfaction and 1617 nurses who applied therapeutic communication. Gender, nurse burnout, lack of empathy from nurses, challenging nursing duties, use of technical terms by nurses, lack of trust in nurses, stress, ignorance with nurses' job descriptions, lack of nurses, lack of knowledge, lack of participation in decision making, and infectious diseases showed significant and negative associations with overall therapeutic communication. So that it can affect the level of patient satisfaction. Motivating and creating a positive work environment are essential to improve therapeutic communication. Good nurse therapeutic communication can increase patient satisfaction. Patient satisfaction with the services provided is very important parameter of health service quality.

Nurses' Experience in Providing Patient Services with HIV/AIDS

Fenska Narly Makualaina — 2025-01-08

The never-ending problem of HIV AIDS is a phenomenon that deserves to be investigated and followed up by all parties, especially health workers as implementers of prevention, control, and treatment efforts in the health service environment. Method: This study uses a descriptive qualitative research design with a phenomenological approach. The number of participants was 5 health workers who work at the Puskesmas Harapan. The research instrument used in-depth interviews, field notes and documentation which were then analyzed by determining keywords, categories and themes. Results: The results of the study found that the experience of health workers in caring for HIV AIDS patients was expressed in the form of empathy, lack of empathy, and fear caused by various other supporting factors such as limited availability of health services and patient non-compliance in ARV treatment. Conclusion : It can be concluded that the experience of health workers needs to get support from various parties including patients, patient families, and health care facilities.

Patient Experiences Towards Satisfaction in Accessing Examinations HIV/AIDS and ARV Treatment

Nasrianti Nasrianti — 2024-12-30

Puskesmas is a functional organizational unit that carries out health efforts that are comprehensive, integrated, equitable and can be reached and accepted by the community. A service is said to be good by a patient, determined by the fact that the service provided can meet the patient's needs using the patient's perception of the service received (satisfactory or disappointing, also including the length of service time). Patient satisfaction with examination and treatment services for patients with HIV/AIDS in various patient groups at the health service administration level at health centers and hospitals, comfort in using health services including waiting times and administrative procedures. Objective: HIV AIDS patients who undergo examinations and visits to the Sentani Community Health Center. Method: This research is qualitative research with an exploratory phenomenology approach, 3 participants, and the data collection technique is in-depth interviews. Results: The research results found three themes, including understanding about HIV AIDS, obstacles experienced during treatment, and easier access to health services. Conclusion: Health services for patients with HIV/AIDS require education and understanding and accessing health services through comprehensive education and counseling. Patients with HIV/AIDS require special attention in getting appropriate care. Access to complete health services for people with HIV/AIDS requires counseling between health workers aimed at exploring problems in order to find solutions in the resolution process.

Optimization of Resistance Band Exercise to Reduce Blood Pressure in Hypertension: Systematic Review

Yuliyanti Permane Suci — 2024-12-30

Hypertension is a chronic disease that is often found throughout the world and is a major risk factor for cardiovascular disease. Non-pharmacological approaches such as physical exercise, including resistance band exercises, can be effective in lowering blood pressure. However, the effectiveness of resistance band training in managing hypertension still requires further research. This article aims to assess the effectiveness of resistance band training in reducing blood pressure in individuals with hypertension. We conducted a systematic review of articles published in the period 2010-2023 using four main databases, namely PubMed, Scopus, Google Scholar, and the Cochrane Library, for articles discussing the use of resistance band exercises in hypertensive individuals with the search keywords being hypertension and resistance band exercise and combining Boolean operators (or, and, not) to achieve a more complete search. Three independent reviewers analyzed the articles based on predefined inclusion and exclusion criteria. Through the initial search, 2,785 articles were found. Based on the PRISMA flowchart and after manual review, only 10 studies met the inclusion criteria and were identified for further analysis. The results of the review show that resistance band exercises performed regularly, especially for 8 weeks or more, can reduce systolic and diastolic blood pressure in individuals with hypertension. This exercise was proven to be effective in reducing blood pressure, and this effect was more significant in the group that followed a regular exercise program. Significant changes in blood pressure were noted during an exercise program performed 2-3 times a week at moderate intensity. Resistance band training can be an effective non-pharmacological alternative in managing hypertension and has the potential to be part of the long-term management of hypertension. However, further research is needed to determine the optimal duration, intensity and frequency of exercise for maximum results.

The Effect of Progressive Muscle Relaxation on Stress and Blood Sugar in Diabetes Mellitus Patients

Ika Mustafida — 2024-12-30

Diabetes Mellitus is a chronic condition characterized by impaired insulin production, leading to hyperglycemia. Physically and psychologically, Diabetes Mellitus can cause stress and fluctuations in blood sugar levels. This application aims to determine the effect of Progressive Muscle Relaxation (PMR) on stress and blood sugar levels in Diabetes Mellitus patients through the evidenced based nursing practice. This study used a quasi-experimental method with one group pretest posttest design. Data collection was carried out using the Diabetes Distress Scale (DDS-17) and blood sugar level measurements. Determination of the sample using purposive sampling of 25 Diabetes Mellitus patients. This study showed that there was a decrease in stress scores of 0.162 points and a decrease in blood sugar levels of 8.12 mg/dl after the implementation of Progressive Muscle Relaxation for 3 days. Progressive Muscle Relaxation has been proven to be effective in reducing stress and blood sugar levels in patients with Diabetes Mellitus and can be used as an evidence-based intervention in nursing care for patients with Diabetes Mellitus.