Professional Health Journal (PHJ) is an open access journal with fourth Grade (Sinta 4). New Accreditation fourth Grade (Sinta 4) from Volume 1 Number 2 Year 2020 to Year 2025 wide range (Scope) of fields of nursing including basic research in nursing, management nursing, emergencies, and critical nursing, medical-surgical nursing, mental health nursing, maternity nursing, maternity nursing, child nursing, nursing care , community nursing, family nursing education nursing, complementary, alternative medicine (CAM) in nursing, midwifery, medicine, and pharmacist.. This journal provides a forum for original research and scholarships relevant to nursing and other health-related professions. Professional Health Journal (PHJ) is published 2 (two) times a year, namely in December and June by STIKES Banyuwangi. Articles are published collectively according to the publishing schedule. e-ISSN. 2715-6249 Starting from Volume 6 Issue 1 (2024), the journal will implement the following changes: Template Update: Download Template Language Transition all submissions to PHJ must now be written in English. Journal Description Journal title : Professional Health Journal Initials : PHJ Frequency : 2 issues per year (June and December) Prefiks DOI : 10.54832 Online ISSN : 2715-6249 Editor In Chief : Akhmad Yanuar Fahmi Pamungkas M.Kep Publisher : Stikes Banyuwangi
Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi
Analysis Of Potential Hazards In Boiler Parts Using Hirarc In Steam Power Plant (PLTU) Units Sebalang Generator Executor
In every workplace there is always a risk of accidents, which are related to company activities. Accidents are usually caused by people who do not meet company standards and unsafe environmental conditions. There is a potential danger which can cause work accidents. The aim of this research is to find out how to analyze potential hazards in the PLTU boiler section using HIRARC at the PLTU Nusantara Power Sebalang Generation Implementation Unit. This is qualitative research, with the approach used, namely observation and gathering information through in-depth interviews regarding potential dangers and safety risks to workers in the PLTU, the Sebalang generation implementing unit in the boiler unit. Then the HIRAR method was used. There were 6 informants consisting of 1 main, 3 key and 2 supporting informants using a purposive sampling technique. The instruments used were observation sheets regarding hazard identification, risk assessment and control, as well as HIRARC based on the provisions of PT PLN Nusantara Power Pusat. Results: In the boiler section of the Sebalang Power Plant Implementation Unit, there are potential hazards, namely physical hazards, chemical hazards and psychological hazards. Risk assessment with accumulated risk levels and severity levels based on PT PLN Nusantara Power Pusat's assessment. With elimination, substitution, engineering, administrative and PPE controls. Potential dangers that occur in the work environment: physical dangers (noise, extreme temperatures and exposure to coal dust ) , mechanical dangers (falling, slipping and tripping from heights and electric shocks), chemical dangers and psychological dangers from stress levels/workload.
Copyright (c) 2024 Muhammad Suhendra Wijaya, Nova Mega Rukamana, Nur Sefa Arief
Analysis Of Risk Factors For Covid - 19 Patients Using Mechanical Ventilation At Abdul Moeloek Lampung Hospital Year 2021
Considering that the number of confirmed cases of COVID-19 continues to increase, the Ministry of Health has issued Circular Letter Number HK 02.01/Menkes/ concerning Increasing the Capacity for Treatment of COVID-19 Patients in Hospitals Providing COVID-19 Services Issued 11/2021. This is especially true for patients on ventilators or in isolation rooms. This study aims to analyze the risk factors for COVID-19 patients who use ventilators at Abdul Moerok Hospital, Lampung in 2021. This research is a quantitative study using a cross-sectional design. The research was conducted at Abdul Moerok Regional Hospital from September 2022 to January 2023. The study population included 2,152 COVID-19 patients who were treated in hospital rooms and hospital wards. The sample was 337 people. Medical records are used as research instruments. Data were analyzed using univariate, bivariate and multivariate analysis. Respondents within 8 days after birth were 249 people (73.9%), 207 people (61.4%) had no complications, 250 people (74.2%) had oxygen saturation >90%, and 128 people were using a ventilator. people (38.0%). Relationship between age (p 0.001), gender (p 0.011), duration of Covid-19 disease (p 0.031), Covid-19 patients (p 0.001), and oxygen saturation (p 0.001), use of ventilators in Covid-19 patients. Oxygen saturation is the variable that has the greatest influence on the incidence of mechanical ventilation in Covid-19 patients, with a p-value of 0.001 and an OR of 68.285. It is hoped that the public will increase their knowledge so that they can avoid risk factors that can reduce oxygen saturation and maintain lung function
Analysis of the Implementation of the Community Health Center Integrated Recording and Reporting System (SP2TP) in 2024
The Community Health Center Integrated Recording and Reporting System (SP2TP) is the main source of information for the Community Health Center Management Information System (SIMPUS). The impact of late reporting or the absence of monthly SP2TP reports is the unavailability of up to date data that can be used as accurate/relevant information for people who need it as research reference material. The phenomena that occur are delays in sending SP2TP reports by officers as well as delays in input and sending data to the Health Service which must be done on the 5th of every month. The aim of this research is to analyze the implementation of SP2TP in 2024. This type of research is qualitative with a phenomenological approach. The technique for determining informants uses Purposive Sampling with a total of 8 informants. Data collection carried out included in-depth interviews, FGDs, and observations. This research uses triangulation of sources, methods, and time. Data analysis in this research used the NVivo application. The research results show that planning and organization are quite good, but the existing human resources have multiple tasks and do not meet the qualifications, which has an impact on the timeliness of SP2TP data collection. SP2TP coordination is carried out bottom up from the bottom, namely PJ Program to PJ Health Service starting from recording data for each program and carried out using Excel. SP2TP reporting is carried out after recapitulation by the SP2TP data manager. Suggestion: Implementation of SP2TP should use Google Form or Google Spreadsheet or a special IT application for SP2TP to facilitate reporting from the Puskesmas level to the Regency/City Health Office
Relationship Between Duration Of Use Social Media With Quality Sleep For Study Program Students Bachelor Of Nursing Maharani Sticks Poor
Introduction:The Sleep quality is a state where awareness of something decreases, but brain activity still plays an extraordinary role. Objectives: The purpose of this study was to determine the relationship between the duration of social media use and sleep quality in undergraduate nursing students at STIKes Maharani Malang. Methods: Correlational quantitative research design with a cross sectional approach. The number of research samples is 115 students with simple random sampling technique. Results: The results showed that the value of p = 0.003 which is smaller than α (<0.05). The value of the corelation coefficient (r = 0,272) indicates that there is a relationship between the duration of social media use and the quality of sleep in undergraduate nursing students at STIKes Maharani Malang. Conclusions: The majority or as many as 54 (47.0%) respondents had a moderate duration of social media use among undergraduate nursing study program students at STIKes Maharani Malang. The majority or as many as 98 (85.2%) of respondents experienced poor sleep quality among undergraduate nursing study program students at STIKes Maharani Malang. There is a significant relationship between the duration of social media use and sleep quality in undergraduate nursing study program students at STIKes Maharani Malang with a significance value of p = (0.003) < (0.05) so that the Ha hypothesis decision is accepted, namely that there is a relationship between the duration of social media use with sleep quality in undergraduate nursing study program students at STIKes Maharani Malang.
Copyright (c) 2024 Rama Putra Reynaldy, Rahmawati Maulidia, Risna Yekti Mumpuni
The Relationship between Hand Washing Compliance and the Incident of Peritonitis
CAPD is a dialysis method using a peritoneal membrane which is used as kidney replacement therapy. Although it is easy to implement, if it is not done correctly it can cause various complications such as peritonitis. Since the start of CAPD therapy, hand washing has been the main procedure before changing fluids. CAPD data according to IRR (2018) was confirmed from the provision of consumable medical materials or peritoneal dialysis fluid to 2,105 patients. This study aims to determine the relationship between hand washing compliance and the incidence of peritonitis in the Imam Bonjol CAPD Room, Dr. Saiful Anwar Hospital, East Java Province. This research method uses an observational analytical descriptive research design with a cross sectional method. The research sample was 177 CAPD patients using random sampling technique. The research results showed that almost all respondents had hand washing compliance in the compliant category with 147 respondents (83.1%). The research results showed that almost all respondents were in the no peritonitis category that were 153 respondents (86.4%). The results of the analysis using Fisher’s Exact Test showed that the Pvalue < α with Pvalue = 0.000 and α = 0.05, this shows that there is a relationship between hand washing compliance and the incidence of peritonitis in the Imam Bonjol CAPD Room, Dr. Saiful Anwar Hospital, East Java Province. The results show that hand washing is very important in preventing peritonitis in patients undergoing CAPD therapy. Suggestions for respondents to follow the guidelines and recommendations given by medical personnel to maintain hand hygiene, especially for CAPD patients. When possible, looking for additional information or training on hand washing practices.
Copyright (c) 2024 Rovi Agustiono, Andi Surya Kurniawan, Kurnia Laksana
Preparation Of 70% Ethanol Extract Of Pumpkin Nanoparticles (Sechia Edulle) Using The Inonic Gelation Method In Lozenges Tablet Formulation
Introduction:Chayote is a plant that is efficacious in lowering blood pressure. High blood pressure in hypertension can cause increased morbidity and mortality. These bad effects can be avoided by taking medication regularly. The aim of taking medication regularly is to ensure that drug levels in the blood remain within the therapeutic range. Apart from that, to achieve maximum drug levels in the blood is to make the drug into nanoparticles. Objectives: The aim of this research is to prepare nanoparticles of 70% ethanol extract of Chayote using the ionic gelation method. Methods:The research method is laboratory experimental. The research data is in the form of quantitative data, namely the size of the nanoparticles. Results: Nanoparticle preparation was carried out using a solution of 1% Chitosan and 0.5% Na TPP with a ratio of 2:1. The results of nanoparticle preparation were tested using Particle Size Analysis. The yield weight of the extract was also calculated at 27.73%. The measurement results of 70% Chayote ethanol extract nanoparticles were 556,5 nm. Conclusions: the particle size meets the criteria for nanoparticles of 10-1000 nm (556,5 nm).
Copyright (c) 2024 Anung Kustriyani, Rindu Ananda Aprilia, Ni Putu Happy Ana Kristina, Alila Fingkita Sari, Rita Gustina
The Effect of Giving Lemon Aromatherapy to Reduce Nausea and Vomiting in Pregnant Women in the 1st Trimester in the Working Area of Sukaraja Tiga Health Center, East Lampung
Symptoms of nausea and vomiting during pregnancy, often referred to as "morningickness", are normal physiological reactions that occur in the first trimester of pregnancy. An increase in the hormones HCG and estrogen in the body triggers nausea and vomiting during pregnancy. This treatment is divided into two, namely the use of drugs in pharmacological therapy and the use of alternative ingredients such as lemon aromatherapy in non-pharmacological therapy. This study aims to identify the impact of lemon aromatherapy in reducing symptoms of nausea and vomiting in 1st trimester pregnant women in the Sukaraja Tiga Health Center, East Lampung. The quantitative research method used is quasi-experimental with a one group pre and post test approach. The number of pregnant women in the first trimester who will be studied in the period April to May 2024 is 27 people, whose gestational age ranges from 5 to 12 weeks, and experience symptoms of nausea and vomiting. The sampling method includes all samples selected deliberately using the purposive sampling method and tested using the paired sample T test. Through statistical analysis, the results of the T test were obtained with a p-value of 0.000, or p-value <0.05, indicating that lemon aromatherapy therapy had an effect on reducing nausea and vomiting in pregnant women in the first trimester in the Sukaraja Tiga Health Center, East Lampung Working Area. The hope is that pregnant women can feel better by using lemon aromatherapy to reduce nausea and vomiting.
Analysis of Factors Associated with Wus's Decision to Use an IUD in the Working Area of the Maja Public Health Center, Lebak Regency in 2024
Birth control has become a global issue of great importance in maintaining a balance between population growth and available resources. One contraceptive method that is often used is the IUD. The prevalence of IUD/AKDR family planning acceptors in Indonesia is 3.8 % and in Banten 6.09%. The IUD has been a major focus of long-term contraceptive research because of its high effectiveness, reversibility, and potential additional health benefits. The aim of the research was to determine factors related to WUS's decision to use an IUD. This type of quantitative research with a cross sectional design. The population in the study, namely women of childbearing age in the Maja Health Center Working Area, numbered 9,394 and a sample of 369 people using the cluster random sampling technique . Data analysis used univariate, bivariate ( chi square), and multivariate ( multiple logistic regression). The results of bivariate analysis showed that there was no relationship between age (p=0.405), parity (p=0.837), and occupation (p= 0.875) with WUS's decision to use an IUD. Meanwhile, education (p=0.004), knowledge (p=0.000), attitude (p=0.038), husband's support (p=0.035), and support from health workers (p=0.029) affected WUS' decision to use an IUD. The factor most related to WUS's decision to use an IUD is knowledge with OR= 9.591. The conclusion from this research is that the dominant factor related to the decision to use an IUD is knowledge. WUS should actively seek information through trusted sources such as consulting with medical personnel at community health centers or reading accurate health literature.
Effectiveness of the Nareswari Method (Breathing, Relaxation, and Coloring) on Reducing Anxiety Levels in Postpartum Mothers"
Background: The postpartum period is a period of adaptation that is quite difficult for a mother. Various complaints can arise during the postpartum period, both physical and psychological complaints. Postpartum hormonal changes and adaptation to a new role as a mother often cause mothers to experience changes in mood, and become easily sad and sensitive. These symptoms are usually called postpartum blues. The still high rate of postpartum blues in the world, namely 70-80%, and the rate of postpartum blues in Indonesia, namely 60-70%, shows that the mental health problems of postpartum mothers require special attention. The results of a preliminary study at the Mrican Community Health Center, Kediri City, showed that 70% of 52 postpartum mothers (36 respondents) experienced anxiety during the postpartum period. In Indonesia, postpartum blues is still considered normal and does not require special treatment, even though this problem has a high impact on the welfare of postpartum mothers and their babies. Objectives: The aim of this research is to determine the effectiveness of the Nareswari method (Breathing, Relaxation, and Coloring) in reducing the anxiety level of postpartum mothers as an effort to prevent cases of postpartum blues. The Nareswari method is a combination of hypnobreastfeeding techniques and coloring therapy (coloring). Methods: This type of research is observational analytical experimental research with a case-control approach with two group pretest and post-test. The independent variables are hypnobreastfeeding and coloring hypnosis. The dependent variable is the level of anxiety of postpartum mothers and the number of samples in this study was 50 respondents. Results: The results of statistical tests show a significant difference between the level of anxiety in the treatment group and the control group (p-value = 0.0000 < α value 0.05). Conclusions: The Nareswari method is effective in reducing anxiety levels in postpartum mothers. There was a significant reduction in anxiety levels after postpartum mothers routinely used this method for one month.
Copyright (c) 2024 Alfadefi Khalifatunnisak
The Role of E-Module Application Media as Health Literacy to Increase Knowledge of Cadres in the Prevention and Management of Diarrhea in Children
Introduction: Diarrhea is still a major global problem and the biggest cause of death in children under five in Indonesia. Cadres have an important role in improving children's health so it is necessary to increase knowledge about the prevention and handling of diarrhea in children. E-module application media is one of the health literacy options that can provide experience accessing the process. Objectives: to analyze the effect of e-module application media in the prevention and treatment of diarrhea in children Methods: Pre-experiment with one group without control pretest and post-test design was used. The population in this study was 30 posyandu cadres in Punggolaka Village using total sampling. The instrument used e-module application media to provide education on preventing and managing diarrhea in children and questionnaires to measure cadre knowledge. Results: The results showed an increase after the post-test with a mean value of 63.00 before intervention and 85.30 after intervention, while the paired t-test showed a significant effect with a p-value of <0.001 (<0.005). Conclusions: There is a significant effect of education through the e-module application media on the knowledge of posyandu cadres in Punggolaka Village
Copyright (c) 2024 Islaeli islaeli, Sartini Risky, Sartini Risky, Asbath
New Patient Orientation “KANAK”(Recognizing Pediatric Room) to Prevent Child Hospitalization
Introduction: Sick children experience crisis conditions for a change of environment when they have to be hospitalized. Besides that, children must be separated from their closest people and cannot do any activities such as playing. This condition is called hospitalization. New patient orientation is an introduction provided by nurses to patients and families about the services while the children are undergoing treatment in order to be able to adapt immediately, one of which is to prevent hospitalization. Objective: Optimizing the implementation of new patient orientation “KANAK” (Recognizing Pediatric Room) through leaflet and barcode features. Methods: This study used a descriptive research design with a pilot study approach. The sample of this study was families of new patients in the pediatric room of Blambangan Hospital. The instruments used were KANAK guidelines, leaflets and barcode features. Results: The results of observations of the implementation of KANAK in the pediatric room to families using leaflets and barcode features carried out by the team leader and shift supervisor for 15 patients were categorized as good. Conclusion: The implementation of new patient orientation through a pilot study approach applying SWOT Analysis and implementing the PDCA concept (Plan, Do, Check and Action) during the evaluation, decreased child hospitalization.
Copyright (c) 2024 Essy Sonontiko Sayekti, dodi wijaya wijaya, Diana Rohman Rohman, Yuliah Ernawati Erna
The Relationship Between Gadget Usage Habits, Parenting Stayles And Eating Patterns Of Children Aged 4-7 Years With The Nutritional Status
Introduction: The rapid advancement in technology and information has significantly transformed the field of communication technology. Today, many parents intentionally give gadgets to their children, believing that these devices can serve as a distraction to keep children calm while they are at work, and to make them feel comfortable at home. However, when gadget usage is uncontrolled and used merely as a distraction tool, it may impact children's behavior and nutritional status. Objectives: This study aims to explore the effects of gadget usage habits, parenting styles, and dietary patterns on the nutritional status of children aged 4-7 years. Methods: This research uses a descriptive observational design with a cross-sectional approach. The study population includes children aged 4-7 years who use gadgets, with a total sample size of 55 children. Data analysis was carried out using the Chi-Square Test. Results: The findings show a significant influence of the three variables—gadget usage, dietary patterns, and parenting style—on the nutritional status of children, with a p-value of 0.00, which is less than 0.05. It can be concluded that gadget usage, parenting style, and dietary patterns significantly affect the nutritional status of children aged 4-7 years. Conclusions: There is a noticeable impact of gadget usage habits, parenting styles, and dietary patterns on the nutritional status of children aged 4-7 years.
Relathionship Relationship Between Fulfillment Of Pre-Operative Fluid Needs And The Incidence Of Nausea And Vomiting In Patients Post General Anesthesia At Dr Saiful Anwar Hospital, East Java Province
Introduction: Postoperative nausea and vomiting, known as Postoperative Nausea Vomiting (PONV), is one of the problems often experienced by post-operative patients. Most anesthetic drugs have a vasodilation effect which causes hypotension and hypoperfusion, thereby stimulating the CTZ to produce nausea and vomiting reactions. Hypotension will be more dangerous if the body's fluid needs are not met at the time of surgery. Hypotension is one of the triggers that can cause nausea and vomiting. Giving fluids to preoperative patients is generally done to prevent intraoperative hypotension. Methods: The design of this research is analytical observational with a cross sectional approach, using a proportional sampling technique with a sample of 80 respondents. This research instrument uses the RINVR observation sheet and fluid calculations based on the fresh holiday formula. Data analysis using the Fisher Test with SPSS IBM Version 23. Results: The results showed that the majority of respondents, namely 72 (90%) channeled preoperative fluid requirements less than required, 44 respondents (55%) experienced mild nausea and vomiting, 61.1% Respondents experienced mild nausea and vomiting while meeting inadequate preoperative fluid requirements. The results of the Fisher Test statistical test obtained a value of p = 0.001, which can be concluded that there is a significant relationship between preoperative fluid requirements and the incidence of nausea and vomiting in patients after general anesthesia at RSUD dr. Saiful Anwar, East Java Province. Conclusions: In preoperative patients, a lot of fluid is lost. Fluid lost during fasting is replaced by calculating fluid requirements per day (per hour), calculating the fasting deficit (length of fasting) or dehydration (degree of dehydration). Providing sufficient fluids can reduce the risk of postoperative nausea and vomiting under general anesthesia.
Copyright (c) 2024 Shaumi Miftahul Rasyida
Does acupressure therapy decrease blood pressure in hypertensive elderly?
ntroduction: Hypertension is a high blood pressure condition often referred to as the "silent killer" as it is frequently asymptomatic but can lead to a range of serious health complications, including heart disease and stroke. The prevalence of hypertension continues to rise worldwide, with projections of reaching 29% of the adult population by 2025. To control hypertension, complementary therapies such as acupressure are emerging as a supportive complement to the management of high blood pressure, especially for the elderly, to improve their quality of life and ease the burden on the healthcare system. Objectives: to analyze the effect of acupressure therapy on blood pressure in hypertensive elderly. Methods: Pre-Experimental Design, with a One-Group Pretest-Posttest Design. Results: The results showed a decrease in average systolic blood pressure by 24.08 mmHg, from 148.08 mmHg in the pre-test to 124.00 mmHg in the post-test, with a p value of 0.002. In addition, there was a decrease in mean diastolic blood pressure by 11.83 mmHg, from 85.83 mmHg in the pre-test to 74.00 mmHg in the post-test, with a value of (p value 0.013). These results indicate that acupressure therapy has a significant effect on reducing systolic and diastolic blood pressure in elderly hypertension. Conclusions: These findings support using acupressure as a complementary therapy to assist in managing hypertension in the elderly, potentially improving their quality of life and reducing the burden of hypertension-related health services.
Copyright (c) 2024 Candrawati Sang Ayu Ketut
Relationship Between Fulfillment Of Pre-Operative Fluid Needs And The Incidence Of Nausea And Vomiting In Patients Post General Anesthesia At Dr Saiful Anwar Hospital, East Java Province
A head injury is scary. Head injuries can be fatal and require medical attention. Trauma severity evaluation helps clinicians make informed judgements, create effective treatment plans, reduce time and costs, and maybe prevent brain injury impairment and death. A comprehensive physiological grading system, the Revised Trauma Score evaluates human physiological function. This study examines the relationship between the Revised Trauma Score and head injury fatalities at RSUD dr. Saiful Anwar Malang. The research uses cross-sectional and observational correlation analytic methods. The study sampled 70 people incidentally. Used secondary data from observation sheets and medical records. The majority of 46 respondents (65.7%) had RTS scores of 11-12, indicating low brain injury. Despite the high mortality rate, 57 respondents (81.43%) survived. Spearman rank test two variables for correlation. The study found a 0.000 p-value between the RTS category and head injury mortality at RSUD Dr. Saiful Anwar Malang. Lighter RTS categories have lower mortality rates, while heavier ones have higher rates. RTS's effectiveness in predicting head injury death needs further study.
Family Issues In Caring For Patients With Chronic Kidney Failure
Introduction: According to the World Health Organization (WHO) and the Global Burden of Disease (GBD) project, kidney diseases significantly contribute to the global disease burden, resulting in approximately 850,000 deaths annually and 15,010,167 cases of disability, which lead to a decline in quality of life. Chronic kidney disease (CKD) patients undergoing hemodialysis face various issues that can cause biological, psychological, social, and spiritual imbalances. Objectives: This study aims to explore the challenges families encounter when caring for patients with chronic kidney disease. Methods: Utilizing a qualitative phenomenological research approach, the study involved in-depth interviews with a sample of five validated participants. The research identified four themes: (1) loyalty in caring for CKD patients; (2) feelings of sadness and concern regarding the patient's condition; (3) emotional burden of caregiving; and (4) acceptance of the patient's condition, with a central theme of accepting the CKD patient's status. Results: The research findings revealed four themes based on data collected from participants 1 to 5: (1) commitment to caring for patients with Chronic Kidney Disease (CKD), (2) feelings of sadness and concern regarding the condition of CKD patients, (3) emotional burden associated with caring for CKD patients, and (4) acceptance of the CKD patients' condition. The data analysis process, based on the interview results from each participant, will be elaborated upon according to themes, sub-themes, and categories, along with excerpts from participants' statements. Conclusions: The findings from this study, which comprise four themes, indicate that families caring for patients with Chronic Kidney Disease (CKD) face various psychological challenges that, if not addressed with appropriate coping mechanisms, can adversely affect their mental health status.
Copyright (c) 2024 Anisa Purnamasari, Nazaruddin Nazaruddin, Cece Indriani, Sari Arie Lestari, Zahalim Zahalim, Wa Ode Nova Noviyanti
Relationship Of Family Knowledge And Support With Pregnant Women's Compliance In Consuming Fe Tablets In The Working Area Of Publich Health Center Poleang Utara
Introduction:Fe consumption coverage figures in Indonesia have not yet reached the target, including at the North Poleang Health Center, Bombana Regency, Southeast Sulawesi Province, which only reached 12%. Objectives:This study aims to determine the relationship between knowledge and family support and pregnant women's compliance with consuming FE tablets Methods:This research is a quantitative research with a cross-sectional design. The population in this study was 117 people with a sample size of 30 people selected using proportional sampling techniques. Results:The test used was the Chi Square test. The results of the Chi-square statistical test carried out obtained a value of Xhit>Xtab 0.621>3.84. The hypothesis was rejected, based on the assessment criteria, there was no relationship between knowledge and compliance of pregnant women in consuming Fe tablets. Furthermore, the results of the test for the closeness of the relationship showed that the value of φ was 0.471 or showed a moderate relationship. As well as a value of 10,541>3,841, the hypothesis is accepted, based on the assessment criteria, there is a relationship between family support and the compliance of pregnant women in consuming Fe tablets. Furthermore, the results of the relationship strength test show that the φ value is 0.593 or shows a strong relationship. Conclusions: The conclusion of this study is that knowledge hevent corre;ation with maternal compliance and family support have a relationship with maternal compliance in consuming Fe tablets.
Copyright (c) 2024 Yulli Fety Fety, Lisnawati Lisnawati, Arfan Arfan
Brain Exercise Therapy Using Scrabble Board Game To Overcome Memory Impairment In Elderly With Dementia In The Working Area Of Tegal Selatan Community Health Center
Introduction: Dementia is a condition characterized by cognitive decline, which significantly impacts daily activities and social relationships. Memory loss is one of the earliest signs of dementia, and the elderly are particularly vulnerable to its onset. Brain exercises, such as those that activate both brain hemispheres, can help stimulate cognitive functions and improve brain activity. The Scrabble board game has been identified as an effective tool to enhance cognitive abilities, slow the progression of dementia, and provide mental stimulation. Objective:This study aims to assess the effectiveness of brain exercise activities and the Scrabble board game as therapeutic interventions for elderly individuals experiencing memory impairment in the Tegal Selatan Public Health Center area. Method: A case study approach was applied, focusing on two clients with memory impairment. Over one week, nursing care was provided, with data collected through interviews, direct observations, and the Mini-Mental State Examination (MMSE). Results:The integration of brain gym exercises and Scrabble board game therapy resulted in noticeable improvements in memory and cognitive function in both clients. After seven days of therapy, the first client's MMSE score increased from 16 (indicating moderate cognitive impairment) to 21, while the second client's score rose from 18 to 25, indicating no cognitive impairment. Conclusion:The combination of brain exercises and Scrabble therapy has proven beneficial in enhancing cognitive functions, particularly memory, in elderly individuals with dementia-related memory issues.
A Relationship Between Self Efficacy And Self Regulation In Diabetes Mellitus Patients
Diabetes Mellitus is an incurable disease that affects aspects of life and increases the risk of complications that can cause death. Complications can be minimized if the patient has compliance, knowledge, and ability to perform self-care . The motivation for someone to perform self-care is to have good self-efficacy , while compliance in operate maintenance self influenced by self regulation Where impact on control blood sugar control , diet, and style life . Purpose study for know connection self efficacy with self-regulation in patients with Diabetes Mellitus. The method used quantitative with approach cross sectional . Population in the study This Diabetes Mellitus sufferers at Dr. Loekmono Hadi Kudus Regional Hospital recorded in 2023 were 113 people and determined sample as many as 88 respondents. Results study using the spearman rank test obtained p value of 0.002 (<0.05) which has meaning there is significant relationship​ between self efficacy with self-regulation in patients with Diabetes Mellitus with mark coefficient correlation of 0.332. Conclusion there is connection between self efficacy with self regulation in patients with Diabetes Mellitus.
Copyright (c) 2024 Devi Setya Putri, Alvina Setiani, Luluk Cahyanti
The Effect Of Sekadi In Diabetic Ulcer Risk Patients On Abi Score
Diabetic ulcers are a feared complication of type 2 diabetes, characterized by damage or loss of the skin layer in the epidermis, tendons, muscles, bones, or joints. The issue of diabetic ulcers in Banyuanyar village, Kalibaru, involved 30 respondents. This research aims to identify the presence of peripheral artery disease using the Ankle Brachial Index (ABI), analyze changes in ABI after diabetic foot exercises are performed on patients at risk of diabetic ulcers, and identify changes in the Ankle Brachial Index (ABI) before and after the diabetic foot exercises. This research is a quantitative study with a quasi-experimental design using a one-group pre-test post-test approach. The sample consists of 30 respondents, and the sampling technique used is purposive sampling. Data collection was carried out using a research instrument in the form of ABI scores to determine the presence of PAD disease. The research results were statistically tested using the Wilcoxon test, with a p-value of 0.000 < α (0.05), which means there is a relationship between before and after the SEKADI was conducted. The respondents are hoped to perform SEKADI independently.
Copyright (c) 2024 Maulida Nurfazriah Oktaviana, Rizki Mega Safitri
The Influence Of Body Mass Index And Eating Patterns On Cholesterol Levels In Adolescents
Introduction: Unhealthy eating habits, such as the consumption of junk food that is high in salt, sugar, and low in nutrients, can lead to nutritional deficiencies and increase the risk of early cardiovascular diseases in adolescents. Objectives: This research aims to analyze the relationship between dietary patterns and Body Mass Index (BMI) with cholesterol levels in adolescents. Methods: This study uses a cross-sectional analytical observational design. In this study, the sample used total sampling. The population of 58 respondents means that the sample taken is 58 samples. The data was analyzed using univariate analysis for the frequency distribution of BMI, dietary patterns, and cholesterol levels. The chi-square test is used in bivariate analysis to assess the relationship between diet and BMI with cholesterol levels. Results: Based on 58 respondents, the analysis using the chi-square test found that the significance level of the p-value is 0.05, as (p-value 0.464) indicates that there is no effect of BMI on cholesterol levels. Conclusions: Meanwhile, the analysis using the chi-square test on diet concerning cholesterol levels yielded a (p-value of 0.001), indicating that diet affects cholesterol levels. The research results indicate that BMI does not have a significant effect on cholesterol levels, while dietary patterns do impact cholesterol levels among adolescents. This indicates that a multifactorial approach is necessary for addressing cholesterol issues in adolescents.
Copyright (c) 2024 Firdawsyi Nuzula, Sahrul Gunawan, Maulida Oktaviana
Social Support in Determining Coping Strategies Among Adolescents in Urban City: Evidence from Post COVID-19
Introduction: The process of life has changed in the post-pandemic COVID-19 era, including in the educational setting of schools. This condition has an impact on adolescents who tend to struggle in determining effective coping strategies. Adolescents require a lot of support in resolving their chosen coping strategies. Objectives: This research aims to explain the relationship between social support and coping strategies among adolescents in the post-pandemic COVID-19 era. Methods: This research used a quantitative approach with a cross-sectional design. The research sample consists of 11th-grade students attending schools in the urban city, with 224 respondents. The sampling technique used in this study is random sampling. The correlation between social support and coping strategies is analyzed using the Chi-square test with normally distributed data. Results: This research indicates a relationship between social support and coping strategies adolescents use during the learning process in Tangerang (p-value < 0.05). Conclusions: Adolescents with low social support tend to use problem-focused coping strategies, while the majority of adolescents with high social support tend to use emotion-focused coping strategies. This study recommends interventions for adolescent groups to determine appropriate coping strategies when experiencing stress.
Copyright (c) 2024 Rizkiyani Istifada, Firda Widyasari, Hera Hastuti, Robby Prihadi Aulia Erlando
The Influence of Nurses' Prehospital Education on The Anxiety of Double J Stent Removal One Day Care Patients At The Central Surgery Installation of dr. Saiful Anwar RSUD Malang
Abstract The Double J Stent is a tool to prevent kidney stone fragments from blocking the patient's ureter after surgery. The procedure for removing the Double J stent tube can be done using One Day Care (ODC) or without hospitalization, but it can cause anxiety for the patient who is going to have the operation. The aim of this study was to determine the effect of prehospital education on the anxiety of Double J stent removal one-day care patients at the Central Surgery (IBS) Installation at RSUD Dr. Saiful Anwar Malang. The research was designed using a quantitative research design with a post-test-only control design approach. The sample in this study was taken using the total sampling method, so that 20 people were divided into two groups: the control group (without education) and the intervention group (with health education). The instrument used was the Zung Self-Anxiety Rating Scale (ZSAS). Results of the analysis The Mann Whitney test showed that there was a difference in the average anxiety score of Double J Stent Removal One Day Care patients at the Central Surgical Installation of Dr. Saiful Anwar Hospital, Malang, between the control and intervention groups (p value <0.05). In other words, there is an influence of prehospital educational actions on reducing anxiety in Double J Stent Removal One Day Care patients at the Central Surgical Installation of Dr. RSUD. Saiful Anwar Malang. This research is expected to become study material for hospitals to create and implement policies regarding the implementation of prehospital nurse education for Double J Stent Removal One Day Care patients at the Installation Central Surgery at Dr. Saiful Anwar Hospital, Malang. Keywords: Double J Stent, One Day Care, Anxiety Level
Combination of Diamond Painting Play Therapy and Music Therapy on Fine Motor Development in Preschool Children
Introduction: One of the factors that influences fine motor development is stimulation. Children who receive more stimulation will develop faster than those who rarely do (4). Some activities that can develop fine motor skills include puzzle games. One type of puzzle that is currently popular in children's environments because it is interesting and easy to get is diamond painting. Diamond painting is a drawing game on a canvas by attaching diamond-shaped beads to a pattern that is already available. This game can train children's fine motor skills because the child's fingers will move to attach the beads to the painting media, in addition it can improve eye, hand coordination, concentration, and increase imagination and creativity. Not only play therapy or the use of other learning media, it turns out that music therapy can also improve children's motor development. Innovation and modification of play therapy need to be done in developing learning media so that they can help stimulate the growth and development of preschool children. objective: to analyze the effect of a combination of diamond painting play therapy and music therapy on fine motor development in preschool children. Method: This study uses a mixed method design, namely combining quantitative and qualitative methods in a study with an Explanatory Design approach. Result: fine motor skills of children in the intervention group with a p value of 0.000 or <0.05, meaning that there is an effect after being given a combination of diamond painting play therapy and music therapy.
Copyright (c) 2024 Lensiana Novi, Eni Susanti Laia, Nurmawati S. Lataima, Shinta Wurdiana R, Hendro Djoko Tjahjono
THE EFFECT OF GIVING A COMBINATION OF AVOCADO (PERSEA AMERICANA) AND CHOCOLATE JUICE ON REDUCING DYSMINOREA
Dysmenorrhea is a disorder during menstruation, and it can have an effect that can interfere with daily activities. The prevalence of dysmenorrhea in the world is still very high, 1.8-1069,425 (90%). In Indonesia, it was recorded at 64.25%, in East Java at 71.3%, while based on the results of a preliminary study in XI-grade of SMA Ibrahimy 2 of Sukorejo there was 80% of adolescents experienced dysmenorrhea. To determine whether avocado and chocolate juice reduce dysmenorrhea in XI-grade adolescents of SMA Ibrahimy 2 of Sukorejo. This study applied a quasi-experimental design with a one-group pretest-posttest design and control. Samples were taken using purposive sampling, involving 60 participants (30 in the intervention group and 30 in the control group). Data were analyzed through univariate and bivariate analysis. The prevalence of dysmenorrhea in the intervention and control groups generally showed moderate pain, with 38 cases (63.3%). The Chi-Square test revealed no significant correlation between the three categorical variables with dysmenorrhea because the p-value > 0.05. However, for the age of menarche, the p-value of 0.016 < 0.05 indicated a correlation with the level of dysmenorrhea pain. The results of the Wilcoxon test showed that both groups experienced significant changes, but the changes in the control group were more significant than the intervention group. The Mann-Whitney test with a p-value of 0.000 < 0.05 rejected H0 and accepted Ha, which means that the administration of avocado and chocolate juice significantly affects primary dysmenorrhea. The administration of a combination of avocado and chocolate juice significantly reduces primary dysmenorrhea in XI-grade adolescents at SMA Ibrahimy 2 of Sukorejo.
Copyright (c) 2024 Neny Yuli Susanti Neny Yuli Susanti, Hayatul Rahimah, Lailatul Latifah; Liana Devi Oktavia; Jasmiati Jasmiati
The Effect of Progressive Muscle Relaxation with Self Instruction Training (SIT) Techniques in Video Media on The Sleep Quality of Hemodialysis Patients
Introduction: Chronic kidney disease (CKD) is a global public health problem whose prevalence continues to increase every year. CKD is when the kidneys experience structural and functional disorders lasting over 3 months. Sleep disorders generally occur in people with chronic kidney disease, especially in people with end-stage kidney disease. Progressive muscle relaxation is one of the complementary therapies that can reduce anxiety, reduce pain, and lower muscle tension. Objectives: The aims of this research is to analyze the effect of progressive muscle relacxation with self instruction training (SIT) Technique in Video Media on The Sleep Quality of Hemodialysis Patients. Methods: The research design used was Pre-Eksperimental using a one-group pre-post test with a sample of 15 hemodialysis patients by purposive sampling. Results: The results showed that the quality of sleep before progressive muscle relaxation was 11 respondents (73.3%) whose frequency of sleep quality was quite poor. After progressive muscle relaxation, 8 respondents (53.3%) had a fairly good frequency of sleep quality. The results of statistical tests using the Wilcoxon test showed there was a significant influence between progressive muscle relaxation on sleep quality in hemodialysis patients (p-value=0.002). Conclusions: Progressive muscle relaxation plays a role in relaxing tense muscles and providing a sense of comfort and has an impact on improving sleep quality. Progressive muscle relaxation can be used as an alternative in improving sleep quality in hemodialysis patients.
Copyright (c) 2024 Dhian Luluh Rohmawati
THE INFLUENCE OF CUPPING THERAPY ON BLOOD PRESSURE REDUCTION IN HYPERTENSIVE PATIENTS AT THE HOLISTIC HEALTH HOUSE OF FIYAS IN CENDANA VILLAGE, BANGGAI REGENCY
Intriduction: Hypertension is defined as an increase in systolic blood pressure of more than 140 mmHg and diastolic blood pressure of more than 90 mmHg measured twice with a five-minute interval in a state of sufficient rest or relaxation (Ministry of Health of the Republic of Indonesia, 2018). Systolic blood pressure > 130 mmHg and diastolic blood pressure > 80 mmHg in adults (Asmah, 2023). Persistent and uncontrolled hypertension is a leading cause of death, leading to myocardial infarction, heart failure, kidney failure, stroke, vision disorders, and peripheral vascular disease Objectives: The purpose of this study is to examine the effect of cupping therapy on blood pressure reduction in hypertensive patients Method: The design used in this study is Quasi-Experimental, involving a control group and an intervention group. Results: Based on the research results, the average systolic blood pressure at the final measurement for the intervention group is 140.76, while the average systolic blood pressure for the control group is 150.29, with a total of 34 participants. The statistical test using the Paired Sample T-test yielded a value of P 0.002, which is less than 0.05. Therefore, it can be concluded that there is an effect of cupping therapy on blood pressure reduction in hypertensive patients. Meanwhile, the average diastolic blood pressure at the final measurement for the intervention group is 84.24, while the average diastolic blood pressure for the control group is 94.71, also with a total of 34 participants. The statistical test using the Paired Sample T-test yielded a value of P 0.000, which indicates P < 0.05. Conclusions: based on results can be concluded that there is an effect of cupping therapy on blood pressure reduction in hypertensive patients
Copyright (c) 2024 Nur Ayun R. Yusuf, Ilyas M. Ali
ALTERNATIVE THERAPY TACTICS: INTEGRATION OF CUPPING THERAPY AND MASSAGE IN MANAGING LOW DENSITY LIPOPROTEIN (LDL) IN HYPERTENSION PATIENTS WITH HYPERCHOLESTEROLEMIA
Introduction:Hypertension sufferers with hypercholestrolemia can cause complications from stroke, heart disease and even death. There is a need for a therapeutic approach that can be used by sufferers as an alternative treatment. Objectives:The aim of this research is to analyze the effect of integrating cupping therapy with massage in controlling LDL levels in hypertension sufferers with hypercholetrolemia. Methods:This research is quantitative research with an experimental approach with a pre-post design with control group. The implementation of this research consists of several stages, namely the first stage, namely determining the number of research samples using the Lameshow formula and based on this formula, a sample number of 68 people was obtained which was divided into 2 groups, namely the intervention group and the control group. Results:in group inintervention, there was a difference in the mean at the pretest from 165.76 to 109.03 at the posttest. And the lowest reduction in cholesterol levels was 49,842 and the highest was 63,629. The results of the Paired t test showed a Phi value of 0.0001 < 0.05, which means that the integration of Cupping Therapy with Massage was able to reduce LDL levels in the Intervention Group. Meanwhile, in the Control group, the mean Pretest value was 159.59 and Posttest 158.32. The results of the paired t test showed that the Phi value was 0.107 > 0.05, which means there was no change in Low Density Lipoprotein (LDL) levels in the control group. Conclusions: Based on the results above, it can be concluded that the integration of cupping therapy and massage can reduce LDL levels in hypertension sufferers with complications of hypercholestrolemia.
Copyright (c) 2024 Lisnawati Lisnawati, Nazaruddin Nazaruddin, Sanatang Sanatang
Exploring The Factors Affecting On Reproductive Health Of Adolescents In Rural Areas
The understanding of Indonesian teenagers, especially in rural areas, about reproductive health is still very low, especially among teenage girls, only 10.4% of the 15-24 year old age group know about reproductive health, resulting in various reproductive health problems such as free sex, sexual harassment, dropping out of school, early marriage, pregnancy outside of marriage, and many religious marriages. The purpose of this study was to explore the description of factors affecting on reproductive health management in adolescents. The study used a qualitative method with a phenomenological approach. Participants were selected using a purposive sampling strategy. There were 12 participants with the criteria, namely adolescents aged 14-18 years, receiving data collected through in-depth interviews, observation, and documentation. The results of the research theme were obtained using collaizi analysis which was arranged in stages using data triangulation starting from coding, categorization, and theme formation. Based on the results of the analysis of participant information, three main themes were formulated, namely knowledge, parental support, and peers. The conclusion of this study is that factors that influence adolescent reproductive health in rural areas are knowledge factors, family support and peer support. Adolescents are expected to be able to take responsibility for maintaining their reproductive health independently, increase spirituality and be able to maintain open communication with their parents and peers.
The Influence of Husband's Assistance Using Audio Visual Methods on Family Planning Participation in Long-Term Contraceptive Methods in Women of Childbearing Age in Kutuk Village, Undaan District, Kudus Regency
Introduction: The population in Indonesia has reached 278.69 million people in July 2023. This figure is up 1.05% from 2022, namely 275.77 million people. To control population growth, the government has created programs, one of which is the long-term contraceptive method family planning program or Long Term Contraceptive Methods in the form of IUDs, Implants, MOW and MOP through the assistance of husbands using audiovisual media. Objectives: Analyzing the Influence of Husband's Assistance Using Audio Visual Methods on Family Planning Participation in Long-Term Contraceptive Methods in Women of Childbearing Age. Methods: This research is quantitative using a quasi experimental study method with control group design. The sample used 15 respondents in the intervention group using audio-visual and 15 respondents in the control group using leaflets. Data analysis used the Paired Sample T-test statistical test, the independent T-test, namely the paired T-test, using the Wilcoxon Test. Results: The participation of women of childbearing age in family planning using long-term contraceptive methods in the intervention group and control group before being given treatment, no one used MKJP family planning (0%) and after being given treatment, the intervention group used MKJP family planning, numbering 6 people (40%) and the control group 2 people (13.3%). Based on the Significant Difference Test using the Mann-Whitney test, the category of husband's knowledge and support for MKJP family planning participation above can be seen as a p-value of 0.000, which means there is a significant difference between before giving the intervention and after giving the intervention. With the results of this test, the data Ho is rejected and Ha is accepted, which means that the use of the audio-visual method influences the level of knowledge which influences the husband's support for family planning for long-term contraceptive methods. Conclusions: The use of audio-visual methods affects the level of knowledge which influences husband's support which causes an increase in family planning participation in long-term contraceptive methods.
WEB-SAINSTREN (Science and Digital Disaster Literacy Website) to improving Knowledge and Disaster Preparedness of Islamic Boarding School Students
Introduction: Islamic boarding schools as educational institutions still rarely carry out educational activities on disaster mitigation. The lack of knowledge about disasters among students makes the risk of fatalities due to disasters high. Objectives: to analyze the influence of WEB-SAINSTREN on the level of knowledge and disaster preparedness of students at Islamic boarding schools. Methods: Pre-Experimental with pre-posttest design approach. The population in this study were students of PP Al Muhibbin (male and female), PP Al Ma'arij (male and female) and PP Al Madienah (female). Using purposive sampling, the sample that met the inclusion and exclusion criteria was (n = 171). The research instrument consisted of four parts: Website, demographic sheet, disaster knowledge questionnaire and disaster preparedness questionnaire. Univariate analysis was conducted by calculating the mean, median, mode and creating a frequency distribution based on the category of each variable. Bivariate analysis used the Wilcoxon sign rank test. Results: almost half of the respondents (45.6%) were aged 13-15 years. more than half of the respondents were female (55%). most of the respondents were at secondary education level (SMA) (40.9%). more than half had never attended disaster education (56.7%). Conclusions: There is a significant influence of providing disaster education through websainstren on increasing knowledge and disaster preparedness of Islamic boarding school students.
Copyright (c) 2024 Hidayah Nurul, Pepin Nahariani, Anja Hesnia Kholis, Syahdatul Nabila Indana Zulfa, Abdul Azis
The Impact of "Teman Bunda" Pocket Book Print Media Education on Mothers' Knowledge of Toddler Growth and Development
Good nutritional status is crucial to support a child's growth and development. The high prevalence of nutritional and developmental issues in toddlers is, in part, influenced by the mother's knowledge. This study aims to assess the impact of providing education using the "Teman Bunda" Pocket Book as a print media tool. This research utilized a quasi-experimental method with a pretest-posttest design. The study sample included 88 respondents. The results showed that, prior to the educational intervention using the "Teman Bunda" Pocket Book, 14 respondents (16%) had poor knowledge, 32 respondents (36%) had adequate knowledge, and 42 respondents (48%) had good knowledge. After the intervention, 8 respondents (9%) still had poor knowledge, 24 respondents (27%) had adequate knowledge, and 56 respondents (64%) had good knowledge. Statistical analysis using the Marginal Homogeneity Test yielded a p-value of 0.001 < α 0.05 (p = 0.001), indicating that H0 is rejected. This confirms that the educational intervention using the "Teman Bunda" Pocket Book Print Media significantly influences mothers' knowledge regarding toddler growth and development. In conclusion, this study demonstrates that the "Teman Bunda" Pocket Book Print Media has a significant positive effect on improving mothers' knowledge about toddler growth and development.
Copyright (c) 2024 Nurun Nikmah, Rila Rindi Antina, Selvia Nurul Qomari, Dita Puspita Sari
Five-Finger Hypnosis Lowers Anxiety in Elderly Hypertensive Patients
One of the health problems that can cause anxiety is hypertension and the psychological aspects that accompany it. Anxiety is a feeling of worry as if something bad is going to happen and a feeling of discomfort as if there is a threat accompanied by physical symptoms such as heart palpitations, cold sweats, and shaking hands. One alternative relaxation for hypertensive patients is five-finger hypnosis, which aims to program oneself, relieve anxiety, and reduce the increase in heart rate, respiration, and blood pressure. The purpose of the study was to determine the effect of complementary therapy with the five-finger hypnosis method on the reduction of anxiety in elderly hypertensive patients (Elderly) at the Sliyeg Health Center, Indramayu Regency. Research method: This research is a type of pre-experiment with a one-group Pre-test Post test design. The population of this study is all elderly hypertension patients who use health services at the Sliyeg Health Center, Indramayu Regency, as many as 263 people, and the sample used is accidental sampling, as many as 32 respondents. The data collection instrument in this study is the Hamilton Anxiety Rating Scale (HARS) questionnaire, which is standard and according to the standard operating procedure of 5-finger hypnosis. The data analysis techniques used are univariate and bivariate analysis using the Wilcoxon sign rank test because the data of nominal free variables and ordinal-bound variable data are ordinal. Results: Before being given 5-finger hypnosis therapy, the majority of respondents were at a severe anxiety level of 28 respondents (87.5%); after being given 5-finger hypnosis therapy, the majority of respondents were at a mild anxiety level of 20 respondents (62.5%), and the results of the paired sample t-test statistical test obtained a p-value of 0.000. Conclusion: There was a very significant or meaningful change in anxiety level before and after being given five-finger hypnosis (p-value < α 0.05). Suggestion: elderly hypertension patients should be given complementary therapy with the 5-finger hypnosis method to complement conventional treatment.
The Relationship Of PIK R And PIK M Activities And Attitudes Towards Reproductive Health Behaviors In Adolescents In Pulo Lor Jombang
Introduction: PIK-R is a platform for GENRE program activities that are run by and for teens. It offers resources and counseling services related to teen family planning and other related topics. Objectives: Concurrently, PIK-R is an extension of the activities that take place when high school students enroll in college or university. Methods: Statistical tests suitable for the current scale were used to the data in Namely to determine the connection between the dependent and independent variables. Results: Mann-Whitney was the statistical test that was used. Students who participated in PIK-R and PIK-M activities exhibited reproductive health attitudes and premarital sexual conduct, according to the findings of the Mann-Whitney test, which had a p value less than 0.05 (p=0.03). Conclusions: Findings suggest a connection between PIK R and PIK M initiatives and adolescent students' perspectives on reproductive health practices.
Copyright (c) 2024 nurlaila, Rosa Purwanti, Dewi Pitriawati
Prevalence and Risk Factors Associated with Gastritis in Patients Visiting Royal Prima Hospital
Introduction: Gastritis is an inflammation of the stomach lining caused by Helicobacter pylori and can be acute or chronic. This bacteria colonizes the stomach of more than 50% of humans and causes disease. Gastritis still has a high prevalence and if left untreated can lead to serious complications, such as gastric ulcers, bleeding, and even gastric cancer. Objectives: The purpose of this study was to determine the prevalence and risk factors associated with gastritis in patients visiting Royal Prima Medan Hospital. Methods:This study was an analytic observational study with a cross-sectional design conducted on 132 patients who visited Royal Prima Hospital with gastritis complaints. Data were analyzed using univariate, bivariate (chi-square and Fisher), and multivariate analysis (logistic regression). Results: This study reported a prevalence of gastritis of 64.9%. Associated risk factors were smoking status (OR=2.20, 95% CI, 1.18-4.09); p=0.014), coffee drinking (OR=8.26 95% CI, 3.92-17.37; p<0.001), diet (OR=12.44, 95% CI, 5.75-26.87; p<0.001). Conclusions: Coffee drinking and diet are determinant factors of gastritis. Educating patients at risk of gastritis by reducing coffee consumption, quitting smoking, improving diet and other factors that can increase gastritis complications are efforts that must be made in preventing the increase in gastritis disease.
Copyright (c) 2025 Zulkifli Adnan, Maya Sari Mutia, Tan Suyono
DIFFERENCE IN EFFECTIVENESS OF ACUPRESSURE WITH A MIXTURE OF GINGER AND LEMON EXTRACTS ON REDUCING OAT SIDE EFFECTS IN TUBERCULOSIS PATIENTS
Introduction: Tuberculosis is a disease that attacks the lungs and several other organs caused by Mycobacterium tuberculosis. Tuberculosis remains a global health issue in developing countries, including Indonesia. Anti-tuberculosis drugs are the most important part of pulmonary TB treatment, but these medications often cause side effects. If not controlled, they can cause discomfort and worsen the patient's condition. Acupressure and the administration of ginger and lemon extract serve as non-pharmacotherapy complements to help reduce the side effects of anti-tuberculosis drugs. Methods: This study is quasi-experimental with a two-group pretest-posttest approach involving 30 participants. Acupressure was administered for 7 minutes per day, while a mixture of ginger and lemon extract was given at 8 grams per day. The intervention was provided for four weeks. Body weight was measured using a digital scale, nausea and vomiting were measured using the Rhodes index of nausea, vomiting, and retching, and joint pain was measured using the numeric pain scale. Results: nausea and vomiting with a p-value of 0.00 before and after the treatment. The post-treatment difference test between the two groups did not show significant differences (> 0.05) with a low difference. Conclusions: The administration of acupressure and ginger and lemon extract can help reduce the side effects of tuberculosis treatment
Copyright (c) 2025 Liza Novitasari Wijaya, Tri Hardi Miftahul Ulum , Kiki Rizky Handayani
The Relationship Between Physical Activity and the Incidence of Non-Communicable Diseases in Indonesia
Introduction : Non-communicable diseases (NCDs) such as hypertension, diabetes mellitus, and heart disease have become serious global health problems, with increasing prevalence, especially in developing countries such as Indonesia. NCDs contribute to a large proportion of mortality and morbidity, prompting the need for further research to understand the factors contributing to the incidence of these diseases. Objective : To analyze the relationship between physical activity and NCD incidence in Indonesia based on a collection of journals that have been studied. Methods: This research uses Systematic literature review method with The source of information for the article was done through a search from PubMed, ScienceDirect, and Google Scholar published from 2019 to 2024 obtained 13 articles according to the inclusion criteria. Results: The study showed that people with low levels of physical activity have a higher risk of experiencing NCDs, while sufficient physical activity can significantly reduce the risk of NCDs. Conclusions : There is a significant relationship between physical activity and the incidence of NCDs. The need for a more systematic intervention program including counseling and provision of supporting facilities is expected to reduce the prevalence of NCDs and improve the quality of life of the community
Analysis of Factors Causing Cardiovascular Disorders in Adults Suffering from Hepatitis B and C within the Krobokan Community Health Center Area
Hepatitis is an inflammatory disease of the liver caused by toxins or poisons originating from chemicals, drugs, or infectious agents such as viruses. Hepatitis can be suffered by all groups, from children to adults. Previous research has proven that hepatitis C infection also contributes to the development of metabolic disorders which play an important role as risk factors for cardiovascular disease and hypertension. The aim of this research is to determine the factors that cause cardiovascular disorders in adult hepatitis B and C sufferers. This research is a type of descriptive research with a cross sectional design. The research respondents were 36 people (aged 20-60 years) using simple random sampling technique. The research results showed that the majority of respondents were 51-60 years old (44.5%), had at least elementary school education (52.8%), male gender (55.6%) and hepatitis B type (86.1%). The results of the analysis of factors causing cardiovascular disorders in hepatitis B and C sufferers were lifestyle, history of DM and high cholesterol with P<0.05. In further research, efforts can be made to increase knowledge of hepatitis B and C sufferers so that cardiovascular disorders such as hypertension, CAD and even heart failure do not occur
Copyright (c) 2025 Resa Nirmala Jona, Rusmiyati
Identification of Antibacterial Compounds in Methanol Extract of Clove Stems (Syzygium aromaticum) using Liquid Chromatography Mass Spectrometry
Introduction: Clove is well-known as an herbal plant that is also included in the spice group which is known to have an antibacterial activity spread across the stems, leaves, and flowers. Objectives: The purpose of this study was to identify the antibacterial compounds that are found in the methanol extract of clove stems and the antibacterial activity of clove stem extract against Bacillus cereus. Methods: We used Liquid Chromatography Mass Spectrometry (LC-MS) method to identify the antibacterial compounds, and used the paper disc method (Kirby Bauer) for antibacterial test with clove stem extract concentrations of 30%, 50%, and 70%, positive control of Amoxicillin at a dose of 0.5 mg/ml, also a negative control of sterile aquadest. Results: The results showed four antibacterial compounds in the extract, namely (+)-Licarin A, 4-O-Caffeoylquinic acid_1, Eckol, and Leucodelphinidin. Methanol extract of clove stems at the concentrations of 30%, 50%, and 70% inhibited the growth of Bacillus cereus significantly (p <0.05). The concentration of 30% was categorized as quite sensitive, meanwhile, both 50% and 70% were categorized as sensitive. Conclusions: In conclusion, four compounds with antibacterial properties were found in the methanol extract of clove stems based on LCMS analysis, and supported by the results of antibacterial tests which showed the formation of an inhibition zone in the clove stem extract against the growth of Bacillus cereus.
Copyright (c) 2025 Yunita Diyah Safitri, Rahma Diyan Martha, Mutia Hariani Nurjanah
Description Of Maternal Characteristics And Causes Of Maternal Deaths In Serang District In 2022
Introduction: Maternal mortality is still a problem globally and especially occurs in developing countries, including Indonesia. Objectives: Serang Regency has the highest number of maternal deaths in Banten Province. Maternal Mortality Rate (MMR) is a very important indicator of the level of public health. Maternal mortality is an indicator that describes the health status of women. This study aims to describe maternal characteristics and the causes of maternal death in Serang Regency. Methods: The type used in this research is analytical descriptive with a survey method and uses a cross sectional approach. The sample in this study was 52 using the Total Sampling technique. Results: The results of this study were that the majority of maternal deaths were caused by bleeding, 8 cases (15.4%), pre/eclampsia, 20 cases (38.5%), PROM, 1 case (1.9%), and others. as many as 23 cases (44.2%), then mostly aged <20 or >35 years as many as 15 cases (28.8%), and those aged 20-35 years as many as 37 cases (71.2%), parity <1 or >4 children as many as 25 cases (48.1%) and those with parity 2-3 as many as 27 cases (51.9%), ANC visits >6 times as many as 31 cases (59.6%), and <6 times as many as 21 cases (40.4%), non-health worker birth attendants as many as 11 cases (21.2%) and health workers as many as 41 cases (78.8%), place of delivery at home as many as 11 cases (21.2%), DOA 8 cases (15.4%), community health center 2 cases (3.8%), and hospital 31 cases (59.6%). Conclusions: Complete mortality data is needed to assess the causes of death. Appropriate assessment provides input for improving handling and policy making in the future
Copyright (c) 2024 Fifi Musfirowati, Lukmanulhakim, Innama Sakinah
Differences in Hematocrit and Leukocyte Levels in Preeclampsia and Severe Preeclampsia
Introduction: Preeclampsia is a serious pregnancy complication characterized by hypertension occurring at a gestational age of ≥ 20 weeks. In preeclampsia, hematological changes occur due to vasospasm. Vasospasm leads to endothelial damage of blood vessels, marked by an increase in hematocrit and leukocyte levels. Objectives: This study was conducted to determine whether there is a difference in hematocrit and leukocyte levels between pregnant women with preeclampsia and severe preeclampsia. Methods: A cross-sectional, comparative study strategy was employed in this investigation. The sample for this study included all 76 pregnant patients at Genteng Regional Hospital who had preeclampsia or severe preeclampsia in 2023. 38 pregnant women with preeclampsia and 38 pregnant women with severe preeclampsia made up the two groups into which the sample was split. Results: The findings of the study indicated that there is a significant difference in hematocrit levels between preeclampsia and severe preeclampsia, with the p-value = 0.001 being less than α = 0.05. Furthermore, the findings revealed a significant difference in leukocyte counts between preeclampsia and severe preeclampsia, with a p-value = 0.003, which is likewise less than α = 0.05. Conclusions: There is a significant difference in hematocrit and leukocytes in pregnant women with PE and PEB at Genteng Regional Hospital in 2024.
Copyright (c) 2025 Wiwit Indriyani Aslina, Yuni Riska Hadi
The Family Based Overweight Intervention Overweight Knowledge (f-book) on Nutritional Status in the Adolescent Age Group
Introduction : The rate of overweight and obesity among Indonesian teenagers continues to increase. Overweight and obesity are often long-term and common problems experienced by teenagers. Excessive weight gain can lead to obesity and the emergence of Non-Communicable Diseases (NCDs), which are one of the causes of death worldwide. Objective : This study aims to. Based on this phenomenon, this study aims to examine the Family Based Overweight and Knowledge (F-Book) Overweight Intervention in the Adolescent Group. Method : This research uses the Pre Experiment method Design with One Group Pre-test Post-test Design approach . Results : Based on the research results, because the value of 0.020 is smaller than <0.05, it can be concluded that "Ha is accepted". This means that there is a difference in nutritional status in adolescents before and after being given intervention. Conclusion: Family Based Overweight Intervention Overweight Knowledge (f-book) affects nutritional status
Copyright (c) 2025 Wike Rosalini, Daniar Faradina, Roby Aji Permana
Pilot Testing The Feasibility Of Game-Based Intervention Aimed At Improving Knowledge, Attitude And Skill Towards Healthy Reproduction In Adolescent In Indonesia
Introduction : In Indonesia the incidence rate of female adolescent knowledge about reproductive health is low, some of them have pregnant before married, married in young age, consume alcohol, and drug abuse. This study aims to know the correlation between duration and score of playing KEPO Game with knowledge, attitude, and skills of female adolescent reproductive health. Objectives : The design of this research is one group pretest-postest Methods: design with simple random sampling technique in 8th grade female students of junior high school in Bandung City. Results: The result of the analysis showed that there was no significant correlation between duration and score with knowledge, attitude, and skill of female adolescent in understanding reproduction health with p value >​​0,05 but there was an increase of pretest and posttest result with p value >0,05. Conclusions: This explains that KEPO Game can be used as adolescent learning media in studying reproduction health with improvement in Artificial Intelegence in every content of game, time calculation improvement on "replay" menu, should use pedagogy element in every question of KEPO Game and questionnaires, and the adolescents should have instruction about KEPO Game and about reproductive health so that teenagers can answer the questions properly and correctly with time that has been set in KEPO Game.
Perceived Patient Safety Culture and Safety Performance among Nurses in a Private Hospital
Introduction; Patient safety continues to be a significant challenge for healthcare institutions in the 21st century, as these organizations strive to provide high-quality care. Understanding patient safety culture and its relationship and safety perceptions among nurses is one way to identify potential areas for improvement in patient safety. Therefore, understanding and addressing the real challenges related to safe practices in healthcare settings is essential. Objectives; The objective of this study is to evaluate level of patient safety culture and safety performance among nurses in among nurses in a in the Private Hospital, located in Kedah, Malaysia. Methods; This study employed a quantitative correlational design using a cross-sectional approach. The study population will be 247 nurses from different working unit. The sampling technique used was purposive sampling, a method that selects participants based on specific predetermined criteria. Data collection utilized validated questionnaires on the level of patient safety culture and safety performance. Purposive sampling was used to select participants. Data collection utilized validated questionnaires on safety performance and patient safety culture and analysis will be perform using the chi-square goodness-of-fit test. Results: The study assessed the perceptions of 247 nurses on patient safety culture and safety performance, revealing overwhelmingly positive responses in key areas like safety participation (98.0%), safety compliance (96.8%), and event reporting (91.1%). Moderate positive perceptions were found in teamwork (59.9%), management support (65.2%), and communication openness (57.1%), while lower positive in staffing and perceptions patient safety culture were nearly evenly split (51.4% positive, 48.6% negative). Despite a generally strong safety culture, concerns remain in staffing and overall safety perception, highlighting areas for improvement in healthcare settings. Conclusions: The survey highlights strong nurse participation in safety protocols, emphasizing the need for management focus on patient safety cultural change, continuous improvement, and a patient-centered approach for optimal care.
Lavender Aromatherapy as a Non-Pharmacological Approach to Managing Pain During the Active Phase of the First Stage of Labor: A Pre-Experimental Study
Introduction: In the initial stages of labor, especially during the first stage's active phase, mothers experience severe pain, which can be a major hurdle. Objectives: The objective of this study was to evaluate the effectiveness of lavender aromatherapy on pain levels of mothers in active labor. Methods: This research employed a pre-experimental approach with a one-group pre-test post-test design. The sample consisted of 32 mothers in labor who were selected using purposive sampling and met the inclusion criteria. The primary method of data collection was a subjective pain measurement on a numeric scale. The analysis was done using the Wilcoxon test to assess the change of pain levels when lavender aromatherapy was administered. Results: Results: The results showed that after applying lavender aromatherapy, most respondents who initially felt moderate or severe pain were able to reduce the level of pain to mild pain. This change was statistically significant with a p value of 0.000 (p <0.05). Conclusions: This study proves that lavender aromatherapy is effective in managing labor pain in mothers in the active phase. Considering the findings of this study, lavender aromatherapy can be regarded as a simple and efficient non-drug method for managing labor pain.