PROFESSIONAL HEALTH JOURNAL

Analysis Of Potential Hazards In Boiler Parts Using Hirarc In Steam Power Plant (PLTU) Units Sebalang Generator Executor

Muhammad Suhendra Wijaya — 2024-08-15

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.

Analysis Of Risk Factors For Covid - 19 Patients Using Mechanical Ventilation At Abdul Moeloek Lampung Hospital Year 2021

Nanang Dismiantoni — 2024-08-15

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

Treviga Orbita Pangarindang — 2024-08-17

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

Rama Putra Reynaldy — 2024-08-19

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.

The Relationship between Hand Washing Compliance and the Incident of Peritonitis

Rovi Agustiono — 2024-08-20

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.

PREPARATION OF 70% ETHANOL EXTRACT OF PUMPKIN NANOPARTICLES (SECHIA EDULLE) USING THE INONIC GELATION METHOD IN LOZENGES TABLET FORMULATION

Rindu Ananda Aprilia — 2024-09-27

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).

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

Rosalia Pertiwi — 2024-09-27

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

Indah Mulia Herwisdiane — 2024-10-05

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.

The Effectiveness of the Nareswari Method (Breathing, Relaxation, and Coloring) on Reducing Anxiety Levels in Postpartum Mothers"

Alfadefi Khalifatunnisak — 2024-10-12

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.

The Role of E-Module Application Media as Health Literacy to Increase Knowledge of Cadres in the Prevention and Management of Diarrhea in Children

Islaeli islaeli — 2024-10-12

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

pilot study New Patient Orientation “KANAK”(Recognizing Pediatric Room) to Prevent Child Hospitalization

Essy Sonontiko Sayekti — 2024-10-18

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.

THE RELATIONSHIP BETWEEN GADGET USAGE HABITS, PARENTING STAYLES AND EATING PATTERNS OF CHILDREN AGED 4-7 YEARS WITH THE NUTRITIONAL STATUS

Imam Syahputra Yamin — 2024-10-26

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

Shaumi Miftahul Rasyida — 2024-10-26

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.

Does acupressure therapy decrease blood pressure in hypertensive elderly?

Candrawati Sang Ayu Ketut — 2024-11-11

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.

THE RELATIONSHIP BETWEEN REVISED TRAUMA SCORE (RTS) AND MORTALITY RATE IN HEAD INJURY PATIENTS AT DR. SAIFUL ANWAR MALANG HOSPITAL

Wahyu Triono — 2024-11-22

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

Anisa Purnamasari — 2024-11-28

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.

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

Yulli Fety Fety — 2024-11-05

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.

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

Arriani Indrastuti — 2024-12-03

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

Devi Setya Putri — 2024-12-05

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.

The Effect Of Sekadi In Diabetic Ulcer Risk Patients On Abi Score

Nila Duni Aura Syifa — 2024-12-14

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.

The Influence Of Body Mass Index And Eating Patterns On Cholesterol Levels In Adolescents

Sahrul Gunawan — 2024-12-14

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.

Social Support in Determining Coping Strategies Among Adolescents in Urban City: Evidence from Post COVID-19

Rizkiyani Istifada — 2024-12-14

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.

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

suyatmi suyatmi — 2024-12-16

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

Lensiana Novi — 2024-12-17

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.

THE EFFECT OF GIVING A COMBINATION OF AVOCADO (PERSEA AMERICANA) AND CHOCOLATE JUICE ON REDUCING DYSMINOREA

Neny Yuli Susanti Neny Yuli Susanti — 2024-12-17

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.

The Effect of Progressive Muscle Relaxation with Self Instruction Training (SIT) Techniques in Video Media on The Sleep Quality of Hemodialysis Patients

Dhian Luluh Rohmawati — 2024-12-19

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.

THE INFLUENCE OF CUPPING THERAPY ON BLOOD PRESSURE REDUCTION IN HYPERTENSIVE PATIENTS AT THE HOLISTIC HEALTH HOUSE OF FIYAS IN CENDANA VILLAGE, BANGGAI REGENCY

Nur Ayun R. Yusuf — 2024-12-19

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

ALTERNATIVE THERAPY TACTICS: INTEGRATION OF CUPPING THERAPY AND MASSAGE IN MANAGING LOW DENSITY LIPOPROTEIN (LDL) IN HYPERTENSION PATIENTS WITH HYPERCHOLESTEROLEMIA

Lisnawati Lisnawati — 2024-12-21

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.

Exploring The Factors Affecting On Reproductive Health Of Adolescents In Rural Areas

Achmad Ali Basri — 2024-12-21

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.