Journal of Applied Nursing and Health

The MAMOVI Method for Training the Heimlich Maneuver in Adolescents

Pria Wahyu Romadhon Girianto — 2023-12-25

Background: Choking is a condition of total or partial obstruction of the airway that requires immediate action to avoid death or disability. The lack of information means that PMR members have not been able to implement choke management appropriately. This study aimed to see how Heimlich maneuver training using the MAMOVI method (lectures, demonstrations, and videos) affected PMR members at SMPN 1 Ngantang's ability to provide choking first aid

Methods: Pre Pre-experimental design research design with a one-group pretest-posttest approach without control. The sampling technique with Purposive Sampling obtained 21 respondents from 70 populations. The research instrument used a choking first aid ability observation sheet, with a Wilcoxon Signed Rank Test statistical test with a significance level of 0.05

Results: The result of the study before being given the Heimlich Maneuver training intervention showed that (100%) respondents had less ability. After receiving complete (100%) intervention, respondents demonstrated excellent skills. The mean pre-test score was 3.71, and the mean post-test score was 26.71. It showed an increase in the value before and after the intervention was given. The analysis yielded a sig (2-tailed) p-value of 0.000 ≤.05, so that the p-value comparable000 toiindicating that Heimlich Maneuver training with the MAMOVI method (lectures, demonstrations, videos) has an effect on PMR members at SMPN 1 Ngantang's ability to perform choking first aid.

Conclusion: The MAMOVI method combined the three methods to make it more interactive, interesting, effective, and understandable for respondents. We recommend that all school residents socialize this ability to prevent choking events

Diabetic Ketoacidosis In Children With Type 1 Diabetes: Behavioral Patterns And Clinical Manifestation As Predictive Factors

Ana Fitria Nusantara — 2023-12-27

Background: Type 1 Diabetes Mellitus (DM type 1) is occasionally becoming more common in Indonesia. According to the Indonesian Pediatrician Association (IDAI), as many as 1220 children in Indonesia had kind 1 DM in 2018. Lack of family education on type 1 DM might be fatal for sufferers. Diabetic ketoacidosis is one of the most prevalent side effects (DKA). Children can die if they do not receive care promptly. This study aims to detect behavioral trends and clinical manifestations in kids with type 1 diabetes to forecast the likelihood of developing DKA.

Methods: A qualitative phenomenology-based research design was adopted for this study. Unstructured interviews were used to gather the data, which was analyzed using the Van Manen method. Twenty-four participants are selected by saturation when all participant's answers are similar. All data was collected by recording on devices for 45-60 minutes to interview each participant.

Results: The findings revealed that the individuals' eating habits included consuming sugary drinks, buying prohibited items away from the house without their parent's knowledge, and eating portions that increased over time. Weight loss, frequent drinking, shortness of breath, and diminished consciousness are clinical symptoms.

Conclusion: The sooner the patient receives assistance to prevent his condition from worsening, the sooner the symptoms and behavioral abnormalities can be recognized

Progressive Muscle Relaxation for Sleep Quality in Menopausal Women's

Anita Duwi Andriani — 2023-12-27

Background: Problems that often occur in women who experience menopause psychologically are emotional disturbances, feelings of fear, anxiety, irritability, difficulty concentrating, depression, and impaired libido. Physiologically there are problems, including pain during intercourse, menstrual cycles and increasingly varied bleeding patterns, hot flashes (repeated periods of sweating), respiratory problems, vaginal dryness, dry skin, disturbed sleep patterns, and sleep quality. During the transition process of menopausal women, sleep quality is one of the most common and disturbing problems. This research aims to analyze the influence of Progressive Muscle Relaxation (PMR) on Sleep Quality in Menopausal Women.

Methods: this research, using the purposive sampling technique, the researcher selected the respondents according to the inclusion criteria so that respondents have the same opportunity to be selected. In the intervention group, respondents were given progressive Muscle Relaxation (PMR). The sampling method is non-probability sampling with a purposive sampling technique. The number of samples is 17 respondents, carried out at menopause in Badang Village, Ngoro District, Jombang Regency on 04 - 19 July 2023. The analysis used the Wilcoxon Signed Ranks Test.

Results: Statistical test results using the Wilcoxon Signed Ranks test obtained p value = .000, which means that there is an influence of progressive Muscle Relaxation (PMR) in improving Sleep Quality in Menopausal WomenDusun Wates Elderly PosyanduBadang Village, Ngoro District, Jombang Regency.

Conclusion: Progressive Muscle Relaxation (PMR) is Effectively used to help improve sleep quality in postmenopausal women. Because the therapy trains the muscles of the head, neck, arms, and back in a controlled manner, it works against the sympathetic nervous system to achieve a relaxed and calm state and is easy to do.

Supportive Educative in Improving the Readiness of the Anticipatory Phase of Primigravida Towards Achieving the Maternal Role

Dhina Widayati — 2023-12-27

Background: Primigravida mothers experience psychological changes, especially before delivery, related to the readiness of the anticipatory phase towards achieving the maternal role. Providing supportive education by health workers, husbands, and families can be a supporting factor in the readiness of pregnant women for the anticipatory phase. This study aims to determine the effect of supportive education on the readiness of the anticipatory phase in primigravida mothers towards achieving the role of mothers in the work area of the Pogalan Health Center, Trenggalek Regency.

Methods: This research design was pre-experimental, involving 42 respondents through total sampling. The independent variable was supportive education, and the dependent variable was the readiness of the anticipatory phase towards achieving the mother's role, which is measured using a questionnaire

Results: The results showed that the criteria for the readiness of the anticipatory phase before being given supportive educative intervention were mostly (66.7%) of respondents in the high category, and after the intervention, the majority (86.7%) of respondents had high readiness. Analysis with the Wilcoxon test obtained a value of = 0.008 (< 0.05), indicating a supportive educative effect on the readiness of the anticipatory phase in primigravida mothers towards the achievement of maternal roles.

Conclusion: Supportive Educative can increase the mother's knowledge so that her understanding of pregnancy improves, her perception becomes positive, and she feels more confident that she is more prepared to undergo pregnancy and ready for the delivery process. Supportive education can be one method for improving the process of adaptation to the achievement of the mother's role

The Family Support in Strengthening Fine Motor Ability for Children 3-4 Years Old

Laviana Ludyanti — 2023-12-27

Background: Family was the first school for children to support their growth and development. Fine motor development of children 3-4 years old can develop optimally if they get optimal family support through good and correct stimulation. This research to determine the relationship between family support and fine motoric skills in children aged 3-4 years at the Smart Kids Preschool.

Methods: The design of this study was correlational with a cross sectional approach using a questionnaire. The independent variable is family support and the dependent variable is fine motoric skills in children aged 3-4 years, with a population and sample consisting of 35 respondents using total sampling. The research data were analyzed using the Spearman Rank Test.

Results: The results of the family support study showed that almost all respondents (82.9%) were in good criteria, in the fine motoric skills of children aged 3-4 years, almost all of them (85.7%) were in the appropriate criteria. The results of data analysis showed p-value = 0.000 (α = 0.05) with a correlation level of 0.703 which means there is a strong relationship between family support and fine motoric skills of children aged 3-4 years. This is influenced by many factors, one of which is internal factors and external factors such as motivation to practice, health, motivation or attributes that distinguish a person from others, then parental knowledge, parental education, parental attitudes, socio-economic family, socio-cultural, environment, and parenting.

Conclusion: Based on the result of this study, it is suggested that mothers can provide stimulation so that the potential of children can develop optimally by providing optimal support for children.

Support Group Intervention on Self-Awareness and Parental Coping Strategies as an Effort to Prevent Sexual Violence in Children

Nurul Laili — 2023-12-27

Background: The victims, primarily female children, have suffered sexual abuse, often perpetrated by individuals known to them, such as neighbors or acquaintances. In interviews with concerned parents regarding ongoing cases of sexual abuse, they expressed fears about their children falling victim to such incidents.. The research aim was to assess the effectiveness of support group interventions in enhancing self-awareness and parental coping strategies as preventive measures against child sexual abuse.

Methods: The study's main objective is to evaluate the impact of Support Groups in improving Self-Awareness and Parental Coping Strategies. It employed a quasi-experimental design using a non-equivalent group pre-test and post-test methodology, with one group as the control and the other as the experimental group. The study included 70 respondents in the intervention group and an equal number in the control group, selected through purposive sampling. Research instruments comprised the Revised Ways of Coping Scale questionnaire for coping strategies and a self-awareness questionnaire. Non-parametric data analysis was conducted using SPSS, specifically the Wilcoxon Signed Rank Test.

Results: Results of the normality test indicated that both the intervention and control groups had p-values of less than 0.05 for coping strategies (0.002 for the intervention group and 0.003 for the control group) and self-awareness (0.000 for both groups), suggesting non-normal data distribution. Consequently, non-parametric statistical analysis was applied with SPSS, and a significance level was set at p < 0.05. The Wilcoxon Signed Rank Test results for the intervention group were 0.000 (coping strategies) and 0.000 (self-awareness), signifying a significant difference in average pretest and posttest scores within the intervention group. Conversely, the control group's Wilcoxon Signed Rank Test results were 0.953 (coping strategies) and 0.317 (self-awareness), indicating no significant difference in average pretest and posttest scores within the control group.

Conclusion: Based on the research findings and discussion, it can be deduced that support group interventions positively impact the enhancement of parental coping strategies and self-awareness in the endeavor to prevent child sexual abuse.

Hypnocaring as a Support Model for Reducing Stress Levels in People Living With HIV/AIDS (PLHIV)

Dian Permatasari — 2023-12-26

Background: People Living With HIV/AIDS (PLHIV) are a group that experiences significant psychological stress, including higher levels of stress than the general population. This research aims to determine the effectiveness of hypnotherapy in reducing stress in PLHIV patients and whether this method can be an effective alternative in reducing stress and improving the quality of life in PLHIV patients in Sumenep Regency. Hypnotherapy is a form of alternative therapy that involves suggestion and visualization to influence the subconscious mind.

Methods: This research method uses a quasi-experiment with a research design involving two groups containing 30 research samples (Two groups Pre-Post Test), where the variables are PLWHA aged 21-50 years, with a side method using purposive sampling. The research instrument used the DASS (Depression Anxiety Stress Scale) questionnaire.

Results: There were significant differences Between groups in Experiments and groups control where the value was 0.009 < 0.05. There is a significant difference between Pretest and Posttest in the Experimental group with an alpha value of 0.000 < 0.05; the level of influence of Hypnotherapy was 62.8%, and the other 37.2% were influenced by factors other than outside therapy.

Conclusion: Based on the three results of the calculation tests above, it can be concluded that hypnotherapy is effective in reducing stress in HIV/AIDS patients (PLWHA) in Sumenep Regency

Progressive Muscle Relaxation Reducing Blood Sugar Levels In Diabetes Mellitus Patients: Literature Review

Ardianti Fauziah Rochmah — 2023-12-27

Background: Diabetes will cause many complications if it is not treated properly. Complex treatment for people living with diabetes will cause a person to experience stress, so not many sufferers comply with treatment to control blood sugar levels. This literature review aims to determine the reduction in blood sugar levels in diabetes mellitus sufferers with progressive muscle relaxation.

Methods: The method used in this article is a literature review using journal databases from Science Direct, PubMed, and Google Scholar in the 2020-2023 time period with the keywords "Progressive Muscle Relaxation or Relaxation Technique," "Blood sugar levels" and "Diabetes Mellitus

Results: The results obtained were 2,111 articles. Articles were selected according to the criteria; the result was 19 articles ready to be reviewed. From the literature review study results, it was found that progressive muscle relaxation influences reducing blood sugar levels in diabetes mellitus sufferers. Progressive muscle relaxation can relax the body so that the parasympathetic nervous system will stimulate the secretion of the hormone insulin so that it can control blood sugar levels.

Conclusion: It is hoped that people living with diabetes will increase their physical activity by doing progressive muscle relaxation twice a day to reduce blood sugar levels in diabetes mellitus sufferers.

Coffee Consumption With The Incident Of Gastritis: Literature Review

Puguh Santoso — 2023-12-27

Background: Gastritis is a stomach health problem that begins with inflammation of the gastric mucosa caused by infection with the Helicobacter pylori germ and is the most common disease. One cause of gastritis is the habit of drinking coffee. The habit of drinking coffee (caffeine) for a long period with a frequent frequency, namely > three glasses/day, can trigger an increase in stomach acid, irritating the mucosa or the stomach wall. This literature review aims to analyze the relationship between coffee consumption and the incidence of gastritis

Methods: Literature obtained from SINTA, PUBMED, Garuda, and Google Scholar databases. Nine literature reviews used several designs, namely descriptive exploratory, cross-sectional, descriptive cross-sectional study, case-control, descriptive-analytical, and descriptive from 2013-2023; then PICO analysis was carried out.

Results: The caffeine content in coffee can stimulate the production of stomach acid, which can trigger gastritis. Inflammation will occur continuously if the stomach is frequently exposed to irritants such as coffee. The inflamed tissue is then filled with fibrin tissue, which can cause loss of the gastric mucosal layer and atrophy.

Conclusion: The study showed that coffee influenced the incidence of gastritis.

Multidrug Resistant Tuberculosis (MDR-TB) Factors: Literature Review

Moh Subairi — 2023-12-27

Background: Multidrug-resistant tuberculosis (MDRTB) is the biggest problem in preventing and eradicating TB in the world. MDR-TB occurs if the tuberculosis germs are resistant to various first-line OAT, at least two drugs, namely isoniazid and rifampicin. The emergence of MDR-TB cases presents new obstacles and challenges to the effectiveness of TB control programs due to difficult diagnosis, high rates of therapy failure, and death. This literature review aims to determine the factors that cause multidrug-resistant tuberculosis (MDR-TB).

Methods: The method used in this article is a literature review using journal databases from Pubmed and Google Scholar in the 2020-2023 time period with the keywords "drug MDR TB," "multi-drug TB MDR factors," "TB MDR," and " resistant TB medicine" found in 1,990 articles, 304 from Pubmed, and 1,960 from Google Scholar). Articles were selected according to the criteria, and the result was 20 articles ready to be reviewed

Results: The results of this study show that risk factors have been proven to show that there is a significant relationship between history of diabetes mellitus, history of TB treatment, patient motivation, adherence to taking medication, duration of TB treatment, status of drug side effects, employment, marital status, economic level, history of contact with patients. MDR TB, stress level, and family support are related to the incidence of MDR TB

Conclusion: The conclusion of the 20 articles reviewed shows that age, gender, compliance with taking medication, diabetes mellitus, and a history of contact with MDR TB patients are the factors that most influence the occurrence of MDR TB

Complementary Honey Therapy To Reduce The Frequency Of Diarrhea In Toddlers: Literature Review

Uci Nurhayati Puspita — 2023-12-27

Background: Diarrhea is a major health problem in children that still occurs frequently and even has the potential to become an outbreak (extraordinary event), which is often accompanied by death due to the release of fluid from the body caused by bacteria and causing dehydration in children. This literature review aims to determine the effect of honey complementary therapy on reducing the frequency of diarrhea in toddlers.

Methods: The method used in this article is a literature review using journal databases from Google Scholar, Pubmed, and Science Direct in the 2020-2023 period with the keywords "Diarrhea," "Honey Therapy," and "Children," resulting in 1,637 articles.

Results: Articles were selected according to the criteria, and the result was 15 articles ready to be reviewed. Providing complementary therapy with honey influences the frequency of diarrhea in children by giving it 3x5ml per day as long as the child has diarrhea until the frequency of diarrhea decreases.

Conclusion: This literature review shows that giving complementary honey therapy to children can reduce the frequency of diarrhea by inhibiting the growth and development of bacteria in the digestive system, helping to replace lost body fluids

Foot Reflexology And Back Massage Reduce Fatigue Levels In Chronic Kidney Disease: Literature Review

Anastasia Mampesi — 2023-12-27

Background: Chronic Kidney Disease(CKD) is a disease that disrupts kidney function and cannot be recovered. The body's inability to maintain metabolism and fluid and electrolyte balance results in an increase in urea Tnon-pharmacological therapy that can be used for patients with Chronic Kidney Disease(CKD)To reduce fatigue, namely foot reflexology and back massage. To find out the implementation of foot reflexology and back massage to overcome the nursing problem of fatigue related to physiological conditions in patients with Kidney Disease(CKD)

Methods: Writing this scientific paper uses the research method used in this research, namely, a literature review with the type of study to be identified, namely, a case report.

Results: Research was conducted on patients diagnosed with Kidney Disease(CKD). The results of the study showed that the intervention of Foor Reflexology and Back Massage techniques was carried out for two days twice a day; on the first day before the intervention, the fatigue level score was 33 (Severe Fatigue), and after the intervention, the fatigue level score was 14 (Mild Fatigue). ) The second day before the intervention, a fatigue level score 24 (Moderate Fatigue) was obtained. After the intervention, a fatigue level score of 13 (mild fatigue) was obtained.

Conclusion: This research shows that foot reflexology and back massage therapy can reduce fatigue in chronic Kidney Disease(CKD) patients.

Reflexology On Blood Sugar Levels In Patients With Diabetes Mellitus: Literature Review

Rahardyan Dika Wiratama — 2023-12-27

Background: Diabetes mellitus is a disease that often causes chronic complications if not handled properly and is characterized by an increase in blood sugar levels. This literature review aims to determine the effect of reflexology on blood sugar levels in patients with diabetes mellitus.

Methods: The method used in this article is a literature review using a journal database from Science Direct and Google Scholar from 2020 to 2023 with the keywords "Reflexology" or "Reflexology," "Blood glucose" or "Blood sugar levels," and "Diabetes Mellitus"

Results: obtained results of 1,070 articles. Articles were selected according to the criteria, and ten articles were ready to be reviewed. Reflexology affects lowering blood sugar levels in people with diabetes mellitus by doing it regularly for 20-30 minutes 12 times.

Conclusion: Doing a physical activity, one of which is applying Reflexology 12 times in 3 sessions for four weeks, can control blood sugar levels

The Medicine Boxes on Compliance with Taking Anti-Tuberculosis Medication in Tuberculosis Patients: Case Study

Eppy Setiyowati — 2023-12-27

Background: Tuberculosis (TB) is a chronic, infectious disease that is still a health problem in society, including Indonesia. India is still the second country contributing to the highest incidence of TB in the world after India. The aim research was to present an analysis of the successes and challenges in implementing the medicine box implementation strategy to increase TB patient compliance with ANTI-TUBERCULOSIS MEDICATION treatment.

Methods: The method used is descriptive with a case study approach through parenting with the problem of maintaining medication non-adherence in Tuberculosis patients. Data was collected using interview methods, direct observation, and medical records.

Results: The results of using the medicine box for three days on Mr It was found that there was a gradual increase in compliance with taking medication after using it. Applying this medicine box is practical in increasing compliance with taking medication experienced by Tuberculosis patients

Conclusion: Therefore, nurses are expected to be able to teach how to use the medicine box according to standard operating procedures (SOP) so that patients and their families can practice again at home

The Health Education Concerning the Influence Of Knowledge And Attitudes On The “Concise, Neat, Clean, Careful, Diligent” Work Culture Behavior Of Employees

Ikke Winar Rachmawaty — 2023-12-27

Background: Training and socialization on Occupational Health and Safety (OHS) throughout 2022 have been carried out to achieve ISO. From the audit results in 2023, it has been found, among others, that the application of “Concise, neat, clean, careful, and diligent” needs to be developed further. The purpose of this activity is to provide Dinas Kesehatan Kabupaten Kediri Kediri employees with knowledge about “Concise, Neat, Clean, Careful, Diligent”.

Methods: Participants in this activity were Dinas Kesehatan Kabupaten Kediri employees, and the methods used were lectures, discussions, and questions and answers. The data collection technique used was a questionnaire.

Results: The results of the pre-test and post-test showed that only a small proportion had good knowledge (37%), positive attitudes towards the “Concise, Neat, Clean, Careful, Diligent” (30%), and good “Concise, Neat, Clean, Careful, Diligent” behaviour (33%). It was found that a p-value of 0.001 <0.05 indicated that there was a significant influence between “Concise, Neat, Clean, Careful, Diligent” knowledge and “Concise, Neat, Clean, Careful, Diligent” behaviour and a p-value of 0.010 <0.05 indicated that there was a significant influence between the “Concise, Neat, Clean, Careful, Diligent” attitudes and “Concise, Neat, Clean, Careful, Diligent” behavior of Dinas Kesehatan Kabupaten Kediri employees.

Conclusion: This community service activity went smoothly, thanks to the extraordinary enthusiasm of the employees in following all the planned activities. This activity positively impacted and refreshed information about the “Concise, Neat, Clean, Careful, Diligent” Work Culture, contributing to increased knowledge, especially for employees. In addition, this service effort also received support and appreciation from the Dinas Kesehatan Kabupaten Kediri office

The Health Education Regarding Basic Life Support (BLS) According To AHA 2020 On The Level Of Knowledge And Skills Of Health Personnel

Kamesyworo Kamesyworo — 2023-12-27

Background: An emergency is a condition or situation in which there is a threat of danger or where the negative impact of that danger has occurred, which results in further damage. These emergencies and emergencies require quick action outside of daily activities using different special methods and procedures. This research aims to determine the influence of health education regarding basic life support according to the AHA 2020 on the level of knowledge and skills of health workers at the Pagar Agung Lahat Community Health Center in 2023.

Methods: The research method used was quasi-experimental with a one-group pretest-posttest design. The total sample was 25 health workers. Based on statistical output results paired with Sample Delivery of results from the pretest and posttest, this shows an increase in the knowledge of Health Officers at the Pagar Agung Lahat Community Health Center.

Results: The T-test results are valuable p=,000 (<.0.5), so it can also be concluded that health education influences basic life support, according to AHA 2020. Meanwhile, for skills before the intervention, data on skilled Health employees was 8%, whereas after the intervention was given, there was an increase, which is quite significant at 80% for the skilled. Based on test Paired Sample T-test From the p-value = 0.000 (<0.5), it can also be concluded that there is an influence of health education regarding basic life support, according to AHA 2020 on the skills of Health Workers at the Pagar Agung Lahat Community Health Center in 2023.

Conclusion: there is an influence health education to level knowledge and skills on health workers at the Pagar Community Health Center Great Everything

Forgotten Voices: The Onerous Role of School Health Nurses Residential Schools of India- A View Point

Dhakshayani Dhakshayani T. — 2023-12-27

Background: School health nursing is a specialized practice that addresses students' well-being. Apart from routine health screening, immunization, and health education, the role of school health nurses is expanding to deal with public health crises. remains a challenging concept to practice school health nursing. This article reflects on the challenges of school health nurses and methods to overcome these challenges at different levels- Individual, Professional, Organizational, and Policymaking

Methods: Continuing professional education is the best way to manage school health nursing challenges. Upgradation of knowledge and skills can offer new career opportunities. The following are the methods to overcome the challenges discussed above.

Results: Discrepancies in guidelines and protocols and lack of written standing orders for school health practice reflect inconsistent and incompatible expectations and demands at work. Information deficits concerning which tasks and responsibilities individuals should undertake have been shown to result in work stress. Policies and protocols exist but not in reality. Policies, protocols, annual performance appraisal records, and training schedules exist for school health nurses but not in reality and practice

Conclusion: In residential schools, the school nurse is often the only healthcare professional to meet the students and staff's routine and emergency needs. The work of school nurses is essential in supporting children to have a whole, active, and healthy school life. With such an important role, adequate school nurses must be recruited and provided with the necessary power and infrastructure to ensure their positive contribution to student’s health

The Creative Game Tools and Mother's Motivation to Know Educational for Children Aged 1-3 Years

Dodik Arso Wibowo — 2023-12-28

Background: A mother's motivation to know about educational and creative game tools has an important role in optimal child growth and development according to age level so that it can be fulfilled properly. Educational and creative game tools are game tools that can optimise children's development according to their age and level of development. Examples of educational and creative games for children aged 1-3 years are drums, balls with sleighs inside, household items that do not break easily (plastic cups, spoons, plastic bottles, buckets, etc.), large blocks, cardboard, picture books, coloured pencils, plasticine, simple puzzles. The research aims to determine mothers' motivation to learn about educational and creative games for children aged 1-3 years in Tanjungsari Village, Sukorejo District, Blitar City.

Methods: Research design using descriptive, Population 500, sample 50 respondents, using purposive sampling technique, research instrument using questionnaires; this research was carried out on March 20, 2023 - April 15, 2023, with the mother's motivation variable to know educational and creative game tools for children aged 1-3 year. Data were analysed using percentages and interpreted quantitatively.

Results: The results of research from 50 respondents showed that all respondents had strong motivation (100%) because the majority of mothers had received information about educational and creative game tools. Mothers' motivation to find out about educational and creative game tools for children aged 1-3 years is influenced by several factors, namely age, education, occupation, whether they have received information, and where the information was obtained

Conclusion: It is hoped that respondents will be able to maintain and motivate other mothers to seek more information to broaden their knowledge so that they are more motivated to know about the benefits and uses of educational and creative play equipment for children aged 1-3 years.

Emotional Self-Awareness and Quarter Life Crisis in Final Year of Undergraduate Nursing Students

Diana Rachmania — 2023-12-28

Background: A quarter-life crisis is when individuals experience an emotional crisis with negative feelings toward the future. Many responsibilities and demands on fourth-year students affect their psychology. A person with good self-awareness makes it easier to control emotions, read the surrounding situation, not be easily affected, and focus on himself. This study aims to analyse the relationship between self-awareness and quarter-life crisis in the final years of undergraduate nursing students.

Methods: This research design is correlational with a cross-sectional approach. The sample in this study was 87 people, which was the whole population (Total Sampling). The research instrument used a self-awareness questionnaire and a quarter-life crisis questionnaire—data analysis using the Spearman Rank.

Results: The study results showed that most respondents (55.2%) had sufficient emotional self-awareness, and most (52%) experienced a moderate quarter-life crisis. Analysis using the Spearman Rank test obtained a p-value of 0.018 with an error level of α = 0.05, meaning that there is a relationship between emotional self-awareness and quarter-life crisis with a strong category strength (r = -0.54)

Conclusion: Some factors affect self-awareness, namely thoughts, feelings, knowledge behaviour, environment, and quarter-life crisis internal factors such as identity exploration, expectations, and religion, while external factors such as romantic relationships, work, family, and friends. Self-introspection strategies can increase self-awareness. Dealing with a crisis is not comparing yourself with others, communicating with parents, or finding professionals if the problem is getting complicated

The Effectiveness Of A Nutritional Education-Based Module For Pregnant Women In Preventing Stunting

Sriwiyanti Yanti — 2023-12-28

Background: Maternal intake, especially during pregnancy, is one factor that plays an important role. Improvement of nutrition and health of pregnant women is closely related to the level of education, knowledge, and attitudes in meeting nutritional needs during pregnancy.

Explain the Effectiveness of the Module for Pregnant Women based on Nutrition education, Nutritional Status, Knowledge, and attitudes of Pregnant Women in efforts to prevent stunting.

Methods: The research design is pre-experimental with one group pre-test and post-test. They are held at one of the Puskesmas in Palembang from June to September 2023. Sampel is pregnant women with inclusion criteria, measuring nutritional status, knowledge, and attitudes of pregnant women before and after intervention with the Pregnant Women Module. Probability sampling variables and research variables of knowledge level, attitude, and nutritional status. The instruments used are questionnaires, and data are analysed with t-test statistics.

Results: Based on the T-test, there was a significant influence on respondents' level of knowledge and attitudes after being given treatment.

The t-test (2-tail) result > 0.05 showed no significant difference between initial and late nutritional status based on HB measurements. This showed no significant effect of treatment with the module of pregnant women on nutritional status. While nutritional status is based on LILA measurements, The T-test results have a significance value (2-tail) < 0.05. This shows that there is a significant effect of intervention on nutritional status after being given treatment

Conclusion: The nutrition education-based module for pregnant women has a significant effect on the level of knowledge and attitudes of respondents. There was an increase in knowledge, attitudes, and nutritional status of respondents after nutrition education. It is hoped that pregnant women, after nutrition education, can understand more about Balanced Nutrition and stunting prevention during pregnancy and after childbirth. They are processing the daily food menu with healthy and nutritious food ingredients so that chronic lack of energy and anaemia do not occur during pregnancy.

Risk Factors Of Stroke: Literature Review

Adirson Barbosa de Oliveira — 2023-12-28

Background: Stroke is the most common cause of disease in the world and is the highest cause of death in Indonesia, so prevention is very important to minimise the incidence of stroke. The most appropriate effort to prevent stroke is to control stroke risk factors. The purpose of the literature review is to analyse the risk factors associated with stroke events in patients.

Methods: The method used is a literature review using a journal database from Pubmed, Science Direct, and Google Scholar. In the 2019-2023 range, with the keywords "stroke, factors causing stroke", and stroke, 220 articles were obtained

Results: Search for articles according to the criteria and obtain ten articles that are ready to be reviewed. These articles explain the risk factors for stroke. It is hoped that stroke patients will try to control stroke risk factors

Conclusion: This literature review shows that the risk factors for stroke are increasing due to a history of diseases such as hypertension, diabetes mellitus, age, gender, high cholesterol, obesity, lack of public knowledge about stroke and consumption of alcohol, smoking and drugs, including a lifestyle

Herpes Zoster In Teenagers: Case Report

Flora Ramona Sigit Prakoeswa — 2023-12-28

Background: Herpes Zoster (HZ) is a reactivation of the Varicella Zoster Virus (VVZ), which is characterized by an acute unilateral vesicular eruption grouped with radicular pain around the dermatome. The incidence of HZ increases with age and is rare in children. The prevalence of HZ in children can occur if they have a history of primary intrauterine infection, are immunocompromised, and are infected with varicella in the first year of life.

Methods: The research design used a case study on one of the patients at the PKU Muhammadiyah Hospital Surakarta Polyclinic. The instruments include informed consent and demographic data questionnaires.

Results: Ms B, 15 years old, came to the Skin and Venereology Clinic, PKU Muhammadiyah Surakarta Hospital on December 28, 2022 with complaints of itching and heat, a lesion in the form of multiple clustered vesicles, round in shape, with a size of 0.3- 0.5 cm above the skin, erythematous, unilateral, not crossing the midline, the age of the cysts in one group is the same. Still, with other groups, it is not the same; the skin between groups is normal. Treatment was given acyclovir 4x800 mg per day taken orally for five days, triamcinolone 4 mg/day, compressed NaCl 15 minutes 2x daily, calamine lotion 2x daily on intact lesions and mupirocin calcium on open wounds.

Conclusion: Maintaining the body's immune system and managing stress, as well as getting the varicella vaccine/measles vaccine, can prevent the occurrence of shingles

Basic Life Support Training Method in Undergraduate Nursing Students: a Comparative Research

Dian Ika Puspitasari — 2023-12-28

Background: Basic life support (BLS) is one of the skills in Emergency Nursing that is a mandatory achievement for undergraduate nursing students. During the past COVID-19 pandemic, the training method changed to an online learning system. This study aimed to determine differences in increasing students' knowledge and skills in carrying out BHD procedures according to the American Heart Association (AHA) 2020 guidelines

Methods: This research was a quantitative-experimental pre and post-test design. The population in this study were undergraduate nursing students at the Faculty of Health Sciences, Wiraraja University, in July 2021. Sampling used a simple random sampling technique (n=74), then divided randomly into two groups, the learning group using the offline method (K1; n= 36) and the learning group using the online method (K2; n=38). In this study, the independent variables were BLS knowledge and skill. Data analysis used the Mann-Whitney and Wilcoxon Sign Rank Test because the research data was homogeneous but not normally distributed (α=0.05).

Results: The results of the difference test between the two paired groups were p<α; knowledge K1 (0.000), knowledge K2 (0.001), skill K1 (0.002), skill K2 (0.003).

Conclusion: The research results showed no difference in knowledge and skills in BHD according to the 2020 AHA guidelines between offline and online learning groups using the simulation method

Tempeh Soybean And Banana Cookies Increasing Weight To Wasting Toddler

Manuntun Rotua — 2023-12-28

Background: Wasting is caused by insufficient nutritional intake or disease in children. This situation results in reduced weight in children so that the child's weight is disproportionate to his height. The impact of wasting on children is a decrease in export power to their environment, increased frequency of crying, less sociability with fellow children, fewer feelings of joy, and a tendency to become apathetic. To overcome the problem of wasting, Indonesia has done various ways, including supplementary feeding. The research aimed to know the effect of giving soybean tempeh cookies and kepok bananas at the Sukarami Health Center in Palembang City on increasing the weight of wasting toddlers.

Methods: This type of research is quasi-experimental, using a one-group pretest-postest research design. Research sampling using the Lameshow formula as many as 60 samples. Data analysis using t-dependent test and t-independent test

Results: The results showed that the average body weight of the treatment group respondents before the intervention was 9.38 kg, and after the intervention, it was 9.65 kg. The average body weight of the control group before the intervention was 9.95 kg, and after the intervention, it was 10.01 kg. The difference in the average change in body weight of respondents before and after treatment in the treatment group was 0.27kg, and in the control, 0.06 kg. There is an effect of giving soybean tempeh cookies and kepok bananas on increasing the weight of wasting toddlers with a p-value of 0.014.

Conclusion: Providing Supplementary Food can be added seller because children like sales from organic ingredients (fruits and vegetables) for a longer time, so the effect can be more visible in increasing the weight of toddler wasting

Root Cause Analysis Of Quality Control And Cost Control Of Implementing The Referback Program In First Level Health Facilities

Adila Solida — 2023-12-30

Background: The incidence of chronic diseases in Jambi City is still high from year to year. The Referback Program (PRB) is one of the government's efforts through BPJS Health in collaboration with health facilities to ensure chronic disease sufferers have easier access to obtain the medicines they need at an efficient cost. This research aims to analyze the main problems of quality control and cost control of PRB implementation in terms of man, material-machine, method, market, money and time elements at FKTP in Jambi City.

Methods: The research was conducted using qualitative methods using the perspective of Root Cause Analysis (RCA) theory to form research procedures. The informants consisted of the person in charge of PRB, the head of the community health center and PRB participants at FKTP in Jambi City. The research instrument is a structured interview sheet. Data analysis uses thematic analysis techniques according to the RCA flow

Results: The research results found that the main cause of the problem was weak coordination between PRB officers and BPJS Health in implementing PRB at FKTP.

Conclusion: It is recommended that BPJS Health be more active in providing outreach and special training to PRB officers as well as setting up a clear monitoring and evaluation system regarding the implementation of PRB in FKTP