Journal of Applied Nursing and Health

The Relationship of Anemia In Pregnant Women With Low Birth Weight

Ita Eko Suparni — 2024-12-29

Background: Pregnancy anemia is one indicator of measuring the success of a nation's health development. Anemia in pregnant women can increase the risk of LBW. As adults, LBW babies have a greater risk of stunting. This study aimed to determine the relationship between the incidence of anemia in pregnant women and low birth weight in the Ngancar Community Health Center area, Kediri Regency.

Methods: This research design uses a retrospective cohort. The population in this study was 346 respondents, and the sample was 186. A simple random sampling technique and measuring instruments were used in the form of a Pregnancy Mother's Register Book and a Childbirth Register Book. The research was conducted on 20-25 August 2023 in the Ngancar Community Health Center Working Area, Kediri Regency. The independent variable is the incidence of anemia in pregnant women (X), and the dependent variable is low birth weight (LBW) (Y). Bivariate data analysis with Spearman Rank with a significant value (p ˂ 0.05).

Results: The results of data analysis using Spearman Rank regarding the relationship between the incidence of anemia in pregnant women and Low Birth Weight obtained a significant value (p) of 0.0001 (p < 0.05). Thus, it is stated that there is a relationship between the incidence of anemia in pregnant women and low birth weight.

Conclusion: Anemia can increase the occurrence of LBW, but from this research, it is known that not all pregnant women with anemia in their pregnancies will give birth to LBW babies because anemia is not the only factor causing LBW. Pregnancy checks are done monthly, and good nutrition and Fe tablets are needed to prevent anemia and LBW

Correlation Of Maternal Characteristics (Age, Parity, BMI) With Success Of Labor Induction Oxytocin Drip

Siti Asiyah — 2024-12-29

Background: : Labor induction with oxytocin drip is an alternative action that can be used to overcome complications in the labor process. The study aims to determine the correlation between maternal characteristics (age, parity, BMI) and the success of labor induction oxytocin drips in Aminah Hospital Blitar City.

Methods: The research design was cohort retrospective—Independent data on maternal age, parity, and BMI. Dependent data is the success of oxytocin drip labor induction. Data was obtained through medical record status with 50 respondent samples. It was taken using proportional random sampling, Inclusion criteria for oxytocin drip labor induction starting in the latent phase, and collected using the data collection instrument sheet on July 12 - 30, 2023. The data analysis used the Chi-Square test.

Results: Results of the study showed that there was a relationship between maternal age and labor induction success with oxytocin drip, with an Asymp Sig (0,000) < α (0,05). There was no relationship between parity and labor induction success with oxytocin drip, with an Asymp Sig (0,157) > α (0,05). There was a relationship between BMI and labor induction success with oxytocin drip, with an Asymp Sig (0,000) < α (0,05).

Conclusion: Maternal age and BMI affect the success of labor induction, so women should give birth in a safe age range, which is 20-35 years, and a BMI of 18,5-24,9 kg/m2 will reduce the risk of failure in the labor process, especially labor with oxytocin drip induction.

Mothers' Knowledge, Attitudes, and Support from Health Workers Influencing The Maternal and Child Health (MCH) Handbook Utilization for Maternal and Child Health in Palembang

Intan Kumalasari — 2024-12-29

Background: The Maternal and Child Health (MCH) Handbook is an essential tool in improving the health of pregnant women and young children. Serving as both a medical record and an educational resource, it provides vital health information for mothers and children. However, the utilization and understanding of the MCH Handbook vary across regions. This study evaluates the use of the MCH Handbook in monitoring maternal and child health in Palembang City.

Methods: A quantitative cross-sectional design was employed, targeting pregnant women and mothers with children aged 0–5 years from eight health centers in Palembang City. A total of 240 respondents were selected using simple random sampling. Data collection instruments were validated for reliability through Spearman-Brown, Guilford, and Cronbach's Alpha methods. Statistical analyses explored associations between utilization and factors influencing MCH Handbook use.

Results: The findings indicate a high utilization rate of the MCH Handbook in Palembang City (84.2%), though variations exist in its frequency and quality of use. Key factors influencing utilization include mothers' knowledge (p=0.042, OR 2.050), attitudes (p=0.000, OR 6.718), and health worker support (p=0.000, OR 21.44). Mothers who actively use the MCH Handbook demonstrate better knowledge and attitudes toward health care during pregnancy and early childhood. Health worker support significantly enhances usage, with supported mothers being 21.44 times more likely to utilize the handbook effectively.

Conclusion: In conclusion, the MCH Handbook significantly contributes to improving maternal and child health. Strengthened socialization programs, targeted training for mothers, and ongoing health worker support are recommended to optimize its utilization and effectiveness.

Combination of Progressive Muscle Relaxation - Lavender Aromatherapy in Improving Sleep Quality in Menopausal Women: A Quasy Experiment

Muhammad Mustofa — 2024-12-29

Background: Menopausal women often experience emotional disorders such as anxiety, irritability, and depression, as well as physical problems such as pain during intercourse, hot flushes, and sleep disturbances. Poor sleep quality is a major complaint during menopause. This study aims to analyze the effect of the combination of Progressive Muscle Relaxation (PMR) and lavender aromatherapy on the sleep quality of menopausal women.

Methods: This quasi-experimental research uses a pretest-posttest approach with purposive sampling, involving 20 menopausal female respondents at the Posyandu Elderly in Belangwetan Village, North Klaten, from July 14 to 29, 2024. The intervention given was a combination of PMR, which involves tensing and relaxing the muscles for 15-20 minutes a day, while inhaling lavender aromatherapy.

Result: Before the intervention, the average sleep quality of the respondents was 17.25 (range 13-20), which decreased to 5.90 (range 4-9) after the intervention. The Wilcoxon test showed a p-value = 0.000, proving that this intervention was effective in improving sleep quality in menopausal women.

Conclusion: The combination of PMR and lavender aromatherapy is effective in improving sleep quality because it helps relax muscles, activates the body's relaxation system, and is easy to apply.

Optimizing Drug Adherence and QoL of Pulmonary Tuberculosis Patients through Structured Health Education Based on Peer Group Support

Frely Mantouw — 2024-12-29

Background: Patients with pulmonary tuberculosis frequently experience issues like non-compliance with treatment, boredom from prolonged therapy, and stopping treatment due to lack of recovery. This non-compliance can lead to drug resistance, therapy failure, reduced quality of life, and a higher risk of death. This study aimed to investigate the effects of Structured Health Education combined with Peer Group Support on medication adherence and quality of life among pulmonary tuberculosis patients.

Methods: This quantitative study employed an actual experimental research design with a pretest-posttest control group approach. The research included 38 respondents as the sample. The independent variable was Structured Health Education with Peer Group Support, while the dependent variables were Medication Compliance and Quality of Life. The research instruments used included the Morisky Medication Adherence Scale-8 (MMAS-8) to measure medication compliance and the WHOQOL-BREF to assess quality of life. The Mann-Whitney Test was applied to test the study's hypotheses.

Results: Structured Health Education based on peer group support is efficacious in improving patients' medication adherence and quality of life with pulmonary tuberculosis.

Conclusion: Nurses in the outpatient room of the health centre can apply the results of this study in providing nursing interventions and structured health education based on peer group support to improve medication adherence and the quality of life of patients with pulmonary tuberculosis.

Model of Risk Behavior for Prevention of HIV/AIDS Transmission Based on Self-Efficacy in Adolescents

Dian Permatasari — 2024-12-29

Background: Adolescents are a group that is vulnerable to the spread of HIV/AIDS due to risky behavior such as unprotected sexual intercourse and drug use. One approach that can be used to understand and reduce this risky behavior is self-efficacy, which is an individual's belief in their ability to take preventive action. The purpose of this study was to test the model of risky behavior towards preventing HIV/AIDS transmission based on self-efficacy in adolescents in Sumenep City District,

Methods: This study is an observational analytical study, the population of the study is all adolescents aged at least 16 years in the Sumenep City District Results: Based on the Goodness of Fit table, the final model for adolescent risk behavior in the Sumenep City District can be said to be fit when viewed from several criteria, for example the Chi-square value of 0.001 (which is expected to be small), the GFI value of 0.915 (standard> 0.90), the NFI value of 0.934 (standard> 0.90), and the RMR value of 0.030 (standard <0.05).

Conclusion: Based on the results of the study, it can be concluded that the self-efficacy-based behavioral model is effective in reducing risky behavior and increasing preventive measures for HIV/AIDS transmission among adolescents in the Sumenep City District. This approach can be an effective strategy in preventing HIV/AIDS in the adolescent community by increasing their confidence in their ability to take appropriate preventive measures.

Improving Self-Efficacy and Behavior to Prevent Transmission in Pulmonary Tuberculosis Patients through Health Coaching Based on Social Cognitive Theory

Melinda Mordekai Rangkoratat — 2024-12-29

Background: Pulmonary tuberculosis is an infectious disease that can be prevented with appropriate measures. However, many patients show low self-efficacy, leading to a lack of motivation to follow treatment and implement preventive measures. The research aim was Analyzing the Effect of Health Coaching based on Social Cognitive Theory on Self-efficacy and Transmission Prevention Behavior in Pulmonary Tuberculosis Patients.

Methods: This quantitative research method uses a quasi-experiment design with a pretest-posttest control group design approach. The population of all Pulmonary Tuberculosis patients in the Working Area of the Lingat Health Center, Selaru District, Tanimbar Islands Regency is 49 people. The sample size was 34 respondents. The sampling technique is purposive sampling. The study's independent variables are Health Coaching based on Social Cognitive Theory, and the dependent variables are Self-efficacy and Transmission Prevention Behavior.

Results: The analysis using the Wilcoxon test obtained p=0.000 Self-efficacy and p=0.001 Transmission Prevention Behavior, which means that there is an Effect of Health Coaching based on Social Cognitive Theory on Self-efficacy and Transmission Prevention Behavior in Pulmonary Tuberculosis Patients

Conclusion: Blood circulation becomes smooth because of pressure point massage which can stimulate endorphin neurotransmitters in the autonomic nerves so that the body relaxes. Pressure point massage intervention can be applied as an alternative therapy option in the management of hypertension which supports the treatment of hypertension so that blood pressure can be well controlled.

Analysis of Resilience and Leadership on the Commitment to the Implementation of Electronic Medical Records

Mariana Puspita — 2024-12-29

Background: Healthcare facilities, particularly hospitals, must deliver swift, precise, and reliable medical services. Additionally, all healthcare providers are mandated to implement electronic medical records as part of their service delivery. Quality services can be good if the patient's medical records are complete, fast, and precise in providing information for health services. Implementing the electronic medical record system ensures resilience, leadership, and commitment. The study aimed to analyze the factors that influence resilience policies on the commitment of the electronic medical record system at the Muhammadiyah Siti Khodijah Hospital.

Methods: The quantitative research method uses a cross-sectional design. The population is all Hospital Employees. The sample is 125 employees, and the sampling technique uses Proportional Random Sampling. Independent Variables Resilience and Leadership, Independent Variable Commitment. The instrument used is a questionnaire with a Likert scale. Statistical tests use multiple linear regression

Results: The results of the resilience study (X1) have an influence on commitment (Y) with (p = 0.000) < 0.05, and leadership (X2) has an impact on commitment (Y) with (p = 0.000) < 0.05, and the Adjusted R Square value is 0.935 or 93.5%.

Conclusion: There is a relationship between resilience and leadership variables and commitment. Employee resilience needs to be improved to maintain the quality of policies and commitments in working. Good leadership will support the Commitment of each employee.

Analysis Of Acceptance Model Technology Theory On Satisfaction And Loyalty In Online Registration Of Outpatient Patients

Putu Oka Prasetia Ningsih — 2024-12-29

Background: The on-site registration system often causes various problems, such as long queues and long waiting times in the queue room, the possibility of data input errors due to being done manually, patient discomfort, and access difficulties for long-distance patients. If these aspects of TAM meet patient expectations, it will create patient satisfaction, ultimately resulting in loyal patients. This research aims to determine the influence of perceived ease of use and perceived usefulness on online registration and its impact on patient satisfaction and loyalty

Methods: This study employed an explanatory research design with a quantitative approach. The population consisted of all outpatients at Mataram City Regional Hospital, and the sample included 188 respondents. Data were collected using a closed-ended questionnaire with a Likert scale. For data analysis, the study applied covariance-based Structural Equation Modeling (SEM), specifically Partial Least Squares (PLS), using SmartPLS version 3.0.

Results: The research findings revealed that perceived ease of use significantly and positively influences the use of the online registration system (t-stat: 4.603 > 1.96); perceived usefulness significantly and positively affects the use of the online registration system (t-stat: 3.697 > 1.96); user attitude significantly and positively impacts the use of the online registration system (t-stat: 4.952 > 1.96); the use of the online registration system significantly and positively affects patient satisfaction (t-stat: 6.503 > 1.96); the use of the online registration system significantly and positively influences patient loyalty (t-stat: 3.730 > 1.96); and satisfaction significantly and positively impacts patient loyalty (t-stat: 4.840 > 1.96)

Conclusion: The online registration system, influenced by perceived ease of use, usefulness, and user attitude, significantly enhances patient satisfaction and loyalty. Mataram City Regional Hospital should continue improving the online registration system and evaluating patient satisfaction to boost loyalty.

The Impact Of Implementing Work Culture (Concise, Neat, Clean, Care, Diligent) And Nurse Competence On Nurse Productivity

Lukius Juliandri — 2024-12-29

Background: Nurse productivity is crucial in determining the quality of healthcare services in hospitals. It directly impacts patient care and hospital operations. The implementation of Work Culture (Concise, Neat, Clean, Caring, Diligent) and nurses' competencies are factors that can significantly influence the productivity of nurses. The primary objective of this study is to determine the impact of Work Culture (Concise, Neat, Clean, Caring, Diligent) and nurses' competencies on nurses' productivity at Mojowarno Christian Hospital, Jombang, in 2024. The study assesses how applying these factors enhances nurse performance and hospital service efficiency.

Methods: This research uses a quantitative approach with a cross-sectional design to examine the relationship between variables at a particular moment. The sample comprises 100 nurses from Mojowarno Christian Hospital, chosen through random sampling. The independent variables include the implementation of Work Culture (Concise, Neat, Clean, Care, Diligent) and nurse competencies, while the dependent variable is nurse productivity. Data collection was conducted using observation sheets tested for validity and reliability. Ordinal regression analysis was employed to analyze the data.

Results: The results of the ordinal regression analysis showed a P-value of 0.000, which is less than 0.05, leading to the rejection of H0 and the acceptance of H1. This indicates a significant collective influence of the implementation of Work Culture (Concise, Neat, Clean, Caring, Diligent) and nurses' competencies on nurses' productivity. In the partial analysis, the P-value for the Work Culture (Concise, Neat, Clean, Care, Diligent) variable was 0.024, less than 0.05, suggesting a significant influence on nurses' productivity. The P-value for nurses' competencies was 0.000, indicating a significant partial effect on productivity.

Conclusion: The study concludes that both the implementation of Work Culture (Concise, Neat, Clean, Caring, Diligent) and nurses' competencies have a significant impact on nurses' productivity at Mojowarno Christian Hospital. The results underline the importance of fostering a strong work culture and continuously improving nurses' competencies to enhance productivity and the overall quality of healthcare services. Hospitals should prioritize these factors to ensure efficient and effective care delivery, improving organizational outcomes. Keywords: Work Culture (Concise, Neat, Clean, Care, Diligent), competency, productivity.

The Effect of Occupational Art Therapy on Depression, Anxiety and Stress in the Elderly in Nursing Homes: A Quasi-Experimental Study

Anis Laela Megasari — 2024-12-29

Background: Elderly individuals residing in care facilities possess the potential for low physical activity, frequent illness, a hostile environment, and a lack of self-confidence, causing older people to become anxious, stressed, and even depressed. Unfortunately, no intervention can overcome this problem. Occupational art therapy involves using artistic mediums as a form of treatment and creative processes to help express oneself, improve individual physical and coping skills, manage stress, and strengthen self-confidence.

Methods: This research aims to explain the effect of occupational art therapy on depression, stress, and anxiety in older adults in nursing homes. This research uses a quasi-experimental pre and post-test design. The total sample used was 60 respondents, who were divided into intervention and control groups using a sampling technique, namely purposive sampling. Data were collected using the short version of the Depression Anxiety and Stress Scale (21 items). Descriptive statistics, frequency distribution, and Paired and Unpaired T-tests were applied for data analysis.

Results: The findings of the research indicated that occupational arts therapy could reduce depression scores with an average difference of 8.63, namely an anxiety score of 5.54 and a stress score of 3.59. Data analysis showed that occupational art therapy significantly reduced anxiety, depression, and stress scores (p-value 0.000).

Conclusion: Occupational art therapy can be used as a complementary therapy in nursing homes to reduce depression, anxiety, and stress in older people. The findings of this study are expected to help improve services in nursing homes, especially for reducing depression, anxiety, and stress in older people.

Pain Management in Hypertension Through Pressure Point Massage

Dhina Widayati — 2024-12-29

Background: Hypertension is a disorder of the cardiovascular system characterized by increased blood pressure that causes pain in the back of the neck area. Giving a massage is one effort to reduce pain. This study was to determine the effect of pressure point massage on pain levels in hypertension.

Methods: The design of this research was pre-experiment, involving 44 respondents by purposive sampling from 73 people with hypertension as a population. The dependent variable of pain level was measured using a pain scale, and the data was analyzed by paired t-test with α 0.05

Results: The results were a decrease in pain levels (pre-test 77.3% moderate pain and post-test 87% mild pain). The results of the data analysis using paired t-test were obtained p-value = 0.001 (<α), showing that there was an influence of pressure point massage on the level of pain in hypertension.

Conclusion: Blood circulation becomes smooth because of pressure point massage, which can stimulate endorphin neurotransmitters in the autonomic nerves so that the body relaxes. Pressure point massage intervention can be applied as an alternative therapy option in the management of hypertension, which supports the treatment of hypertension so that blood pressure can be well controlled.

Analysis Of Differences In Knowledge Before And After Emergency Education And Skills In Members of Public Safety Center (PSC) 119

Kamesyworo Kamesyworo — 2024-12-29

Background: An emergency refers to a life-threatening situation, while an emergency requires immediate intervention to mitigate threats to the victim's life. It represents a critical state that necessitates prompt action to prevent disability or death. An emergency is a clinical condition requiring urgent medical attention to save lives and avoid permanent harm. This study aims to assess whether there is a difference in knowledge regarding the initial management of medical emergency cases among PSC 119 members of the Lahat Regency Health Office before and after receiving health education.

Methods: This study used a quasi-experimental design with a one-group pretest-posttest approach. The sample included 16 members of the PSC at the Lahat Regency Health Office. The paired sample t-test analysis of the pretest and posttest results revealed a significant increase in the knowledge of the PSC 119 members regarding the initial management of medical emergency cases after receiving health education.

Results: The T-test result showed p=0.00 (<0.05), indicating a significant improvement in knowledge after health education. As for skills, the paired sample t-test results between pre- and post-training showed a substantial increase in skill levels. The T-test result was p=0.000 (<0.05), meaning Ha is accepted, and Ho is rejected. Thus, it can be concluded that health education on emergency management positively influences both the knowledge and skills of PSC 119 members."

Conclusion: Health education on emergency management significantly improves the knowledge and skills of PSC 119 members at the Lahat Regency Health Office. Regular training programs are recommended to enhance their emergency response capabilities and ensure better outcomes in critical situations. Future research should evaluate the long-term impact and practical application of such training.

Improving Medication Adherence of Pulmonary Tuberculosis Patients with Health Coaching: Scoping Review

Eppy Setiyowati — 2024-12-29

Background: One of the most important ways to ensure the success of tuberculosis treatment is to increase patient adherence to treatment to prevent infection, achieve a cure, and avoid drug resistance, recurrence, and death. The purpose of the literature review is to determine the importance of health coaching in improving treatment adherence in pulmonary tuberculosis patients.

Methods: The stage of Scoping Review is to select journals by taking into account the year of publication and full text. Furthermore, articles and journals that are considered less relevant are excluded. Literature was obtained from 6 pertinent articles on Google Scholar, Indonesia One Search, DOAJ, and Garuda, with the keywords Health Coaching, Medication Adherence, and Tuberculosis.

Results: After a review of the selected articles, the results of Health Coaching show that it has a good impact on improving medication adherence in pulmonary tuberculosis patients.

Conclusion: Health coaching is effective in improving medication adherence among pulmonary tuberculosis patients. By equipping patients with the necessary knowledge, skills, and confidence, health coaching enhances self-management, supports better treatment outcomes, and helps prevent drug resistance, recurrence, and mortality.

Effectiveness Range of Motion Therapy and Warm Water Compresses on Increasing Muscle Strength in Non-Hemorrhagic Stroke Patients: Scoping Review

Adirson Barbosa de Oliveira — 2024-12-29

Background: Stroke is the most common cause of disease in the world and is the highest cause of death in Indonesia, so prevention is essential to minimize disability and stroke death. To restore and increase muscle strength in stroke patients, the solution is to do Range Of Motion (ROM) Exercises and Warm Compresses. This Scoping Review aimed to identify the effectiveness of Range Of Motion therapy and warm compresses on increasing muscle strength in non-hemorrhagic stroke patients.

Methods: The method used is a Scoping Review using journal databases from PubMed, Science Direct, and Google Scholar in the range of 2020-2023 with the keywords "Range Of Motion Therapy", "Warm Compress", "Muscle strength" and "Non-Hemorrhagic Stroke" and stroke obtained as many as 2381 articles.

Results: Search for articles according to the criteria and get 10 ready to be reviewed. The articles describe the effectiveness of ROM therapy and warm compresses in increasing muscle strength in non-hemorrhagic stroke patients.

Conclusion: It is expected in stroke patients to attempt to control Range Of Motion therapy and warm water compresses.

Rehabilitation With Bridging Exercise In Stroke Patients: Systematic Review

Ardianti Fauziah Rochmah — 2024-12-29

Background: Stroke is a neurological disease that can result in weakness in part or all of the body, emphasizing the importance of early mobilization in post-stroke recovery. One of the fundamental physical exercises recommended is the bridging exercise. This article evaluates the impact of bridging exercises on stroke patients through a systematic review approach, focusing on their potential to improve rehabilitation outcomes.

Methods: The methodology involved a systematic review of studies from 2020 to 2024, using journal databases such as Google Scholar, Science Direct, and PubMed. Keywords like "Bridging exercise," "Stroke," "Stroke patients," "Rehabilitation," "Muscle strength," and "Body balance" guided the search. Articles included in the review were in English and selected based on PRISMA guidelines, resulting in seven eligible studies for analysis.

Results: The results of this review highlight that bridging exercises significantly improve muscle strength and body balance among stroke patients. The exercises demonstrated a positive influence on patients' rehabilitation progress, contributing to better physical and functional health outcomes.

Conclusion: In conclusion, bridging exercises serve as an effective intervention in stroke rehabilitation, promoting early mobilization and improving post-stroke recovery. Encouraging stroke patients to incorporate these exercises into their rehabilitation routines could enhance overall health and functional capabilities.

Islamic Spiritual Care in Supporting Emotional Stability in High Care Unit Patients: A Systematic Review

Mega Wulandari — 2024-12-29

Background: Patients in the High Care Unit (HCU) often experience increased levels of stress, depression, and anxiety, especially those who require long-term care between 3 and 15 days. The psychological pressure that patients face in HCU can affect the quality of recovery and elicit a variety of emotional responses that require attention in the treatment process. The purpose this study aims to analyze the impact of Islamic Spiritual Care (ISC), specifically through the recitation of Murottal Al-Qur'an Surat Ar-Rahman, in supporting emotional stability (stress, depression, and anxiety) in patients in the High Care Unit (HCU).

Methods: This research method uses systematic review using the PRISMA technique. Data was obtained from journals contained in PubMed, Science Direct, and Google Scholar from 2020-2024, based on the identification results based on inclusion criteria and feasibility reviews, and fifteen articles were obtained for review.

Results: The results of the implementation of Islamic Spiritual Care (ISC) through Murottal Al-Qur'an therapy, especially Surat Ar-Rahman, are effective in supporting the emotional stability of patients in the High Care Unit (HCU).

Conclusion: Murottal Al-Qur'an therapy, particularly Surat Ar-Rahman, as a component of Islamic Spiritual Care (ISC), can be utilized as a practical non-pharmacological approach to reduce anxiety, stress, and depression in patients in the High Care Unit (HCU).

Relationship of Lipid Profiles to Stroke Patients: Systematic Review

Uci Nurhayati Puspita — 2024-12-29

Background: Stroke is the second leading cause of death and a major contributor to disability worldwide, with the highest prevalence in developing countries. Ischemic stroke is the most common type, caused by blood flow obstruction due to blood clots or fatty plaque accumulation (atherosclerosis). Hemorrhagic stroke, on the other hand, occurs due to blood vessel rupture and bleeding in the brain. This systematic review aims to explore the relationship between lipid profiles and stroke incidence.

Methods: This study employed a systematic review approach using the PRISMA methodology. Articles were sourced from databases including Google Scholar, PubMed, ScienceDirect, and Cochrane Library, focusing on publications from 2019 to 2024. Keywords used for the search included "lipid profile," "stroke," "ischemic stroke," and "hemorrhagic stroke." A total of 2,556 articles were identified, and after screening and selection, 9 relevant articles were included for review.

Results: The systematic review findings indicate a significant relationship between lipid profiles and the occurrence of stroke. Elevated lipid levels, particularly abnormal cholesterol and triglyceride levels, are associated with an increased risk of ischemic and hemorrhagic strokes.

Conclusion: This systematic review confirms a significant association between lipid profiles and stroke incidence. Elevated lipid levels increase the risk of both ischemic and hemorrhagic strokes. Early screening and management of lipid profiles through lifestyle changes and appropriate treatments are essential for stroke prevention. Further research should evaluate the effectiveness of targeted lipid-lowering strategies in reducing stroke risk.

The Effectiveness of Chest Physiotherapy Education in Handling Acute Respiratory Infections in Toddlers on Mother's Knowledge

Haswita Haswita — 2024-12-29

Background: Acute respiratory tract infection is one of the respiratory disorders that children in Indonesia often suffer. Acute respiratory tract infection is the infection that most often causes death and disease worldwide. This study aims to determine the effectiveness of health education about chest physiotherapy in the treatment of acute respiratory tract infections in toddlers on the level of maternal knowledge at Early Childhood Education Darusallam Kalibaru.

Methods: This quantitative study uses a pre-experimental approach with a one-group pre-post test design. The sampling technique employed is total sampling, with a sample size of 50 respondents. The instrument used for data collection is a questionnaire, and the data analysis is performed using the Wilcoxon signed-rank test.

Results: The results showed that maternal knowledge was less than 30 (60%) after being given health education. The level of maternal knowledge was good at 31 (62%). The Wilcoxon test obtained a p-value of 0.000<0.05, so there was a significant influence on the level of maternal knowledge before and after the provision of safety education.

Conclusion: This study is expected to be informative for mothers as one of the techniques for handling acute respiratory tract infections in toddlers. Future research should assess the long-term impact of health education on chest physiotherapy in managing acute respiratory infections in toddlers.

The Impact of Psychological Support On Improving The Achievement Of Slow Learner Students

Anniez Rachmawati Musslifah — 2024-12-29

Background: Collaboration between teachers, parents, and school counselors is essential to provide ongoing psychological support. By engaging a counselor, students can obtain guidance services that help them manage stress, develop study skills, and build confidence. This inclusive and adaptive approach allows every student, both fast and slow learners, to reach their best potential academically and emotionally. This paper aims to explore more about the concept of psychological support for improving the achievement of slow learner students at SMK Negeri 9 Surakarta, Indonesia.

Methods: This study uses a qualitative design with a field approach at SMK Negeri 9 Surakarta, collecting data through interviews, observations, and documentation supported by relevant literature and theoretical frameworks. Participants included class X educators. Data analysis employed triangulation, involving data reduction, display, and conclusion drawing to ensure validity and identify key themes. The findings are presented descriptively, addressing the research focus and supported by prior studies.

Results: The results of the study show that SMK Negeri 9 Surakarta has compiled a guideline known as "Initial Learning Module: Building a Positive Culture at SMK Negeri 9 Surakarta". This module is consistently given at the beginning of learning and is one of the leading guides in the Guidance and Counseling process. This module contains instructions on how to build the concept of psychological support that educators must apply in the SMK Negeri 9 Surakarta environment, namely through the restitution process. This process prioritizes the idea of positive discipline that must be embedded in students.

Conclusion: Psychological support has a complex role, affecting the mental well-being of individuals from various points of view. Future research should explore the long-term effects of psychological support on mental well-being across different populations and contexts.

The Effectiveness Of Integrated Sensory Therapy As A Stimulation Of Speech Ability In Children Aged 2-5 Years With Functional Speech Delay Disorder

Ni Wayan Sriadnyani — 2024-12-29

Background: Early childhood is a golden age and a critical period because there is a speedy growth and development process in the human life span, and it is irreplaceable in the future. Speech delay is functional. It is a delay in speaking due to lack of stimulation or the wrong parenting. One way to stimulate speech ability is through integration sensory therapy. The purpose of the study is to determine the effectiveness of integrated sensory therapy as a stimulation of speech ability in children aged 2-5 years with functional speech delay disorder at Kires Spa Dalung

Methods: The design of this study is a quantitative quasi-experimental with a nonequivalent control group design. The sampling technique used was Simple Random Sampling, with a sample of 60 respondents divided into 2 groups, namely the treatment group and the control group. Data Analysis Techniques m Mann-Whitney Test.

Results: The results of the study showed that of the 30 respondents in the treatment group before sensory integration therapy, the mean value (SD) of speech ability was 0.13 (0.346), and 30 respondents in the control group before the study was 0.23 (0.681). After 8 times of integrated sensory therapy on 30 respondents, the mean value (SD) of speech ability was 20.87 (0.571), and the control group after the study of the mean value (SD) of speech ability was 3.13 (0.819. The results of data analysis using the Mann-Whitney test showed a significance value of 0.000<(ɑ=0.05), meaning that H0 was rejected and H1 was accepted; this means that there is the effectiveness of sensory integration therapy as a stimulation of speech ability in children aged 2-5 years with functional speech delay disorder.

Conclusion: Integrated sensory therapy is very effective in helping improve speech skills in children with functional speech delays. Future research should explore the long-term effects of integrated sensory therapy on speech development in children with functional speech delays across diverse populations and age groups.

The Effect Of Virtual Reality On Pain In Diabetic Foot Ulcer Patients

Arief Shofyan Baidhowy — 2024-12-29

Background: Diabetes Mellitus (DM) is a heterogeneous group of disorders characterized by increased blood glucose levels or hyperglycemia which can cause complications such as Diabetic Foot Ulcer. Debridement can cause the patient to experience pain. A nursing intervention that can be used to reduce pain during the debridement of diabetic ulcers is a distraction. VR (Virtual Reality) become a popular distraction device to reduce pain. The purpose of this study was to analyze the effect of Islamic audio-visual therapy by using virtual reality on pain in the treatment of diabetic ulcers.

Methods: This type of research uses a quantitative research type with Quasi-experimental with the One Group Pre-Post Test Design approach. The population in this study were diabetes mellitus ulcer pain patients at the Semarang Foid Clinic with a total of 26 patients with a total sample using 26 samples. The instrument used was the pain observation sheet. Data analysis used the Wilcoxon test.

Results: the majority were male 65.4%, the majority had a high school education 42.3%, the majority suffered 1-2 months 73.1% and the majority had a grade I Diabetes Mellitus ulcer 65.4%. The results of p-value 0.001 <0.05 can be interpreted that there is an effect of Islamic audio-visual therapy on pain in diabetic ulcer care.

Conclusion: This study provides an effect of Islamic audio-visual therapy by using virtual reality on pain in diabetic ulcer care. VR has an effective effect on lower pain in DFU patients. In future research, more detailed criteria are required, such as patients with similar diseases, same age group, and more participants to study.

Ventilator-Associated Pneumonia (VAP) Prevention Strategy by Increasing Nurse Compliance in the Implementation of VAP Bundles and the Implementation of Pulmonary Infection Score: A Systematic Review

Netti Herawati — 2024-12-29

Background: Ventilator-associated pneumonia (VAP) is a nosocomial infection that occurs in patients receiving mechanical ventilation and is one of the main complications that can increase morbidity, mortality, and treatment costs in hospitals, especially in intensive care units (ICUs). The purpose of this study is to analyze the action of the VAP prevention strategy by increasing nurse compliance in the implementation of VAP bundles and the implementation of pulmonary infection score (CPIS)

Methods: In this method of Systematic Review with Literature Search and Selection, systematic searches are carried out in Sage Journal, Science Direct, and PubMed databases. The search feature uses Boolean logic by utilizing the principles of AND, OR, and AND NOT. The keywords used include: "VAP," "CPIS," "VAP Bundle," and "HAIs." Of the included studies published from 2020 to 2024, peer-reviewed research in nursing and medical journals.

Results: Overall, effective VAP prevention requires a holistic and integrated approach. Increasing nurse compliance in implementing the VAP Bundle and the implementation of CPIS in the early diagnosis of lung infections are two complementary strategies to prevent and manage VAP.

Conclusion: To achieve optimal outcomes, hospitals and healthcare facilities must provide ongoing training, facilitate access to adequate resources, and improve communication and collaboration between medical teams.

Nurses' Spiritual Competence Towards Spiritual Care and Patient Satisfaction: A Systematic Review

Nur Fadlilah — 2024-12-29

Background: Spiritual competence in nursing is essential in providing holistic health services. Nurses are not only responsible for the physical aspects of patients but also psychological, social, and spiritual aspects. Spiritual care is an effort made to meet the spiritual needs of the patient, which includes the moral, emotional, and religious values or beliefs that the patient has. This study aims to systematically review the literature examining the relationship between nurses' spiritual competence, the delivery of spiritual care, and its impact on patient satisfaction levels.

Methods: This research method This article employs a systematic review methodology. The literature search was conducted between September and October 2024 using journal databases such as ScienceDirect, PubMed, ClinicalKey, and Google Scholar.

Results: A nurse's spiritual competence significantly influences the quality of spiritual care provided to patients. Further research is essential to explore the various dimensions of spirituality in nursing and its impact on patient outcomes.

Conclusion: The study highlights the critical role of spiritual competence in delivering effective spiritual care and improving patient satisfaction. Future research should explore the multidimensional aspects of spirituality in nursing and their broader implications for patient outcomes and holistic healthcare practices.

Compliance with “Five Moments For Hand Hygiene” in Reducing the Incidence of Healthcare Associates Infections (HAIs): A Systematic Review

Yayuk Ernawati — 2024-12-29

Background: Hand hygiene is essential in breaking the transmission chain of infections. Scientifically, it has been proven to prevent and reduce the spread of harmful microorganisms, thereby decreasing the incidence of Healthcare-Associated Infections (HAIs). The purpose of this study is to find out if compliance with hand hygiene within five moments can reduce the number of healthcare associates' infections.

Methods: This research method uses a literature review using the PRISMA technique. Data was obtained from journals, including PubMed, Clinical Key, Science Direct, and Google Scholar, from 2020-2024, based on the results of the identification based on inclusion criteria. A feasibility review was obtained, and twenty articles were received for review

Results: Compliance with hand hygiene within five seconds can reduce the number of HAIs specifically.

Conclusion: Compliance with the Five Moments for hand hygiene is a simple and effective way to reduce the rate of Healthcare-Associated Infections (HAIS) in hospitals

Addressing Anxiety Problems in Hospital Patients with Guided Imagery Therapy: A Systematic Review

Sri Sulistiyawati — 2024-12-29

Background: Anxiety problems are often experienced by patients in hospitals due to various factors, such as medical conditions, medical procedures, or unfamiliar environments. One of the non-pharmacological interventions that has been widely studied to manage anxiety is guided imagery therapy. Objective: This systematic review aims to evaluate the effectiveness of guided imagery therapy in addressing anxiety problems in hospital patients.

Methods: Literature searches were conducted on databases such as Google Scholar, Science Direct, and Pubmed. Article searches were carried out systematically from 2019-2024 using severalkeywords, namely "hemodialysis", or "guided imagery", or "anxiety", or "Patients in hospitals". Search for articles in English and Indonesia. Studies that met the inclusion criteria, i.e. experimental or quasi-experimental studies that evaluated the effects of guided imagery therapy on the anxiety levels of hospital patients, were further analysed. Data were extracted and compared to identify key findings.

Results: : Studies show that guided imagery therapy can significantly lower anxiety levels in hospital patients, both before and after certain procedures. Positive effects were seen more pronounced in patients who underwent the intervention over several sessions compared to a single session. Additionally, patients reported improved relaxation, mood, and an overall more positive experience during the treatment period.

Conclusion: : Guided imagery therapy is an effective and easy-to-apply approach to overcome anxiety in hospital patients. This intervention can be an additional option for health workers to improve the quality of health services, especially for patients with high levels of anxiety. Further studies are needed to explore the effects of these therapies in the context of the wider patient culture and population.

Health Coaching in Improving Drug Adherence in Pulmonary Tuberculosis Patients: A Systematic Review

Abdul Muhith — 2024-12-29

Background: The problem in patients with pulmonary tuberculosis is non-compliance with treatment and patients who are tired of treatment, sometimes patients decide to stop treatment because they have been treated for too long and patients start to get bored because they do not get better. Aims: The purpose of this study conducted a systematic review related to the effect of Health Coaching in Improving Drug Adherence in Pulmonary Tuberculosis Patients. Method : This research article uses a systematic review design with a standard systematic review approach (PRISMA) to carry out systematic analysis. Results and Conclusion. The provision of Health Education and Health Coaching can significantly improve medication adherence in pulmonary tuberculosis patients.

The Impact of Self-Management Program on Quality of Life and Neurological Function in Stroke Patients: A Systematic Review

Abdul Muhith — 2024-12-29

Background: Stroke is the leading cause of death and disability with a high global prevalence, including in Indonesia, which has the second highest stroke mortality rate in Asia. Self-management is a promising rehabilitation strategy to improve post-stroke patients' quality of life (QoL) and neurological function. However, the results of previous studies are still varied and inconsistent. Purpose: To evaluate evidence from randomized controlled trials (RCTs) regarding the effectiveness of self-management programs in enhancing quality of life (QoL) and neurological function among stroke patients, to provide evidence-based recommendations for clinical practice

Methods: The systematic review screened RCT studies from PubMed, Scopus, ScienceDirect, and ClinicalKey databases published in the last 5 years. The inclusion criteria are based on the principle of PICOS, with interventions in self-management programs, QoL outcomes, and neurological functions—quality assessment using the CASP Checklist for RCTs.

Results: Of the 2020 articles identified, 11 studies with 3,892 participants met the criteria. The self-management programs used varied, including telerehabilitation, physical exercise, personalized music, and multifaceted interventions. The duration of the program ranges from 3 to 52 weeks. Most studies showed significant improvements in QoL and neurological function of stroke patients.

Conclusion: Self-management programs are effective in improving the QoL and neurological function of stroke patients, with effectiveness affected by the type of intervention and the program duration. These findings support the implementation of self-management programs in evidence-based stroke rehabilitation.

Culture “NIRMENIRAN” (Herbal Medicine) on Improving The Nutritional Status Of Toddlers

Yulia Wardita — 2024-12-29

Background: The region is known for its high prevalence of malnutrition cases, making it a significant concern for public health. The local health center has noted instances of malnutrition in certain areas, prompting efforts to investigate potential contributing factors and solutions. This study aims to explore the relationship between the culture of consuming local food, "Nirmeniran," and its potential impact on improving the nutritional status of toddlers in the community.

Methods: Quantitative with correlation or association research type. The respondents of this study were mothers of toddlers in Longos Village. The sampling technique used the Random Sampling technique, with a sample of 63 mothers of toddlers. Data collection used questionnaires and BB/TB observations. Statistical tests used Spearman's Rho Correlation test.

Results: Part Big mother toddlers in Village Longos often give drinks or herbal medicine containing local food, “Nirmeniran,” to their children, and most toddlers have good nutritional status. The results of statistical tests show ρ value = 0,000 with mark α = 0.05, So ρ (0,000) < α (0.05), which means There is a connection between culture consumption food local “Nirmeniran” towards improving the nutritional status of toddlers in Longos Village.

Conclusion: The cultural consumption of "Nirmeniran" is linked to improved nutritional status in toddlers. Most mothers in the area frequently provide drinks or herbal medicine containing this local ingredient, showing its potential benefits.

Effectiveness of the Application of Range of Motion (ROM) with the Cylindrical Grip Method on Increasing Upper Extremity Muscle Strength in Non-Hemorrhagic Stroke Patients: A Systematic Review

Wildani Khairatun Hisan — 2024-12-29

Background: The Ministry of Health revealed that in 2023, stroke cases will increase, and funding for stroke will be very large, causing other diseases. Therefore, patients must carry out the cylindrical grip method independently without large costs. ] This study aims to assess the effectiveness of applying Range of Motion (ROM) exercises using the Cylindrical Grip method to enhance upper extremity muscle strength in non-hemorrhagic stroke patients.

Methods: A literature review was carried out using PRISMA flow diagrams. The journal databases used are Google Scholar and Scopus. Inclusion criteria include articles that focus on the effect of the cylindrical grip method on non-hemorrhagic stroke patients, journals for the last 5 years, full pdf access, the exclusion criteria are research articles of the review type.

Results: The search results obtained 10 journals by searching two databases: Google Scholar and Scopus

Conclusion: The cylindrical grip method significantly increases muscle strength in non- hemorrhagic stroke patients and can be used as a gradual mobilization method that can be carried out at home independently by the patient.

Health Promotion for the Prevention of Extraordinary Events or Outbreaks: A Systematic Review

Katmini Katmini — 2024-12-29

Background: Health promotion is key in dealing with extraordinary events or outbreaks. This approach empowers the public to understand disease risks, adopt preventive behaviors, and improve compliance with health protocols. Various health promotion interventions have been implemented in recent decades to deal with outbreaks such as dengue fever, influenza, and the COVID-19 pandemic. However, a systematic study is still needed to evaluate the strategies' effectiveness and identify existing challenges and opportunities. This study aims to systematically assess the role of health promotion in managing outbreaks, focusing on best practices, barriers, and opportunities for implementation.

Methods: This study uses a systematic review method by following the guidelines of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Data is obtained from major databases, such as Google Scholar, Science Direct, and PubMed. Article searches were carried out systematically from 2019-2024 using several keywords, namely " Health Promotion ", or " Extraordinary Events ", or " Outbreaks ". The selection process includes identifying, screening, selecting, and analyzing articles based on predetermined inclusion and exclusion criteria

Results: Of the 2,000 articles identified, 45 met the inclusion criteria.

Furthermore, it was selected into the 10 best articles by the author. The results showed that health promotion effectively increased public awareness, changed behavior, and prevented disease spread. Community-based interventions, digital media campaigns, and the involvement of local figures have proven successful. However, obstacles such as low health literacy, cultural resistance, and limited resources are still the main obstacles..

Conclusion: Health promotion has a significant role in preventing outbreaks. An integrated, adaptive, evidence-based approach to local contexts involving multiple stakeholders is needed to improve its effectiveness. By addressing existing challenges, health promotion can be a key pillar in preventing and dealing with future outbreaks