Journal Nursing Care and Biomolecular
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    PERSEPSI PENYAKIT DAN KEPATUHAN KONTROL PASIEN HIPERTENSI USIA DEWASA

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    Hypertension in adults increases every year and is responsible for complications and death. Preventing complications and death from hypertension requires adherence to treatment controls. Illness perception can affect adherence to treatment controls. The purpose of this study was to explain the correlation between illness perception and control adherence in adult hypertensive patients. This type of research is correlational analytic with a cross-sectional approach. The study involved 42 patients who were taken by purposive sampling and carried out at the Nita Public Health Center, Sikka Regency, East Nusa Tenggara in March 2023. Data collection used the brief illness perception questionnaire (B-IPQ) and the Morisky medication adherence scale (MMAS-8). Data analysis used the contingency coefficient test. The results showed that there was a correlation between illness perception and control compliance in adult hypertensive patients (p 0.000). The higher the illness perception, the more it is considered a threat to health and increases control adherence. Therefore, it is very important to increase the illness perception to achieve high control compliance in adult hypertensive patients. It is expected that nurses in providing care to hypertensive patients, must consider these aspects.   Keywords: Adherence, Adults, Hypertension, Illness PerceptionHypertension in adults increases every year and is responsible for complications and death. Preventing complications and death from hypertension requires adherence to treatment controls. Illness perception can affect adherence to treatment controls. The purpose of this study was to explain the correlation between illness perception and control adherence in adult hypertensive patients. This type of research is correlational analytic with a cross-sectional approach. The study involved 42 patients who were taken by purposive sampling and carried out at the Nita Public Health Center, Sikka Regency, East Nusa Tenggara in March 2023. Data collection used the brief illness perception questionnaire (B-IPQ) and the Morisky medication adherence scale (MMAS-8). Data analysis used the contingency coefficient test. The results showed that there was a correlation between illness perception and control compliance in adult hypertensive patients (p 0.000). The higher the illness perception, the more it is considered a threat to health and increases control adherence. Therefore, it is very important to increase the illness perception to achieve high control compliance in adult hypertensive patients. It is expected that nurses in providing care to hypertensive patients, must consider these aspects.   Keywords: Adherence, Adults, Hypertension, Illness Perceptio

    LITERATURE REVIEW: EFEKTIVITAS PEMBERIAN AROMATERAPI LAVENDER SECARA INHALASI DAN MASASE TERHADAP PENURUNAN NYERI PERSALINAN KALA I

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    Labor pain is soreness and discomfort due to uterine contractions and cervical dilatation.  Pain can affect the mother's condition during childbirth if the mother's perception of pain is very bad, so it causing anxiety and stress. Therefore, pain management is needed to prevent disturbances during labor. Lavender aromatherapy is a non-pharmacological pain management method to treat labor pain. The use of lavender aromatherapy for pain management is often applied by inhalation and massage. The Aims of this research is to determine the differences in the effectiveness of lavender aromatherapy by inhalation and massage to reduce the first stage of the labor pain during. The Design of this research is  literature review that using 10 research articles published in reputable journals. The Result are lavender aromatherapy can reduce the labor pain from severe to moderate pain and lavender aromatherapy massage can make labor pain intensity during the first stage of the active phase remains at a moderate level. Giving lavender aromatherapy by inhalation is more effective in reducing labor pain intensity than massage because it provides a faster effect and shorter interventions. The health workers can take advantage of lavender aromatherapy with inhalation and massage methods to redure labour pain.   Keywords: lavender aromatherapy, inhalation, massage, pain labor.Labor pain is soreness and discomfort due to uterine contractions and cervical dilatation.  Pain can affect the mother's condition during childbirth if the mother's perception of pain is very bad, so it causing anxiety and stress. Therefore, pain management is needed to prevent disturbances during labor. Lavender aromatherapy is a non-pharmacological pain management method to treat labor pain. The use of lavender aromatherapy for pain management is often applied by inhalation and massage. The Aims of this research is to determine the differences in the effectiveness of lavender aromatherapy by inhalation and massage to reduce the first stage of the labor pain during. The Design of this research is  literature review that using 10 research articles published in reputable journals. The Result are lavender aromatherapy can reduce the labor pain from severe to moderate pain and lavender aromatherapy massage can make labor pain intensity during the first stage of the active phase remains at a moderate level. Giving lavender aromatherapy by inhalation is more effective in reducing labor pain intensity than massage because it provides a faster effect and shorter interventions. The health workers can take advantage of lavender aromatherapy with inhalation and massage methods to redure labour pain.   Keywords: lavender aromatherapy, inhalation, massage, pain labor

    The PENERAPAN PERAWATAN KATETER DENGAN CHLORHEXIDINE DISINFEKTAN UNTUK MENCEGAH TERJADINYA RISIKO INFEKSI SALURAN KEMIH PADA PASIEN CEREBRO VASCULER ACCIDENT (CVA) DI RUANG ICU RSUD DR. (H.C.) IR.SOEKARNO PROVINSI BANGKA BELITUNG: PENERAPAN PERAWATAN KATETER DENGAN CHLORHEXIDINE DISINFEKTAN UNTUK MENCEGAH TERJADINYA RISIKO INFEKSI SALURAN KEMIH PADA PASIEN CEREBRO VASCULER ACCIDENT (CVA) DI RUANG ICU RSUD DR. (H.C.) IR.SOEKARNO PROVINSI BANGKA BELITUNG

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    Cerebro Vascular Accident (CVA) is a condition when blood flow to the brain is interrupted due to a blockage or rupture of a blood vessel which results in compressed brain tissue resulting in herniation. Clinical symptoms in CVA include paralysis of the limbs, experiencing weakness, limited range of motion and decreased muscle strength. CVA patients will experience ineffective cerebral tissue perfusion which can cause a decrease in consciousness. Decreased awareness of CVA will experience conditions in the long term and incontinence will occur so that a catheter is attached. One of the interventions performed was Catheter Care with Chlorhexidine. The purpose of this case study is to describe the application of catheter care with disinfectant Chlorhexidine to prevent the risk of urinary tract infection in Cerebro Vascular Accident (CVA) patients. The design of this scientific paper uses the approach of 2 patients diagnosed with CVA. This research method is descriptive in the form of a case study approach by applying nursing interventions based on practical evidence. Methods of data collection were carried out through participatory observation, structured interviews, documentation, literature studies. The results of the case study showed that catheter care with Chlorhexidine for 3 consecutive days could prevent the risk of infection. The conclusion obtained is that the application of catheter care with Chlorhexidine disinfectant in Cerebro Vascular Accident (CVA) can prevent the risk of urinary tract infections related to catheter insertion. Keywords: Cerebro Vascular Accident (CVA), Chlorhexidine 2%, Catheter Care.Cerebro Vasculer Accident (CVA) adalah kondisi ketika aliran darah ke otak terganggu karena sumbatan atau pecahnya pembuluh darah yang mengakibatkan jaringan otak berkompresi sehingga terjadinya herniasi. Gejala klinis pada CVA berupa kelumpuhan anggota badan, mengalami kelemahan, keterbatasan rentang gerak dan penurunan kekuatan otot. Pasien CVA akan mengalami ketidakefektifan perfusi jaringan serebral yang dapat menyebabkan penurunan kesadaran. Penurunan kesadaran pada CVA akan mengalami kondisi dalam jangka waktu yang panjang dan akan terjadi inkontinensia sehingga terpasangnya kateter. Salah satu intervensi yang dilakukan adalah Perawatan Kateter dengan Chlorhexidine. Tujuan studi kasus ini adalah untuk menggambarkan penerapan perawatan kateter dengan Chlorhexidine disinfektan untuk mencegah terjadinya risiko infeksisaluran kemih pada pasien Cerebro Vasculer Accident (CVA). Desain Karya Tulis Ilmiah ini menggunakan pendekatan 2 pasien diagnosa CVA dengan Metode penelitian ini adalah deskriptif dalam bentuk pendekatan kasus (case study research) dengan menerapkan intervensi keperawatan berdasarkan bukti praktik. Metode pengumpulan data dilakukan melalui observasi partisipatif, wawancara terstruktur, dokumentasi, studi literatur. Hasil studi kasus menunjukkan bahwa perawatan kateter dengan Chlorhexidine selama 3 hari berturut-turut bisa mencegah terjadinya risiko infeksi. Kesimpulan yang didapat bahwa penerapan perawatan kateter dengan Chlorhexidine disinfektan pada Cerebro Vasculer Accident (CVA) dapat mencegah terjadinya risiko infeksi saluran kemih terkait pemasangan kateter

    PENGARUH KONSUMSI AIR REBUSAN DAUN SIRSAK (Annona muricata linn) TERHADAP TEKANAN DARAH PADA LANSIA PENDERITA HIPERTENSI DI WILAYAH DESA MIANGAS KABUPATEN KEPULAUAN TALAUD PROVINSI SULAWESI UTARA

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    High blood pressure is a disease that always increases every year, this health problem often attacks the elderly group. One of the treatments for high blood pressure is the use of plants. Soursop leaf (Annona muricata linn) can be an alternative for the treatment of high blood pressure because it contains antioxidants and the working process of potassium ions can lower blood pressure. The purpose of the study was to determine the effect of consuming boiled water from soursop leaves (Annona muricata linn) on blood pressure in elderly people with hypertension in the Miangas Village Area. This research design is pre-experimental, with a one group pretest-posttest design approach. The research population in all elderly people with hypertension grade I and II in Miangas Village, as many as 34 people, obtained a sample of 31 respondents using quota sampling technique. The independent variable of this study was the consumption of boiled water from soursop leaves (Annona muricata linn) and the dependent variable was blood pressure. The research instrument used a sphygmomanometer, a stethoscope, and an observation sheet. Data analysis used marginal homogeneity. The concept of soursop leaf stew using ± 10 grams of soursop leaves is launched with 300 ml of water for 30 minutes to become 100 ml and drunk at 06:00-09:00 WITA. The results showed a change in blood pressure from high blood pressure grades I and II (140-160/90-100 mmHg) to normal (130/80). Statistical tests found that there was an effect of consumption of boiled water from soursop leaves (Annona muricata linn) on blood pressure in the elderly with hypertension in the Miangas Village Region, Talaud Islands Regency, North Sulawesi Province with (p-value 0.000). Suggestions for further research can control the variables of smoking status and gender so that the results of the study will be better.   Keywords: Soursop leaf boiled water; Experiments; Herbs; elderly; High blood pressureHigh blood pressure is a disease that always increases every year, this health problem often attacks the elderly group. One of the treatments for high blood pressure is the use of plants. Soursop leaf (Annona muricata linn) can be an alternative for the treatment of high blood pressure because it contains antioxidants and the working process of potassium ions can lower blood pressure. The purpose of the study was to determine the effect of consuming boiled water from soursop leaves (Annona muricata linn) on blood pressure in elderly people with hypertension in the Miangas Village Area. This research design is pre-experimental, with a one group pretest-posttest design approach. The research population in all elderly people with hypertension grade I and II in Miangas Village, as many as 34 people, obtained a sample of 31 respondents using quota sampling technique. The independent variable of this study was the consumption of boiled water from soursop leaves (Annona muricata linn) and the dependent variable was blood pressure. The research instrument used a sphygmomanometer, a stethoscope, and an observation sheet. Data analysis used marginal homogeneity. The concept of soursop leaf stew using ± 10 grams of soursop leaves is launched with 300 ml of water for 30 minutes to become 100 ml and drunk at 06:00-09:00 WITA. The results showed a change in blood pressure from high blood pressure grades I and II (140-160/90-100 mmHg) to normal (130/80). Statistical tests found that there was an effect of consumption of boiled water from soursop leaves (Annona muricata linn) on blood pressure in the elderly with hypertension in the Miangas Village Region, Talaud Islands Regency, North Sulawesi Province with (p-value 0.000). Suggestions for further research can control the variables of smoking status and gender so that the results of the study will be better.   Keywords: Soursop leaf boiled water; Experiments; Herbs; elderly; High blood pressur

    The Influence of Nursing Management Education on the Satisfaction Level of Patient Families at Igd Hospital Dr. Haryoto Lumajang: The Influence of Nursing Management Education on the Satisfaction Level of Patient Families at Igd Hospital Dr. Haryoto Lumajang

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    Introduction: Patient satisfaction is an important indicator that must be considered in health services in the emergency room. This study aims to determine the effect of Nursing Management Education on the Satisfaction Level of Patient Families at Igd Hospital Dr. Haryoto Lumajang. Method:This type of research is an experiment with a One-Group Pretest-Posttest Design. The population of all patients admitted to the Emergency Room (IGD) in January 2023 is 100 cases. The sample in this study were 30 people who were taken by quota sampling. The instrument used was a questionnaire. Data processing with the Mann-Whitney U Test processed with SPSS. Results and Analysis: The results of this study indicate that before getting education, 24 (80%) were dissatisfied, after getting education, 26 (86.7%) were very satisfied. The test results showed that there was an effect of education on nursing education on the level of satisfaction in the emergency room of Dr. Haryoto Lumajang Hospital in 2023 with a value of p = 0.000 <α 0,05. Discus, that is, there is an effect of education on management education on nursing management on the level of satisfaction in the Emergency Room of Dr. Haryoto Lumajang Hospital in 2023.  So that health workers can provide earlier information to patient families about the flow and process of service so as to increase patient family satisfaction.   Keywords: Satisfaction, Education on nursing managementIntroduction:Patient satisfaction is an important indicator that must be considered in health services in the emergency room. This study aims to determine the effect of Nursing Management Education on the Satisfaction Level of Patient Families at Igd Hospital Dr. Haryoto Lumajang. Method:This type of research is an experiment with a One-Group Pretest-Posttest Design. The population of all patients admitted to the Emergency Room (IGD) in January 2023 is 100 cases. The sample in this study were 30 people who were taken by quota sampling. The instrument used was a questionnaire. Data processing with the Mann-Whitney U Test processed with SPSS. Results and Analysis: The results of this study indicate that before getting education, 24 (80%) were dissatisfied, after getting education, 26 (86.7%) were very satisfied. The test results showed that there was an effect of education on nursing education on the level of satisfaction in the emergency room of Dr. Haryoto Lumajang Hospital in 2023 with a value of p = 0.000 <α 0.05.Discus, that is, there is an effect of education on management education on nursing management on the level of satisfaction in the Emergency Room of Dr. Haryoto Lumajang Hospital in 2023.  So that health workers can provide earlier information to patient families about the flow and process of service so as to increase patient family satisfactio

    The Correlation Between the Level of Dependence and The Risk of Decubitus in Stroke patients in the Inpatient Room of Dr. Haryoto Lumajang: HUBUNGAN TINGKAT KETERGANTUNGAN DENGAN RISIKO TERJADINYA DEKUBITUS PADA PASIEN STROKE DI RUANG RAWAT INAP RSUD DR. HARYOTO LUMAJANG

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    Introduction: Immobilization is the inability to move positions or bed rest for 3 days or more with the movement of the body's anatomy disappearing due to changes in physiological functions such as stroke patients, and become dependent on living their lives. The level of dependency on the patient's mobility is a factor that directly affects the risk of dekubitus. Method: The purpose of this study was to determine the correlation between the level of dependence and the risk of decubitus in stroke patients in the Inpatient Room of RSUD dr. Haryoto Lumajang. The research design is correlational analytic with a cross-sectional method. This research was conducted in the Inpatient Room of Dr. Haryoto Lumajang on February 6, 2023 – March 10 2023. The study population consisted of 39 stroke patients, the sample was 36 respondents that was taken by accidental sampling. The research instrument used a dependency level questionnaire (Barthel index) and a Braden scale observation sheet. Result and Analysis: The results showed that stroke patients had a moderate level of dependency, namely 14 respondents (38.9%), and high-risk dekubitus, namely 14 respondents (38.9%). The Spearman's Rank correlation test results obtained p <0.05 (p = 0.000; α = 0.05), so it can be concluded that there is a correlation between the level of dependence and the risk of dekubitus in stroke patients in the inpatient room of dr. Haryoto Lumajang. Discussion: It is hoped that nurses can carry out an initial assessment of skin integrity, especially in cases of stroke patients who often experience immobilization. With proper care and appropriate prevention, the risk of developing decubitus in patients both in the hospital and upon discharge from the hospital will decrease. Keywords: Dependency Level, Decubitus Risk, StrokeIntroduction : Immobilization is the inability to move positions or bed rest for 3 days or more with the movement of the body's anatomy disappearing due to changes in physiological functions such as stroke patients, and become dependent on living their lives. The level of dependency on the patient's mobility is a factor that directly affects the risk of dekubitus. Method : The purpose of this study was to determine the correlation between the level of dependence and the risk of decubitus in stroke patients in the Inpatient Room of RSUD dr. Haryoto Lumajang. The research design is correlational analytic with a cross-sectional method. This research was conducted in the Inpatient Room of Dr. Haryoto Lumajang on February 6, 2023 – March 10 2023. The study population consisted of 39 stroke patients, the sample was 36 respondents that was taken by accidental sampling. The research instrument used a dependency level questionnaire (Barthel index) and a Braden scale observation sheet. Result and Analysis : The results showed that stroke patients had a moderate level of dependency, namely 14 respondents (38.9%), and high-risk dekubitus, namely 14 respondents (38.9%). The Spearman's Rank correlation test results obtained p <0.05 (p = 0.000; α = 0.05), so it can be concluded that there is a correlation between the level of dependence and the risk of dekubitus in stroke patients in the inpatient room of dr. Haryoto Lumajang. Discussion : It is hoped that nurses can carry out an initial assessment of skin integrity, especially in cases of stroke patients who often experience immobilization. With proper care and appropriate prevention, the risk of developing decubitus in patients both in the hospital and upon discharge from the hospital will decrease. Keywords : Dependency Level, Decubitus Risk, Strok

    PENGARUH PENDIDIKAN KESEHATAN PENANGANAN DISMENORE MELALUI MEDIA VIDEO INSTAGRAM TERHADAP SKALA NYERI DISMENORE PADA SISWI SMP

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    Introduction: Adolescent women with sexual development both physically and sexually. One of the sexual developments in adolescent women is menstruation. Dysmenorrhea is one of the menstruation symptoms. Education on the implementation of dysmenorrhea could be performed through Instagram social media.   The   study   aimed   to   determine   the   effect   of   health   education   on dysmenorrhea pain management through Instagram video media in junior high school students. The research adopted quantitative with a Quasi-Experiment design with Pre- and Post-test Without a Control Group design. The research sample was 66 respondents. The research instrument used a sheet of Observation Numeric Range Scale (NRS) Dysmenorrhea.  The Kolmogorov-Smirnov test indicated abnormally distributed with p-value (Sig) pre-test 0.000 and post-test 0.000. The Wilcoxon test obtained p-value = 0.000 (p-value <0.05). It inferred that the Health Education on Dysmenorrhea Pain Management Through Instagram Video Media affect the Dysmenorrhea Pain Scale in Students of SMP N 6 Purwodadi.   Keywords: Dysmenorrhea, Pain, Instagram Video.Remaja putri dengan perkembangan seksual yang terjadi yaituperubahan baik secara fisik, perkembangan seksual pada remaja putri salahsatunya adalah menstruasi. Gejala menstruasi pada remaja yaitu salahsatunya Dismenore, edukasi dalam pelaksanaan dismenore yaitu dengansalah satu sosial media yaitu Instagram.Tujuan penelitian ini untuk mengetahui pengaruh pendidikankesehatan penanganan nyeri dismenore melalui media video instagramterhadap skala nyeri dismenore pada siswi SMP. Penelitian ini adalahkuantitatif dengan desain Quasy Eksperiment dengan rancangan PretestPosttest Without Control Group, sampel dalam penelitian ini yaitu 66responden, Instrumen penelitian menggunakan lembar Observasi NumericRange Scale (NRS) Dismenore. Analisa data menggunakan ujiKolmogorov-smirnov menunjukkan data distribusi tidak normal dengan pvalue(Sig) pretest 0,000 dan posttest 0,000. Berdasarkan uji wilcoxonmenunjukkan nilai p value = 0,000 (p value<0,05).Disimpulkan bahwa Pendidikan Kesehatan Penanganan NyeriDismenore Melalui Media Video Instagram berpengaruh terhadap SkalaNyeri Dismenore Pada Siswi SMP N 6 Purwodadi   &nbsp

    Analisis Faktor-Faktor Yang Berpengaruh Terhadap Risiko Jatuh pada Keluarga Yang Memiliki Pasien Pasca Stroke di poli Saraf RSUD Kabupaten Kediri

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    Introduction: Stroke is a sudden emergency in the neurological system and is one of the leading causes of disability and death in the world. Post-stroke patients will have an increased risk of falling which can result in worsening their health condition. This study aims to analyze the factors that influence the risk of falling in families who have post-stroke patients at the Neurology Polyclinic, Kediri District Hospital. Method: This study used an analytical observational design with a cross-sectional approach. The sample of this study were 187 families who had post-stroke patients who were in the Neurology Polyclinic of the Kediri District Hospital. The sampling technique was purposive sampling, with inclusion and exclusion criteria. Chi Square test was used for data analysis with a significant level (α) = 0.05. Result and analysis: The results of data analysis showed that there was a significant effect on the risk of falling in families who had post-stroke patients. Logistic regression test showed that family assignment is the most influential factor on families who have post-stroke patients with Exp value. (B) of 0.000. The role factor showed an insignificant value, while the family task and family support factors significantly affected families who had post-stroke patients, but family duties were the most influential factors on families who had post-stroke patients, compared to 2 other factors

    LITERATURE REVIEW : FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN OBESITAS PADA REMAJA LITERATURE REVIEW : FACTORS ASSOCIATED WITH OBESITY IN TEENAGER

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    Obesity is defined as abnormal or excessive fat accumulation that poses a risk to health. Obesity will have a negative impact on adolescent growth and development, especially in organic and psychosocial aspects. Because obesity in adolescents has a high risk of becoming obese in adulthood and has the potential to experience various causes of disease and death. This study uses a Literature Review method obtained from four data bases (Proquest, Pubmed, Google Scholar, and Garuda Portal) with the keywords Obesitas AND Remaja, Obesity AND Adolescent published in the 2015 – 2020 timeframe Indonesian and English language. There were 10 journals that met the inclusion and exclusion criteria. Proquest 3, Pubmed 2, Google Scholar 3, Portal Garuda 2 journal. From the discussion, the results obtained 6 factors that influence the incidence of obesity in adolescents, namely socio-economic factors, sleep pattern factors, dietary factors, physical activity factors, parental stressor factors, and genetic factors. Suggestions that need to be investigated further about obesity in children. Along with the times, various advertisements appear that attract various fast foods that are high in calories, which make children choose the wrong snacks, and less time to play outside the home because technological advances make children tend to play with gadgets or in front of television

    PENGARUH PERILAKU CUCI TANGAN PAKAI SABUN DALAM PENCEGAHAN DIARE PADA ANAK USIA SEKOLAH

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    Abstract: The high rate of diarrheal disease in children is caused by many factors, namely, poor hand washing habits, children consuming food that is not guaranteed to be clean, and an unhealthy school environment. One way to prevent the transmission of diarrheal disease is by washing hands with soap. The purpose of this study was to determine the effect of handwashing with soap in preventing diarrhea in school-age children. This study was conducted by searching for national and international journals that match the inclusion criteria through 2 databases, namely Google Scholar and Science Direct. The Study Design used is a Cross Sectional Study. Search articles using keywords that have been adjusted by MeSH. The selection was taken by paying attention to the PICOS framework, then the articles were analyzed one by one. Found 8 national journals and 1 international journal, then the journals were analyzed one by one. The results of the study, namely the majority of articles (8 of 9 articles) stated that there was a significant relationship between the effect of washing hands with soap in preventing diarrhea in school-age children. The conclusion of the study is that there is an effect of hand washing with soap and prevention of diarrhea in school-age children. Suggestions for future researchers are expected not to lean on only one search source and develop a more analytical PICOS design study

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