Nurse and Health: Jurnal Keperawatan
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PSYCHOSOCIAL SUPPORT IN SELF-ACTUALIZING MAYER ROKITANSKY KUSTER HAUSER SYNDROME WOMEN
Background: Self-concept is an individual's mode to completely see his personality, dealing with intelligence, emotion, spirituality, physical form, or social form. It provides continuity, consistency, and completeness for an individual. An individual with excellent self-concept could maintain their feeling of stability and positive behaviors directed for himself or other people. From the data of the MRKH community, thirty-three people were suffering MRKH in Indonesia.
Objectives: This research explored the self-concept experiences of women with Mayer Rokitansky Kuster Hauser syndrome.
Methods: This research is qualitative research with a phenomenological approach Interpretation. The data were collected from an in-depth interview with a structured design for seven participants.
Results: Such reproduction organ problems influence their life qualities because they think that a perfect woman's identity is to have a normal reproduction organ. This problem also influences their psychologies and have psychological and emotional traumas as well as self-concept changes. However, they tried to endure it and actualize themselves because they obtained support from their families and the MRKH community.
Conclusion: The states suffered by women with reproduction system problems influenced their psychological stabilities. The participants' medical teams should collaborate with psychiatrists and psychologists to foster a positive self-concept of the participants. Psychological counseling could improve their self-confidence and foster positive self-concepts
IDENTIFICATION OF FARMER INTEGRATED EMERGENCY RISK BASED ON AGRICULTURAL NURSING
Abstract
Objective: The aim of the study was to identify the integrated emergency risks of farmers based on nursing models in the agricultural area of Lumajang, Indonesia.Materials and Methods: A quantitative design with a descriptive approach was performed through the identification of threats, vulnerabilities, and capabilities in 357 farmers in integrated emergency response with cluster sampling techniques. Data was collected through questionnaires, interviews, and focus group discussions. Data analysis was carried out using the Job Safety Analysis scoring method of the Australian and New Zealand Standard on Risk Management. Results: The emergency risk of farmers based on agricultural nursing was the high category, the highest threat was direct contact with chemicals (95%), the highest contact chemicals are insecticides (57%), frequency of contact once a week (44%), and the highest vulnerability not having employment insurance (97%), the length of farming > 10 years (65%) and the length of work in 1 month 10-20 days (48%), long work on land 8-10 hours (5%) and no holiday in a month (20%), while the capability of farmers in first aid to accidents was low (44%).Conclusion: The emergency risk of farmers in Lumajang was high and the capability for emergency-response based on agricultural nursing was low.
Keywords: Threats, vulnerabilities, capabilities, emergencies, farmers, agricultural nursing
Abstrak
Tujuan: Penelitian ini bertujuan untuk mengidentifikasi risiko darurat terpadu petani berbasis model keperawatan di wilayah pertanian Kabupaten Lumajang, Indonesia. Bahan dan Metode: Desain kuantitatif dengan pendekatan deskriptif dilakukan melalui identifikasi ancaman, kerentanan, dan kerentanan. dan kemampuan 357 petani dalam tanggap darurat terintegrasi dengan teknik cluster sampling. Pengumpulan data dilakukan melalui kuesioner, wawancara, dan diskusi kelompok terfokus. Analisis data dilakukan dengan menggunakan metode penilaian Job Safety Analysis dari Australian and New Zealand Standard on Risk Management. Hasil: Risiko darurat petani berdasarkan pola asuh pertanian termasuk kategori tinggi, ancaman tertinggi adalah kontak langsung dengan bahan kimia (95%), bahan kimia kontak tertinggi adalah insektisida (57%), frekuensi kontak seminggu sekali (44%) , dan kerentanan tertinggi tidak memiliki jaminan kerja (97%), lama bercocok tanam> 10 tahun (65%) dan lama bekerja dalam 1 bulan 10-20 hari (48%), lama bekerja di darat 8-10 jam (5%) dan tidak ada hari libur dalam sebulan (20%), sedangkan kemampuan pertolongan pertama petani pada kecelakaan rendah (44%) Kesimpulan: Resiko darurat petani di Lumajang tinggi dan kemampuan tanggap darurat berbasis keperawatan pertanian rendah
Kata kunci: Ancaman, kerentanan, kapabilitas, keadaan darurat, petani, keperawatan pertania
TOTAL OF LACTOBACILLUS BIFIDUS IN BREASTFED INFANTS FROM NURSING MOTHERS INTERVENED WITH ZINC
Background: In pregnancy and nursing, zinc plays an important role, including fetal development and milk secretion. Zinc in the lactation process is a crucial modulator of the mammary gland, which is very important for successful lactation.
Objectives: The purpose of this study was to analyze the total of Lactobacillus Bifidus using Quantitative RT-PCR in the feces of breastfed infants from mothers who were given zinc tablets.
Methods: This type of research was experimental using a quasi-experimental post-test only with a control design and a quantitative approach. This research was carried out at Antang Perumnas Public Health Center, Kassi-Kassi Health Center, Jumpanang Baru Health Center and Bara-Barayya Health center from March 22 to June 22, 2021. The Population in this study were all newborns from mother with normal zinc levels in 2021 in the Makassar City Health Center area as many as 62 people. The sampling technique used purposive sampling, about 12 samples per group. To avoid dropout and increase power, the sample was then added with an estimated drop out of about 30%, 12 + (30% x 12) = 15.6, rounded up to 16. Each group consisted of 16 samples for breastfed infants from mothers who obtained zinc tablets (intervention) and 16 samples for breastfed infants from mothers who did not obtain zinc tablets (control). This study uses an Independent Sample Test.
Results: This study showed that the group of breastfed infants from mothers obtaining zinc tablets had a higher mean value of 2947625215.62 compared to the control group of 162374516.97. There was a difference in the number of Lactobacillus in the intervention group after being treated with a statistically significant difference in the mean of –2785250698.65 by the Independent sample test analysis, the value of p = 0.009 (α < 0.05), which means there was a significant difference between the intervention groups and control group.
Conclusion: The highest number of Lactobacillus was the intervention group which indicated a difference of Lactobacillus in the feces of breastfed infants from mothers who obtained zinc tablets
CORRELATION BETWEEN BODY FAT PERCENTAGE AND TOTAL CHOLESTEROL LEVELS TO HYPERTENSIVE ELDERLY WOMAN IN MADIUN
Background: Patients with hypertension have twice as great exposed to heart disease and eight times as large as a stroke risk than who do not experience hypertension. Risk increase in blood pressure on the person who has overweight than people with normal weight. Women who have increased cholesterol levels in the blood more vulnerable for hypertension (Nikolov et al., 2015).
Objectives: The purpose of this research aimed to determine a percentage of body fat and cholesterol levels of the elderly women in Posyandu, Geger Subdistrict, Madiun who occurrence of hypertension.
Methods: This research using cross sectional design. The sample using purposive sampling technique with 38 respondent which satisfy the inclusion criteria. Instrument used is Bioelectrical Impedance Analysis tool. Statistical test used is spearman rho with a significance level of ? < 0.05.
Results: The results of this study showed that significant relationship between body fat percentage and blood pressure (p-value = .033; r = .304). Meanwhile, total cholesterol level did not show any relationship with blood pressure (p-value = .429; r = -.132).
Conclusion: Fat Accumulation in the kidneys where the renin-angiotensin system is identified in human fat tissue, can cause impaired nephron function which causes blood pressure to rise. Thus, abdominal obesity accompanied by ectopic fat deposits can play an important role in the development of hypertension and should not be neglected when undertaking blood pressure-lowering therapy
ANALYSIS OF DETERMINANT FACTORS OF AFFECTING FAMILY ABILITY IN HIGH-RISK PREGNANCY
Background: The ability of pregnant women to deal with early response to high risks is still below the average, which is one of the causes of complications that can indicate the welfare of the mother and her fetus.
Objectives: The aim of this study was to look at the determinants that influence early detection of high-risk pregnancies.
Methods: This study used an analytic design with a cross sectional design. The sample size of 112 from a population of 155 was obtained by simple random sampling. The independent variables are individual factors, interpersonal influence, filial value and commitment, while the dependent variable is the family's ability to detect high risk of pregnancy for 3 months, namely August-October 2020 at PMB Ika Mardiyanti. This study uses a questionnaire. Data collection in the form of a questionnaire. Data analysis using SEM-PLS.
Results: The results of the significance test concluded that all the path coefficients and the T statistical value of personal factors on interpersonal (0.453; 6.612), interpersonal on filial values ??(0.753; 7.267), filial value for commitment (0.851; 17.048), filial value for ability (0.667 ; 4,679), commitment to ability (0.358; 2.356) is significant. Because all have a T-statistic value that is more than the T-table 1.96.
Conclusion: The determinant factors that contribute to the ability of families to detect high risk of pregnancy need to be considered so that families are independent and have efforts to maintain the health of pregnant women in their families. In further research, it is necessary to involve other factors to improve family capacity, especially in the ability of families to detect high-risk pregnancies early
DIMENSIONS OF ORGANIZATIONAL CULTURE (INVOLVEMENT, CONSISTENCY, ADJUSTMENT, AND MISSION) WITH NURSE WORK PRODUCTIVITY
Background: Nursing is one of the service providers in hospitals that is excellent, efficient, and productive. for organizational culture at RSU Labuang Makassar obtained a moderate level of involvement of 56.7%, a high level of consistency of 53.3%. The results of these studies indicate that a strong organizational culture does not show any influence in increasing organizational effectiveness.
Objectives: This study aimed to determine organizational culture with the work productivity of the nurses.
Methods: This research uses quantitative research with a descriptive correlation research design. Is a questionnaire, with several variables, namely involvement, adjustment, consistency, mission, and work productivity. Data analysis using correlation analysis. The research subjects were 81 nurses.
Results: There is a relationship between involvement and work productivity with p-value = .001 (r = .469). There is a relationship between consistency and work productivity with p-value = .001 (r = .782). And also, there is the relationship between adjustment and work productivity with p-value = .001 (r = .820), and the relationship between mission and work productivity with p-value = .001 (r = .635).
Conclusion: The relationship between organizational culture and the work productivity of nurses has a positive impact on the hospital, where organizational culture can lead nurses to be productive
THE EFFECT OF THE USE OF SCRUB, CONSUMPTION OF TRADITIONAL HERBAL AND EXCLUSIVE BREASTFEEDING WITH THE DEVELOPMENT OF UNDERAGE INFANTS FROM 12 MONTHS IN MADURA COMMUNITY, EAST JAVA
Background: The tradition that is still attached to the Madura community even though they have received higher education is to maintain the culture of their ancestors which is perceived to be true, restricted movement, use of body scrubs, drinking herbal medicine, and giving food to babies early. This will continue to be implemented by their children and grandchildren as long as the problem is believed to be the best tradition (Kamariyah, 2019).
Objectives: The purpose of this research was to analyze the effect of using scrubs, consumption of herbs, and exclusive breastfeeding with the development of infants less than 12 months in the Madura community of East Java.
Methods: This research used analytical research design. the population is postpartum mothers and infants under the age of 12 months in the Madura community, East Java, with population of 30 people, a sample of 26 respondents simple random sampling. The independent variables are the use of scrubs, consumption of herbal medicine, and exclusive breastfeeding, while the dependent variable is infant development. Data collection was done by means of interviews and observations, and the analysis of the data used was the Mann-Whitney test. The results of the Mann-Whitney statistical test with significance level 0.05.
Results: The result was 0.002 < ? 0.05 so that H0 was rejected, which means that there is an influence of the tradition of consuming herbal medicine with the breastfeeding, the result is 0.022<0.05 so that H0 is rejected, which means that there is an influence of the tradition of exclusive breastfeeding. with the development of infants aged less than 12 months in the Madurese community of East Java. Conclusion: Consumption of herbal medicine, use of scrubs and exclusive breastfeeding will increase the development of infants before the age of 12 months in the Madurese community of East Java.
Conclusion: Expected to apply the existing culture while still paying attention to the science that develops according to its era, for health workers to disseminate the knowledge obtained and change the mindset of the community
THE EFFECT OF WARM GINGER COMPRESS TOWARDS JOINT PAIN OF THE ELDERLY AT UPT PANTI WERDHA MOJOPAHIT, MOJOKERTO DISTRICT
Background: There was joint pain that frequently happens by the elderly, which was joint pain. One of actions to abate the joint pain was compress with warm ginger.Objectives: The aims of this research were to identify the effect of warm ginger compress towards joint pain of the elderly at UPT Panti Werdha Mojopahit, Mojokerto District.Method: Design of this research was Pre-Experiment with Type of one group pre-test-post test design. Population of this research was whole of elderly who undergoes joint pain at UPT Panti Werdha Mojopahit Mojokerto district. Technique that used to take sample in this research was purposive sampling with 20 respondents. Data collecting was done before and after warm ginger compress was given use pain scale instrument PAINAD with 1-10 scale. The researcher used Wilcoxon statistic test with value of α=0, 05 to analyze the data.Results: The result of this research wasgained before carried out by warm ginger compress with advance pain scale of 6 respondents (30%), and intermediate pain scale of 10 respondents (50%). After the warm ginger compress was done by 8 respondents (40%) with light pain scale and 11 respondents (55%) with intermediate pain. Data analyzing used statistic test with Wilcoxon P value test 0,003 (α˂ 0, 05). It showed that warm ginger compress effective towards joint pain of the elderly.Conclusion: Looking at the result above shows that warm ginger compress can be created as one of alternative choices to decrease joint pain intensity of the elderly, because this non-pharmacologist treatment uses easy to be obtained ingredient and there is no side effect for the elderly.Key words: Joint Pain, Warm Ginger Compress, Elderly
EFFORTS TO IMPROVE NURSING COMMUNICATION: A NARRATIVE REVIEW
Background: Communication is an interaction process that is highly essential in building nurse-patient interpersonal relationships. Good nurse communication-patient will have a good impact on the treatment plan and recovery for the patient. Improper communication can lead to mistaken nursing care provision and even lead to injury and death.
Objective: This literature review aimed to know the efforts to improve nurse-patient communication.
Design: This literature review used narrative review design.
Data Sources: The databases used in narrative review are Scopus, Science Direct, ProQuest, and PubMed. The journal is limited to the publication year 2016 - 2020 with the area of ​​the nursing medicine journal, full text Portable Document Format (PDF) journal. This literature review uses 4 articles appropriate the inclusion criteria. The study of articles and data extraction were carried out separately by the researcher, if there were differences, the results were taken by consensus.
Review Methods: The review method for this literature review using a narrative method by classifying the similar extracted data according to the research findings.
Results: The databases used in the literature review are Science Direct, Scopus, PubMed and ProQuest. The journal is limited to the 2016 – 2020 publication year with the area of ​​nursing medicine journals, improving nurse communication, full text open access pdf journals, research designs. This literature review was identified with the number of science direct: 45, Scopus: 242, PubMed: 36 and ProQuest: 492, then screened and found 4 articles that matched the inclusion criteria. The study of articles and data extraction were carried out separately by the researcher, if there were differences, the results were taken by consensus.
Conclusion: Nurse communication training has a positive impact where nurses have skills in developing knowledge and capability in improving nurse communication performance. Good communication nurse-patient can increase the patient's cure rate
ANALISIS IMPLEMENTASI STANDAR PELAYANAN MINIMAL DI INSTALASI GAWAT DARURAT (IGD) RUMAH SAKIT UMUM DAERAH (RSUD) I LAGALIGO WOTU LUWU TIMUR
Background: Hospital Minimum Service Standards (SPM) are provisions for hospitals issued by the Minister of Health of the Republic of Indonesia in the context of government efforts to ensure the quality of hospital services. This Minimum Service Standard can be used as a guideline for the quality of service for every hospital in Indonesia. The Minimum Service Standard (SPM) is a quality guideline issued by the Minister of Health regarding the minimum service that must be provided by the hospital, where each hospital is required to assess and provide services by the Minimum Service Standards (SPM).
Objectives: The purpose of this study was to determine the relationship between infrastructure and human resources with minimum service standards in the emergency department of the general hospital area I Lagaligo, East Luwu.
Methods: The type of research used in this research is descriptive-analytic with a cross-sectional approach. This research was conducted from June to August 2020 in the Emergency Room I Lagaligo East Luwu General Hospital. Sample selection with total sampling technique. The research subjects were 33 respondents. the instrument used is a questionnaire. analysis used the chi-square test.
Results: Based on the results of this study, it showed that there is a relationship between infrastructure and minimum service standards with a value of p-value = .008, there is a relationship between human resources and minimum service standards with a value of p-value = .000.
Conclusion: There are infrastructure facilities that can be used directly by health workers for the benefit of patients in the form of tools, materials, comfortable rooms, and others. The human resources in the emergency department of Lagaligo Wotu Hospital are of good quality.