Nurse and Health: Jurnal Keperawatan
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    EFFECTIVENESS OF PARENTAL HOLDING TERAPHY AND MUSICAL TERAPHY TO REDUCE PAIN SCALES IN INFANT DURING MEASLES IMMUNIZATION

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    Background: Cases of measles in Indonesia are among the 10 biggest diseases that occur in children aged 29 days - 4 years. At the age of 9 months the infant must get immunizations that can be given by subcutaneous which can give the baby pain experience.Objectives: The purpose of this study was to determine the effectiveness of parental holding therapy and music therapy to reduce pain scales in the infants during measles immunization.Methods: This type of research is quasy experiment with the pretest and posttest approach without control of the design group. The sampling technique in this study used a "purposive sampling" technique with a total sample of 24 respondents and research instruments using the FLACC scale observation sheet. The data were analyzed using computerization with an independent paired t-test with a confidence level of 95%, α < 0.05.Results: The results of this study indicate that the average reduction in pain scale before and after parental holding therapy is 4.2 while music therapy is 2.7. It was concluded that parental holding therapy more effectively to reducing the scale of pain in infants during measles immunization in Kubu Dalam Parak Karakah Village, Working Area of Public Health Center of Andalas, Padang City in 2019 with p-value = 0.017 (p <0.05).Conclusion: It is recommended that health workers be able to apply and find out the benefits and effects that are felt from parental holding therapies and music therapy so that parents do not feel afraid in giving therapy. Keywords: Measles Immunization, Music Therapy, Pain, Parental Holding Therap

    BARRIERS TO PHYSICAL ACTIVITY IN RECENTLY DIAGNOSED TYPE 2 DIABETES MELLITUS PATIENTS: A QUALITATIVE STUDY

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    Background: Physical activity as one of diabetes management plays important role in maintaining glycemic control. Not all diabetics are doing adequate physical activity. Especially for recently diagnosed type 2 Diabetes Mellitus patients with the characteristic haven’t adopt diabetes management properly.Objectives: The aim of this study to reveal the barriers in physical activity that faced by recently diagnosed type 2 Diabetes Mellitus patients.Methods: Qualitative study with phenomenological approach was conducted in 10 recently diagnosed type 2 Diabetes Mellitus patients in Primary Health Care Kedungdoro and Asemrowo, Surabaya. The participants were selected based on inclusion criteria, namely patients aged 25-45 years old, under 6 months diagnosed, spoke in Indonesian or Javanese well. The exclusion criteria were patients with complication. Semi-structured in-depth interviews guided by interview guideline was conducted to obtain the information about barrier in physical activity. There were six questions in interview guideline. Then data from interview was analyzed by Colaizzi method.Results: Two themes were emerged as barriers in physical activity namely time expenditure and health literacy. Participants’ time expenditure refers to the limited time in doing physical activity, namely obligation to others and lack of spare time. Health literacy refers to the ability in searching and using health information. The barrier in health literacy aspect namely physical activity substitute and different information that got from others.Conclusion: The barriers of physical activity were problem in time flexibility, activity substitute, and need for straightening various information. Using media technology and involving family to promote and remind the physical activity can be suggested. Keywords: Barriers, Diabetes Mellitus Type 2, Recently Diagnosed, Physical Activit

    EXPOSURE OF INFORMATION, FAMILY KNOWLEDGE OF DENGUE HEMORRHAGIC FEVER, AND BEHAVIORS IN IMPLEMENTING ERADICATION OF MOSQUITO NESTS IN SIDOARJO

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    Dengue Hemorrhagic Fever is an infectious disease caused by one of four dengue viruses that is transmitted by mosquitoes, especially aedes aegypti and aedes albopyctus. The occurrence of outbreaks in Indonesia caused by various factors, including an environment that is still conducive to the breeding of Aedes mosquitoes, expansion of endemic areas due to the emergence of new residential areas, minimal eradication of mosquito nests, and increased population mobilization.This correlational study uses cross sectional method where the data collection is by distributing questionnaire. The number of samples in this study were three hundred (300) respondents who were drawn using stratified random sampling technique. After the data is collected then tabulated and processed using the Spearman Rho Test with p ≤ 0.05.The statistical test results of the relationship between the level of knowledge and behavior in mosquito nests eradication using the Spearmen rho test showed that p-value = 0.882> α so that it was concluded that there was no relationship between them. While the statistical test results of the relationship between information exposure and behavior mosquito nests eradication using the Spearmen rho test found that there was no relationship between the two variables p value = 0.229> α so it was concluded that there was no relationship between them.The community must be active in seeking information about dengue hemorrhagic fever and increase their participation in eradicating mosquito nests on an ongoing basis both at home and in the surrounding environment. Keywords: Information, Knowledge, DHF, PSN Behavio

    EFFECTIVENESS OF VIRGIN COCONUT OIL TO XEROSIS IN HEMODIALYSIS PATIENTS AT RST III REKSODIWIRYO PADANG

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    Background: Progressive and irreversible decline in renal function in chronic renal failure requires renal replacement therapy. The most commonly used renal replacement therapy is hemodialysis. Hemodialysis therapy can maintain patient survival and control uremia syndrome. However, uremic toxins cannot be completely resolved by hemodialysis. The uremic toxins that accumulate on the patient's skin can cause xerosis (dry skin). Xerosis can be overcome by providing a moisturizer that has emollient content. One of the natural ingredients that contain emollients and can be used for skin care for hemodialysis patients is virgin coconut oil (VCO).Objective: To determine the effectiveness of virgin coconut oil (VCO) administration against xerosis in patients undergoing hemodialysis.Research Method: This research is a quantitative study with a quasi experimental design approach using one group pre and post test approaches without control group design. The research was conducted in the hemodialysis room RST III Reksodiwiryo Padang. Sampling was done by consecutive sampling technique with a sample size of 11 people. VCO intervention was carried out for 12 days, 2 times a day. Score of xerosis degree before and after intervention was assessed by Overal Dry Skin Score (ODSS).Result: The mean score of degree of xerosis before VCO administration was 3.06 and after VCO administration was 1.39. Based on the t-dependent test statistical test, it was found that the p value = 0.001 (Ï<0.05), meaning that virgin coconut oil was effective in overcoming the problem of xerosis in patients undergoing hemodialysis at RST III Dr. Reksodiwiryo Padang.Conclusion: Virgin coconut oil can be used for skin care to treat xerosis problems in chronic kidney failure patients undergoing hemodialysis.Key words: Hemodialysis, xerosis, virgin coconut oil

    RELATIONSHIP OF HOW PARENTS EDUCATE CHILDREN WITH THE ABILITY TO TAKE THE DECISION OF NURSING STUDENTS

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    Background: The family is the most basic social institution to print human qualities, even the good and bad development of children determining by the formation of a person in the family. One of the tasks of child development is achieving decision-making abilities. But the fact is that teenagers who are represented by students often do the wrong thing because of their inability to make the right decision. The action can be non-academic or academic. The phenomenon of how to educate children at this time is also getting worse, and this can seek from the increasing number of cases of violence against children.Objectives: The purpose of this study was to determine the relationship between parents' educational patterns and decision-making abilities in nursing students at the Nursing Academy of Pasuruan.Methods: This research used observational analytic study with a cross-sectional design. The population was the student of Nursing Academy Pasuruan as many as 200 students. A sample of 80 students were selected by simple random sampling. Data were collected using two questionnaires that have been tested for validity and reliability, with item-total correlations > 0.20 and Cronbach alpha > 0.60 and analyzed by Spearman ranks.Results: The results of the study found that there is a relationship between parents' educational patterns and decision-making abilities in nursing students (p > 0.05). Positive experiences will encourage children to continue to look for better decision-making strategies in the future.Conclusion: Further research on parents' educational patterns needs to be done with more holistic measurements, namely relating to efforts to meet biological, psychological, social, and spiritual needs. Keywords: Parents’ Educational Patterns, Decision-Making Abilities, Nursing Student

    DISCHARGE PLANNING STANDARD IN IMPROVING MOTHER'S SKILLS IN CARING FOR NEWBORN

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    Background: Primipara is a client who really needs discharge planning to support her baby care skills independently at home after returning from the hospital. Discharge planning is one of the important elements in nursing services to improve client skills independently to perform care after discharge.Objectives: This study aims to determine the effectiveness of discharge planning according to the standards of maternal skills in caring for newborns.Methods: The research design was a quasi experimental study with a pre and post-test design with a control group. This research was conducted at a hospital in Banyuwangi. The research sample was 30 spontaneous primiparous patients, then divided into two groups, namely the experimental group given discharge planning according to the standard n=15 and the control group given conventional discharge planning treatment n=15. Sampling using Consecutive Sampling and data collection using the observation sheet of maternal skills about baby care. Data analyzed using paired T test and unpaired T test.Results: The results showed that the skills of mothers in caring for newborns in the experimental group had a higher value than the control group with the difference in the skills of caring for the umbilical cord of 3.60, changing diapers by 3.33 and breastfeeding by 6.60. Further analysis obtained p value=0.000 (p> 0.05), which means that there is a significant difference between the experimental and control groups.Conclusion: Discharge planning in accordance with standards can improve the skills of mothers in caring for their babies. Discharge planning in accordance with the standards should be implemented in the hospital, because discharge planning is one of the important elements in nursing services which aims to make clients independent after discharge from the hospital. Keywords: discharge planning, mother’s skill, caring, newborn

    THE EFFECT OF SIMULATION OF THE BASIC LIFE SUPPORT TRAINING ON NURSING STUDENTS' KNOWLEDGE

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    ABSTRACTBackground: Cardiac arrest is a health problem that is increasing to be the leading cause of death in the world. The main action to save cardiac arrest aims to maintain optimal myocardial and cerebral oxygenation so that death does not occur. Providing Basic Life Support (BLS) is an effort to save and restore this function. Knowledge about cardiac arrest among health students is still a neglected problem due to a lack of awareness in seeking basic knowledge.Objective: This study aimed to determine the effect of basic life support-based simulation training on knowledge of nursing students in the city of Bengkulu.Methods: This study used a pre-experimental design with a pre-test post-test approach. The population in this study were all 61 students of the fourth semester of STIKES Tri Mandiri Sakti Bengkulu nursing students. Samples were taken using total sampling technique. Data were collected using a knowledge questionnaire containing 10 question items which were adopted from the questionnaire Yunanto et al., (2017). Data were analyzed using paired sample t-test.Result: Based on the results of the study, it was found that there was a significant effect of BLS training based on manikin simulation on nursing student knowledge with a value of t test = -15.169, p = value = 0.000 <α = 0.05.Conclusion: Nursing students need to provide knowledge about BLS from the start so that they are more confident and able to apply it in case of cardiac arrest outside the hospital. Higher education institutions should provide health education about BLS from the beginning of the academic year, so that in the following semester students are better able to improve the quality of the skills they have formed.Keywords: Basic Life Support, Knowledge, Simulation. Â

    THE RELATIONSHIP BETWEEN FAMILY CHARACTERISTICS WITH STUNTING INCIDENCE IN WORKING AREA OF PADANG SERAI PUBLIC HEALTH CENTER

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    Background: Under-fives who have stunting have a risk of decreased intellectual ability, productivity, and increased risk of degenerative diseases in the future (Anugraheni & Kartasurya, 2012). Objective: to examine the relationship between family characteristics with stunting incidence of under five children who visited the Integrated Healthcare Center (Posyandu) in working area of Padang Serai Public Health Center (Puskesmas) of Bengkulu City. Methods:  this study was conducted in June, 2016. The type of the study was Analytical Survey and the design was Cross Sectional. Sample was under five children aged 0-59 months (stunted and non-stunted) who visited the Integrated Healthcare Center in working area of Padang Serai Public Health Center of Bengkulu City with their mothers. The sampling technique was Accidental Sampling and the sample total was 92 under five children.  The data were primary and secondary data. The primary data were length or height, age of children, and family characteristics (education and knowledge of mothers, number of family, income rate of household heads). The secondary data was collected from Health Department and Integrated Healthcare Center. The data was analyzed with univariate and bivariate analysis. Bivariate analysis used Chi-Square (χ2) test. Results: The prevalence of stunting incidence was 27.17%, no relationship between family characteristics [height of mother (p=0.054), education of  mother (p=0.857), knowledge of mother (p=1.000), total of  family members (p=0.934), and income rate of  household head  (p=1.000)] with stunting incidence of under five children who visited the Integrated Healthcare Center  in working area of  Padang Serai Public Health Center of Bengkulu City.Conclusion: Padang Serai Public Health Center should be able to overcome the stunting problem by doing more intensive nutrition program for the fertile women, pregnant, and lactating women, under five children, and also socialization of the nutritional status of stunting to the community. Keywords: Family Characteristics, Stunting, Under Five Children

    MOBILE SMARTPHONE INTERVENTION FOR MANAGING GLYCAEMIA CONTROL IN THE PATIENTS WITH DIABETES MELLITUS: A SYSTEMATIC REVIEW

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    Background: Diabetes mellitus (DM) is a chronic disease that is a global public health problem that has a social impact, economic impact, and quality of life for patients, which leads to increased morbidity and mortality. Uncontrolled blood sugar levels and long-term DM, affecting the pathophysiology of disorders including diabetic retinopathy, heart disease, kidney failure, hyperglycemia and hypoglycemia are needed interventions that can help regulate glycemic (blood sugar levels and HbA1c) (Sami & Ansari, 2015).Objective: This study aimed to identify efficacy mobile smartphone application for managing glycaemia control in the patients with diabetes mellitus.Design: This study design is a systematic review to search and review article from database and the theory underlying this study or guidance in this systematic literature review using Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA).Data Sources: Database search for article are from Scopus, Proquest, Pubmed, Science Direct, and Springer Link is limited to the publication of the last five years from 2015 to 2020 and full text article in English.Review Methods: This review methods in a systematic review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA).Results: In this review literature, thirteen articles were found that fit the specified inclusion and exclusion criteria. The results of this review literature found that mobile smartphone impelmentation led to a decrease in HbA1c and fasting blood glucose in the patients with diabetes mellitus.Conclusion: The findings from this study help validate the efficacy of the mobile diabetes intervention for managing glycaemia control in the patients with diabetes mellitus. Keywords:  Diabetes Mellitus, Glycaemia Control, Health Education, M-Health

    THE ERGONOMIC GYMNASTIC ON BLOOD PRESSURE AMONG ELDERLY

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    Background: Pre elderly and elderly experience uncontrolled hypertension due to disobedience to diet and not regularly taking medication (Padila, 2013). Uncontrolled hypertension can cause stroke, heart trouble, coronary heart disease and death (Laily, 2017). One of the non-pharmacological therapies to reduce blood pressure elderly with hypertension is ergonomic gymnastic (Wratsongko, 2010).Objectives: The purpose of this study was to analyze the effect of ergonomic gymnastic on blood pressure among elderly.Methods: This study was pre-experimental with one-group pre-posttest design approaches. Population in this study were all elderly in Suko Village who matched the inclusion and exclusion criteria as many as 25 people. The sample of this study were 23 respondents and were taken by simple random sampling technique. Respondents were given ergonomic exercises for twice a week with a duration of 30 minutes. Blood pressure measurement data were taken using a sphygmomanometer and a stethoscope. Wilcoxon sign rank test with significance value less than .05 were used to analyzed data.Results: The results of the study there were significant differences between before and after doing ergonomic gymnastic with p value = 0.00, meaning that there was an influence of ergonomic gymnastics on blood pressure among elderly in Suko Village.Conclusion: The Ergonomic gymnastic can reduce blood pressure among elderly in Suko Village. The role of nurses is needed as a provider of geriatric nursing care, especially in hypertension geriatric Keywords: Hypertension, Ergonomic Gymnastic, Elderly, Blood Pressure

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    Nurse and Health: Jurnal Keperawatan
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