Nurse and Health: Jurnal Keperawatan
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EFFECT OF ALOE VERA EXTRACT AND DISCHARGE PLANNING TO ACCELERATE WOUND HEALING OF OLDER ADULT HERNIA SURGERY PATIENTS
Get PDFBackground: Older adult patients who underwent hernia surgery commonly get obstacles in the process of wound healing as a result of decline of body functions. Aloe vera which contains of anti-inflammatory, anti-microbial and skin fibroblasts stimulator, can be used as adjunctive therapy in treating wounds.Objective: This study aimed to identify the effect of aloe vera extract and discharge planning to accelerate wound healing of older adult hernia surgery patients at dr. R. Soedarsono General Hospital, Pasuruan.Method: This study uses Quasi-Experimental with Static-group comparison approach. The population is all post-operative hernia patients aged 55-65 years at the operating room of dr. R. Soedarsono General Hospital, Pasuruan. The sample consists of 20 respondents taken according to the inclusion criteria. The independent variable is the treatment of wounds using aloe vera extract accompanied by discharge planning, while the dependent variable was the acceleration of wound healing especially inflammatory and proliferation phases. The data were collected through observation of macroscopic current wound care. Data were analyzed using nonparametric Mann Whitney test with significance level of < 0.05.Result: The results showed the effect of the treatment using aloe vera extract and discharge planning to accelerate wound healing of older adult hernia surgery patients, the inflammatory phase of healing occurs on the sixth day for inflammation, exudation, and edema (p = 0.022, p = 0.028, and p = 0.029, respectively). The proliferative phase occurs on day three with p = 0.015.Conclusion: This research indicates further research on the benefits of aloe vera and discharge planning for wound healing especially in older adult patients is required. Thus, a stronger basis for recommending aloe vera extract as complementary therapy for wound care is available. Key words: Aloe Vera, Discharge Planning, Surgical Wound, Older Adults Age
HOME VISIT FOR APPLYING FAMILY NURSING: A PERSPECTIVE
Get PDFThe paradigm shift from hospital-based care to community-based care lead role of health workers in Primary Health Care became an important part in improving public welfare through the field of health. A community nurse is required to be able to make approaches to the community, including conducting a home visit, in order to increase public awareness and concern for their health level.Keywords: Home visit, family empowering, family nursin
COUNTERPRESSURE FOR DYSMENORRHEA PAIN IN TEENAGERS
Get PDFBackground: Teenager is a one of development stages in the life cycle. Female teenagers are often marked by the menstrual phase. Menstruation is often accompanied by pain or what is called dysmenorrhea. Dysmenorrhea is often experienced by female teenagers and it can interfere with the activity and ability of concentration in learning that results in a decrease in performance in school. Counterpressure can be used as a solution to overcome the problem of dysmenorrhea. The counterpressure massage technique is applying strong pressure using the heel of the hand by clenching the lumbar region where there is a uterine sensory nerve that runs with the sympathetic uterus entering the spinal cord through the thoracic nerve 10-11-12 which can increase the endorphin hormone. The purpose of this study was to analyze the effect of counterpressure massage on dysmenorrhea pain in high school students.Objective: The purpose of this study was to analyze the effect of counterpressure massage on dysmenorrhea pain in high school students.Method: The research design used was quasi experiment (one group pre-posttest design). The location of this research was Kartika IV Senior Hight School in Surabaya. The number of respondents was 30 respondents taken by consecutive sampling technique. The instrument was using NRS observation method by Hjermstad (2011). Analysis of the data in this study was using the Wilcoxon Test with a significance level 0.05 with a significance level of 0.05.Result: Wilcoxon test results obtained p value of 0.00 (p <0.05). These results indicate that there are significant differences for dysmenorrhea pain before and after the counterpressure intervention has given.Conclusion: Counterpressure massage techniques can reduce dysmenorrhea pain experienced by female teenagers. Key words: Counterpressure massage, Dysmenorrhea, Female Teenagers
THE EFFECT OF ASSERTIVE COMMUNITY TREATMENT TOWARDS ANXIETY AND DEPRESSION ON BREAST CANCER CLIENT
Get PDFBackground: Breast cancer increases the occurrence of psychosocial problems, namely anxiety and depression. Anxiety and depression have shown an effect on the quality of life. Assertive Community Treatment is a psychosocial service that involves the family's role in overcoming breast cancer client anxiety and depression.Objective: This study aimed to determine the effect of Assertive Community Treatment towards anxiety and depression of breast cancer clients.Method: The research design used was quasi-experiment with a pre-posttest control group design. This research subject determines by using purposive sampling. The study population was breast cancer clients who seek treatment at Public Health Center of Medokan Ayu in Surabaya. The sample is breast cancer clients who have inclusion criteria a) age 30-60 years old, b) live with her partner, c) has chronic pain ± 1-5 years. The instrument is PDQBC (Psychosocial Distress Questionnaire Breast Cancer subscales anxiety and depression. Data analysis used paired T-Test and Independent T-Test.Result: Paired T test results showed anxiety values in the treatment group p = 0.000, depression value p = 0.001. The results of the independent T test statistic obtained p value = 0.000 showed a significant difference between anxiety and depression of breast cancer clients in the control group and the treatment group.Conclusion: Assertive Community Treatment provides a good impact in order to reduce the level of anxiety and depression in clients with breast cancer. Assertive Community Treatment (ACT) is recommended to be given by teams. Key words: Assertive Community Treatment, Anxiety, Depression, Breast Cancer Clients, Palliative
THE INFLUENCE OF PARENTS' ATTITUDES IN PROVIDING EDUCATION AT HOME TOWARD THE DEVELOPMENT OF CHILDREN AGED 5-6 YEARS IN BULUSARI VILLAGE, GEMPOL SUB-DISTRICT, PASURUAN DISTRICT
Get PDFBackground: Development is increasing ability (skill) in the structure and function of the body that is more complex in a regular pattern and can be predicted as a result, from the results of maturation. attitude is an individual evaluation in the form of a tendency (Inclination) towards various elements outside of him. Based on the results of a preliminary study of 10 children aged 5-6 years, it was found that 5 children had normal development, 2 children doubted, and 3 children developed abnormally. While for family education conducted by parents, it was found that 7 parents supported (favorabel), and 3 parents were not supportive (unfavorable).Objectives: The study aimed to determine the influence of parents' attitudes in providing education at home toward the development of children aged 5-6 years in Bulusari Village, Gempol Sub-District, Pasuruan District.Methods: The research design was analytical design using purposive sampling with a sample of 45 parents and children in Bulusari Village, Gempol Sub-District, Pasuruan District. The measuring instrument used was a questionnaire for parents and KPSP for child development. This research is presented in the form of the Fisher's Exact Test.Results: The results showed that of 38 parents (84.45%) who supported having normal development children as many as 35 children (77.78%). Based on the results of the Fisher's Exact Test statistical test, it was found that the value of p <α, which is 0.001022 <0.05, which means that there is an influence from the provision of family education conducted by parents to the development of children aged 5-6 years.Conclusion: Based on the results of this study, it is expected that efforts from health workers to increase counseling to parents so that they have a role and have an obligation to help, assist children, teach children to actively learn, give love, develop creativity and socialization of children. Kata kunci : Parent’s attitude, development of 5-6 years, giving education in houses
LEVEL OF ANXIETY OF PREGNANT MOTHER IN FACING SECTIO CAESAREA OPERATIONS IN DKT SIDOARJO HOSPITAL
Get PDFBackground: Mothers who undergo labor with sectio caesarea can experience anxiety because they have never experienced surgery or do not know about the actions to be taken.Objective: The study aimed to determine the maternal anxiety level of preoperative sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo.Method: The research design used was descriptive method with cross sectional approach. The population in this study were patients who will undergo labor with sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo. Sampling technique with accidental sampling. The instrument used was the Hamilton Rating Scale for Anxiety (HRS-A) which was adopted from the book Stress, Anxiety, and Depression Management (Hawari, 2004), which included 14 psychological symptoms of anxiety.Results: The results showed that the most anxiety level of preoperative sectio caesarean mothers was moderate anxiety as many as 25 people (50%).Conclusion: The anxiety level of mothers who will undergo Caesarean section surgery is moderate anxiety, so special care is needed by health workers. Handling that can be given in the form of health education about surgical procedures and post-surgical treatment. In addition, providing knowledge to the family so that they will continue to motivate mothers who will face the caesarean section surgery. Keywords: Level of anxiety, caesarean section surgery, labor
EFFECTIVENESS OF BACK EFFLUERAGE MASSAGE THERAPY USING CLOVE OIL ON UNDER BACK PAIN IN POSTPARTUM MOTHER
Get PDFBackground: Low back pain is one of the complaints felt by most or even almost all postpartum mothers since pregnancy. The prevalence of events ranges from 20-90% since pregnancy. About 80% of postpartum mothers experience low back pain after a normal delivery. One type of complementary therapy that can be done to increase the pain threshold is back effluerage massage with clove oil. Cloves contain components of eugenol compounds that have analgesic effects.Objectives: The purpose of this study was to determine the effectiveness of back effluerage massage therapy using clove oil on lower back pain in postpartum mothers.Methods: This study uses a Quasi-Experiment method with the design of One Group Pretest-Posttest. The sample in this study was postpartum mothers with vaginal delivery who experienced lower back pain. Consecutive sampling technique will be used to determine the sample. The number of samples taken in this study were 20 people as a treatment group. The instrument used was an observation sheet to determine the pain scale of the respondent. This research will be carried out within one year. The results of the study will be analyzed by paired T test.Results: The results obtained p value 0.005 (p value <0.05) so that there is an effect of back effluerage massage therapy using clove oil on lower back pain in postpartum mothers.Conclusion: The results of this study are expected to evaluate the effect of back effluerage massage therapy using clove oil on lower back pain in postpartum mothers. Key words: Back Effluerage Massage, Clove Oil, Low Back Pain, Postpartum Mothers
THE EFFECT OF INFRARED RAY AND COUNSELING ON DIABETIC FOOT ULCER HEALING PROCESS
Get PDFBackground: Diabetic foot ulcer is one of the chronic complications of diabetes mellitus caused by neuropathy, angiopathy and decreased endurance. The risk of amputation in patient with diabetes mellitus fifteen times greater compared to non-diabetic. Various efforts on diabetic foot wound care have been carried out but the results are still far from satisfactory. Until now, infrared and counseling effect on wound healing in diabetic foot cannot be explained.Objective: The purpose of this study was to examine the effect of infrared ray and counseling on diabetic foot ulcer healing process.Method: The research design was quasi-experimental design with posttest control group design, the population in this study were patients with grade 3 diabetic foot wounds, blood sugar 100-200 g/ dl, BMI 18.5 to 24.9, aged 35-55 years. Large sample in this study as many as 20 were divided into two groups, the control random sampling. The collection of data for the dependent variable using the observation sheet after the tenth day of treatment, which consists of the rate of growth of granulation, ankle brachial index and capillary refill time. Furthermore, the data were processed using non-parametric statistical significance level < 0.05.Result: The results showed that the infrared and counseling effect on the growth of granulation with a significance level (p = 0.0003), infrared and counseling influence ankle brachial index (p = 0.024), infrared and counseling effect on capillary and counseling effect on capillary refill time (p = 0.024).Conclusion: It can be concluded from this study that applying infrared and counseling has any impact on healing in diabetic foot ulcer, on the growth of granulation and improved blood in diabetic foot ulcers. Key words: Infrared Ray, Counseling, Foot Ulcer Healing
THE EFFECT OF HEALTH EDUCATION ABOUT MENARCHE ON ANXIETY IN FACING MENARCHE IN 5TH AND 6TH GRADE STUDENTS
Get PDFBackground: Important events during puberty are menstruation or menarche is a sign of sexual maturity. The causes of young men and women are not aware of their health problems, especially regarding menarche, this causes young women to have an understanding of menarche and lead to anxiety in the face of menarche in adolescent’s daughter.Objectives: This study aimed to determine the effect of health education about menarche on anxiety in facing menarche in 5th and 6th grade students at SDIT Permata Mulia.Methods: This study design using pre-experimental design with one group pre-post-test design. Sampling method using Non-Probability Sampling with saturated sampling type. Samples taken as many as 28 res ponders on V and VI graders at SDIT Permata Mulia. The research data using a questionnaire. The data were analysed using the Wilcoxon test with a significance level of 0.05.Results: Anxiety student before being given health education about menarche mostly moderate anxiety at (53.6%). While anxiety after students are given health education about menarche, mostly mild anxiety (57.1%). Statistical test results obtained Ï = 0.00 <α = 0.05 then H0 is rejected and H1 is accepted, which means that there is a difference between health education about grade V and VI in SDIT Permata Mulia.Conclusion: Seeing the results of this study about health education about menarche can help in reducing female anxiety in the face of menarche, the role of parents and educators is needed in providing an explanation of menarche to children in grades V and VI aged 11-12 years including maintaining personal hygiene in genital, provide knowledge to students that menarche will occur in all women. Keywords: Health education, Menarche, Anxiet
THE INFLUENCE OF KNOWLEDGE AND DISASTER WARNING AND THE PREPARATION OF HIGH SCHOOL STUDENTS IN FACING EARTHQUAKE AND TSUNAMI
Get PDFBackground: The school community's readiness to face disasters is still considered lacking in Indonesia. Schools as educational institutions are expected to provide an important role for disaster risk education, so students have the provision in dealing with disasters.Objective: This study aimed to identify the factors associated with the preparedness of high school students in dealing with the earthquake and tsunami disasters.Method: This study is analytic survey with cross sectional design. The population in this study were all high school students in Bengkulu City in 2018/2019 academic year. Two stages cluster sampling method have been used in this study. The researcher randomly chooses one high school that will be used as a research location, SMAN 2 Bengkulu City were selected as the result, then the researcher randomly chooses again to determine which class will be the sample, class of XI was chosen with a total of 340 students who spread across 11 classes. The researchers calculated the sample size by using the Slovin formula with the results of 220 respondents. The samples were selected by using proportional random sampling technique, and chosen based on the number of students in each class. Data collection in this study used an instrument in the form of a questionnaire adopted from LIPI consists 65 questions about knowledge and 10 questions about disaster warning and 36 questions about preparedness. The collected data is then processed and analyzed using computer program software and the data were analyzed by using univariate, bivariate and multivariate logistic regression statistical testsResult: The results of this study showed that preparedness of 220 respondents were obtained a mean of 23.57 with a standard deviation of 7.844, knowledge were obtained a mean value of 46.69 with a standard deviation of 8.229, attitudes were obtained a mean value of 60.01 with a standard deviation of 6.210, an emergency response plan were obtained a mean value of 14.95 with a standard deviation of 3.050, and disaster warning were obtained a mean value of 7.19 with a standard deviation of 2.408. Factors related to student preparedness in dealing with disasters were included the level of knowledge (p = 0.020), attitude (p = 0.280), emergency response plan (p = 0.000), disaster warning (p = 0.000).Conclusion: There is a relationship between the level of knowledge, and disaster warnings with disaster preparedness. The most dominant factor in disaster preparedness is disaster warnings. Key words: Preparedness, knowledge, disaster warning