Nurse and Health: Jurnal Keperawatan
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THE VULNERABILITY OF THE DIGITAL NATIVE GENERATION TO HIV/AIDS INFECTION: A CONCEPT ANALYSIS
Background: The digital native generation is the current generation of young people who are very familiar with the internet and gadget applications. This makes them vulnerable to the risk of disease transmission, both directly and indirectly.
Objective: The study aimed to analyze the concept of the vulnerability of digital natives, or young adults, to HIV/AIDS.
Methods: This study used the 8-step concept analysis framework developed by Walker and Avant, along with a comprehensive literature review done across three databases: google scholar, ProQuest, and ScienceDirect. The systematic literature reviewed included papers published between 2008 to 2022.
Results: The concept identification findings derived from a comprehensive evaluation of 16 papers indicate that the defining features include individual characteristics, social factors, structural problems, and health programs.
Conclusion: The digital generation, characterized by their convenient access to the internet and digital media, has a greater vulnerability to HIV/AIDS transmission as a result of engaging in hazardous behaviors and participating in health initiatives. The use of digital media in intervention programs has the potential to decrease healthcare expenditures and improve the efficacy of HIV/STI control measures
THE EFFECT OF BRAIN GYM ON THE LEVEL OF INDEPENDENCE OF THE ELDERLY
Background: The height ratio dependence elderly in Indonesia is very worrying. The ratio dependence elderly in Indonesia are increasing from 14.02% in 2017 to 16.76% in 2021. East Java including the top 5 province with dependence elderly and occupying ranking to 3 after Central Java Province.
Objectives: To know the effect of brain gym on level independence elderly.
Methods: This was pre-experiment with use approach one group pre-post test design. Population in the study is all over elderly people in the village Ringinsari, District Kandat Kediri Regency. Technique of taking sample done with technique Consecutive Sampling. Data analysis was carried out through two stages. Stage First that is analyzing pre and post independence data elderly using the pre post test design test. Stage second is analyze the effect of brain gym on level independence elderly using the Wilcoxon test.
Results: Research results show that there is change in level of independence before and after given Brain Gym intervention. The results of data analysis using the Wilcoxon test (level of 95% confidence interval is p= 0.000<0.05) which means there is the effect of brain gym to level independence elderly in the village Ringinsari, District Kandat Kediri
Conclusion: Brain gym influential to level independence in the elderly
ANALYSIS OF FACTORS RELATED TO THE SELF-EFFICACY OF INDONESIAN RED CROSS (IRC) MEMBER STUDENTS IN CARRYING OUT AHA 2020 STANDARD CARDIOPULMONARY RESUSCITATION IN DENPASAR CITY
Abstract
Background: Cardiac arrest is a condition of the heart that loses its function suddenly to pump blood throughout the body. Cardiac Arrest has events that take place very quickly and cannot be predicted so that it becomes an important concern in the world of health. Cardiopulmonary Resusitatiom (CPR) training programs for IRC students are increasingly emphasized to increase bystander CPR which is very low, while some cause low interest of students in doing CPR, especially mouth to mouth because they are afraid to do CPR because they feel wrong if they do CPR incorrectly, physically cannot do CPR, fear of harming the individuals helped, fear of contracting diseases contagious, the belief that the person has died.
Objective: Analyze the factors of self- physicalizing (knowledge, attitude, motivation and awareness) of IRC students in providing cardiopulmonary resuscitation (CPR) in cardiac arrest patients
Method: This research is a type of quantitative research with a cross sectional approach with purposive sampling. Data collection was carried out for 2 months once using a direct questionnaire. The number of samples in this study was 300 respondents of IRC member students in Denpasar City. The inclusion criteria in this study are IRC member students from universities who are active in lectures, active as members of IRC Denpasar City, attending basic training IRC members are young and willing to be respondents. Process research directly and also written on the consent sheet becomes a research respondent and is given informed consent. After getting approval, participants can do the entire questionnaire for 30 minutes. The analysis test carried out is univariate analysis, which describes the characteristics of research respondents, analysis using sperm, multivariate analysis using logistic regression tests.
Results: The results of the study obtained that knowledge P value = 0.022, attitude p value 0.026, motivation p value 0.017 and awareness p value 0.050. Awareness is the most influential variable with student preparedness (OR= 1,192), which means that poor awareness will cause low efficacy of undergraduate nursing students in helping patients with cardiac arrest by 1 time compared to the efficacy of IRC member students who have good awareness after the variables of knowledge, attitude, and motivation are controlled.
Conclusion: There is a significant relationship between knowledge, attitudes, motivation and awareness with the efficacy of PMI member students in conducting CPR AHA 2020 where awareness is the most influential variable on the efficacy of IRC member students in conducting CPR AHA 2020.  
KNOWLEDGE OF PATIENTS WITH DIABETES MELLITUS ABOUT DIABETES NEUROPATHY SYMPTOMS
Background: Diabetes Mellitus (DM) is a metabolic disease characterized by high blood glucose levels or hyperglycemia, which in the long term can cause complications both macrovascular and microvascular. Diabetic Neuropathy (ND) is one of the many complications experienced by patients with DM.
Objectives: This study aimed to determine the level of knowledge of patients with DM about ND symptoms at Community Health Center Pacarkeling Surabaya.
Methods: This study used a descriptive research method with a cross-sectional approach. A large sample of 100 adult patients with DM. A purposive sampling technique was used. The instrument of this study was a questionnaire. Data analysis used descriptive analysis with frequency distribution tables.
Results: This study showed that most respondents (65%) had less knowledge about ND symptoms, and almost all patients had foot complaints. The most complaints were 98% complaining of tingling feet and 75% complaining of numb feet. Data characteristics of respondents showed that 45% of patients were 56-65 years old, 68% were female, 41% had junior high school education, and 55% were not working. Other data show 86% of patients have a duration of DM of <10 years, the treatment used was 77% taking oral antidiabetic drugs, and 68% have a history of heredity.
Conclusion: Patients with DM in research have a risk of developing diabetic foot ulcers because they have reduced knowledge and foot complaints related to ND. Patients must know the signs and symptoms of ND and foot care correctly. As part of the health staff, nurses must educate patients with DM regularly and appropriately
EFFECTIVENESS OF WALKING EXERCISE ON HBA1C AND BMI OF DIABETES MELLITUS TYPE 2: A SYSTEMATIC REVIEW
Background : Survey data shows that there are 51.9% of DM sufferers who do not exercise as an alternative to controlling diabetes. Walking exercise has been demonstrated to have an impact on BMI and HbA1c in one trial, but only in people with prediabetes.
Objective: Analyzed the results of primary research regarding the effectiveness of walking exercise in controlling the HbA1c and body mass index (BMI).
Methods: Design of this study was a systematic review. Data sources of this article was from 4 databases (Scopus, EBSCO, Proquest and Pubmed). Search for articles for the last 10 years, Mar 2015- Mar 2024. The research method used PRISMA 2020 guidelines. Article selection used the PICO framework. Medical Subject Heading (MeSH) is used to search for keywords. The quality assessment of an article is assessed using the Joanna Briggs Institute (JBI) format.
Results: Walking exercise has a positive effect on HbA1c and BMI. Four of the eight articles showed a significant effect of walking exercise on reducing HbA1c. Three of the 7 articles showed a significant effect of walking exercise on reducing BMI.
Conclusion: Walking exercise is a type of physical exercise that is considered to have a positive effect on body health for both diabetics and non-diabetics. Walking exercise can improve the metabolic status of diabetes sufferers by reducing blood glucose levels, HbA1c and BMI
VIRAL LOAD AND OPPORTUNISTIC INFECTION AS THE INDICATOR OF QUALITY-OF-LIFE PEOPLE WITH HIV/AIDS
Background: Human immunodeficiency virus (HIV) is a significant concern in the field of global health. However, studies on the relationship between viral load, opportunistic infections, and quality-of-life among them are limited.
Objectives: This study aims to determine the relationship between viral load count, the presence of opportunistic infection, and the quality-of-life among people living with HIV.
Methods: A cross-sectional study was used involving 35 respondents recruited through convenience sampling. The quality-of-life of individuals living with HIV was assessed using the World Health Organization Quality-of-Life instrument for HIV. Statistical analysis using descriptive statistics, including mean, standard deviation, and proportion, and bivariate analysis with p-value<0.05.
Results: Of the 35 participants, the majority were male (57.1%), with a mean age of 41.63 (9.09), and had a low education level (51.4%). The mean quality-of-life score was 86.88 (12.27), with a mean duration of ARV treatment of 7.23 years (5.36), undetectable viral load (68.6%), living with opportunistic infections (80%), and with tuberculosis being the most common (52.63%). There was a significant correlation between viral load and overall quality-of-life (p-value 0.04).
Conclusion: The results of viral load testing and the identification of opportunistic infections can serve as indicators to assess the quality-of-life among people living with HIV. The outcomes of this study have practical implications for enhancing healthcare services in clinical settings. This information can guide the implementation of targeted interventions to strengthen social relationships and these individuals' environmental quality-of-life
EFFECTIVENESS OF PEER GROUP SUPPORT IN THE APPLICATION OF ACUPRESSURE AND ABDOMINAL STRETCHING ON MENSTRUAL PAIN IN ADOLESCENT FEMALES WITH THE SELF DETERMINATION MODEL
Background: One of the changes that appears in adolescent is menstruation. One way to reduce menstrual pain is to use relaxation techniques, acupressure, and abdominal stretching. Another way is to help teenagers deal with pain by using group methods, such as peer group support.
Objective: The purpose of this study was to determine the relationship between Peer Group Support in the application of acupressure and abdominal stretching to menstrual pain in adolescent girls using the self-determination model approach.
Methods: This study used a quasi-experimental design with a pre-test and post-test design. The sampling technique used was simple random sampling. Inclusion criteria were respondents who had menstruated, experienced menstrual pain, aged at menarche between ≤12 years to ≥14 years, and had a menstrual duration of 7 days, as well as being cooperative and willing to be a respondent. The sampling technique used was simple random sampling. The sample size was 70 female adolescent respondents.
Results: The results of the study with Paired t-test showed that the Acupressure and Abdominal Stretching intervention groups both experienced changes with a value of p = 0.03 in the Acupressure and Abdominal Stretching groups and p = 0.000. On average, there was an increase in overcoming menstrual pain, but in the Acupressure group, there was only a slight increase in the t-count, which was 2.45. In the abdominal stretching group, the t-count value was greater, at 11.16.
Conclusion: The published research shows that acupressure and abdominal stretching were also carried out on the same group in the 2 intervention groups. The results were effective and could be carried out together, as evidenced by a decrease in the level of pain during menstruation and self-determination
THE EFFECT OF AUTOGENIC RELAXATION ON PAIN RELIEF IN HYPERTENSION PATIENTS: A SYSTEMATIC REVIEW
Background: Hypertension can be treated with non-pharmacological treatment. Comprehensive chronic pain treatment involves a combination of methods and therapies. Relaxation effectively reduces muscle tension, improves well-being, and reduces symptomatic stress in individuals experiencing various situations. Autogenic relaxation therapy carried out for ± 10 minutes scientifically has a physiological impact on the body.
Objective: This literature review aimed to identify the effect of autogenic relaxation on pain reduction in hypertensive patients
Design: This research design was a literature review.
Data Sources: Search for articles using three journal databases, namely Google Scholar, PubMed, and ScienceDirect.
Reviews Methods: Used PRISM flow diagram to find a total of 6 articles that meet the inclusion criteria reviewed.
Result: The literature search results found 2 articles that met the inclusion criteria that were published in 2023.
Conclusion: One of types of relaxation is an autogenic relaxation on reducing pain in hypertensive patients. Continue to do relaxation routinely and regularly both independently and with guidance from experts, and continue to take medication according to doctor's recommendations and carry out routine checks with doctors, for symptom improvement
ERGONOMIC RISK ASSESSMENT OF GADUNG PEELERS USING NORDIC BODY MAP (NBM) AND OVAKO WORK POSTURE ANALYSIS (OWAS) METHODS
Background: The activity of peeling gadung as a raw material for making gadung chips is done manually and repeatedly with an unnatural working posture and can cause musculoskeletal disorders (MSDs). Preventive measures need to be taken by carrying out ergonomic risk assessments.
Objectives: The research aimed to analyze the level of ergonomic risk in MSDs using the Nordic Body Map (NBM) and Ovako Work Posture Analysis (OWAS) methods.
Methods: The research method used was an analytical method with a cross-sectional research design. This research was conducted in the home industry gadung chips, Kediri in August 2024. The sampling technique was purposive sampling with a total sample of 10 gadung peeler workers. The variables in this study were the severity of muscle complaints and work posture (back, arm, leg, and load movements) as the risk level for MSDs. The type of data collection technique used was a field study by filling out the NBM questionnaire to determine the severity of MSDs. Working posture (back, arm, leg, and load movements) was also observed using the OWAS method by filling in a form. The results of the analysis will provide results as a reference for taking appropriate action to overcome ergonomic risks.
Results: Based on data analysis using the NBM showed the percentage of MSDs, that are right shoulder, right wrist, and right hand had the highest proportion of scores for complaints of pain that always occurred (100%). The left wrist and shoulder area (96%), stiffness in the lower neck (92%), pain in the back (91%), pain in the waist (90%), and also pain in the right and left knee areas for lower limbs. The results of the ergonomic risk level analysis using the OWAS method showed that the working posture is included in the moderate risk category (score 2).
Conclusion: Corrective action is needed to prevent musculoskeletal disorders such as improving work posture, doing stretching exercises before and after work and designing ergonomic work chairs.
 
FACTORS RELATING TO NURSES' COMPLIANCE IN IMPLEMENTING THE SURGICAL SAFETY CHECKLIST : A SCOPING REVIEW
Backround: One component of Safe procedure Saves Lives is a surgical safety checklist (SSC), which serves as a tool for the surgical team to utilize in the operating room to ensure that the procedure is both safe and of high quality, SSC compliance cannot be separated from the factors that influence it, therefore we need to know these factors to overcome SSC problems SSC compliance cannot be separated from the factors that influence it, therefore we need to know these factors to overcome SSC problems. This article aims to obtain a comprehensive picture of the factors related to nurse compliance in implementing the Surgical Safety Checklist.
Design: This study uses the Arksey and O'Malley model to conduct the analysis.
Data Source: The analyzed literature consisted of Scholar, Science Direct, and Pubmed from January 2016 to June 2023. Identification and selection of literature used Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) Moher 2009.
Result: The results were 15 articles that were analyzed, consisting of 12 quantitative articles, two descriptive articles, and one literature review article. This article summarizes findings regarding compliance in implementing the Surgical Safety Checklist, including attitudes, perceptions, motivation, knowledge, time for operations, age, length of work, education, teamwork, and nurse compliance.
Conclusion: There is a relationship between 10 factor include attitudes, perceptions, motivation, knowledge, time for operations, age, length of work, education, teamwork, and nurse compliance. in the implementation of SSC