Nurse and Health: Jurnal Keperawatan
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THE THE ROLE OF NUTRITIONAL STATUS ON HEMOGLOBIN LEVELS IN ADOLESCENTS
No full textBackground: Adolescents were one of the strong foundations for the future of the nation because of their role in development and progress of the country. Healthy physical and psychological conditions will form a strong and resilient adolescent character which is affected by adequate nutritional intake. So that if nutrients are not sufficient, it can cause disturbances in metabolic processes. Inadequate intake of nutrients such as protein and iron will aggravate the occurrence of anemia and lead to malnutrition. Indirectly, nutritional status will also affect the occurrence of anemia.
Objectives: This study was to examine the relationship between nutritional status and adolescent hemoglobin levels.
Methods: This study was an analytic study with Cross Sectional approach. Respondents were 46 students of SMP PGRI 01 Bantur in Malang regency conducted in August 2023. Independent variable was nutritional status using weight, height and Body mass index (BMI) and dependent variable was anemia using hemoglobin level. BMI was calculated using formula weight divided by height square. The analysis used both univariate and bivariate analysis. Bivariate analyzed using Spearman rank correlation test.
Results: Results showed 76,1% adolescents classified normal nutritional, 19,6% overweight and 2,2% underweight and obese. The hemoglobin level, 86,9% normal and 13,1% anemia. Based on the results of statistical tests using rank spearman test, the p value = 0.044 less than 0,05. It means there was a significant correlation between nutritional status and anemia.
Conclusion: There is a relationship between nutritional status with Hb levels in adolescents. Enrichment of nutritional intake will give big impact on nutritional and anemia status among adolescents
Pengetahuan, Sikap, dan Perilaku Remaja dalam Mencegah Penyakit Menular Seksual: Sebuah Penelitian Korelasi
No full textBackground: The increasing number of sexually transmitted diseases (STDs) among young adults aged between 15 and 24 years remains a major problem of concern worldwide. Adolescents' poor knowledge regarding sexual and reproductive health, as well as the many misunderstandings regarding sexual issues, can cause adolescents to commit acts that risk increasing the incidence of sexually transmitted diseases.
Objectives: This study aims to analyzed the correlation between knowledge, attitudes, and behaviors of adolescents in preventing sexually transmitted diseases.
Methods: The study used cross sectional designed. This study was conducted at a vocational school in Sidoarjo, East Java, in December 2023. Sample in this study were vocational school’s students who were members of health extracurriculars. The sample size in this study was 50 respondents. This study used random sampling technique. This study used questionnaire as the instrument. Data analyzed used Kendall Tau b correlation method.
Results: Most of the respondent were female (72%) and aged of sixteen (60%). The respondent’s knowledge about STDs was correlated with behavior to prevent STDs (p-value <0,01). The respondent knowledge about STDs was correlated with attitudes towards preventing STDs (p-value <0,01). The respondent attitudes towards preventing STDs was correlated with behavior to prevent STDs (p-value <0,01).
Conclusion: There was a significant correlation between knowledge about STDs and attitudes towards preventing STDs, a significant correlation between knowledge about STDs and behavior to prevent STDs, and a significant correlation between attitudes and behaviors to prevent STDsLatar Belakang: Meningkatnya jumlah penyakit menular seksual (PMS) di kalangan dewasa muda berusia antara 15 dan 24 tahun masih menjadi masalah utama yang menjadi perhatian di seluruh dunia. Rendahnya pengetahuan remaja mengenai kesehatan seksual dan reproduksi, serta banyaknya kesalahpahaman mengenai masalah seksual, dapat menyebabkan remaja melakukan tindakan yang berisiko meningkatkan kejadian penyakit menular seksual.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan pengetahuan, sikap, dan perilaku remaja dalam pencegahan penyakit menular seksual.Metode: Penelitian ini menggunakan desain cross sectional. Penelitian ini dilakukan di salah satu SMK di Sidoarjo, Jawa Timur, pada bulan Desember 2023. Sampel dalam penelitian ini adalah siswa SMK yang mengikuti ekstrakurikuler kesehatan. Besar sampel dalam penelitian ini adalah 50 responden. Penelitian ini menggunakan teknik random sampling. Penelitian ini menggunakan kuesioner sebagai instrumennya. Analisis data menggunakan metode korelasi Kendall Tau b.Hasil: Sebagian besar responden adalah perempuan (72%) dan berusia enam belas tahun (60%). Pengetahuan responden tentang PMS berkorelasi dengan perilaku pencegahan PMS (p-value <0,01). Pengetahuan responden tentang PMS berkorelasi dengan sikap pencegahan PMS (p-value <0,01). Sikap responden terhadap pencegahan PMS berkorelasi dengan perilaku pencegahan PMS (p-value <0,01).Kesimpulan: Terdapat hubungan yang signifikan antara pengetahuan tentang PMS dengan sikap pencegahan PMS, terdapat hubungan yang signifikan antara pengetahuan tentang PMS dengan perilaku mencegah PMS, dan terdapat hubungan yang signifikan antara sikap dan perilaku untuk mencegah PMS
PREDICTIVE FACTORS ASSOCIATED TOWARDS QUALITY OF LIFE IN PATIENTS WITH CANCER: A CROSS-SECTIONAL STUDY
Get PDFBackground: Cancer patients face various symptoms and problems caused by the disease or cancer treatment. Physical and psychological symptoms worsen the patient’s quality of life (QOL).
Objectives: To predict how age, gender, marital status, educational level, working status, type of cancer, stage of cancer, physical factors (pain, fatigue, nausea, lack of appetite, shortness of breath, constipation, drowsiness, well-being) and psychological factors (anxiety and depression) affect to quality of life in patients’ cancer.
Methods: The study was quantitative research with a cross-sectional approach with purposive sampling. Ninety-nine cancer patients participated in this study. Data were collected in General Hospital, Pekanbaru, in October - November 2022. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) was used to assess patient’s cancer quality of life. The Multivariate analysis uses the multiple linear regression.
Results: The EORTC QLQ-C30 mean scores for QoL (65,9725,18), physical, emotional and cognitive functioning were high, at 60 or above. The score of most symptom scales in this study were reportedly good, at 37 or below. However, for pain and fatigue, the score was reportedly worse (range:45, 3227,84 to 64,2725,58). The results of multiple linear regression analysis showed that factors predictive of quality of life were pain (p=0,032), fatigue (p=0,004), shortness of breath (p=0,020), constipation (p=0,002) and depression (p=0,042). These factors together can cause quality of life problems in cancer patients by 55% (adjusted R2 = 0.468).
Conclusion: The study finding indicate that QoL score were influenced with several symptoms (pain, fatigue, shortness of breath, constipation and depression) of the ESAS-r score. Healthcare professionals should properly address pain and fatigue, as patients in this patient group consistently report them
STRATEGIES FOR NURSING STUDENTS IN ACHIEVING BASIC NURSING COMPETENCIES THROUGH SELF-DIRECTED LEARNING READINESS
Get PDFBackground: Clinical practice learning is designed to prepare nursing students to become professional nurses, students are required to meet competency achievement targets. To comprehensively achieve these targets, students must employ effective learning strategies, one of which is Self-Directed Learning Readiness.
Objectives: To explore the strategies nursing students use to meet basic nursing competencies through Self-Directed Learning Readiness.
Methods: This research used a quasi-experimental design with a one-group pretest-posttest model with total sampling, about 91 respondents of second-semester students from the Diploma 3 Nursing Program who conducted clinical practice. The intervention was carried out during the basic nursing clinical practice, with the approach of the stages in SDLR (plan-implementation-monitoring-evaluation). Respondents were given daily journaling which was filled in every day regarding the plan, implementation, monitoring, and evaluation of 58 basic nursing competency achievements. After the basic nursing clinical practice ended, respondents completed the post-test questionnaire. Data analysis was performed using an independent sample t-test.
Results: The results showed that the majority of students achieved excellent scores (91%) in meeting basic nursing clinical practice competencies. The competency assessment covers three main aspects: knowledge, attitude, and psychomotor skills, with average scores of 82, 84.3, and 83, respectively. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05.
Conclusion: Students with higher levels of SDLR tend to be more independent in managing time, utilizing various learning resources, and practicing clinical skills. The basic competencies achieved include cognitive, affective, and psychomotor aspects, reflecting their readiness to provide comprehensive nursing care
EFFECTIVENESS OF AUGMENTED REALITY-BASED THERAPEUTIC PATIENT EDUCATION ON HEALTH LOCUS OF CONTROL IN TYPE 2 DIABETES MELLITUS PATIENTS
Get PDFBackground: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with a rising global prevalence, significantly affecting patients' quality of life and the health system. Effective management of T2DM requires patients to actively regulate their diet, physical activity, and adherence to treatment. Health Locus of Control (HLC) measures the extent to which individuals believe their health is influenced by their actions (internal), others (powerful others), or chance. Augmented Reality (AR) technology presents an innovative method for therapeutic education, potentially enhancing patient engagement and learning effectiveness.
Objectives: To analyze the effect of Augmented Reality-based therapeutic patient education on health locus of control in T2DM patients.
Methods: A quasi-experimental design with pre- and post-tests and a control group was used. Non-probability purposive sampling selected 100 respondents, divided into an intervention group (50) and a control group (50). The Multidimensional Health Locus of Control questionnaire served as the research instrument. Univariate analysis described respondents' frequency distribution, mean, median, and standard deviation. Bivariate analysis utilized the Wilcoxon test.
Results: Augmented Reality based Therapeutic Education significantly improved HLC scores in T2DM patients: Internal (p = 0.01), Powerful Others (p = 0.02), and Chance (p = 0.00). However, no significant difference was found between the intervention and control groups in terms of overall HLC improvement, indicating the need for further research to confirm these preliminary findings.
Conclusion: Augmented Reality-based Therapeutic Education shows promise in enhancing patients' perception of control over their health. This innovative approach could significantly impact clinical practice and patient education
EFFECTIVENESS OF ASTHMA SELF-MANAGEMENT EDUCATION (ASME) ON IMPROVING THE QUALITY OF LIFE: A LITERATURE REVIEW
Get PDFBackground: Asthma is a common chronic respiratory disease that affects around 300 million people of all ages worldwide so that it has an impact on patients both physically, activity restrictions, and psychosocially, in terms of quality of life.
Objective: This study aims to assess the effectiveness of Asthma Self Management Education (ASME) to improve the quality of life of people with asthma.
Design: The design of this study uses a literature review.
Data Sources: Initial searches of journal articles were performed on the Pubmed, Science Direct, and Google Schollar search databases from 2017-2021 with the keyword Asthma self management education. The ASME study found 807 articles but only 7 journal articles that met the search inclusion criteria.
Review Methods: A literature review procedures were used to collect library data, reading and taking notes, as well as critical assessment of managing research materials
Results: According to the results of the literature review, ASME has several variants with an average duration of ASME being carried out for 6 months to 15 months. Asthma control is measured to assess lung function and behavioral changes in individuals with asthma. The ASME technique is effective as an educational method in improving lung function, asthma control, quality of life, and behavior change which are important components of asthma sufferers.
Conclusion: The application of ASME technical interventions to asthma sufferers can be used as an educational program to improve behavior changes that can control asthma symptoms non-pharmacologicall
THE CORRELATION BETWEEN NURSES KNOWLEDGE AND PHLEBITIS PREVENTION EFFORTS AT IDAMAN HOSPITAL, BANJARBARU CITY
Get PDFBackground: A hospital is a type of healthcare facility that provides a variety of services. During the course of the treatment, patients may experience an increase in severity due to infectious diseases, one of which is Healthcare Associated Infections (HAIs). Another common type of HAIs is phlebitis. Phlebitis is a common infection associated with healthcare. Phlebitis prevention initiatives are primarily dependent on the expertise of nurses, this knowledge is directly tied to the nurses' performance of their duties and the success or failure of those duties in preventing patients from contracting phlebitis.
Objectives: The purpose of this study was to determine the correlation between nurse’s knowledge and phlebitis prevention efforts at Idaman Hospital, Banjarbaru City
Methods: A cross-sectional, correlational design was adopted for this research. Probability sampling using stratified random sampling is used for the sampling. In all, 129 nurses made up the study's sample. Data was gathered using questionnaires on basic demographics of the nurse, nursing knowledge, and phlebitis prevention efforts by nurse.
Results: The results of the study found that there is a correlation between knowledge and efforts to prevent phlebitis at Idaman Hospital, Banjarbaru City (p value=0.001; OR=3.77). Nurses who have good knowledge have the opportunity to make efforts to prevent phlebitis events optimally by 3.77 times compared to nurses who have poor knowledge.
Conclusion: The better the nurse's understanding of the incidence of phlebitis, the more effective will be the nurses' efforts to avoid phlebitis at Idaman Hospital in Banjarbaru City
 
MOTHER'S EXPERIENCE ABOUT BABY MASSAGE IN SUMBEREJO VILLAGE, TRUCUK DISTRICT, BOJONEGORO REGENCY: A QUALITATIVE RESEARCH
Get PDFBackground: sage is a form of touch therapy that functions as an important treatment technique that has been known for a long time. In the community, the role of baby massage is still held by traditional birth attendants. Even though baby massage has great benefits for babies, many mothers don't massage their babies independently. The implementation of baby massage is done when their baby is sick or fussy, and as a routine for baby care after birth.
Objectives: The purpose of this study was to describe the mother's experience about massaging her baby in Sumberejo Village, Trucuk District, Bojonegoro Regency.
Methods: The design in this study uses qualitative research. The selected participants are mothers who have toddlers under the age of 1 year with a total of 10 participants. Participants were taken using purposive sampling technique. Location and Time The research was conducted in the village of Sumberejo, Trucuk District, Bojonegoro Regency. The time of the study was carried out in May-July 2021. The research instrument used in this study was an interview result sheet.
Results: Participants in this study amounted to 10 people who were selected based on inclusion criteria. There are 5 themes that have been concluded, namely (1) an overview of baby massage (2) when the baby should be massaged (3) where the mother massages the baby (4) the baby's response after being massaged (5) how often the mother massages her baby.
Conclusion: The results showed that more mothers massaged their babies to traditional birth attendants than to professionals and the baby's response after massage was more comfortable and less fussy.Background: Sage is a form of touch therapy that functions as an important treatment technique that has been known for a long time. In the community, the role of baby massage is still held by traditional birth attendants. Even though baby massage has great benefits for babies, many mothers don't massage their babies independently. The implementation of baby massage is done when their baby is sick or fussy, and as a routine for baby care after birth.
Objectives: The purpose of this study was to describe the mother's experience about massaging her baby in Sumberejo Village, Trucuk District, Bojonegoro Regency.
Methods: The design in this study uses qualitative research. The selected participants are mothers who have toddlers under the age of 1 year with a total of 10 participants. Participants were taken using purposive sampling technique. Location and Time The research was conducted in the village of Sumberejo, Trucuk District, Bojonegoro Regency. The time of the study was carried out in May-July 2021. The research instrument used in this study was an interview result sheet.
Results: Participants in this study amounted to 10 people who were selected based on inclusion criteria. There are 5 themes that have been concluded, namely (1) an overview of baby massage (2) when the baby should be massaged (3) where the mother massages the baby (4) the baby's response after being massaged (5) how often the mother massages her baby.
Conclusion: The results showed that more mothers massaged their babies to traditional birth attendants than to professionals and the baby's response after massage was more comfortable and less fussy
IMPROVEMENT OF FEEDING PRACTICES FOR STUNTING CHILDREN UNDER TWO YEARS THROUGH AN COMPLEMENTARY FEEDING EDUCATION
Get PDFBackground: Feeding practice is one of the factors determining the stunting prevalence. It happens because the children’s food intake strongly depends on the feeding practice done by their parents. The role of parents would determine children's nutritional intake, in which inappropriate nutritional intake lead to stunting.
Objectives: The aim of the study was to identify differences in the feeding practices of mothers to stunting children under two years before and after being given a complementary feeding intervention
Methods: This is a quantitative study with a quasi-experimental one group design. The samples in this study were 31 respondents selected using the consecutive sampling technique. The inclusion criteria were mothers who have children aged 6-24 months with stunting (z score PB/U is less than -2SD). Exclusion criteria were that the mother or child was sick and did not receive complete intervention. Instrument used was a standard Comprehensive Feeding Practice Questionnaire (CFPQ) instrument. The intervention provided was in the form of education using audiovisual media and a demonstration of the practice of making complementary feeding. The analysis in this research is paired T test.
Results: The average score on feeding practice for stunting Children Under Two Years after the nutrition intervention is higher, namely 112.32 compared to the average score on feeding practice for stunting Children Under Two Years before the nutrition intervention, namely 87.06. The results of the analysis found that there is a significant difference between the average score on feeding practice for stunting Children Under Two Years before and after the complementary feeding with p-value of 0.0001.
Conclusion: The complementary feeding intervention can encourage the feeding practice of stunted under-two-year-old children.
 
ANALYSIS OF FACTORS AFFECTING SELF MANAGEMENT IN TYPE 2 DIABETES MELLITUS PATIENTS
Get PDFBackground: Diabetes mellitus type 2 is a common problem that occurs in people who have metabolic disorders characterized by increased blood sugar due to decreased secretion by pancreatic beta cells or impaired insulin function. Objectives: This study aims to determine what factors are associated with self-management in Type 2 DM patients at the Buduran Health Center.Design: This study was a quantitative research. The design in this study was a cross-sectional analytic with a sample of 80 people who were carried out at the endocrine polyclinic Puskesmas Buduran Sidoarjo. Research instrument used the Diabetes Self-Management Questionnaire (DSMQ) developed by Schmitt et al (2013) to determine the self-management of type 2 DM patients and to measure the level of knowledge using the Diabetes Knoeledge Test (DKT) instrument developed by Burrough et al (2008), measure to physical activity using the Summary of Diabetes Self Care Activities (SDSCA), measure to family support using Family Support Questionairre, and measure to self efficacy using Diabetes management Self Efficacy Scale (DMSES). The sample siza with simple random sampling method, and data analysis using spearman rank test. Results: The results showed that there was a significant relationship between the level of knowledge and self-management with a coefficient value (r=0.576), a significant relationship between activity ability and self-management with a coefficient value (r=0.612), a significant relationship between family support and self-management with a value of coefficient (r=0.592) and there is a significant relationship between self-efficacy and self-management with a coefficient value (r=0.660). Conclusion: Patients DM Type 2 can be overcome by providing education in every prolanis activity program which is expected to increase knowledge, activity abilities, family support and self-efficacy, so that patients are able to improve self-management well. This intervention is highly recommended for people with Type 2 DM by increasing the frequency of health education and involving the family of diabetes mellitus patients so that patients are able to carry out self-management well.Latar Belakang: Diabetes melitus tipe 2 merupakan masalah umum yang terjadi pada orang yang memiliki gangguan metabolisme yang ditandai dengan peningkatan gula darah akibat penurunan sekresi oleh sel beta pankreas atau gangguan fungsi insulin. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor apa saja yang berhubungan dengan self-management pada pasien DM Tipe 2 di Puskesmas Buduran. Desain: Penelitian ini merupakan penelitian kuantitatif. Desain dalam penelitian ini adalah analitik cross sectional dengan sampel sebanyak 80 orang yang dilakukan di poliklinik endokrin Puskesmas Buduran Sidoarjo. Instrumen penelitian menggunakan Diabetes Self-Management Questionnaire (DSMQ) yang dikembangkan oleh Schmitt et al (2013) untuk mengetahui manajemen diri pasien DM tipe 2 dan untuk mengukur tingkat pengetahuan menggunakan instrumen Diabetes Knoeledge Test (DKT) yang dikembangkan oleh Burrough et al (2008), pengukuran aktivitas fisik menggunakan Summary of Diabetes Self Care Activities (SDSCA), pengukuran dukungan keluarga menggunakan Family Support Questionairre, dan pengukuran self efficacy menggunakan Diabetes Management Self Efficacy Scale (DMSES). Besar sampel dengan metode simple random sampling, dan analisis data menggunakan spearman rank test. Hasil: Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara tingkat pengetahuan dengan manajemen diri dengan nilai koefisien (r=0,576), hubungan yang signifikan antara kemampuan aktivitas dengan manajemen diri dengan nilai koefisien (r=0,612). ada hubungan yang signifikan antara dukungan keluarga dengan manajemen diri dengan nilai koefisien (r=0,592) dan terdapat hubungan yang signifikan antara efikasi diri dengan manajemen diri dengan nilai koefisien (r=0,660). Kesimpulan: Penderita DM Tipe 2 dapat diatasi dengan memberikan edukasi dalam setiap program kegiatan prolanis yang diharapkan dapat meningkatkan pengetahuan, kemampuan aktivitas, dukungan keluarga dan efikasi diri, sehingga pasien mampu meningkatkan manajemen diri dengan baik. Intervensi ini sangat dianjurkan bagi penderita DM Tipe 2 dengan meningkatkan frekuensi pendidikan kesehatan dan melibatkan keluarga pasien diabetes melitus agar pasien mampu melakukan manajemen diri dengan baik.