Jurnal Keperawatan Komprehensif (JKK)
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Self-Efficacy and Compliance Fluid Intake Restrictions in Chronic Kidney Disease Patients Undergoing Hemodialysis: A Cross-Sectional Study
No full textAims: Good self-efficacy will encourage patients to behave assertively and adhere to medication, diet, and fluid restrictions in patients with chronic kidney disease undergoing hemodialysis. However, nowadays, patient non-compliance with fluid restrictions is still high, which results in increased complications experienced by patients. The study aimed to determine the relationship between self-efficacy and adherence to fluid intake restrictions in chronic kidney patients undergoing hemodialysis at RSUP Dr. M. Djamil Padang.
Methods: This study used a correlation study design and a cross-sectional method. The total sample was 81 respondents. Using purposive sampling with inclusion criteria, patients routinely undergo HD > 3 months, are over 18 years old, and can communicate well. The instruments used were the Self-Efficacy for Managing Chronic Disease (SEMCD) questionnaire and the Fluid Intake Restriction Adherence questionnaire—data analysis using the Spearman correlation test.
Result: The results revealed a significant relationship between self-efficacy and adherence to fluid intake restrictions (p = <0.001) with a value (r = 0.703) which means the correlation for both variables is firmly in positive relation.
Conclusion: Nurses in the HD room are expected to be able to provide self-efficacy training to patients to increase patient compliance, the higher the self-efficacy, the more compliant the patient with fluid intake restrictions. Keywords: Adherence, Fluid, Hemodialysis, Self-Efficacy
Audio Visual Education Effectivity to Increase Knowledge about Anemia in Pregnant Women
No full textAims: WHO reported 36.5% pregnant women in the world experienced anaemia, which 75.0% of them lived in developing countries. It included 63.5% of them who lived in Indonesia. The highest prevalence of anemic pregnancy in Jakarta province was located in North Jakarta, that related to iron deficiency and nutritional status. Boosting knowledge and educating women about pregnancy had to be done effectively in order to get optimal output. Choosing the right educational media was an essential part of the movement. Audio Visual Education (AVE) was commonly use to educate people, instead of limited resources. It stimulated two human sense, sight and hearing, which estimated could increase learning process.
Method: We held a quasi-experimental study by gathering 30 pregnant women to watch AVE about anemia in pregnancy who were willing to participate and havent received any education about anemia via educational video. Exclusion criteria were being uncooperative, such as not watching the video completely and didn’t fill in pre- and posttest completely. We used purposive sampling to gather participants. There were pre and post-test ten minutes before and after intervention. We performed Wilcoxon Test to analyze the effectivity of AVE in order to increase knowledge about anemia (p<0.05).
Results: We found AVE could boost knowledge score in the third pregnant women statistically significant. Before intervention, average knowledge score was 56,7% which increased to 91,7% after AVE (p value=0.0001).
Conclusion: This study implied AVE was an effective media to increase participant’s knowledge about anemic pregnancy in pregnant women. Strengthening health literacy through planned educational programs would improve health behavior of individual and community
The Effect of Husband Support on the Successful Initiation of Early Breastfeeding in the Work Area of Pakisjaya Public Health, Karawang Regency In 2022
No full textAims: The success of breastfeeding in a group of husbands who understand breastfeeding.
Methods: This study employed a cross-sectional, analytical survey research strategy. A total of 32 participants were randomly selected for the sample. Both univariate analysis and bivariate analysis utilizing the Chi-Square test were performed on the data.
Results: According to the study\u27s findings, the proportion of husbands who are extremely supportive of early breastfeeding is 62.5% greater than the number of husbands who are less supportive of early breastfeeding is 6.3%. The statistical test findings revealed that there was a substantial influence on the husband\u27s support for the success of Early Breastfeeding (p-value 0.038 0.05). This suggests that the husband\u27s support is linked to the success of the Early Breastfeeding Intervention.
Conclusion: There is an effect of the husband\u27s support on the success of early breastfeeding initiation in the work area of the Pakisjaya Public Health Center, Karawang Regency in 2022
The Effect of Whatsapp Social Media as a Reminder of Compliance with Family Planning Acceptors in the Independent Practice of Midwife Ade Uum Sumiati Susandy
No full textAims : The purpose of this study was to determine the effect of whatsapp social media as a reminder of compliance with family planning acceptors in the independent practice of midwife Ade Uum Sumiati Susandy.
Methods : The research design uses a quasi experiment with a post test control design. The study population was all family planning acceptors who were at the Independent Midwife Ade Uum Sumiati Susandy Practice, totaling 156 people using simple random sampling. The data collection tool used was the modified MMAS-8 (Morisky Medication Adherence Scale) questionnaire. Data analysis used chi-square.
Results : The results showed that respondents who were given whatsApp social media as a reminder effectively increased family planning acceptor compliance with a p-value = 0.000 with a significance of p <0.05.
Conclusion : WhatsApp social media as a reminder has a significant influence on increasing compliance with family planning acceptor visits at the independent midwife practice Ade Uum Sumiati Susandy
The Influence of Green Beans and Fe Tablets to Increasing Hb Levels of Pregnant Women in Cilamaya Wetan Health Center in 2022
No full textAims: To determine the effect of giving Fe tablets and mung bean juice on increasing Hb levels of pregnant women at the Cilamaya Wetan Public Health Center, Cilamaya Wetan Village in 2022.
Methods: This study used a quasi-experimental research design with a pre-test and post-test approach, with divided into 2 groups, with the sampling method in this study using the quota sampling technique, namely the entire population was sampled, all of them were as many as 48 people. The data collection tool is using a questionnaire. The data collection technique used the square test with the help of SPSS version 28.
Results: Obtained from 48 respondents who were divided into two groups where after being given fe tablets there was an increase in Hb, as well as respondents who were given mung bean juice had an increase in Hb levels. Where the results of the T-test (paired sample test) obtained a p-value of <.001.
Conclusion: From the results of the study, it was found that there was an effect of giving Fe tablets and mung bean juice on the increase in Hb levels in pregnant women in the Cilamaya Wetan Public Health Center in 2022
The Relationship of Pregnant Women\u27s Knowledge about the Provision of Tetanus Toxoid Immunization to Pregnancy in Pmb Tri Lasiyanti Kelurahan Jatimakmur Pondok Gede, Bekasi City 2022
No full textAims: The purpose of this study was to determine the effect of the level of knowledge of pregnant women about giving tetanus toxoid immunization during pregnancy at PMB Tri Lasiyanti, Jatimakmur Village, Pondok Gede, Bekasi City in 2022.
Methods: This study uses an analytical survey with a cross-sectional approach. The sample used in this study amounted to 49 pregnant women using quota sampling that met the inclusion and exclusion criteria.
Results: Based on the results of the chi-square test, the p-value of 0.001 shows that there is a relationship between the two variables, meaning that the mother\u27s level of knowledge can affect the administration of tetanus toxoid immunization at PMB Tri Lasiyanti, Jatimakmur Village, Pondok Gede, Bekasi City 2022.
Conclusion: From a study conducted in 2 months under the title "Level of Knowledge of Pregnant Women About Giving Tetanus Toxoid Immunization Against Pregnancy at PMB Tri Lasiyanti, Jatimakmur Village, Pondok Gede, Bekasi City 2022", based on the independent and dependent variables from the results carried out using data analysis namely univariate and bivariate analysis where both have the same result that is related, with a p-value of 0.001. For further researchers, it can be used as reading material and can be used as basic data as a comparison for further research with variables and a deeper level of analysis about the level of mother\u27s knowledge about tetanus toxoid immunization
Effectiveness of Acupressure and William Flexion Exercise on Reducing the Intensity of Mental Pain in Adolescent Women at Guna Bangsa Vocational School, Banjarsari, Lebak, Banten
No full textAims: Dysmenorrhea is pain or cramps in the lower abdomen that appear before or during menstruation. The problem of menstrual pain in young women if not addressed immediately can have a bad impact on adolescent productivity including learning activities. Data from the Lebak Regency Health Office in 2021 reported dysmenorrhea cases in adolescents by 62.4% of the 5,000 adolescents surveyed and 35% of them complained that their activity was limited due to dysmenorrhea.
Method: The research method uses quasi-experiments with a pre-posttest two group design. Sample of this study was 30 young women in grades X, XI, XII who experienced dysmenorrhea with sampling technique uses total sampling. Instruments use questionnaires. Bivariate analysis uses the paired t-test and independent t-test.
Results: The average dysmenorrhea intensity of young women in the intervention group before being given acupressure massage was 6.60 and after being given acupressure massage decreased to 2.80, while in the control group before being given physical movement william\u27s flexion exercise was 6.53 and after being given acupressure massage decreased to 3.87. The results of statistical tests showed that there was an effectiveness of acupressure and william flexion exercise against reducing the intensity of dysmenorrhea in young women (p = 0.000).
Conclusion : Acupressure massage is more effective at reducing the intensity of dysmenorrhea compared to giving William\u27s flexion exercise. It is hoped that young women will treat dysmenorrhea in a non-pharmacological way, namely by acupressure massage or doing physical movements in William\u27s flexion exercise
Factors Associated with Glycemic Control Among Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study
No full textAims: Even though the prevalence of type 2 diabetes mellitus in Indonesia continues to increase, research data on glycemic management, which is the primary strategy for reducing complications of diabetes mellitus, is still limited. In this study, an evaluation of glycemic control status and related factors was conducted in adult patients with type 2 diabetes mellitus.
Methods: This research was a cross-sectional study with 115 type 2 diabetes adults who came to the Hospital in Kediri for treatment. Data was collected using the UK Diabetes and Diet Questionnaire (UKDDQ) questionnaire, which consists of 24 questions and the Godin Leisure-Time Exercise Questionnaire (GLTEQ), along with a blood glucose check between July and August 2023. The glycemic level was assessed using a random blood glucose level, and \u27poor glycemic control\u27 was defined when the blood glucose level was >200 mg/dL. SPSS was used for descriptive analyses and inferential statistics by chi-square test to analyze the relationship between patients glycemic control status and its relevant risk factors, including demographics, dietary control, and physical activity.
Results: Only 26.1% of type 2 diabetes mellitus patients at Aura Syifa Kediri Hospital have good glycemic control. In bivariate analysis, gender, education, control status of diet, and physical activity (P values 0.05) were significantly correlated with glycemic control. Meanwhile, age, marital status, employment status, and duration of diabetes mellitus (p-value> 0.05) were not associated with glycemic control.
Conclusion: The prevalence of good glycemic control in type 2 diabetes patients remains low. Based on this research, we found that gender, education, diet control, and physical activity were influencing factors in this problem. Publicity and education regarding the importance of glycemic control should be developed for type 2 diabetes patients, and targeted interventions should be made for risk groups
Application Development and Content Validation of "SinoBed" for Pressure Ulcer Prevention and Monitoring
No full textAims: This study aimed to describe the application development and validation of the "SinoBed" application for pressure ulcer prevention and monitoring.
Methods: The Delphi technique was used in this study to validate the researchers\u27 content. Twelve specialists willing to help with this research validate the content of the SinoBed application. The experts were invited through email to participate in the study, and they were then issued an electronic form to fill out and return for evaluation. The data collecting tool was created using the Google Forms® platform and included a sociodemographic survey of the participants and an evaluative survey with seventeen closed-ended questions. We used the CVI (Content Validity Index) to check the information and modified kappa.
Results: The study involved twenty experts, but only twelve participated. The I-CVI ranged from 0.92 to 1.00. The summary received mostly positive expert assessments throughout the study. The SinoBed app has a collection of five unique algorithms. The topics to be discussed in this paper include: 1) Identification creation, 2) Roles as a patient or nurse, 3) Monitoring position and mobilization, 4) Nursing care plan, and 5) Education.
Conclusion: The content supplied in SinoBed® was validated using an expert consensus. The experts determined that the mobile application is suitable for preventing pressure ulcers
Identification of Risk Factor of Adolescent Sexual Behavior in Purwokerto: Pilot Study
No full textIntroduction: Adolescent students drop out of school due to sexual behavior. They are depressed and pregnant. The level and risk factors of sexual behavior in Purwokerto are not comprehensively known.
Aim: The purpose of this study was to determine the level and risk factors of sexual behavior.
Methods: This study uses a quantitative method approach. This type of research is a survey. A survey using the questionnaire that has been statistically tested. Respondents were selected by simple random sampling from April to August 2022 in Purwokerto-Indonesia. Researchers have conducted screening to select adolescents who have risky sexual behavior. A number of 41 adolescents are included in high risk. The data analysis used was descriptive statistics. The data are presented in a frequency distribution table.
Result: These risk factors come from individuals, peers, family, and the environment. Risk factors that have been found in this study include lack of knowledge (17%), dating behavior (66%), the negative influence of peers (78%), disharmonious family (32%), lack of attention from parents (56%), a victim of divorce (7%), free environment (68%), the negative influence of social media (61%), and negative values and beliefs (54%). The highest risk factor is peers (78%).
Conclusion: All risk factors significantly affect adolescent sexual behavior. Peers was the factor which most highly influence sexual behavior. Therefore, adolescents should have assertive abilities so they are not easily influenced