Jurnal Keperawatan Komprehensif (JKK)
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Challenges on Standardized Diabetes Mellitus Care Implementation in the Primary Health Care in Indonesia: A Narrative Review
No full textAims: The prevalence of diabetes mellitus remains high worldwide and has long-term health implications and impacts on the quality of life of those affected. As a catastrophic disease, diabetes mellitus has the potential to burden national healthcare financing, including in Indonesia. Improving standardized diabetes mellitus services, starting from primary healthcare facilities, is a critical effort that is hoped to address this potential burden. The aim of this study is to synthesize and obtain information on the challenges of implementing minimum standards for diabetes mellitus services in Indonesia.
Method: This study is a narrative literature review using the PRISMA framework. In this review, inclusion and exclusion criteria to gather articles from Pubmed, ScienceDirect, Google Scholar, ProQuest, and Emerald. The MMAT instrument was used to select eligible articles in study.
Results: Our findings indicate that 19 eligible journal articles related to the challenges of implementing minimum standards for diabetes mellitus services in Indonesia. The synthesis results showed that there are challenges in implementing minimum standards for diabetes mellitus services in Indonesia, particularly in the internal and external aspects of patients, primary healthcare facilities, and the government.
Conclusions: The challenges of implementing minimum standards for diabetes mellitus services in Indonesia need to be addressed through enhancing the interpersonal and practical skills of healthcare providers, strengthening the role of primary healthcare facilities and the government, ensuring adequate funding support, and establishing appropriate indicators that reflect the field\u27s conditions as a reference for achieving the implementation of minimum standards for diabetes mellitus services in Indonesia
Comparison of the Effectiveness of Video Based Learning Methods and Peer Group Methods on Increasing Knowledge of Young Women Consuming Blood Supplement Tablets at SMPN 4 Kota Baru Cikampek Karawang
No full textAims : Blood supplement tablets are tablets to prevent anemia in adolescents, but in reality there are still many adolescents who do not know about these supplements. One of the efforts made to increase knowledge is to provide health education or education using media such as video based learning and peer group methods.
Methods : A pre-experimental demham one-group pretest-posttest design was employed in this investigation. To collect knowledge data before and after the intervention, a one-group pre-post test design was used. In this study, 58 young women who met the inclusion criteria were sampled. A questionnaire was utilized to collect data, and the results were analyzed using a paired test.
Results : The average score of knowledge after being given Video Based Learning was 15.91 and after being given the Peer group method was 12.98. The results of the test using the paired T test showed that there was an effect of the Video Based Learning Method and the peer group method on the knowledge of young women in taking iron supplement tablets (each p value 0.000). The Video Based Learning Method and the Peer Group Method are more effective in increasing the knowledge of young women in consuming iron supplement tablets with a p value of 0.000
Conclusions : Video Based learning and the Peer group method can affect youth knowledge, but Video Based learning is more effective in increasing knowledge about TTD. Therefore midwives are advised to provide health education to adolescents using video media
The Effectiveness of Position Arrangements on the Length of Recovery of Patients\u27 Consciousness Level with General Anesthesia in the Recovery Room of RSUD Matraman
No full textAims : This study aims to determine the effectiveness of semi-Fowler\u27s and lateral positioning on the length of recovery of consciousness in patients with general anesthesia.
Methods : A sample of 60 respondents was carried out using an independent T test with a significance of α = 0.05. If the test results in this study have an effect then it is obtained (ρvalue <0.05). Researchers will carry out the Normality Test and Homogeneity Test as a condition in the independent T test.
Results : Researchers found that a patient\u27s position changes how long it takes for them to wake up after surgery with general anesthesia by 87%. The largest number of respondents (35%) were between the ages of 36 and 40. This was followed by the age range of 26 to 30 years, with 16 respondents (26.7%), the age range of 20 to 25 years, with 13 respondents (21.6%), and the age range of 31 to 35 years, with at least 10 respondents (16.7%). Body temperature had a big effect on how long it took for people with general anesthesia to get better after surgery. The speed or length of a patient\u27s return to awareness after surgery depends on the type of general anesthetic drug used. Studies show that the most widely used drug is propofol + ketamine + midazolam, followed by propofol + midazolam and fentanyl. Most of the time, a slow recovery is caused by leftover anesthetics, sedatives, or painkillers. A drug overdose can also make it take longer for a person to wake up.
Conclusion : Researchers found that a patient\u27s position and body temperature had a big effect on how long it took for them to wake up after surgery with general anesthesia. The most widely used drug is propofol + ketamine + midazolam, followed by propofol + midazolam and fentanyl. Slow recovery is caused by leftover anesthetics, sedatives, or painkillers
The Relationship Between Mother\u27s Knowledge about Booster Immunization with Complete Basic Immunization in the Working Area of Bojong Rawa Lumbu Health Center
No full textAims: According to Ministry of Health figures, BCG vaccine coverage was 93.8% of the target number of 4,461,341 newborns, DPT 1 was 69.6%, Polio 1 was 76.6%, Polio 4 was 92.4%, and measles was 91%. The status of complete basic immunization completeness in children in the province of Java The West in 2018 was 57.9%, slightly lower than Riskesdas 2013, which is 59.2%, while the average value of completeness immunization in Indonesia is 59.2%.
Method: In this study, 73 people were asked to take part. Total selection was the method that was used. The chi-square test was used to look at a descriptive association and a cross-sectional method.
Results: Complete basic immunization was done by respondents at the Bojong Rawa Lumbu Health Center. Univariate selection was done, and knowledge is not just gained from having a better level of schooling. You can also get information from the mass media, from personal and other people, and from health workers who take part.
Conclusion: The level of basic immunization completion at the Bojong Rawa Health Center is correlated with the mother\u27s level of knowledge regarding booster immunization
Efforts to Increase Knowledge of Pregnant Women About Stunting Prevention Through Health Education in Karangmekar Village, Working Area of Central Cimahi Health Center
No full textAims : This study aims to identify changes in pregnant women\u27s knowledge about stunting prevention through health education in the Karangmekar Subdistrict, the working area of the Central Cimahi Health Center, by modifying health education media.
Method : The research method used a pre-experiment with a group pre-post-test design, with a sampling technique was a total sampling of 33 pregnant women respondents. Data analysis used the marginal homogeneity test.
Result : The results of the univariate analysis showed that before health education, the level of knowledge of pregnant women about stunting prevention was 51.5% in the poor category, and after health education was 75.8% in the good category. The results of the bivariate analysis showed that there was an increase in pregnant women\u27s knowledge about stunting prevention through health education with a p-Value (0.000) < α (0.05).
Conclusion : Pregnant women\u27s knowledge about stunting prevention increased significantly before and after health education in Karangmekar Village, Cimahi Health Center work area. The choice of media as a learning aid affects the material presented, making it necessary to develop a sustainable health education program with modifications to learning media
Effect of Green Nuts (Vigna radiata L.) Extract on Blood Hemoglobin (Hb) Levels in Adolescent Women During Menstruation
No full textAims: The most common nutritional problem in adolescents, especially young women, is iron deficiency or anemia. The World Health Organization (WHO) in 2015 reported that more than 30% or 2 billion adolescents in the world are anemic and in developing countries, one of them is Indonesia. Riskesdas data (2018) shows 32% have anemia in the 15-24 year age group. The cause of anemia is due to lack of iron and the impact of anemia is stunted growth, the body is susceptible to infection, reduced body fitness, and decreased enthusiasm for learning. Mung bean essence is a drink that contains 13.41 mg of iron in 100 gr/100 ml.
Objective: To analyze the effect of green bean extract (Vigna radita L.) on blood hemoglobin (Hb) levels during menstruation in female adolescents at SMA Negeri I Ketapang
Method: Pre-experimental design with one group pre-post test. The sampling technique used a purposive sample, namely 44 young women at SMA N 1 Ketapang. Data analysis with Wilcoxon test
Results: Hb levels before being given mung beans, the average value was 11.31 gr/dL, the lowest Hb level was 9 and the highest was 13. Meanwhile, after being given mung beans, the average respondent\u27s Hb level was 12.90 gr/dL with the lowest level is 11 gr/dL and the highest is 14 gr/dL. The results of the Wilcoxon test found a p-value of 0.000 <0.05 meaning that there was an effect of giving green bean extract (Vigna Radita L.) on blood hemoglobin (Hb) levels during menstruation in young women at SMA Negeri I Ketapang.
Conclusions : mung bean extract affects the Hb level of female adolescents during menstruation. It is hoped that teenagers can use mung bean extract as an option in an effort to increase Hb to prevent anemia in adolescents, especially young women
Preventing Stunting Through Digital Family Empowerment: A Thematic Literature Review
No full textAims: The increasing prevalence of stunting and its associated morbidities highlight the need for effective prevention measures. Digital-based family empowerment interventions have been identified as a promising approach to prevent stunting. This study aims to investigate various types of digital-based family empowerment interventions in preventing stunting and optimizing child growth.
Method: It is a thematic literature review using a semi-structured search approach with predefined keywords in four major databases, namely Scopus, PubMed, ProQuest, and Google Scholar. The research applies a systematic research method with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and sets search boundaries using the PICO (Population/Problem, Intervention, Comparison, Outcome) approach. Three search criteria include digital-based family empowerment interventions for stunting prevention, articles published within the last five years, and written in English or Indonesian.
Result: From the search, nine articles were selected, forming three main themes: (1) digital-based child growth and development monitoring programs in preventing stunting; (2) digital-based health education programs for stunting prevention; and (3) digital-based nutrition counseling programs in preventing stunting.
Conclusion: Digital-based family empowerment interventions have proven to be effective in stunting prevention efforts. With a better understanding of these interventions, it is hoped that knowledge and skills in preventing stunting and optimizing child growth can be enhanced. The role of nurses can be pivotal in integrating technology into family education
Relationship between Age and Improvement of Nutritional Status of Stunting Children
No full textAim: to find out the relationship between stunting children\u27s age and improvement in stunting children\u27s nutritional status
Methods: This type of research is a descriptive correlational study with a cross sectional approach and uses the total sampling method with 45 respondents. Collecting data using a questionnaire that includes the age of the child, and improvement of nutritional status. Data analysis using chi-square
Results: children aged 1-15 months experienced an improvement in nutrition 37% while the same nutritional status was 78%, children aged 16-30 months experienced an improvement in nutritional status 13.3% while those who did not experienced nutritional improvement were 86.7%, aged 46¬- 60 months as much as 50% and did not experience an improvement in nutrition as much as 50%. After the Ch-Square test was carried out with a P-Value of 0.022 that there was no significant relationship between stunting children\u27s age and improvement in stunting children\u27s nutritional status.
Conclusions: the improvement of nutritional status in stunted children is not related to the child\u27s age. Other studies on enhancing balanced nutrition could be conducted by other researchers
Diabetes Distress: Assessment And Screening Of Stress Levels Among People With Diabetes Mellitus
No full textAims: Type 2 diabetes mellitus patients are more likely to suffer from depression, with a prevalence of between 24% and 29%. In 2017, there were 184 people with diabetes in the Poasia Health Center\u27s working area, but only 26 of them were actively participating in the prolanis program on a regular basis. The low number of patients who are actively seeking treatment is likely due in part to the fact that they have diabetes.
Methods: Patients with diabetes mellitus (DM) who are registered as prolanis patients at the Poasia Kendari health center are the focus of this descriptive study. Depression levels were assessed using the Diabetes Distress Scale (DDS 17).
Results: There were 26 patients with type II diabetes mellitus (also known as "type II diabetes mellitus") who participated in the researcher\u27s study based on demographic data obtained from the Poasia Health Center that were diagnosed with mild depression, with as many as 20 of them falling into this category. (76.22%), while 23% to 24% of respondents (23.08%) were suffering from moderate to severe depression
Effectiveness of MGSO4 Administration Against Prevention of Eclampsia in Severe Pre-Eclampsia in RSIA Resti Mulya in 2022
No full textAims: To determine the Effectiveness of Mgso4 Administration against Eclampsia Prevention in severe pre-eclampsia in RSIA Resti Mulya in 2022.
Methods: This study used the Quasy Experimental quantitative method, with a retrospective approach. The relationship between the two variables in this study was tested using the dependent paired t-test data analysis technique. The population of this study was all mothers who were severely eclampsia and received MgSo4 therapy as many as 43 respondents, using a total sampling of which all populations were made respondents.
Results: Frequency distribution of characteristics of respondents aged 30.8 years with a gestational age of 37.6 weeks with an obese Body Mass Index (30-39.5) of 39.5%, having a history of peer disease of 81.4%, and the number of multipara childbirth as much as 69.8%. Differences in the prevention of eclampsia (blood pressure and urine protein) in severe pre-eclampsia before and after administration of MgSo4, namely Sistol values of 163.8 vs 121.4. Diastole pressure value of 105.5 vs 80.4. urine protein 1.52. There is the effectiveness of mgso4 administration against the Prevention of eclampsia in severe pre-eclampsia at RSIA Resti Mulya in 2022 with a p-value value: 0.000.
Conclusion: The results of this study are that the administration of MgSo4 effectively prevents eclampsia in severe pre-eclampsia at RSIA Resti Mulya in 2022. Thus, it is expected to refer to the importance of giving MgSo4 to mothers with pre-eclampsia