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    Hubungan antara Efikasi Diri dengan Tingkat Kecemasan Perawat dalam Menghadapi Pandemi Covid-19

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    Nurses are one of the health workers who have a role as the front liner in handling Covid-19. Currently, Covid-19 is a disease with a high risk of transmission for nurses who are in a state of exhaustion, psychological problems, and extraordinary stress so that their anxiety level in dealing with the Covid-19 pandemic increases. Self-efficacy can help nurses provide health services in situations like this. The purpose of this research was to determine the relationship between self-efficacy and the level of anxiety of nurses in facing the Covid-19 pandemic at BRSUD Tabanan. The research design used correlational analytics with the cross-sectional approach. The sample in this study amounted to 79 people using the purposive sampling technique. Self-efficacy was measured using the GSES questionnaire and anxiety levels were measured using the HARS questionnaire. The results showed that 92.4% of the respondents were female, between the ages of 26-35 years as many as 41.8%. The mean score of respondents' self-efficacy shows that the category of self-efficacy is very high. The average score of the respondents' anxiety level shows low anxiety. The results of the Pearson product-moment correlation test resulted in a value of r=-0.962 (p-value=0.000). This study concludes that there is a negative, strong, significant relationship between self-efficacy and anxiety levels. It is expected that nurses will always maintain and maintain self-efficac

    Pengaruh Aromaterapi Lavender dan Serai Merah Terhadap Penurunan Intensitas Nyeri Persalinan Kala I Fase Aktif Pada Ibu Primipara

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    Pain in the active phase of labor will be felt heavier, sharper, and crampy and result in the spread of pain sensations. Pain and stress during labor can trigger the release of the hormone adrenaline. This hormone can cause the oxygen supply to the fetus to decrease, weaken uterine contractions to prolong the labor process. Prolonged labor pain can cause prolonged labor. The purpose of this study was to determine the differences in the effectiveness of lavender and red lemongrass aromatherapy in reducing pain intensity during the active phase in primiparous mothers. This research is quasi-experimental using pre and post-design without a control group. The study population was primiparous mothers who gave birth at the Brati Health Center and met the inclusion criteria. The sampling technique was non-probability sampling using a simple random sampling method. The study showed that the average pain intensity before giving lavender aromatherapy was 5.14 from 8, while the average labor pain intensity in the red lemongrass group before the intervention was 6.14 from 7.86. This indicates that lavender aromatherapy is more effective. when compared with the decrease in the intensity of physiological pain in primiparas by obtaining data for a mean rank of 19.25. In the red lemongrass group, the mean rank was 9.75. With a p-value of 0.001 (<0.05). From the results of the study, it is hoped that lavender aromatherapy and lemongrass aromatherapy can be applied in health care settings as a therapy to reduce pain intensity during labor

    Determinan Perilaku Pemeriksaan HIV pada Wanita Penjaja Seks Langsung di Eks Lokalisasi

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    HIV testing is the most important entry point in HIV/AIDS prevention, care, support, and treatment services. In implementing HIV/AIDS and STI control, the government recommends re-testing for HIV at least once every 6 months in groups with high-risk behavior. However, the coverage of HIV testing in key populations vulnerable to HIV infection, including Direct Female Sex Workers (DFSW) is still low. The purpose of this study was to determine the factors associated with HIV testing behavior among DFSW. The sample in this study amounted to 103 people. Data were analyzed using univariate, bivariate, and multivariate multiple logistic regression methods. The test results showed that the source of the information was related to HIV testing (p-value 0.045); odds ratio 4.401. Peer support was related to HIV testing (p-value 0.023) odds ratio 5.22. Support from field officers was related to compliance with HIV testing (p-value 0.000); odds ratio 19.02. There are two confounding variables, namely health worker support (p-value 0.28); odds ratio 3.747 and attitude (p-valule 0.242); odds ratio 0.461 as a protective factor. From the results of the analysis, it was found that field staff variables had more influence on HIV testing. Efforts to improve HIV testing behavior are carried out by increasing the number of information sources that are presented as attractive as possible. The role of field officers and peers as partners in encouraging DFSW to carry out HIV testing needs to be increased

    Pengaruh Ekstrak Etanol Daun Rhizophora apiculata terhadap Kolesterol Total dan Trigliserida Rattus norvegicus Galur Sprague dawley yang Diinduksi Diet Tinggi Lemak

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    Dyslipidemia is a lipid metabolism disorder in the form of an increase and decrease in the lipid fraction which is one of the high-risk factors for coronary heart disease and other non-communicable diseases. Rhizophora apiculata contains secondary metabolites in the form of flavonoid, tannin, alkaloid, saponin, and terpenoid which are thought to have the effect of preventing an increase in total cholesterol and triglyceride. This research is an experimental study with a posttest-only control group design carried out for 30 days using 30 experimental animals of Rattus norvegicus Sprague Dawley. There were 6 treatment groups, KN which was only given standard feed, K+ which was given quail egg yolk induction, simvastatin 10 mg/day, and K- which was given quail egg yolk induction. On the other hand, P1, P2, and P3 were given quail egg yolk induction, respectively. and leaf extract of Rhizophora apiculata with doses of 56mg/KgBW,m28mg/KgBW, and 14mg/KgBW. Then the rats were terminated using ketamine xylazine and blood was taken through the heart to be examined for total cholesterol and triglyceride using spectrophotometry. The results of the normality Shapiro-Wilk and Levene test p-value>0.05. In the One-way Anova test, cholesterol levels were 0.006 and triglyceride 0,002 (p-valu

    Breastfeeding Self-Efficcacy pada Ibu Hamil Trimester III Hingga Menyusui

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    Self-efficacy is an important psychological and motivational factor in breastfeeding and is a valuable framework for predicting breastfeeding outcomes and demonstrating a mother's confidence in breastfeeding. Breastfeeding Self-efficacy is a predictor of exclusive breastfeeding. The purpose of this study was to determine the determinants and their relationship with breastfeeding self-efficacy in Pringsewu District. Study design correlational quantitative used in 100 pregnant women in the third trimester and breastfeeding mothers of 0-6 months incidentals sampling. Mothers filled out the online questionnaire themselves which was distributed by the research team during April - July 2021. The results of the study showed that 67% of respondents had high breastfeeding self-efficacy. There is a significant relationship between education level, parity, employment status, knowledge, breastfeeding experience, observation of others, and husband's verbal persuasion with breastfeeding self-efficacy mother (p-valu

    HUBUNGAN SIKAP, KEBIJAKAN PENGELOLAAN SAMPAH, DAN DUKUNGAN TENAGA KESEHATAN MASYARAKAT TERHADAP PERILAKU MEMBUANG SAMPAH SEMBARANGAN PADA MASYARAKAT RW 09 KELURAHAN MAMPANG DEPOK

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    Pada tahun 2021, Indonesia menghasilkan jumlah produksi sampah sebanyak 65,2 juta ton setiap tahunnya, dimana dengan jumlah tersebut menjadikan Indonesia menduduki peringkat keenam sebagai penghasil sampah terbesar di dunia. Hal ini diakibatkan karena tingginya perilaku konsumtif masyarakat. Tujuan penelitian untuk mengetahui hubungan sikap, kebijakan pengelolaan sampah, dan dukungan tenaga kesehatan masyarakat dengan perilaku membuang sampah sembarangan di RW 09 Wilayah Kerja Puskesmas Mampang Kota Depok tahun 2022. Penelitian kuantitatif dengan desain penelitian cross sectional. Populasi dalam penelitian ini yaitu seluruh warga yang bertempat tinggal di RW 09 Kelurahan Mampang Kota Depok dengan jumlah 574 kepala keluarga dalam 4 RT. Teknik pengambilan sampel dilakukan dengan cara cluster random sampling dan didapatkan sebanyak 236 sampel yang terbagi dalam 4 RT. Data yang digunakan data primer melalui penyebaran kuesinoer yang diolah melalui tahapan editing, coding, scoring, dan cleaning serta data sekunder yang berasal dari buku dan literatur. Analisis data dilakukan secara univariat dan bivariat dengan uji chi-square. Hasil penelitian menunjukkan ada hubungan sikap dengan p value sebesar 0,016 (p0,05), dan tidak ada hubungan antara dukungan tenaga kesehatan masyarakat dengan p value sebesar 0,177 (p>0,05) dengan perilaku masyarakat dalam membuang sampah sembarangan di RW 09. Semakin baik sikap masyarakat dengan perilaku membuang sampah sembarangan maka semakin baik pula pola perilaku pembuangan sampah

    Hubungan Lama Menstruasi dan Konsumsi Zat Besi dengan Kadar Hemoglobin pada Remaja Putri

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    Iron nutrient anemia in adolescents can harm health. The purpose of this study was to determine the relationship between menstrual periods and iron consumption with hemoglobin levels in young women at SMP Negeri 19 Kota Bengkulu. This study uses a cross-sectional design. The sampling technique was a purposive sampling of 44 young women. Primary data collection is obtained by measuring the hemoglobin values taken using the Easy Touch GCHb tool, menstrual time taken by questionnaire, and knowing daily iron consumption by direct interview using the Semi-FFQ form, while secondary data is obtained by name, class, age, and the total number of young women in SMP Negeri 19 Kota Bengkulu. The test used in this study is the Pearson correlation test. The results showed that the average menstrual period was 7.7 days, the average yield of iron consumption was 8.14mg/day, and the average yield on hemoglobin levels was 11.70g/dl. The test results of the relationship between menstrual periods and hemoglobin levels obtained p value=0.005 with r=-0.417 shows that the strength of a moderate and negative pattern of relationship means that the greater the duration of menstruation, the smaller the hemoglobin level, and there is a relationship between iron consumption and hemoglobin levels obtained p-value=0,000 with r=0.665 shows that the strength of a strong relationship and positive pattern means that the greater the consumption of iron, the greater the hemoglobin level. There is a relationship between the duration of menstruation and hemoglobin levels, iron consumption, and hemoglobin levels.Â

    Dukungan Keluarga dan Efikasi Diri selama Pandemi Covid-19: Perspektif Perawat

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    Nurses are at the forefront in fighting against Covid-19 and are most likely in face-to-face interactions with patients in clinics or hospitals. Their jobs put them at risk of being infected by a coronavirus, forced them to wear protective equipment which made them uncomfortable, demanded them to deal with uncertainties, and handled patients who mostly fear of being infected by the virus when they visited a hospital. Having a belief that one can master certain situations and overcome obstacles is so-called self-efficacy. It is hard for nurses to carry out their roles during the Covid-19 pandemic, but social support may help to reduce stress and psychological burden. The study aims to examine the effect of family support on nurses' self-efficacy during the Covid-19 pandemic. Participants consisted of 98 nurses who worked in a private hospital in the Central Java province. We used the following scales to collect data: the Family Support Scale and the Self-efficacy Scale distributed to the participants using online and offline modes. The results of simple regression analysis showed an effect of family support on nurses' self-efficacy during the Covid-19 pandemic (p-value<0.001). Family support contributed 50.6% to nurse efficacy. Further studies may investigate other factors influencing nurses' efficacy during the Covid-19 pandemic

    Kelas Gizi Secara Daring Meningkatkan Pengetahuan Gizi dan Kadar Hemoglobin Remaja di Masa Pandemi Covid-19

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    Nutritional problems during the Covid-19 pandemic are one of the problems that need attention among adolescents.  Nutrition education which is carried out regularly in the form of nutrition classes is expected to influence nutritional knowledge, nutritional status, and hemoglobin levels in adolescents. The purpose of this study was to determine the effect of providing nutrition education in the form of nutrition classes on knowledge, nutritional status, and hemoglobin levels of adolescents during the Covid-19 pandemic. This study was an experimental study with a quasi-experimental one-group design with pre-test – post-test. The sample in this study were students of Al-Istiqomah Wanasari Islamic Boarding School in Bandung. The intervention was carried out for 3 months with 6 meetings online.  Nutritional knowledge was measured using an online form, nutritional status was measured by BMI for Age indicators, and hemoglobin levels were measured through peripheral blood vessels. Analysis of the data was used dependent sample t-test for normally distributed data.  Data that are not normally distributed are performed by the Wilcoxon test. The average nutritional knowledge, nutritional status, and hemoglobin levels of the samples before intervention were 14.75, 0.19, and 14.36 mg/dl, after the intervention increased to 18.06, 0.24, and 15.45mg/dl. Nutrition education in the form of online nutrition classes affected increasing nutritional knowledge (p-value=0.000) and hemoglobin levels (p-value=0.001) after an intervention. Online nutrition classes can be conducted during the Covid-19 pandemic to increase adolescent nutrition knowledge in achieving optimal health status

    Karakteristik, Asupan Protein, Kadar Protein Total dan Kejadian Kekurangan Energi Kronis pada Ibu Hamil: Studi Cross Sectional

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    Latar Belakang: Penanggulangan masalah gizi untuk meningkatkan kualitas sumber daya manusia yang paling baik adalah pada periode kehamilan. Ibu hamil merupakan kelompok yang kritis dan rentan terhadap kekurangan gizi, diantaranya kekurangan energi kronik (KEK). KEK mempunyai dampak buruk terhadap janin pada saat hamil dan sebagian besar tidak dapat dikoreksi setelah bayi lahir. Tujuan: Penelitian ini bertujuan untuk mengevaluasi faktor-faktor yang berhubungan dengan KEK pada ibu hamil. Kajian faktor risiko atau penyebab KEK sebagai rekomendasi intervensi menurunkan kejadian KEK. Metode: Penelitian ini dilaksanakan pada bulan Juni 2022 dengan desain cross-sectional. Sampel yang digunakan adalah 107 ibu hamil berusia 20-35 tahun di Kabupaten Seluma yang dipilih secara random sampling. Asupan protein diperoleh dengan food recall 3x24 jam, kemudian dihitung dengan menggunakan nutri survey, kadar protein total diperoleh dengan pemeriksaan serum darah (20 µl) dengan metode biuret, status gizi ibu berdasarkan kategori KEK dan tidak KEK. Data dianalisis menggunakan analisis univariat dan bivariat. Hasil: Hasil uji chi square menunjukkan ada hubungan paritas dengan kejadian KEK. Sedangkan, variabel usia, usia kehamilan, pendapatan keluarga, pendidikan ibu, pekerjaan ibu, dan jumlah keluarga tidak menunjukkan ada hubungan (p > 0,05). Simpulan: Studi ini terbukti paritas sebagai faktor risiko yang dapat meningkatkan kejadian KEK. Perlu edukasi untuk menurunkan dan mencegah KEK pada ibu hamil yang mempunyai anak > 1 orang saat ibu hamil melakukan kunjungan ke pelayanan kesehatan. Abstract: Characteristic, Protein Intake, Total Protein Levels and The Incidence of Chronic Energy Deficiency in Pregnant Women: Cross-sectional Study Background: The best way to deal with nutritional problems to improve the quality of human resources is during pregnancy. Pregnant women are a group that is critical and vulnerable to malnutrition, including chronic energy deficiency (CED). KEK has a negative impact on the fetus during pregnancy and most of it cannot be corrected after the baby is born. Purpose: This study aims to evaluate faktors associated with CED in pregnant women. Study of risk faktors or causes of CED as an intervention recommendation to reduce the incidence of CED. Methods: This study was conducted in June 2022 with a cross-sectional design. The sample used was 107 pregnant women aged 20-35 years in Seluma Regency who were selected by random sampling. Protein intake was obtained by food recall 3x24 hours, then calculated using a nutritional survey. Total protein levels were obtained by examining blood serum (20 µl) using the Biuret method. Maternal nutritional status was based on CED and non-SEZ categories. Data were analyzed using univariate and bivariate analysis. Results: The results of the chi-square test showed that there was a relationship between parity and the incidence of CED. Meanwhile, the variables age, gestational age, family income, mother's education, mother's occupation, and family size did not show any relationship (p> 0.05). Conclusion: This study proved parity is a risk faktor that can increase the incidence of CED. Education is needed to reduce and prevent KEK in pregnant women who have children > 1 person when pregnant women make visits to health services

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