Citra Delima Scientific journal of Citra Internasional Institute
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The Effectiveness Of Ball Grip Therapy In Stroke Patients: Literature Review
The damage resulting from a stroke is due to the blood vessels of the brain getting afflicted. Stroke ranks second in terms of disability and death globally, only preceded by cardiovascular diseases. In 87% of the countries affected by stroke, Indonesia included, it is estimated that stroke is the leading cause for death and disability. This study aims to analyze whether ball grip therapy is effective in stroke patients. This study is descriptive and analytical in nature focusing on the benefits that stroke patients can gain from ball grip therapy. This study used a quantitative approach which stemmed from research based on an electronic literature review. A wealth of research supports that consistent and repetitive use of a rubber ball grip improves muscle strength effectively. This also proves that the treatment in fact has the potential to improve muscle strength as well as speed up blood circulation. Rubber ball grip exercise therapy is recommended as a nursing intervention for managing muscle strength with non-hemorrhagic stroke clients.The damage resulting from a stroke is due to the blood vessels of the brain getting afflicted. Stroke ranks second in terms of disability and death globally, only preceded by cardiovascular diseases. In 87% of the countries affected by stroke, Indonesia included, it is estimated that stroke is the leading cause for death and disability. This study aims to analyze whether ball grip therapy is effective in stroke patients. This study is descriptive and analytical in nature focusing on the benefits that stroke patients can gain from ball grip therapy. This study used a quantitative approach which stemmed from research based on an electronic literature review. A wealth of research supports that consistent and repetitive use of a rubber ball grip improves muscle strength effectively. This also proves that the treatment in fact has the potential to improve muscle strength as well as speed up blood circulation. Rubber ball grip exercise therapy is recommended as a nursing intervention for managing muscle strength with non-hemorrhagic stroke clients
The Benefits Of Mental Health Promotion In School Environments On Improving Emotional Well-Being In Adolescents
Adolescents are an age group that experiences puberty which is marked by physical and psychological changes. The demands of facing challenges during this period can affect the emotional well-being of adolescents. Improving emotional well-being in adolescents can involve the role of schools because in general adolescents will spend more time at school with their peers. Schools are considered to be the right place to promote mental health. This study aims to see the benefits of mental health promotion in the school environment on improving emotional well-being in adolescents. This study is a quasi-experimental study with a control group pre-posttest design. The sampling technique used Stratified Random Sampling with a total sample of 70 adolescents aged 15-18 years from one of the Senior High Schools (SMA) in East Kolaka Regency, Southeast Sulawesi. Assessments related to emotional well-being were assessed using the Strengths and Difficulties Questionnaire (SDQ). There was a significant difference between the pre-test and post-test after mental health promotion in the school environment on improving emotional well-being by showing a p-value <0.005. The results of the study indicate that mental health promotion in the school environment has a significant effect on improving emotional well-being in adolescents. Due to the great benefits of mental health promotion, it is highly recommended for schools to integrate mental health promotion into school activities to improve emotional well-being in adolescents
Pengaruh Pendidikan Kesehatan Dengan Media Booklet Terhadap Kecemasan
Anxiety is a condition where someone feels uncomfortable accompanied by shadows of fear, alienation, accompanied by a sense of insecurity. Conditions of fear and uncertainty can convey a response to a situation where someone can predict a threatening situation so that someone can prepare themselves to face the situation. The purpose of this study was to determine the effect of health education using booklet media on client anxiety at the Muratara Palembang Shelter. The research design in this study was Pre-Experimental Pretest-Post Test Only One Group Design with a sample of 35 respondents. Results From the study it was found that health education using "booklet" media had an effect on anxiety in patients at the Muratara Palembang Shelter with a value of 0.00. With an average value of the client\u27s anxiety level before being given health education with booklet media of 31.943. And the average value of the client\u27s anxiety level after being given health education with booklet media was 23.029. It can be concluded that there is a decrease in the level of anxiety before being given health education using Booklet media with after being given health education using Booklet media taken from the p value of 0.000.Kecemasan merupakan suatu keadaan dimana seseorang merasakan ketidaknyaman disertai bayang-bayang ketakutan, keterasingan, disertai rasa tidak aman. Kondisi ketakutan dan ketidakpastian bisa menyampaikan respon akan suatu keadaan dimana seseorang bisa memprediksi suatu keadaan yang mengancam sehingga seseorang bisa mempersiapakan diri untuk menghadapi keadaan tersebut. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan kesehatan menggunakan media booklet terhadap kecemasan klien di Rumah Singgah Muratara Palembang. Desain penelitian pada penelitian ini Pre-Eksperimental Pretest-Post Test Only One Group Design dengan sampel sebanyak 35 responden. Hasil Dari penelitian ditemukan bahwa pendidikan kesehatan dengan menggunakan media “booklet” memiliki pengaruh terhadap kecemasan terhadap pasien di Rumah Singgah Muratara Palembang dengan nilai 0.00. Dengan nilai rata-rata tingkat kecemasan klien sebelum diberikan pendidikan kesehatan dengan media booklet sebesar 31,943. Dan nilai rata-rata tingkat kecemasan klien setelah diberikan pendidikan kesehatan dengan media booklet sebesar 23,029. Dapat di simpulkan bahwa ada penurunan terhadap tingkat kecemasan sebelum diberikan pendidikan kesehatan menggunakan media Booklet dengan setelah diberikan pendidikan kesehatan menggunakan media Booklet diambil dari nilai p value sebesar 0,000
Supportive Educative System Intervention Based On The Integration Of Self Care And Family Centered Nursing Model On Family Support In Improving The Nutritional Status Of Tuberculosis Patients
Malnutrition and tuberculosis (TB) are interconnected or interconnected problems. Malnutrition in TB patients is one of them influenced by lack of family support for TB patients, both in emotional, appreciative, instrumental, and informational support. The purpose of this study is to evaluate the influence of supportive educational system interventions in improving family support. This research method is quantitative with a quasi experimental design, in two health centers, namely Kandang Mas and Betungan, consisting of 48 respondents who were divided into 2 groups, namely the control group, given the standard intervention of the health center (n=24) and the treatment group, given the standard intervention of the health center and the supportive educative system (n=24). The data were analyzed using the two-way anova test. The results showed that the family development stage and the interaction between the family development stage and the intervention group did not affect family support (p > 0.05). Meanwhile, the supportive educative system intervention had a negative effect on family support in improving the nutritional status of TB patients (p = 0.015, mean = 76.52), however, the supportive educative system intervention had a positive effect on instrumental support in the treatment group (p = 0.029, mean = 81.19). Conclusion of this study is that the supportive educative system intervention is not more effective than the standard intervention of the health center, this can occur due to the influence of sample characteristics, research time, and control of variables and other factors that also affect the results of the study.Malnutrition and tuberculosis (TB) are interconnected or interconnected problems. Malnutrition in TB patients is one of them influenced by lack of family support for TB patients, both in emotional, appreciative, instrumental, and informational support. The purpose of this study is to evaluate the influence of supportive educational system interventions in improving family support. This research method is quantitative with a quasi experimental design, in two health centers, namely Kandang Mas and Betungan, consisting of 48 respondents who were divided into 2 groups, namely the control group, given the standard intervention of the health center (n=24) and the treatment group, given the standard intervention of the health center and the supportive educative system (n=24). The data were analyzed using the two-way anova test. The results showed that the family development stage and the interaction between the family development stage and the intervention group did not affect family support (p > 0.05). Meanwhile, the supportive educative system intervention had a negative effect on family support in improving the nutritional status of TB patients (p = 0.015, mean = 76.52), however, the supportive educative system intervention had a positive effect on instrumental support in the treatment group (p = 0.029, mean = 81.19). Conclusion of this study is that the supportive educative system intervention is not more effective than the standard intervention of the health center, this can occur due to the influence of sample characteristics, research time, and control of variables and other factors that also affect the results of the study
Faktor Risiko Diabetes Melitus Tipe-II Pada Remaja
Diabetes Mellitus (DM) is a non-communicable chronic (chronic) disease and is still a big problem in the world. DM is not only experienced by adults but also by teenagers. Most of the risk factors for DM can be modified, so researchers are interested in conducting this research as early as possible among teenagers. This study aims to analyze risk factors for DM in adolescents. The research is a type of quantitative research with a correlational analytical design. The population of class X-XI students with a sample of 100 people. Data was collected using a questionnaire and analyzed using SPSS computerized assistance. Statistical analysis used chi-square to assess the relationship between nutritional status variables and the GDS value (p-value=0.294) and the relationship between activity patterns and the GDS value, namely (p-value=0.780). The conclusion in this study is that there is no relationship between nutritional status and activity patterns and GDS scores in adolescents.Diabetes Melitus (DM) merupakan salah satu penyakit kronis (menahun) tidak menular dan masih menjadi permasalahan besar di Dunia. DM tidak hanya dialami oleh kalangan dewasa saja namun juga oleh para remaja. Faktor risiko terjadinya penyakit DM sebagaian besar bisa dimodifikasi, sehingga oleh karena itu peneliti tertarik untuk melakukan penelitian ini sedini mungkin di kalangan remaja. Penelitian ini bertujuan untuk menganalis faktor-faktor risiko terhadap penyakit DM pada remaja. Penelitian adalah jenis penelitian kuantitatif dengan desain analitik korelasional. Populasi siswa kelas X-XI dengan sampel berjumlah 100 orang. Data dikumpulkan menggunakan kuesioner, dan dianalisis menggunakan bantuan komputerisasi SPSS. Analisis statistik menggunakan chi-square untuk menilai hubungan antara variabel status gizi dengan nilai GDS (p-value=0,294) dan hubungan antara pola aktivitas dengan nilai GDS yaitu (p-value=0,780). Kesimpulan dalam penelitian ini tidak ada hubungan antara status gizi dan pola aktivitas dengan nilai GDS pada remaja
Hubungan Pengetahuan, Sikap Dan Status Ekonomi Dengan Kejadian Anemia Pada Ibu Hamil
Anemia is condition with hemoglobin, hematocrit and red blood cell levels that are lower than normal values of < 11 g / dl in pregnant women. Anemia is more common during pregnancy because in pregnancy the need for food substances increases which causes changes in the blood and bone marrow. The purpose of this study is to determine the relationship between knowledge, attitudes and economic status with the incidence of anemia in pregnant women in the working area of the Sungai Selan Health Center, Central Bangka Regency in 2023. This research design is a quantitative research using cross-sectional methods. The samples in this study are pregnant women who carried out pregnancy checks in the Sungai Selan Health Center Work area, Central Bangka Regency in 2023. Data from this study was analyzed using Chi Square Test. The results showed a relationship between p value knowledge (0.037) and p value economic status (0.002) with the incidence of anemia in pregnant women. An unrelated factor is the p value attitude (0.822) with the incidence of anemia in pregnant women. Suggestions from this study are expected by health workers to increase their role as educators and motivators to increase knowledge of pregnant women with the incidence of anemia during pregnancy.Anemia adalah keadaan dengan kadar hemoglobin, hematokrit, dan sel darah merah yang lebih rendah dari nilai normal < 11 gr/dl pada ibu hamil. Anemia dapat berdampak buruk bagi ibu hamil. Anemia lebih sering dijumpai pada masa kehamilan karena dalam kehamilan kebutuhan zat-zat makanan bertambah yang menyebabkan terjadi perubahan dalam darah dan sumsum tulang. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan, sikap dan status ekonomi dengan kejadian anemia pada ibu hamil di wilayah kerja Puskesmas Sungai Selan Kabupaten Bangka Tengah Tahun 2023. Desain penelitian menggunakan kuantitatif dengan metode cross-sectional. Sampel dalam penelitian ini 83 ibu hamil yang melakukan pemeriksaan kehamilan di wilayah Kerja Puskesmas Sungai Selan dengan teknik simple random sampling. Data dari penelitian ini di analisis dengan menggunakan Uji Chi Square. Alat ukur yang digunakan pada penelitian ini menggunakan kuisioner skala guttman. Hasil penelitian menunjukkan ada hubungan antara pengetahuan p value (0,037) dan status ekonomi p value (0,002) dengan kejadian anemia pada ibu hamil. Faktor yang tidak berhubungan adalah sikap p value (0,822) dengan kejadian anemia pada ibu hamil. Saran dari penelitian ini diharapkan tenaga kesehatan dapat meningkatkan perannya sebagai edukator dn motivator untuk meningkatkan pengetahuan ibu hamil dengan kejadian anemia pada masa kehamilan
Hubungan Gula Darah Dan Indeks Massa Tubuh (IMT) Terhadap Kejadian Gangguan Siklus Menstruasi Pada Mahasiswi: Hubungan Gula Darah Dan Indeks Massa Tubuh (IMT) Terhadap Kejadian Gangguan Siklus Menstruasi Pada Mahasiswi
Increased blood sugar and BMI are factors that can affect the incidence of menstrual cycle disorders. The purpose of this study was to determine the relationship between blood sugar levels and BMI on the incidence of menstrual cycle disorders in nursing students of FIKes-UMS. This research design is quantitative analytic with cross sectional design. The population in this study were all nursing students of UMS as many as 66 respondents, with total sampling technique. Data collection with a questionnaire contains the value of Timed Blood Glucose and BMI. Chi-Square statistical analysis test obtained p-value <0.05 which means there is a significant relationship between blood sugar levels and BMI on the incidence of menstrual cycle disorders. The conclusion is that there is a relationship between blood sugar and BMI on the incidence of menstrual cycle disorders in female FIKes-UMS students. Suggestions are expected that research can be developed again for further researchers by adding variables, the number of respondents and research methods.Peningkatan Gula darah dan IMT merupakan faktor yang dapat mempengaruhi kejadian gangguan siklus menstruasi. Tujuan penelitian ini untuk mengetahui hubungan gula darah dan IMT terhadap kejadian gangguan siklus menstruasi pada mahasiswi Keperawatan FIKes-UMS. Desain penelitian ini adalah analitik kuantitatif dengan rancangan cross sectional. Populasi dalam penelitian ini adalah seluruh mahasiswi Keperawatan UMS sebanyak 66 responden, dengan Tehnik pengambilan sampel total sampling. Pengambilan data dengan kuisoner berisi nilai Glukosa Darah Sewaktu dan IMT. Uji analisis statistik Chi-Square diperoleh hasil p-value < 0,05. Kesimpulan ada hubungan gula darah dan IMT terhadap kejadian gangguan siklus menstruasi pada mahasiswi FIKes-UMS. Saran diharapkan penelitian dapat dikembangkan lagi bagi peneliti selanjutnya dengan menambah variabel, jumlah responden dan metode penelitiannya
Hubungan Ibu-Anak Perempuan dengan Regulasi Emosi Mahasiswi Fakultas S1 Ilmu Keperawatan
A student has their own way of solving a problem faced when they are in a stressful situation. One of the things that determines individual emotion regulation strategies is the social support provided by the family, the role of a mother being a common result that represents the relationship between parents and children in the family. The aim is to determine the relationship of various dimensions of mother-daughter relationship with emotion regulation of 2019 batch of female students, Faculty of S1 Nursing Science, Universitas Muhammadiyah Cirebon. This type of research is quantitative research with a cross sectional design. The study population was 90 respondents. The sampling technique was total sampling. Statistical tests using Chi Square. The research tool was a questionnaire. The results of the analysis based on the Chi Square test show that the ? value of the connectedness subscale in the mother-daughter relationship has no relationship with the level of emotional regulation, with a sig value of 0.307 (p-value 0.05). The interdependency subscale in the mother-daughter relationship has no relationship with the level of emotion regulation, with a sig value of 0.451 (p-value 0.05). The trust in hierarchy subscale in the mother-daughter relationship has no relationship with the level of emotion regulation, with a sig value of 0.076 (p-value 0.05). Parents need to continue to improve communication skills with children, by teaching self-control including emotional management in a child.Seorang mahasiswa memiliki cara masing-masing dalam menyelesaikan suatu masalah yang dihadapi ketika sedang berada dalam situasi penuh dengan tekanan. Hal yang menentukan strategi regulasi emosi individu salah satunya adalah dukungan sosial yang diberikan oleh keluarga, peran seorang ibu menjadi hasil umum yang mewakili hubungan orangtua dan anak dalam keluarga. Tujuannya untuk mengetahui hubungan berbagai dimensi mother-daughter relationship dengan regulasi emosi mahasiswi angkatan 2019 Fakultas S1 Ilmu Keperawatan Universitas Muhammadiyah Cirebon. Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan cross sectional. Populasi penelitian sebanyak 90 responden. Teknik pengambilan sempel adalah total sampling. Uji statistik memakai Chi Square. Alat penelitian adalah kuesioner. Hasil analisis berdasarkan uji Chi Square menunjukan bahwa nilai ? Subskala connectedness dalam mother-daughter relationship tidak mempunyai hubungan dengan tingkat regulasi emosi, dengan nilai sig 0,307 (p-value 0,05). Subskala interdependency dalam mother-daughter relationship tidak mempunyai hubungan dengan tingkat regulasi emosi, dengan nilai sig 0,451 (p-value 0,05). Subskala trust in hierarchy dalam mother- daughter relationship tidak mempunyai hubungan dengan tingkat regulasi emosi, dengan nilai sig 0,076 (p-value 0,05). Orangtua perlu terus meningkatkan keterampilan komunikasi dengan anak, dengan cara mengajarkan kontrol diri termasuk pengelolaan emosi pada seorang anak
Pengaruh Perawatan Luka Modern Dressing Terhadap Derajat Luka Ulkus Diabetikum
One of the complications of Diabetes Mellitus (DM) is Diabetic Ulcer. Diabetic ulcers are wounds that require special care, management to treat diabetic ulcers, namely the Modern Dressing method. Diabetic foot wounds are caused by several factors, namely neuropathy, trauma, foot deformity, high pressure on the soles of the feet and peripheral vascular disease. Comprehensive and systemic examination and classification of diabetic ulcers can help provide and guide adequate treatment. The aim of this study was to determine the effect of wound care using modern dressing methods on the degree of diabetic ulcers. This research uses a quasi-experimental method with a pre-post test two group design approach, namely a research method carried out observationally. The research results showed that the average value of wound care using modern dressing methods was the average value before (19.15) and the average after intervention (12.81). So it can be said that there is an influence of modern dressings on the degree of diabetic ulcer wounds.Ulkus Diabetikum merupakan luka yang membutuhkan perawatan khusus, penatalaksanaan untuk mengatasi luka ulkus diabetik, yaitu dengan metode Modern Dressing. Luka kaki diabetes disebabkan oleh beberapa faktor yaitu neuropati, trauma, deformitas kaki, tekanan tinggi pada telapak tangan kaki dan penyakit vaskuler perifer. Pemeriksaan dan klasifikasi ulkus diabetes yang menyeluruh dan sistemik dapat membantu memberikan dan arahan perawatan yang adekuat. Tujuan pada penelitian ini untuk Mengetahui pengaruh perawatan luka menggunakan metode modern dressing terhadap derajat luka ulkus diabetikum. Penelitian ini menggunakan metode quasi-eksperimental dengan pendekatan pre-post test two group design yaitu suatu metode penelitian yang dilakukan dengan observasional. Hasil Penelitian didapatkan Rata-rata nilai perawatan luka dengan metode modern dressing yaitu nilai rata-rata sebelum yaitu (17.53) dan rata-rata sesudah intervensi (8.93). sehingga dikatakan Ada pengaruh modern dressing terhadap derajat luka ulkus diabetikum
Skrining Kesehatan Jiwa pada Ibu Hamil sudahkah diimplementasikan?
Midwifery care for pregnant women is carried out based on standards set by the government in Minister of Health Regulation no. 21 of 2021, as one of the strategies for reducing maternal mortality. Standards for antenatal care include 10 Ts, namely measurement of weight and height, measurement of blood pressure, measurement of upper arm circumference, measurement of the uterine fundus, fetal presentation and determination of fetal heart rate, examination and administration of tetanus vaccination, administration of blood supplement tablets, laboratory tests, management and interviews as well as mental health assessments. Objective: Analyze the implementation of the ANC 10 T standard in Bangka Belitung province.Method: Qualitative research, data collection was carried out by conducting interviews with 10 respondents and filling out questionnaires with 124 pregnant women and 41 midwifes. The research was conducted in July – October 2023.Results: Of the 124 respondents, 57.3% of people stated that ANC services were according to standards, 10.5% were quite suitable and 32.3% were very suitable. Of the 41 midwifes, 48.8% said ANC services were very suitable, 34.1% said they were good and 14.6% said they were moderate, and 2.4% felt they were not appropriate in carrying out ANC. Conclusion: The 10 T ANC service standard has been implemented in all primary health services (Puskesmas) however technical instructions/screening regarding ANC services related to mental health have not been optimally implemented. Cross-sector coordination is needed to improve the quality of 10 T services.Asuhan kebidanan pada ibu hamil dilakukan berdasarkan standar yang telah di tetapkan oleh pemerintah dalam Permenkes no 21 tahun 2021, sebagai salah satu strategi dalam menurunkan Angka Kematian Ibu. Standar pelayanan antenatal yang meliputi 10 T yaitu pengukuran berat badan dan tinggi badan, pengukuran tekanan darah, pengukuran lingkar lengan atas, pengukuran fundus uteri, presentasi janin serta penentuan denyut jantung janin, pemeriksaan dan pemberian vaksinasi tetanus, pemberian tablet tambah darah, tes laboratorium, tata laksana dan temu wicara serta penilaian kesehatan jiwa. Tujuan: Menganalisis pelaksanaan standar ANC 10 T di provinsi Bangka Belitung. Metode: Penelitian kualitatif, dilakukan pengambilan data dengan melakukan wawancara terhadap 10 orang responden dan pengisian kuesioner kepada 124 ibu hamil dan 41 bidan. Penelitian dilakukan pada bulan september – oktober 2023. Hasil: Dari 124 responden, sebanyak 57,3% orang menyatakan pelayanan ANC sesuai standar, sebanyak 10,5% cukup sesuai dan 32,3% sangat sesuai. Dari 41 responden bidan, 48,8% menyatakan pelayanan ANC sangat sesuai, 34,1% menyatakan baik dan 14,6% menyatakan sedang, dan 2,4% merasa kurang sesuai dalam melaksanakan ANC. Simpulan : Standar pelayanan ANC 10 T telah dilakukan di semua pelayanan kesehatan primer (Puskesmas) akan tetapi petunjuk teknis / skrining terkait pelayanan anc yang berhubungan dengan kesehatan jiwa belum optimal dilakukan. Diperlukan koordinasi lintas sektor untuk meningkatkan kualitas pelayanan 10 T