International Journal Of Nursing And Midwifery Science (IJNMS)
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THE RELATIONSHIP OF NUTRITION KNOWLEDGE, FREQUENCY OF ILLNESS AND ECONOMIC STATUS WITH THE INCIDENCE OF STUNTING IN THE WORKING AREA OF THE TANAH KALI KEDINDING SURABAYA HEALTH CENTER
Get PDFStunting is a chronic nutritional problem caused by inadequate nutritional intake for a long time due to a lack of knowledge of mothers in feeding toddlers so that they are not in accordance with the nutritional needs needed. The purpose of this study was to analyze the relationship between knowledge, illness frequency and economic status with the incidence of stunting in the working area of the Tanah Kali Kedinding Health Center. The research method is a correlation analytic study with a cross-sectional approach. The research location was at Tulip and Melati Putih Tanah Merah Utara Posyandu. The sampling technique used an purposive sampling sample of 111 toddlers aged 2-5 years. The research instrument was a questionnaire containing knowledge of toddler nutrition, illness frequency and economic status as well as observations using a microtoise. Data were analyzed by Chi Square test. The results of the study show that there is a relationship between nutritional knowledge and the incidence of stunting and there is no relationship between the frequency of illness, economic status and the incidence of stunting. Chi Square test results showed knowledge p=0.001 (p-value<0.05), frequency of illness p=0.734 (p-value<0.05), economic status p=0.306 (p-value<0.05). The implication of this study is that the level of maternal nutrition knowledge influences attitudes and behavior in choosing food, cadres as the representative of health workers in the community are advised to provide counseling and education using various methods such as videos, leaflets and other media on maternal knowledge regarding balanced nutrition and stunting
The Relationship Between Diabetes Distress and Self-Care in Patients with Diabetes Mellitus
Get PDFOne of the diseases that often occurs among the public is diabetes mellitus, a chronic condition that can cause worsening problems throughout the patient\u27s life due to metabolic disorders that occur in the pancreas. Diabetes sufferers often experience stress, anger, despair, frustration, and emotional disturbances called diabetes distress. This study aims to determine the relationship between diabetes distress and self-care in diabetes sufferers. This type of research uses a quantitative method, with a retrospective approach. The instrument used in this study was a questionnaire that had been tested for validity in previous studies. Respondents were 66 diabetes sufferers at the Bangsal Community Health Center (UPT Bangsal), selected using a total sampling technique. The results of the analysis using the Spearman rho correlation test obtained a p-value of 0.000, indicating a relationship between diabetes distress and self-care in diabetes sufferers at the Bangsal Community Health Center (UPT Bangsal). The correlation coefficient value of -0.644 indicates a strong closeness with a negative direction, meaning that the milder the diabetes distress, the better the self-care behavior
EFFECTIVENESS OF POSTPARTUM EXERCISES ON REDUCING INTERRECTI DISTANCE: A QUASI EXPERIMENTAL STUDY AMONG POSTPARTUM MOTHERS
Get PDFDiastasis rectus abdominis (DRA) is a common postpartum condition characterized by a widening of the inter-recti distance (IRD), which may lead to postural changes, lower back pain, and decreased quality of life. Postpartum exercise is a nonpharmacological intervention designed to strengthen abdominal muscles, improve core stability, and support the reduction of IRD. This study aims to analyze the effectiveness of postpartum exercises in reducing inter-recti distance and improving abdominal muscle recovery among postpartum women. A quasi-experimental pretestposttest control group design was conducted involving 90 postpartum women who met the inclusion and exclusion criteria. Participants were assigned to treatment and control groups, with the intervention group receiving validated postpartum exercise videos performed routinely for six weeks. IRD was measured using a standardized palpation technique with proven validity and reliability. Additional instruments included observation sheets, muscle strength assessments, pain scales, and a postpartum quality-of-life questionnaire using the MPQOL-I (Maternal Postpartum Quality of Life Instrument). Data were analyzed using paired t-tests and independent t-tests with statistical significance set at p < 0.05. A significant reduction in IRD was observed in the treatment group compared with the control group (p = 0.001). The treatment group demonstrated greater improvement in abdominal muscle approximation, indicating a positive effect of postpartum exercises on abdominal wall recovery. Postpartum exercise is effective in reducing inter-recti distance and promoting abdominal muscle recovery in postpartum women. It is recommended as a simple, safe, and evidence-based intervention for postpartum care.
ANALYSIS OF THE ADOLESCENT REPRODUCTIVE HEALTH PEER EDUCATOR PROGRAM USING THE DISCREPANCY MODEL AT JUNIOR HIGH SCHOOL IN MOJOKERTO
Get PDFReproductive health education is a crucial aspect of youth development. One effective approach to providing reproductive health education is through peer educator programs. To ensure the effectiveness of program implementation, a systematic evaluation model is needed. One such model is the Discrepancy Model, which assesses the extent of the discrepancy between expected conditions (program standards) and actual conditions in the field. The purpose of this study was to analyze the implementation of the adolescent reproductive health peer educator program using the Discrepancy Model at Junior High School in Mojokerto. The approach used was descriptive quantitative, with the aim of describing the extent of the conformity between program standards and their implementation in the field based on the dimensions of the discrepancy model. The sample in this study was all 40 students participating in the Peer Educator program (PIK-R Team) and two mentor teachers. Based on the analysis using the Discrepancy Evaluation Model (DEM), the average conformity score to ideal standards reached 92%, with an average discrepancy of 8%, which is considered good. An average discrepancy below 10% indicates that the gap is still within reasonable limits and can be improved through strengthening training, supervision, and ongoing monitoring.
INCREASE PEAK EXPIRATORY FLOW IN COPD PATIENTS THROUGH BALLOON BLOWING EXCERCISE
No full textChronic obstructive pulmonary disease remains a threat to global communities. COPD negatively affects health due to progressively reversible airflow obstruction. This disease has a prognosis that continues to worsen over time. Mortality in patients hospitalized for exacerbations with hypercapnia and acidosis is estimated at 10%. Mortality is 40% in patients who require mechanical ventilation one year after treatment and 49% mortality overall. The aim of this study is to analyze the effect of Balloon Blowing Exercise on peak expiratory flow in COPD patients. This research is a quantitative study with a pre-experimental design using a one-group pre-post test approach. The sample in this study consisted of COPD patients who met the inclusion criteria, namely not currently experiencing contagious pulmonary infections, totaling 30 respondents. The tools used for data collection are balloons, a peak flow meter to measure peak expiratory flow, and SPOs for the balloon blowing exercise breathing exercises. The research results obtained data showing the average value (Mean) of Peak Expiratory Flow (PEF) before the Balloon Blowing Exercise intervention was 90.83 lpm. With a standard deviation of 23.271, this indicates that the peak expiratory flow data in the pre-test group tends to have variations that are not too far from the average value and are largely clustered around the mean value of 90.83. The peak expiratory flow data of patients after the Balloon Blowing Exercise intervention (post-test) showed an average (Mean) PEF value of 103.53 lpm. With a standard deviation of 28.565, this indicates that the post-test PEF data distribution is not too far from its mean. The Wilcoxon Signed Rank Test results showed a Sig.(2-tailed) value of 0.000 < 0.05, meaning H0 is rejected and Ha is accepted, indicating that there is an effect of the Balloon Blowing Exercise on PEF in patients with COPD (Chronic Obstructive Pulmonary Disease). This exercise involves the use of respiratory muscles, thereby helping to strengthen those muscles and improve breathing efficiency. By improving ventilation, preventing water trapping, and strengthening the respiratory muscles, Balloon Blowing Exercise can reduce the work of breathing, which impacts the improvement of APE score
CONFLICT MANAGEMENT STRATEGY IN AN EFFORT TO INCREASE NURSE JOB SATISFACTION AT MAWADDAH MEDIKA HOSPITAL, MOJOKERTO
Get PDFConflict is one part that often occurs in the nurse\u27s work environment. One of the conflicts that often occurs is with clients and colleagues. Prolonged conflict can disrupt a person\u27s physical and mental health and needs immediate treatment. The aim of this research is to determine the relationship between conflict management strategies and nurses\u27 job satisfaction at Mawaddah Medika Hospital, Mojokerto. The research design uses Correlation. The research sample was executive nurses who worked in the inpatient ward of Mawaddah Medika Hospital, totaling 31 respondents. The sampling technique used is proportional random sampling. The research results showed that conflict management strategies used integration strategies (compromise, collaboration and accommodation) were 71%. Statistical tests showed that there was a relationship between conflict management strategies and nurses\u27 job satisfaction with ρ=0.02 with a strong category of relationship. The relationship pattern is positive, meaning that the better the use of integrated management strategies (compromise, collaboration and accommodation), the higher the nurse\u27s job satisfaction. Efforts to improve the ability to handle conflict can be done with conflict management training, conflict handling roleplay with small group discussions
BANTUSAR WITH THE AHA 2020 GUIDELINE ON THE SKILLS OF HEALTH WORKERS AT LUKAS HOSPITAL BANGKALAN, EAST JAVA, INDONESIA
Get PDFCardiac arrest is a critical condition that can be life-threatening where the condition of cardiac output is unable to meet the needs of oxygen to the brain and other vital organs suddenly and can return to normal if appropriate action is taken, BANTUSAR with AHA 2020 Guideline is one of the basic training for the skills of health workers in dealing with emergency problems due to trauma and cardiovascular disorders. Handling these problems is intended to provide basic life support so as to save lives and minimise organ damage and disability of sufferers. This research method uses Quasi Experiment Pre-Post Test Design. This research was conducted at Lukas General Hospital Bangkalan Madura, research data collection was carried out on 21 September 2024 with Total Sampling. Respondents in this study were all health workers at Lukas General Hospital Bangkalan, totalling 65 respondents. In the research process, researchers conducted a pre-test on the ability of health workers\u27 skills in BANTUSAR using an observation sheet, then continued by providing an understanding of the latest BANTUSAR through training, and ended with a post-test. The collected data was then analysed using SPSS-10 with the Wilcoxon Signed Rank Test statistical test. The results of the Wilcoxone signed rank test statistical test showed a significance value / Sig. (2-tailed) ρ-value of 0.000 < α 0.05 with a Z value (-7.278), it can be concluded that H0 is rejected, which means that there is an influence between BANTUSAR and the AHA 2020 Guideline on the skills of health workers. By providing BANTUSAR training at Lukas Hospital Bangkalan Madura, it can improve the skills of health workers which is expected to be in line with patient satisfaction.
 
SEDENTARY LIFESTYLE AND COMORBIDITIES: OVERVIEW OFUPDATED EVIDENCE OF POTENTIAL HEALTH RISK
Get PDFSedentary lifestyle has become a significant public health concern worldwide, contributing significantly to the rising prevalence of non-communicable diseases such as hypertension, type 2 diabetes (T2DM), and obesity. Characterized by prolonged sitting or low-energy activities, it has been associated with physical and psychological health risks. This literature review examines and synthesizes recent evidence on the relationship between sedentary lifestyle and the development of common comorbidities. A literature review design was employed, sourcing relevant full-text articles published between 2018 and 2025 from databases including ScienceDirect, EBSCOhost, ProQuest, and Google Scholar. Inclusion criteria focused on studies that investigated the association between sedentary lifestyle and adult comorbidities, using quantitative, observational, and meta-analytical methods. The results of this study included eight peer-reviewed studies, including observational, cross-sectional analyses, systematic reviews, and randomized clinical trials. The findings showed a significant association between sedentary lifestyles and a variety of comorbidities, including hypertension, T2DM, and obesity. This literature review confirms that a sedentary lifestyle significantly contributes to the risk of hypertension, T2DM, and obesity. As sedentary lifestyles become increasingly common, particularly among the elderly, it is crucial to implement public health initiatives, encourage active living, and develop culturally appropriate interventions to reduce the impact of associated non-communicable diseases
HEALTH CRISIS MANAGEMENT: A STUDY ON THE HANDLING OF SCABIES AS A COMMUNICABLE DISEASE AT AL HUSAIN ISLAMIC BOARDING SCHOOL
No full textIslamic boarding schools are densely populated, communal environments that are highly susceptible to the spread of communicable diseases such as scabies. This study aims to analyze the effectiveness of health crisis management in addressing scabies outbreaks at Al Husain Islamic Boarding School in Magelang.This research employed a quantitative approach using path analysis based on Structural Equation Modeling (SEM) with SmartPLS 3.0. A total of 220 students were selected as respondents using the Slovin formula. Data were collected through a structured questionnaire.The findings indicate that the variables of policy and protocol had the most significant influence on response speed and the overall effectiveness of crisis management (β = 0.279; p = 0.000). Response speed also served as a key mediating factor, strengthening the relationship between healthcare access and the effectiveness of crisis management (β = 0.145; p = 0.004). Conversely, the variables of health education and housing density did not show a significant impact. The effectiveness of health crisis management in Islamic boarding schools is influenced by a combination of robust policies, rapid response, and adequate healthcare access. Structural interventions and strengthened response systems are essential for the prevention of scabies outbreaks
PRODUCT DEVELOPMENT STRATEGY FOR GERIATRIC SERVICES: A CASE STUDY AT A HOSPITAL IN SURABAYA
Get PDFTo support customer needs and ensure smooth organizational operations, such as in hospitals, the development of service products is essential. This analysed strategies for service product development and design recommendations to enhance services and improve patient satisfaction. A descriptive observational study with a cross-sectional approach was conducted. The sample recruitment employed purposive sampling, with a total sample size of 210 patients. The independent variables were social, economic, technological, and policy factors, while the dependent variable was the strategy for service product development. The research instrument was a questionnaire designed and tested for validity and reliability by the researchers. Social factors showed that family support was low at 66.2%, knowledge of electronics and internet development was 73.8%, knowledge of geriatric services was 70.5%, physical quality was 72.8%, and hobbies were 85.3%, categorized as high. For economic factors, the recognition of needs was 80.5%, information-seeking was 75.8%, and purchasing decisions were 77.6%, all categorized as high. Several product opportunity gaps were identified from the analysis of social, economic, technological, and policy factors in the development of geriatric services. The development of day-care services and the implementation of Patient Service Representatives & Geriatric Hotline Services are significant recommendations to meet patient service needs