International Journal Of Nursing And Midwifery Science (IJNMS)
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ANALYSIS OF FACTORS RELATED TO INCREASED URIC ACID LEVELS INPATIENTS AT GENTENG GENERAL HOSPITAL, BANYUWANGI
Get PDFOne of the lifestyle diseases caused is degenerative disease. The incidence of degenerative diseases is often related to age and changes in a person\u27s lifestyle. Age is a factor that is directly related to Body Mass Index (BMI). The aim of this study was to determine the factors associated with increased uric acid levels in inpatients at Genteng Hospital, Banyuwangi Regency. This research used an analytical observational design. The sample in this study were inpatients at Genteng Hospital, Banyuwangi Regency, namely 40 respondents. The sampling technique uses purposive sampling. Tools for the data collection process were questionnaires and observation sheets, then analyzed using the Che Square statistical test with α < 0.05. It is known from the research results that from statistical analysis using the che square test it is known that there is a relationship between the factors age, obesity/BMI and family support with increasing uric acid levels in inpatients at Genteng Hospital, Banyuwangi Regency with p value <0.05. For this reason, it is necessary to maintain your diet, to avoid foods that are fatty and have high purine levels. Supported by regular exercise so that blood circulation becomes smooth, thereby preventing the accumulation of fat and high purines in the blood which cause obesity and gout
APPLICATION OF JEAN WATSON\u27S THEORY IN BREATHING EXERCISE INTERVENTION: A LITERATURE REVIEW
Get PDFBackground: Jean Watson\u27s Caring Theoryemphasizes an empathetic and humanistic relationship between nurses and patients. This literature review aims to examine the application of this theory in breathing exercisesas a holistic approach to improving the physical and psychological conditionof patients. Method: The method used was a database searchon PubMed and Google Scholar with a publication periodrange of 2015-2025. Results: The results show that exercises such as slow deepbreathing, diaphragmatic breathing, progressive muscle relaxation,and finger hold relaxation are effective in reducing blood pressure and anxietyand improving lung function and quality of life. Conclusion: The collaborationbetween Jean Watson\u27s Caring theory and breathing exercises can strengthen the holistic aspectof nursing, create a therapeutic environment, and accelerate the physical and psychological recoveryof patients
Effectiveness of Nutmeg Seed–Aloe Vera Ointment Compared with Ice Compresses for Bruise Healing: A Quasi-Experimental Study
Get PDFBruises are a common problem experienced by Tapak Suci athletes caused by impact or trauma that leads to bleeding under the skin, pain, and swelling. Despite their potential benefits, non-pharmacological therapies have not been widely chosen. This study aims to determine the effectiveness of giving Nutmeg seed and Aloe vera compared to ice compresses for bruises injuries recovery. A quasi-experiment design used on 46 Tapak Suci athletes who divided into two groups, and selected using accidental sampling technique. The intervention group was given Nutmeg seed and Aloe vera ointment for 7 days, and the control group was given ice compresses for 7 days. The instrument used was an observation sheet, and analyzed using Wilcoxon and Mann Whitney tests (α≤0.05). The study showed that 65.2% of respondents experienced fast healing after giving Nutmeg seed and Aloe vera. Both the intervention and control groups showed significant differences between pre-test and post-test results (p=0.001; p=0.000). There was a notable contrast in bruise coloration changes between the two groups during the pre-test and post-test assessments (p=1.000; p=0.001). In conclusion, Nutmeg seed and Aloe vera demonstrated greater efficacy in promoting bruise healing compared to ice compress therapy, accelerating recovery by approximately one day
MORTALITY RISK DETERMINANTS IN ACUTE CORONARY SYNDROME: AN EVIDENCE-BASED LITERATURE REVIEW
Get PDFAcute Coronary Syndrome (ACS) remains a major global health problem and a leading cause of mortality, particularly in low- and middle-income countries where delays in treatment and limited access to reperfusion persist. Early identification of mortality determinants is essential for optimizing management and improving outcomes. This evidence-based review aimed to summarize contemporary predictors of mortality in ACS, incorporating clinical, demographic, laboratory, and hemodynamic factors. A comprehensive search was conducted using PubMed, Scopus, and Google Scholar for articles published between 2017 and 2025. Eleven studies met the eligibility criteria and were synthesized narratively. The findings show that hemodynamic instability, including hypotension, tachycardia, and cardiogenic shock, is the most consistent predictor of early and in-hospital mortality. Renal impairment, high Killip class, reduced left ventricular ejection fraction, and cardiac arrest at presentation also substantially increase risk. Age and comorbidities such as diabetes, hypertension, and chronic kidney disease contribute to both short- and long-term mortality. System delays, including prolonged symptom-to-door and door-to-balloon times, further worsen outcomes, particularly in resource-limited settings. The Simple Risk Index (SRI) emerges as a practical early risk-stratification tool. Strengthening early recognition, ensuring timely reperfusion, and improving management of comorbidities are crucial steps to reduce ACS-related mortalit
THE CORRELATION BETWEEN DEPRESSION LEVEL AND INDEPENDENT LEVEL IN ACTIVITY OF DAILY LIVING (ADL) IN THE ELDERLY WITH AGE 60 YEARS AND OLDER
Get PDFDepression is a feeling of sadness and pessimism associated with an affliction. It can be an attack is shown on self or a deep feeling of anger that can affect the activity of daily living in the elderly. The purpose of this research was to determine the Relationship between Depression Level and Independent Level in Activity of Daily Living (ADL) in The Elderly with Age 60 Years and Older in Hamlet Candisari Village Awang Awang District Mojosari-Mojokerto. This research used analytic correlation survey method with cross sectional approach. The population in this research were all elderly with age 60 years and older in Hamlet Candisari Village Awang Awang District Mojosari-Mojokerto as many as 89 elderly that were taken by total sampling method. In this research, the data collection methods used a depression questionnaire and standard self-sufficiency measure in ADL. The result of the research were more than half of respondents had mild depression as many as 65 respondents (73.0%) with medium dependency as many as 34 respondents (38.2%), then the respondents of moderate to severe depression as many as 18 respondents (20.3%) respondents with moderate dependence as many as 11 respondents (12.4%), and the respondents who are not depressed as many as 6 respondents (6.7%) can still be independent as many as 3 respondents (3.4%). The analysis used cross tabulation showed the relationship between depression level and independent level in activity of daily living (ADL) the wigher level of depression in elderly, then the lower the level of independence.Elderly should be able to Activity of Daily Living (ADL) and regularly attend the elderly health post (Posyandu) and interact socially with the surrounding community.
THE IMPACT OF AUDIO-VISUAL MEDIA-BASED HEALTH EDUCATION USING A FAMILY CENTERED MATERNITY CARE (FCMC) APPROACH TOWARDS MOTIVATION OF WOMEN TO DO VIA TEST (VISUAL INSPECTION WITH ACETIC ACID) AS EARLY DETECTION OF CERVICAL CANCER
No full textWomen of childbearing age are at a higher risk of developing cervical cancer due to their sexual activity. In Indonesia, cervical cancer is the second leading cause of illness and death among women. One way to reduce the mortality rate is through preventive measures, such as early detection using the VIA method. This study aims to evaluate the effectiveness of delivering health education through audiovisual media in enhancing the motivation of women of childbearing age to undergo VIA test. This study employs a quantitative approach with a pre-experimental design, specifically a One Group Pretest-Posttest design. The sample size, determined using the Slovin formula, consisted of 187 respondents selected through probability sampling with a cluster random sampling method. Data analysis was conducted using the Wilcoxon signed rank test. The findings revealed that prior to receiving audiovisual-based health education, only 4.3% of women of childbearing age demonstrated strong motivation to undergo IVA examinations. Following the health education intervention, this percentage increased significantly to 48.1%, indicating a notable improvement in motivation. The statistical test results obtained a p-value of 0.000 (<0.05). In conclusion, audiovisual-based health education using the FCMC (Family Centered Maternity Care) approach is effective in enhancing the motivation of women of childbearing age to undergo VIA test. This study serves as a foundation for strengthening promotive efforts to encourage women to participate in VIA test
FOOD INTAKE, PHYSICAL ACTIVITY, AND FASTING BLOOD GLUCOSEAMONG TYPE 2 DIABETES MELLITUS PATIENTS: A CROSS-SECTIONALSTUDY
Get PDFType 2 Diabetes Mellitus (T2DM) is a metabolic disorder marked by hyperglycemia due to reduced insulin sensitivity and impaired insulin secretion. Poor monitoring of dietary intake and low physical activity often worsen glycemic control. This study aimed to determine the relationship between dietary intake assessed through food recall, physical activity, and fasting blood glucose levels in T2DM patients. This quantitative research employed a descriptive correlational design with a cross-sectional approach and was conducted at Blooto Public Health Center in September 2025. A total of 80 respondents were selected using convenience sampling. Data were collected using a 3-day food recall analyzed with the FatSecret application, the International Physical Activity Questionnaire (IPAQ), and fasting blood glucose measurements using a glucometer. Data analysis included Chi-square tests and Linear Regression. Results showed that 60% of respondents consumed more than 50 grams of sugar per day, 60% had light to moderate physical activity, and 62.5% exhibited elevated fasting blood glucose (>100 mg/dL). Significant relationships were found between food recall and fasting blood glucose (p = 0.000) and between physical activity and fasting blood glucose (p = 0.000). However, the combined effect of dietary intake and physical activity was not significant (p = 0.996). Strengthening dietary education and promoting regular physical activity are essential to improve glycemic control in T2DM patients
ANALYSIS OF THE CAUSES OF HYPERTENSION IN PREGNANCY: IN THE PONEK ROOM OF DR WAHIDIN SUDIRO HUSODO REGIONALHOSPITAL, MOJOKERTO CITY
Get PDFThe maternal mortality rate (MMR) in Indonesia is still relatively high, reaching 183 per 100,000 live births based on the national target of the 2024 National Medium-Term Development Plan (RPJMN). With 4,150 cases, this figure shows a significant gap from the target set in the 2024 RPJMN. The three main causes of maternal death in Indonesia are gestational hypertension (GHD), hemorrhage, and infection. These three causes are largely preventable with appropriate and prompt medical intervention. Despite improvements in the quality of prenatal care, the incidence of gestational hypertension continues to rise. The exact cause of gestational hypertension remains unknown, and the disease is thought to be multifactorial. Currently, there is no definitive way to prevent gestational hypertension . Research Objective: This study was conducted to evaluate the factors causing hypertension in pregnancy and to provide appropriate preventive solutions. The research method used was descriptive research with an observational approach to examine the characteristics of patients with hypertension in pregnancy at Dr. Wahidin Sudiro Husodo Regional General Hospital, Mojokerto City, in 2024-2025. Based on the results of the research that has been carried out, the analysis results obtained by the Maternal Age variable have a p-value of 0.877 (> 0.05), so it can be concluded that there is no relationship between Maternal Age and the occurrence of Hypertension in Pregnancy, the Parity variable has a p-value of 0.995 (> 0.05), so it can be concluded that there is no relationship between Parity and the occurrence of Hypertension in Pregnancy, the Gestational Age variable has a p-value of 0.998 (> 0.05), so it can be concluded that there is no relationship between Gestational Age and the occurrence of Hypertension in Pregnancy, the Obesity variable has a p-value of 0.998 (> 0.05), so it can be concluded that there is no relationship between Obesity and the occurrence of Hypertension in Pregnancy, the Gestational DM variable has a p-value of 0.988 (> 0.05), so it can be concluded that there is no relationship between Gestational DM and the occurrence of Hypertension in Pregnancy
THE EFFECT OF PEPPERMINT AROMATHERAPY ON THE INTENSITY OF NAUSEA AND VOMITING IN PREGNANT WOMEN IN THE FIRST TRIMESTER I
Get PDFA woman experiences pregnancy, which lasts from conception (fertilization) until the baby is born. Excessive nausea and vomiting, or hyperemesis gravidarum, can also negatively impact the developing fetus, including abortion, low birth weight, premature delivery, and birth defects. This study aims to determine the effect of peppermint aromatherapy on the intensity of nausea and vomiting in patients with hyperemesis gravidarum. The research design used in this study is Pre Experimental Designs. The population in this study were all Hyperemesis Gravidarum Patients at TPM Ny. Fifin Nur Indah for 1 month totaling 25 while the sample in this study was Hyperemesis Gravidarum Patients totaling 25 using Non-probability Sampling with Total sampling method. The measuring tool or instrument in this study was The Rhodes Index Nausea Vomiting and Retching (INVR). This analysis was to find the relationship between the independent variable and the dependent variable using cross tabulating and the Wilcoxon statistical test with a significance level of 0,05. Before the intervention, most of the respondents experienced hyperemesis gravidarum with nausea and vomiting in the moderate category, as many as 22 respondents (88%). After the intervention, most of the respondents experienced hyperemesis gravidarum with nausea and vomiting in the mild category, as many as 20 respondents (80%). There was a decrease in nausea and vomiting in 80% of respondents. Based on the results of the Wilcoxon test, the probability value Asym.sig 2 P-Value 0.000 failed <0.05, so H1 is accepted, meaning there is an effect of Peppermint Aromatherapy on the intensity of nausea and vomiting in Hyperemesis Gravidarum patients. With complementary therapy, Peppermint Aromatherapy provides good benefits for pregnant women with nausea and vomiting and is certainly safe for pregnant women because it uses herbs
BEHAVIORAL COUNSELING MODEL FOR IMPROVING HEMOGLOBIN LEVELS IN ADOLESCENT GIRLS WITH ANEMIA
Get PDFThis study aims to analyze the impact of Behavioral Counseling on haemoglobin improvement in adolescents with anaemia in Palopo City. The research employed a pre-experimental method with a one-group design (pretest-posttest) approach, where haemoglobin levels were measured before the intervention (P1), followed by four intervention sessions over four weeks. After the intervention, haemoglobin levels were measured again (P2). The study was conducted at SMAN 05 Palopo City. The population and sample consisted of 60 female adolescents with anaemia. Research instruments included observation sheets and questionnaires. Data collection involved two measurements, before and after the intervention. Data analysis was performed using the Wilcoxon test with a 95% significance level. The results showed that the mean haemoglobin level before the intervention was 10.3 g/dL, which increased to 11.6 g/dL after the intervention, indicating an improvement of 1.3 g/dL. Based on statistical testing using the Wilcoxon test, a value of ρ = 0.000 < α = 0.05 was obtained. It means that the behavioural counselling model significantly improved haemoglobin levels in adolescent girls with anaemia. In conclusion, behavioural counselling can serve as a practical and effective strategy to help adolescents change unproductive behaviours into more positive ones and improve health, particularly in treating and preventing anaemia