International Journal Of Nursing And Midwifery Science (IJNMS)
Not a member yet
403 research outputs found
Sort by
COGNITIVE IMPAIRMENT IN CHRONIC RENAL FAILURE PATIENTS UNDERGOING HEMODIALYSIS
Get PDFBackground: Hemodialysis is a therapy to control uremia, fluid overload, and electrolyte imbalance in patients with chronic renal failure. However, the long time undergoing hemodialysis can risk causing cognitive function instability. The purpose of this study was to determine the presence of cognitive impairment chronic renal failure patients undergoing hemodialialysis. Methods: Type of quantitative research using cross-sectional correlational analysis research design, conducted on 121 samples with purposive sampling technique. Data collection was done using the Montreal Cognitive Assessment questionnaire using the Pearson Product Moment test. Results: The results showed that the majority of respondents were 46–65 years old, male; their last level of education was college; and the majority did not work. The long time undergoing hemodialysis is 120 months, with an average of 46 months. Most respondents experienced mild cognitive function impairment with memory domain, followed by visuospatial and attentional cognitive domains that cause the risk of dementia. Conclusion: There is a significant relationship between the long time undergoing hemodialysis and the cognitive function of chronic renal failure patients at RSUP Dr Kariadi Semarang (p = 0.000), with a strong relationship in the opposite direction (r = -0.610). The need to improve cognitive memory domain, such as conducting periodic cognitive screening with high-sensitivity instruments on hemodialysis patients who have a risk of severe dementia
IMPLEMENTATION OF COMPLEMENTARY MIDWIFERY SERVICES ON MOTHER
Get PDFBackground: Complementary therapy is one of the community’s treatment options, especially for pregnant and giving birth women. In various health service settings, quite a few clients ask health workers, such as midwives, about complementary or alternative therapies. This happens because clients want to get services according to their choices, so if their wishes are fulfilled, it will have an impact on client satisfaction. This can be an opportunity for midwives to play a role in providing complementary therapy. Regarding complementary therapy, it is regulated in the Decree of the Minister of Health No. 1109/Menkes/Per/IX/2007 concerning complementary-alternative medicine. Objective: to determine the implementation of complementary midwifery services at the Independent Midwife Practice Place (TPMB) in the Blimbing area, Kesamben District, Jombang. Method: Survey, descriptive type with quantitative and qualitative approaches. The population in this study were all midwives who carry out midwifery practice independently and provide complementary therapy in the Blimbing area, Kesamben subdistrict, Jombang, a total of 5 midwives. The total sample taken was 5 TPMB. The data was analyzed and presented quantitatively in the form of a frequency distribution and qualitatively using an interactive model according to Miles and Huberman in Sugiyono (2013). Results: complementary midwifery services were provided by 5 respondents. Respondents were 30-49 years old, had midwifery education at Diploma III Midwifery and Midwifery Professional level, and had been in independent practice for more than 8 years. The types of services provided are 2-5 types, namely acupressure, baby/toddler massage, oxytocin massase, use of herbal medicine/traditional as a complement to conventional medicine, and yoga
FACTORS RELATED TO NURSES\u27 MOTIVATION TO CONTINUE EDUCATION AT THE NATIONAL SPORTS HOSPITAL IN 2024
Get PDFHigher education is crucial in developing surgical technology and professional life training. In organizing nursing education, motivation is needed, influencing internal and external factors so that nurses desire to improve their competence. Objective: to find out what factors are related to motivation to continue education nurses at the National Sports Hospital in 2024. This research aimed to determine what factors are related to nurses\u27 motivation to continue their education at the National Sports Hospital in 2024. The type of research used was a cross-sectional design to examine whether there was a relationship between the motivational factors of family support, work environment, income, and nurses\u27 motivation to continue their education. The population of this study consisted of nurses at the National Sports Hospital, totaling 34 respondents, and the sampling technique used was the total sampling technique. The instrument was a questionnaire, and data analysis used univariate and bivariate analysis techniques with the Spearman Rank statistical test. The study\u27s results showed that only the family support variable had a relationship with nurses\u27 motivation to continue their education. In contrast, work environment factors and income did not have a significant relationship: family support (prho = 0.620), work environment (prho = 0.124), and income (prho = 0.199). This research recommends that it is necessary to maximize the role of family support in nurse career development programs in hospitals and increase the role of the work environment and financial support for nurses who will continue their educatio
IMPLEMENTATION OF LOCAL INGREDIENT-BASED SUPPLEMENTARY FEEDING FOR STUNTING TODDLERS WITH ANIMATION MEDIA ON PAITON VILLAGE
Get PDFThe prevalence of stunting in Indonesia based on Riskesdas in 2018 decreased by around 7.2% from 37.2% of the national stunting prevalence in 2017, but this figure is still below the target set by WHO, which is below 20%. The prevalence of stunting in East Java, contributes as much as 20%. The prevalence of stunting in Java is 26.7%. The stunting rate in Probolinggo Regency is quite high. Probolinggo Regency is one of the stunting priority districts in East Java with a stunting percentage of 42.5%, which means that the stunting problem in Probolinggo Regency is a serious problem. The purpose of this study is to analyze the effect of implementing local-based supplementary feeding for stunting toddlers with animation media on Paiton Village. The design used in this study used Pre-Experimental Design One Group Pre-Post-Test design. The number of samples was 40 mothers under five, Data collection techniques in this study by identifying respondents in accordance with research criteria. The primary data was obtained directly by involving the village midwife responsible for Paiton Village. This study used questionnaires as a data collection tool. The analysis used in this study was the Wilcoxon Sign Rank Test. The results of the study found that there was an influence on the application of local-based supplementary feeding for stunting toddlers with animation media on Paiton Villag
DETERMINANT FACTORS THAT INFLUENCE FAMILY BEHAVIOR IN CARING FOR LBW USING THE HEALTH PROMOTION MODEL APPROACH
Get PDFLBW care in the NICU room causes separation between babies and parents for quite a long time, so that parents of LBW often lack support and opportunities to be involved in care while in the NICU. Based on this description, it is necessary to develop a structured health education model for LBW families. This education is based on determinant factors that can influence the behavior of LBW families, so that it can improve the quality of life of LBW and the quality of nursing services. Objective: To identify factors that influence family behavior in caring for LBW in the NICU using the HPM approach. Method: This type of research is explanatory , the research design is cross sectional . The research sample was 105 families with LBW who were treated in the baby room of RSUD Dr. Soetomo Surabaya, data were analyzed using the Structural Equation Modeling - Partial Least Square (SEM-PLS) test. Results and Analysis: Perceived benefits have an effect on commitment (t statistics value = 3,790 > 1.96 ) , perceived obstacles have a significant effect on commitment (t statistics = 2,330 > 1.96), Perceived Self Efficacy has an effect on commitment (t statistics value = 3,370 > 1.96), commitment influences family behavior of LBW (t statistics value = 6,204 > 1.96). Discussion and conclusions Personal factors including age, marital status, education and income of LBW parents do not influence perceived benefits, perceived barriers, perceived self-efficacy and interpersonal influence. Perceived benefits, perceived barriers, and perceived self-efficacy influence family commitment in caring for LBW. Interpersonal influence does not affect commitment. Commitment influences the behavior of LBW familie
THE EFFECTIVENESS OF THE GEMAR KARIPAN PROGRAM AS A PREVENTIVE EFFORT TO REDUCE THE PREVALENCE OF STUNTING INCIDENCE RATES: Heri Triwibowo, , Heni Frilasari, M.Sajidin, Rina Mardiyana Universitas Bina Sehat PPNI Mojokerto Email: [email protected]
Get PDFStunting is a form of stunted child growth. Until now, stunting is a nutritional problem that needs attention). The incidence of stunting in Indonesia in 2013 was 37.2% (Riskesdas, 2013) and in 2018 it decreased to 30.8% (Health, 2018). One indicator of growth in children is height. Inadequate nutritional intake in infants and children will greatly affect the growth and development of the child\u27s body and brain (Kusmini et al., 2020) Efforts that can be given to the problems mentioned above include providing assistance to families of toddlers so that the prevalence of stunting can be prevented. This study aims to prove that the Gemar Karipan Program is effective in reducing the prevalence of stunting. The stages and methods of this study used a quasi-experimental research design with a control group. The Sampling technique uses Total Sampling of as many as 27 respondents. Researchers provide research stages starting from data collection through examining growth in the treatment group and the control group. The treatment group was given a midwifery intervention using the GEMAR KARIPAN method which was carried out by visiting the respondent\u27s house, while the control group was given an examination according to the procedure when they arrived at the posyandu. Furthermore, data analysis was carried out and conclusions were drawn about the effectiveness of the GEMAR KARIPAN method in reducing the prevalence of stunting.
 
ANALYSIS OF GESTATIONAL AGE FACTORS WITH NEONATAL ASPHYXIA LEVELS IN NEWBORN BABIES IN THE NUSA INDAH ROOM AT NGANJUK REGIONAL HOSPITAL
No full textAsphyxia neonatorum is a newborn emergency in the form of respiratory depression that continues, causing various complications. Neonatal asphyxia is caused by several factors, namely, intrauterine factors (mother\u27s condition factors, uterine factors, placental factors, umbilical cord factors and fetal factors), gestational age factors and labor factors. This study aims to determine the factor analysis of gestational age and the level of neonatal asphyxia in the Nusa Indah Room at Nganjuk Regional Hospital. The research design uses a correlational design with a retrospective approach, this research was carried out on June 1 2023 in the Nusa Indah Room, Nganjuk Hospital. The population in this study was all 68 newborn babies. The sample was taken using a total sampling technique with a total of 68 respondents. The independent variable is the gestational age factor, the dependent variable is the level of neonatal asphyxia. The data collection instrument uses medical record data and statistical tests use the Contingency Coefficient with α = 0.05. The results of this study showed that almost half had a premature gestational age, namely 33 respondents (48.5%). Experiencing moderate asphyxia was 32 respondents (47.1%). And the results of the Coefficient Contingency test show p-value = 0.000 ≤ α (0.05), so Ha is accepted and Ho is rejected, which means there is a relationship between gestational age and the level of neonatal asphyxia in the Nusa Indah Room at Nganjuk Regional Hospital. Newborn babies with a history of premature gestational age are at risk of experiencing neonatal asphyxia. Nurses as implementers of curative measures are required to carry out nursing care appropriately to provide optimal assistance so that the incidence of neonatal asphyxia can be minimized
 
MANAGEMENT INTERPROFESSIONAL EDUCATION OF ETHICS COURSE ON HANDLING NONCOMMUNICABLE DISEASES
Get PDFInterprofessional education has been defined as a process learning program which includes learning outcomes, lecturers, material topics and skills enabling a synergistic influence of grouped student competence, so that interprofessional education becomes one of the initial stages for introducing collaboration and teamwork to students so that they can be applied of work. The explore the appropriateness and meaningfulness of Ethics and Health Law Course-based learning for nursing students. The research is a research and development design whose stages were carried out for 6 months with a research sample of 40 respondents, namely first semester students of the postgraduate nursing program. The results of this study showed that the significant for the materials of ethics, curriculum, learning outcomes (P=0.000). The students showed active participation, communication and good collaboration regarding health problem solving on handling non-communicable diseases. Management of interprofessional education (pretest = 54.32 and posttest mean 67.48) is needed in health education, as an approach to the learning process, includes the flexibility to respond to the specific (P=0.002), self-identified learning needs of students (P= 0.000). The results of the focus group discussion showed that knowing how to learn, having high expectations in problem solving, applying competencies to case tasks, collaborating with others, and being creative are all signs of a capable practitioner. There are important characteristics that determine the effectiveness of interprofessional education ethics courses, including faculty and students who consider their roles important to the team, open communication, autonomy, and equality of resources so that interprofessional education has a positive impact on the development of holistic care to improve the quality of patient care
RISK FACTORS OF OBESITY IN YOUNG ADULTS
Get PDFObesity is a developing global public health issue. Obesity is a significant risk factor for a variety of diseases, increasing morbidity and mortality from cardiovascular disease and Diabetes Mellitus. Since 1975, global obesity has nearly tripled, and Jakarta has the second-highest obesity rate in Indonesia. COVID-19 also contributed to this situation, as many young adults work from home. COVID-19 has an impact, such as an increase in the frequency of unhealthy eating and frequency of sitting, a decrease in physical activity, or irregular exercise, which can lead to obesity. This study aims to investigate the lifestyle risk factors associated with obesity in young adults in Jakarta. A cross-sectional design was conducted with convenience sampling of 384 respondents aged 26-35. Data was collected using an online questionnaire. Descriptive and statistical analysis was performed using chi-square. The finding revealed a significant relationship between physical activity, sedentary lifestyle, and genetics with obesity in young adults (p-value 0.004; 0.035; 0.001). Conclusion: Young adults can adopt a healthy lifestyle by increasing regular physical activity for at least 30 minutes daily and changing their sedentary lifestyle
COMBINATION OF HIGHT FLOW NASAL CANULA AND SEMI FOWLER POSITION TO INCREASE OXYGENATION WITH ACUTE LUNGS CARDIOGENIC OEDEMA
Get PDFAcute cardiogenic lung edema is an emergency condition in which fluid accumulates in the lung cavity due to ventricular failure including blood throughout the body. The most fatal consequence of this condition is the disruption of the gas exchange process in the alveoli. One of the characteristic symptoms of this disease is shortness of breath which must be treated immediately so as not to fall into hypoxic or hypoxemic conditions. Therefore writing this paper aims to test the effectiveness of the combination of high-flow nasal cannula and semi-Fowler\u27s position to increase oxygenation in patients with cardiogenic acute pulmonary edema. The research method used is a case report. This research was conducted for 4 days of treatment from 11-15 May 2022 at the Kanjuruhan Regional General Hospital, Malang Regency. After 4 days of action, there was a positive change in the patient\u27s oxygenation. It can be seen from the results of monitoring SpO2 and RR on day 3 of treatment that there was an increase in SpO2 of 93% and a decrease in RR of 18x/minute which was getting better until day 4 of treatment. Problems related to oxygenation in the lungs, acute cardiogenic edema occurs due to accumulation of fluid in the lung cavity Actions that must be taken to continue to meet the need for adequate oxygenation in patients so that a combination of high-flow nasal cannula therapy and semi -Fowler\u27s position is carried out to improve patient oxygenation. The recommendations for giving this therapy are by considering the replacement of the type of mask and the flow of oxygen given