International Journal Of Nursing And Midwifery Science (IJNMS)
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EDUCATIONAL PACKAGE TO ADRESS INEFECTIVE BREASTFEEDING IN PRIMIPARAOUS MOTHER
Breastfeeding is the best way for maternal health as well as healthy growth and development of the baby. However, not all postpartum mothers succeed in breastfeeding smoothly. Various problems are encountered by mothers after giving birth related to breastfeeding, such as delayed breast milk production, engorged nipples, flat nipples, and even issues where the baby finds it difficult to latch onto the mother\u27s nipple. One of the solutions for breastfeeding issues is providing an educational package. Objective: The aim of the nursing analysis is to apply an educational package to effectively address breastfeeding problems in postpartum primiparous mothers.Method: The study employs a case study on three primiparous postpartum clients who are facing breastfeeding challenges. The nursing process approach is used along with evidence-based practice. Results: The nursing intervention was conducted through four visits with the three primiparous mothers facing breastfeeding problems. The results showed improvement in their breastfeeding status. However, there was one indicator that was not achieved, which is direct breastfeeding. The educational package includes health education, a pocket-sized booklet, direct guidance on correct breastfeeding and attachment techniques for mothers with flat nipple issues, counseling, oxytocin massage, and Hoffman exercises to address flat or inverted nipple problems. The study concludes that an educational package can be applied effectively to address breastfeeding problems in postpartum primiparous mothers
THE EFFECTIVENESS OF EDUCATION AND INFORMATION ON THE ANXIETY LEVEL OF PRE-ELECTIVE SURGERY PATIENTS AT HVA HOSPITAL, PARE, KEDIRI
Patients who undergo elective surgery are still anxious about the action that will be carried out when they enter the operating room, even though the surgeon has explained it as the Doctor Responsible for the Patient. The patient\u27s anxiety in the operating room is characterized by frequent questions about the progress of the operation and a lack of cooperation when preparing a series of operations in the operating room. This research used a correlation research type, a Pre-Experimental research design with a population of elective pre-operative patients in the operating room at HVA Kediri Hospital. The total sample was 25 respondents using a sequential sampling technique. The data collection method used a questionnaire. Data were analyzed using the Wilcoxon test. The study results showed that before being given information and education to preoperative patients, almost half, 11 respondents (44%) experienced moderate anxiety. After being given information and education, it was found that the majority did not experience anxiety, 15 respondents (60%). There was a significant difference in anxiety between before and after being given education and information (p-value = 0.000; α <0.05). Education and information before the patient undergoes surgery can reduce the patient\u27s anxiety level. Sufficient knowledge regarding the actions to be carried out means that the patient knows and does not ask questions about what will happen to him in the operating room
EARLY ASSESMENT ON COMMON MENTAL DISORDERS OF PREGNANT WOMEN USING SELF-REPORTING QUESTIONNAIRE (SRQ-20)
During pregnancy, women may experience physical and psychological changes that can make them vulnerable to mental health disorders, also known as CMD. This can have a significant impact on both the mother and the child\u27s health, making it a public health concern. To address this issue, a study was conducted on pregnant women attending classes at the Arosbaya Community Health Center. The study used the Self-Reporting Questionnaire (SRQ-20) to collect data on CMD. The results showed that 40% of pregnant women suffer from CMD, with decreased energy and anxiety being the most common symptoms. It is crucial for healthcare professionals to prioritize the mental well-being of pregnant women and take steps to alleviate the symptoms of psychological disorders
EVALUATION OF THE JKN MOBILE APPLICATION USING THE EUCS METHOD AT RSU ANNA MEDIKA MADURA BANGKALAN DISTRICT
JKN Mobile Application is a means of information for JKN or BPJS Health participants. Evaluation of the use of the JKN Mobile application that supports JKN programme services needs to be done so that the application can continue to be used and as a recommendation for future application improvements. The type of research is quantitative with an analytical survey approach using a cross sectional design. Population in this study were all BPJS health participants in Bangkalan Regency who used the Mobile JKN application. The sampling technique in this study was accidental sampling. Evaluation using the EUCS method is used to provide an assessment of user satisfaction with system quality. Results of hypothesis testing on the variables of concent, accuracy, format, ease of use, timeliness and user satisfaction show that each of these variables has a sign value. <0.05, which means that the hypothesis of each variable is accepted (Ha). JKN mobile application already displays clear information, is easy to understand, provides accurate information, a good and attractive appearance and ease of understanding, ease of use and accuracy of displaying the latest information so as to provide user satisfaction with the application. Improving the performance of the JKN mobile application is necessary to maintain service quality and aims to increase the satisfaction of users of the application
Improving Personal Hygiene of Scabies Sufferers in Adolescents Using the Peer Group Method
Cleanliness of the skin and mucous membranes is very important because the skin is the body\u27s first line of defense from germs. Low levels of hygiene and sanitation as well as socio-economic conditions are factors that trigger the occurrence of scabies. Scabies or scabies is an infectious skin disease caused by the infestation of the mite Sarcoptes scabies and is zoonotic. Scabies is one of the most common dermatological conditions, accounting for the majority of skin diseases in developing countries. Globally, it affects more than 130 million people at any time
Objectives: This research aims to improve Personal Hygiene for scabies sufferers in adolescents using the Peer Group method
Methods: The method in this study was to use the peer group method with a research design using a pre-experiment with the type of one-group pretest-posttest design. The population is all female students at the Roudlotun Nasyiin Islamic Boarding School, namely 24 students, the sampling uses total sampling with a sample of 24 respondents. The study was conducted for 3 weeks
Results: The results of this study are that all respondents before being given the peer-group method were included in the inappropriate personal hygiene category as many as 24 respondents (100%) and after being carried out with the peer group method almost all of the respondents were included in the personal hygiene category right 22 respondents (91.7 %), and 2 respondents (8.3%) still did not do personal hygiene correctly
Conclusions: This study concludes that there is an influence of the peer group education method on the personal hygiene of female students at the Roudlotun Nasyiin Islamic Boarding School. The peer group method makes it easier to provide information about personal hygiene in dealing with scabies sufferers, namely through peers, those who live together will know each other so they can remind each other about the personal hygiene of female students.
 
DEVELOPMENT OF INTERACTIVE EDUCATIONAL MEDIA FOR PREVENTING ANEMIA IN TEENAGE GIRL BASED ON E-FLIPBOOKS AS AN EFFORT TO ACCELERATE STUNTING REDUCTION
Stunting or short toddlers is currently one of the toddlers problems toddlers in the world. Stunting is important because it concerns about the quality of Indonesia\u27s human resources in the future. The incidence of stunting is a cycle. Children born to mothers who are anemic will suffer stunting in the future and continue without stopping, which is called the intergenerational stunting cycle. Improving adolescent nutrition before conception is one way to break the intergenerational cycle of stunting.
This research aims to develop interactive educational media for preventing anemia in adolescents based on e-flipbooks as an effort to accelerate stunting reduction. The research method used is Research and Development (R&D), with the final results of this research is producing an e-flipbook for preventing anemia in adolescents. The research instrument used a questionnaire. There are 2 data analyzes used, qualitative and quantitative analysis. The validation test results from material experts and media experts stated that this educational media for preventing anemia in adolescents is very suitable for use with a percentage of 90%. And the results of field trials on anemia prevention educational media are mostly in the very feasible category with a percentage of 87.03%.
 
THE RELATIONSHIP BETWEEN KNOWLEDGE AND PARITY WITH ANEMIA IN TRIMESTER III PREGNANT WOMEN AT PMB HJ. MURTINAWITA, SST PEKANBARU
Based on the results of basic health research, the incidence of anemia in Indonesia is still high, there are 37.1% of pregnant women who are anemic. Based on an initial survey conducted at the Pekanbaru City Health Office, from data on pregnant women number 2 in 2019, there were 2,333 people in the working area of the Rejosari Health Center, Pekanbaru City. Meanwhile, in third trimester pregnant women the risk of anemia is quite high, namely 29%. Anemia events have a negative effect during pregnancy. The research objective was to determine the relationship between knowledge and parity with anemia in third trimester pregnant women. Place This research was conducted at PMB Hj. Murtinawita, SST Pekanbaru. This type of quantitative research, cross-sectional research design. With 51 Samples. Consecutive sampling technique, Nominal and Ordinal measuring scale, univariate and bivariate data processing. Based on bivariate analysis with the Chi-Square test, it shows that there is a relationship between knowledge, parity, husband\u27s support and anemia in PMB Hj. Murtinawita, SST Pekanbaru with p value <α. Based on the results of the study, it can be concluded that there is a relationship between knowledge and parity with anemia in PMB Hj. Murtinawita, SST Pekanbaru. It is expected that health workers at the puskesmas can provide counseling about pregnancy to pregnant women regarding the risk of anemia in pregnancy and carry out early detection to prevent anemia.
 
THE EFFECT OF FINGER GRIP THERAPY ON BLOOD PRESSURE CHANGES IN HYPERTENSION PATIENTS AT IMELDA HOSPITAL INDONESIA WORKERS (IPI) MEDAN
Hypertension is an increase in high blood pressure above normal. Finger grip relaxation is a simple relaxation technique with the touch of a hand which involves breathing to balance the energy in the body, so as to be able to control emotions which will make the body relax. This study aims to determine the effect of finger grip therapy on changes in blood pressure in hypertensive patients at the Indonesian Workers\u27 Imelda Hospital This study uses quantitative research methods with Quasy experimental design with the Pre Test-Post Test One Group approach. The number of respondents in this study were 30 respondents who were taken by accidental sampling. The instrument used is an observation sheet to find out how blood pressure changes before and after being given therapy. The intervention was in the form of an independent act of holding fingers for 3-5 minutes. The research tool used was a sphygnomanometer to measure blood pressure. The results of the analysis with the Wilcoxom test obtained a p-value of 0.000 (p <0.05) on systolic and diastolic blood pressure, so that there was an effect of finger grip therapy on blood pressure in hypertension sufferers at the Indonesian Workers\u27 Imelda Hospital (IPI) Medan.
 
ANALYSIS OF NURSING CARE IN PATIENTS WITH SENSORY PERCEPTION DISORDERS THROUGH APPLICATION OF THERAPY THOUGHT STOPPING
Schizophrenia is a serious mental disorder that can affect individual thoughts, feelings and behavior. Schizophrenia is part of a psychotic disorder which is primarily characterized by loss of understanding of reality and loss of self-view. Thought stopping is one of a cognitive behavioral psychotherapy technique that can be used to help clients change their thought processes. Sources of data obtained using primary and secondary data, primary data obtained by means of interviews with respondents, while secondary data related to case studies obtained from medical records.The subjects of this case study were schizophrenic patients with sensory perception disorders at Prof Dr Soerojo Psychiatric Hospital, with the number of case study subjects 3 patients who experience sensory perception disorders. The instrument is a measuring tool to measure what will be measured. The instrument for this case study method uses the PYSRAT (Psychotic Symptom Rating Scale). The nursing actions applied to three schizophrenic clients with sensory perception disorders in this case study focused on the application of thought stopping. The intervention was carried out 3 times with a duration of 10-15 minutes at each visit. Based on the application that has been done on clients, it is known that thought stopping can help reduce signs and symptoms and control sensory perceptual disorders. The results of sensory perception getting better.
THE EFFECTIVENESS OF POSYANDU CADRE EMPOWERMENT IN ENHANCING POSYANDU CADRE\u27S KNOWLEDGE AS A STUNTING PREVENTION EFFORT
Stunting remains a significant nutritional challenge in Indonesia. Posyandu, a community-based healthcare initiative, plays a crucial role in stunting prevention. However, it is essential to empower the posyandu cadres to effectively address this issue. This study aims to assess the impact of empowering posyandu cadres on their knowledge, specifically in preventing stunting. This research employs a quasi-experimental design, utilizing a One-Group pre-posttest approach to evaluate the influence of educational interventions on cadre knowledge. The study population consists of 70 posyandu cadres within the Kaubun Health Center\u27s working area. The entire population was included as study participants. Data collection involved the use of questionnaires, PowerPoint presentations (PPT), and leaflets. Statistical analysis was conducted using the Wilcoxon test. The statistical analysis using the Wilcoxon test yielded a p-value of 0.000, indicating a significant positive effect of education on the knowledge of posyandu cadres regarding stunting. Education has a notable impact on enhancing the knowledge of posyandu cadres in relation to stunting prevention. The assessment of posyandu cadre knowledge revealed an increase in their average scores related to stunting prevention. This improvement is evident in the average scores before and after receiving education, with an increase of 1.98