International Journal Of Nursing And Midwifery Science (IJNMS)
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ANXIETY LEVELS AND PERCUTANEOUS CARDIAC INTERVENTION (PCI) IN STEMI AND NSTEMI PATIENTS AT BANGIL HOSPITAL
Get PDFAccording to the World Health Organization, coronary heart disease, including STEMI and NSTEMI, is the leading cause of noncommunicable disease-related mortality worldwide. First treatment for STEMI-NSTEMI patients was reperfusion with Percutaneous Coronary Intervention (PCI). Anxiety increases the difficulty of controlling cardiac disease in patients with a diagnosis of STEMI and NSTEMI who will undergo PCI surgery. This study employs a cross-sectional correlation analysis methodology. Patients with coronary heart disease diagnosed with STEMI and NSTEMI who are receiving treatment at Bangil Hospital constituted the population. Forty respondents were selected using a technique called purposive sampling. Percutaneous Coronary Intervention (PCI) is the independent variable. While apprehension levels are the dependent variable. At a Sig (2-tailed) value of 0.05, Ho was rejected and H1 was accepted, indicating that there was a correlation between preparation for surgery (Giving Informed Consent) Percutaneous Coronary Intervention and anxiety levels in STEMI - NSTEMI patients at Bangil Hospital. Consent was obtained prior to the decision to perform PCI. If the patient agrees to informed consent, the procedure will continue; if the patient refuses, the procedure will not be performed. The conclusion of this study is that Percutaneous Coronary Intervention (PCI) procedures are associated with a lower level of anxiety the better the preparation for surgery (providing informed consent) is
ASSOCIATION ASSOCIATION OF SHINE AND LAL INDEX β-THALASSEMIA TRAIT SCREENING RESULTS WITH ANAEMIA AND LOW BIRTH WEIGH
No full textBeta thalassemia trait are more likely to have anemia which leading to intrauterine hypoxia and adverse uterine conditions. Adverse intrauterine environment has been shown to have a significant impact on the risk of low birth weight. Therefore, this study aims to investigate association between Shine and Lal index β-thalassemia trait screening results with anaemia and lowbirth weight. A retrospective study design was conducted based on medical records of mothers and their infants born in 2022 at a regional hospital, in East Nusa Tenggara. The inclusion criteria were being live birth, singleton births and gestational age >28 weeks. Mothers didn’t have complete records were excluded from study. Analysis uses chi-square test to evaluate the relationship between dependent and independent variables, This study identified 738 eligible samples. The incidence of suspected β-thalassemia trait according Shine and Lal Index was about 42.5%. There is a significant relationship between Shine and Lal β-thalassemia trait screening results with maternal anaemia and no relationship between Shine and Lal index β-thalassemia trait screening results and LB
The CORRELATION BETWEEN FAMILY SUPPORT AND ADHERENCE TO ROUTINE CONTROLLING TREATMENT IN PATIENTS WITH TYPE 1 DIABETES MELLITUS I IN MERAUKE
No full textObjective: To determine the correlations between family support and adherence to routine control of type 1 diabetes mellitus patients at the Internal Policlinic of Merauke Hospital. Methods: The design of the research is cross-sectional. The number of samples was 45 people with type 1 diabetes mellitus with inclusion and exclusion criteria. This study\u27s data analysis used an alternative test of the fisher exact test because the chi-square test did not meet the requirements. After all, the number of samples was small. Results: The results showed a relationship between family support and adherence to common control in patients with type 1 diabetes mellitus at the Internal Policlinic of Merauke Hospital with a p-value = 0.002 (p < 0.05). It can be seen that 45 respondents received good family support, as many as 36 respondents (80 %), while those who obeyed routine control 38 respondents (84.4 %). Family support can improve compliance with controlling patients with type 1 DM routinely at the Internal Policlinic of Merauke Hospital. Conclusion: There is a significant correlation between family support and compliance with routine control in patients with type 1 diabetes mellitus at the Internal Policlinic of Merauke hospital
EVALUATION OF ADHERENCE AND INSULIN INJECTION PRACTICES IN PEOPLE WITH TYPE II DIABETES MELLITUS
Get PDFThe practice of insulin injection in people with Diabetes Mellitus must be carried out appropriately and obediently by the patient for optimal regulation of glycemic control, preventing complications, and improving quality of life. This study was conducted to identify the description of insulin injection adherence and insulin injection practice in individuals with type 2 diabetes mellitus. This study was a quantitative research design with a cross-sectional approach using a questionnaire distributed to 32 respondents. The research was held at Club Prolanis Manado. Descriptive data analysis was conducted to describe the research variables. The findings showed that 100% of the respondents adhered well to insulin injections (Auto compliance > 80%), most respondents do not prime to check insulin flow and expel air before injecting insulin (78.1%), most respondents rotate the injection locations (75%), most respondents do not experience lipodystrophy (87.5%), more than half of the respondents experienced pain (53.1%), most of the respondents did not experience insulin leakage (81.2%), more than half of the respondents pinched during injection (56.2%), most of the respondents waited 10 seconds before removing the needle (75%). Skills and adherence in injecting insulin must be improved through continuous education and evaluation to achieve optimal glycemic control
THE EFFECT OF PURPLE SWEET POTATO (IPOMOEA BATATAS) ON ELEVATED HEMOGLOBIN LEVELS IN PREGNANT WOMEN MID AND LATE PREGNANCY IN A WORKING AREA TABIR LINTAS HEALTH CENTER MERANGIN DISTRICT
Get PDFThe occurrence of anemia in Tabir Lintas Health Center from January to August, the cumulative number of pregnant women is 88, with only 51 examined, and 37 pregnant women who have not been tested for hemoglobin. The purpose of this study is to determine the effect of purple sweet potato (Ipomoea Batatas) on increasing hemoglobin levels in pregnant women in the second and third trimester in the working area of Tabir Lintas Health Center in Merangin district in 2023, the study design is a quasi-experimental with one group pretest-posttest design, the total sample size was 20 pregnant women, data collection was done using observation sheets, and data analysis was done using t-tests. According to the study results, the mean hemoglobin levels before administration of purple sweet potato (Ipomoea Batatas) were 8.8 gr/dl at the lowest, 10.4 gr/dl at the highest, 10.6 gr/dl at the lowest and 11.8 gr/dl at the highest. In conclusion of the study results, the effect of purple sweet potato (Ipomoea Batatas) on hemoglobin levels of Trimester II and III pregnant women had a p-value of 0.000 < (0.05). It is hoped that midwives counseling and using purple sweet potato during pregnancy as an alternative means of increasing hemoglobin levels in pregnant women will increase mothers\u27 knowledge and insight in the prevention and treatment of anemia
EVALUATION OF THE LEVEL OF COMMUNITY KNOWLEDGE ABOUT HOW TO USE AND ANTIBIOTIC RESISTANCE IN DUPOK VILLAGE, BANGKALAN REGENCY
Get PDFAntibiotics are drugs that we often encounter in everyday life, not infrequently doctors often prescribe this one drug, but in use in the community there are still often errors in consuming antibiotics resulting in antibiotic resistance or resistance to an antibiotic. The occurrence of misuse of antibiotics is caused by lack of public knowledge and lack of education from medical personnel in hospitals. Low level of knowledge about the use of antibiotics can cause inappropriate use of antibiotics, so there is a risk of causing antibiotic side effects. Providing education is one way that can be used to increase knowledge about the rational use of antibiotics. The purpose of this study is to determine the level of public knowledge about how to use antibiotics and antibiotic resistance. The study was conducted in Dupok Village, Bangakalan Regency, this type of research was cross sectional through a survey with questionnaire media. Sampling was carried out using the cluster sampling method involving 100 households (Family Heads). The research instrument used was a closed questionnaire with a total of 10 questions. The data obtained is then analyzed descriptively
RELATIONSHIP CHARACTERISTICS AND COMMUNITY BEHAVIOR WITH THE INCIDENCE OF SCHISTOSOMIASIS IN THE WORK AREA OF WUASA COMMUNITY HEALTH CENTER IN 2022
Get PDFSchistosomiasis is a zoonotic disease and a public health problem. The cause is a type of worm parasite from the schistosomatidae family which has a habitat in the blood vessels around the intestines or bladder. Schistosomiasis is a parasitic disease caused by blood trematode worms of the genus Schistosoma. Chronic schistosomiasis can reduce the ability of sufferers to work, and in some cases cause death. This study aims to get an overview of the factors that cause recurrent schistosomiasis or reinfection that occurs in the community. Descriptive correlation with the analytic case control study approach, namely retrospective observational analytic research where effects or outcomes are traced back to identify relationships by comparing cases and controls. Sampling in this study were patients who were infected with schistosomiasis as case respondents and those who were not infected with schistosomiasis as control respondents. There is a relationship between the behavior of the community or respondents who are often active in rivers or ditches, often passing through conch focus areas and not utilizing health service facilities with the incidence of respondent schistosomiasis in the community in North Lore District, Poso Regency, Central Sulawesi Province. Conversely, there is no relationship between the characteristics of the respondents which include age, gender, education level, marital status and employment with the incidence of schistosomiasis. Conclusion, the habitual behavior of respondents who often move in the river is related to the incidence of disease schistosomiasis, so that it can be concluded that the main factor causing someone to suffer from schistosomiasis is not due to the characteristics of the respondents in the community in North Lore sub-district, Poso Regency, Central Sulawesi Province
Physical Activity and Blood Glucose Levels in Diabetes Mellitus Patients
Get PDFDiabetes mellitus is a metabolic disease characterized by hyperglycemia. One of the risk factors and management of patients with diabetes mellitus is physical activity which can control blood glucose levels. This study aimed to determine the relationship between physical activity and blood glucose levels. The study design used correlation analysis with a cross-sectional approach. The population in this study was all type 2 diabetes mellitus patients at Abdoel Moeloek General Hospital Lampung. The sample used in this study was 52 respondents with consecutive sampling techniques. The research instrument for measuring physical activity was the physical activity level (PAL), and blood glucose level was measured using a glucometer, and data was analyzed using the Spearman Rho Test. The results showed that 32 respondents (61.5%) had mild physical activity, and 41 respondents (78.8%) had high blood glucose levels. The results showed a significant relationship between physical activity with blood glucose levels (p value=0,000; α<0,05) in patients with diabetes mellitus at the Abdoel Moeloek General Hospital, Lampung. Physical activity can help the body to lower blood glucose by way of metabolism involving glucose stored in the muscles so that glucose in the blood will fill the glucose vacancies in the muscles. Higher the physical activity in patients with diabetes mellitus, the lower the glucose level
IMPROVEMENT OF HEMOGLOBIN LEVELS IN PREGNANT WOMEN WITH ANEMIA THROUGH DRAGON FRUIT CONSUMPTION
Get PDFPregnant women are at risk of experiencing anemia, which can have health impacts such as bleeding and giving birth to low birth weight babies (LBW). The global prevalence of anemia is 43%, while in Indonesia it is 37.1%, and in the Rantau Pulung Community Health Center (Puskesmas) area, it is 39.3%. Efforts to address low hemoglobin levels often involve regular consumption of iron tablets during pregnancy. Non-pharmacological interventions include the consumption of dragon fruit, rich in vitamin C, vitamin B1, vitamin B2, vitamin B3, and protein, to increase hemoglobin levels. To determine the influence of dragon fruit on increasing hemoglobin levels in pregnant women with anemia in the working area of the Rantau Pulung Community Health Center. This study utilized a quasi-experimental design with a pre-test post-test non-equivalent control group. The study population included a total of 26 pregnant women with anemia. The sampling technique used was total sampling, resulting in 26 participants divided into an experimental group of 13 and a control group of 13. The measurement tool was observation of hemoglobin levels. Data analysis employed paired t-tests and independent t-tests. There was a difference in hemoglobin levels before and after the administration of iron tablets combined with dragon fruit by 1.1692 g%, and a difference in hemoglobin levels before and after the administration of iron tablets by 0.7077 g%. The administration of iron tablets combined with dragon fruit was effective in increasing hemoglobin levels in pregnant women in the working area of the Rantau Pulung Community Health Center in East Kutai Regency, with a p-value of 0.004. Consuming 500 g of dragon fruit daily can increase the hemoglobin levels of pregnant women due to its content of vitamin C, vitamin B1, vitamin B2, vitamin B3, and protein. The administration of dragon fruit effectively increases hemoglobin levels in pregnant women
THE EFFECT OF EARLY MOBILIZATION ON UTERINE INVOLUTION AFTER CESAREAN SECTION
Get PDFThe rate of births through cesarean section is 17.6% (Riskesdas, 2018). Uterine involution is the process of the uterus returning to its pre-pregnancy state in terms of both form and position. Early mobilization is a policy aimed at promptly guiding patients out of bed and encouraging them to walk as soon as possible. Failure to engage in early mobilization can result in an increase in body temperature due to inadequate uterine involution, preventing the removal of residual blood and leading to infections. The objective of this study is to determine the effect of early mobilization on uterine involution in patients after Cesarean Section at Kudungga Kutai Timur Regional General Hospital. This study employs a quasi-experimental research design in the form of a two-group posttest-only design to assess the impact of early mobilization on uterine involution after Cesarean Section at Kudungga Kutai Timur Regional General Hospital. The study includes a sample size of 10 respondents in the intervention group and 10 respondents in the control group. The consecutive sampling technique is used for sampling. Research instruments include observation sheets. The results of the Mann-Whitney test show a significance value of 0.008 (p<0.05), leading to the rejection of the null hypothesis (H0). It can be concluded that there is a difference in uterine involution after early mobilization in patients after Cesarean Section in the postpartum ward of Kudungga Regional General Hospital in 2023