International Journal Of Nursing And Midwifery Science (IJNMS)
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ACUPRESSURE THERAPY TO DECREASE BLOOD PRESSURE FOR MRS. MT WITH CORONARY ARTERY DISEASE
Get PDFBackground: The increase in cases of Coronary Artery Disease (CAD) is the highest compared to other cardiovascular diseases. Symptoms of CAD cause chest pain, increased heart rate, and increased blood pressure. Pharmacological therapy is sometimes resistant which ultimately fails to decrease blood pressure, thus introducing various non-pharmacological therapies, one of which is acupressure. The purpose of this study was to provide nursing care to CAD patients by applying acupressure to decrease blood pressure. The research method used was a case study on Mrs. MT with a descriptive approach based on caring for CAD patients. The application for acupressure was given on August 1-5 2024. The results showed significant changes in systolic and diastolic values. Acupressure is provided at points PC6, LI4, and LR3 once a day on average decrease systolic values while stabilizing diastolic values. Conclusion: Acupressure affects reducing blood pressure in CAD patients who have undergone Percutaneous Coronary Intervention (PCI)
FACTORS ASSOCIATED WITH PHYSICAL ACTIVITY AMID AMBIENT PM 2.5 AIR POLLUTION AMONG ADOLESCENTS IN SUPHANBURI PROVINCE, THAILAND: A CROSS-SECTIONAL STUDY
No full textThis study investigates the influence of Particulate Matter 2.5 (PM2.5) air pollution on adolescent engagement in physical activities, which are critical for their physical and social development. Utilizing the PRECEDE framework, this cross-sectional study identifies key factors affecting adolescents\u27 willingness to participate in physical activities during periods of high PM2.5 concentration. A total of 227 adolescents completed an online self-administered questionnaire. Descriptive statistics and Chi-Square tests were employed for data analysis, with statistical significance set at p < .05. The analysis revealed that two factors—academic discipline (χ² = 12.10, p = .033) and knowledge of safe physical activity during elevated PM2.5 periods (χ² = 13.91, p = .000)—significantly influence adolescents\u27 engagement in outdoor activities despite pollution risks. These findings suggest that adolescents with certain educational backgrounds and greater knowledge of protective measures are more likely to remain active during high pollution episodes. This study underscores the need for tailored educational interventions to foster safe physical activity practices among adolescents in polluted environments. The results contribute to understanding how educational and knowledge-based factors can mitigate the adverse effects of PM2.5 pollution on adolescent lifestyles, offering insights for policy development aimed at promoting health-conscious behaviors in urban settings with elevated pollution levels
THE EFFECT OF RHEUMATIC GYMNASTIC AND SHALAWAT NARIYAH ON THE PAIN LEVEL OF GOUT ARTHRITIS PATIENTS
Get PDFUric acid levels in the blood exceeding normal limits can cause a buildup in the joints and organs. This buildup causes the joints to feel sore, painful and inflamed. This study aimed to determine the effect of Rheumatic Gymnastics and Shalawat Nariyah on the pain level of patients with gout arthritis. This study used a pre-experimental one-group pre-posttest design. A total of 34 respondents were obtained by total sampling. The instrument was the Numeric Rating Scale. The results showed that before being given the intervention, 23 people (67.6%) experienced moderate pain, while after being given the intervention, 19 people (55.9%) experienced mild pain. The hypothesis was tested using the Wilcoxon test with the results (P = 0.000 ≤ α 0.05), meaning that Rheumatic Gymnastics and Shalawat Nariyah had an effect on pain levels in patients with gout arthritis. Rheumatic Gymnastics and Shalawat Nariyah can stimulate an increase in the release of endorphin hormones and cause a relaxing effect on reducing pain in patients with gout arthritis
THE INFLUENCE OF HEALTH EDUCATION ON DROUGHT DISASTER MITIGATION KNOWLEDGE
Get PDFDisaster health education is included in disaster mitigation which aims to increase public knowledge and minimize casualties caused when a disaster occurs. School-aged children are a vulnerable group who are still unfamiliar with disaster knowledge, so there is a need for health education about disasters. The aim of the research is to determine the influence of health education on students\u27 knowledge of drought disaster mitigation. This research uses a Pre-Experimental research type that uses a One-Group Pre-Test and Post-Test Design, and uses a total sampling technique with a sample size of 46 respondents. The results of the research before being given health education showed that 29 (63.0%) respondents were at a good level of knowledge with an average score of 10.17. The research results after being given health education increased students\u27 knowledge level, namely 41 (89.1%) respondents had good knowledge with an average score of 11.93. The data analysis used was the Wilcoxon test, with a significance level of a=0.05, the result was r 0.000<a so that H0 was rejected and Ha was accepted. From these results it can be concluded that there is an influence of health education on students\u27 knowledge of drought disaster mitigation.
 
REPOSITIONING AS AN INTERVENTION FOR STROKE PATIENTS WITH PRESSURE ULCER RISK - A CASE STUDY
Get PDFhe risk of pressure ulcers are a risk that can occur in patients with stroke. Limited activity and disorders of motor nerves make it difficult for patients to mobilize, resulting in prolonged bed rest. If the risk of pressure sores is left unchecked, a new problem will emerge, namely pressure sores or what is known as pressure ulcers. Repositioning is one solution so that patients can mobilize even in bed. The aim of this research was to conduct a case study analysis of two stroke patients who experienced immobilization and were at risk of pressure ulcers. Using descriptive design with interview techniques, observation, physical examination and documentation. The Braden score instrument is also used as a basis for assessing the risk of decubitus pressure ulcers before and after repositioning. The results of the initial assessment showed that client 1 had a Braden scale score of 10, client 2 had a Braden score of 13 and client 3 had a Braden score of 14, meaning a high risk of pressure sores. Next, repositioning intervention was carried out for 3 days every 2 hours. Other implementations include monitoring weight and changes, using barriers such as lotion or water-absorbing pads at pressure points or bony prominences, patients are also given special mattresses, and administration of corticosteroids is excluded. The results of the 3 day evaluation were that there were no pressure sores found on the client and a reduction in the risk of pressure sores with the achievement of an increase in the Braden score, namely Patient 1 had an increase in the Braden score from a score of 13 (moderate risk of pressure sores) to 15 (mild risk of pressure sores), patient 2 experienced an increase in the Braden score from 13 to 15. Patient 3, a score of 14 to 16 which from a moderate risk to a mild risk of pressure sores. Implementation of intervention delivery repositioning In patients who comply every 2 hours, it is very effective in preventing the occurrence of pressure sores (decubitus) compared to not providing intervention repositioning. So this intervention can be recommende
NURSING DIAGNOSIS IN PATIENTS WITH HYPOGLYCEMIA IN THEEMERGENCY DEPARTMENT
Get PDFHypoglycemia is a condition involving decreased blood glucose levels. It can cause symptoms affecting multiple systems and have serious consequences if left untreated. Nurses play a crucial role in swiftly and appropriately detecting and treating hypoglycemia in the emergency department. Research on nursing diagnoses was the first step in determining interventions for hypoglycemic patients in the emergency department of the Muhammadiyah Babat General Hospital. The study employed a descriptive retrospective design using secondary data from medical records. The study sample included 73 hypoglycemia patients admitted to the emergency room from January to December 2024, selected using consecutive sampling, and data was collected on May, 2025. The data was analyzed descriptively. The results showed that all patients experienced similar signs and symptoms: low blood glucose levels, drowsiness, decreased appetite, weakness, dizziness, strange behavior, and physical weakness. The nursing diagnosis that emerged for all patients was blood glucose level instability. These findings suggest that hypoglycemia has a consistent clinical impact and requires a structured nursing response. Decreased intracranial adaptive capacity, a diagnosis listed in the nursing pathway that is usually associated with severe hypoglycemia, was not found in this study. This may be due to limitations in neurological assessments and supporting examinations
THE EFFECT OF AL-MA’TSURAT MORNING-EVENING RECITATION ON PHYSIOLOGICAL RESPONSE TO ANXIETY LEVEL IN ICU PATIENTS
Get PDFICU patients often experience anxiety due to critical conditions, unfamiliar environments, and invasive medical procedures. Anxiety can lead to physiological changes such as increased blood pressure, heart rate, and respiratory rate. This study aimed to analyze the effect of the Al-Ma’tsurat morning-evening recitation on the physiological response to anxiety in ICU patients. A pre-experimental design with a pretest-posttest approach without a control group was used. The sample consisted of 42 ICU patients at RSI Sakinah Mojokerto who met the inclusion criteria, selected through purposive sampling. Data were collected by measuring blood pressure, heart rate, and respiratory rate before and after the intervention. Paired t-test and Wilcoxon test results showed no significant difference in systolic and diastolic blood pressure or heart rate (p > 0.05). However, a significant difference was found in respiratory rate (p = 0.015) after listening to the Al-Ma’tsurat recitation. The reduction in respiratory rate indicates a physiological relaxation response due to spiritual intervention. Although most parameters were not statistically significant, dzikir therapy remains potentially effective as a non-pharmacological holistic intervention for ICU patients
IMPLEMENTATION OF THE NURSING THEORIES “NEED FOR HELP WIEDENBACH” AND “CONSERVATION LEVINE” IN NURSING CARE FOR PREGNANT WOMEN WITH PREECLAMPSIA
Get PDFPreeclampsia is a leading cause of maternal death during pregnancy, childbirth, and postpartum. The consequences of preeclampsia include HELLP syndrome, cardiovascular disorders, lung, kidney, and liver failure, coagulopathy, placental abruption, and cerebral hemorrhage. The consequences for the fetus include Intra-Uterine Growth Retardation (IUGR) and Intra-Uterine Fetal Death (IUFD). A comprehensive approach is needed in providing nursing care to mothers with preeclampsia. The aim of this study was to apply Wiedenbach\u27s "Need for Help" and Levine\u27s "Conservation" theories to the practice of nursing care for pregnant women with preeclampsia. The research method used was a case study with a focus on the application of Wiedenbach\u27s "Need for Help" and Levine\u27s "Conservation" theories to the practice of nursing care for pregnant women with preeclampsia. This theory was applied to two patients. Wiedenbach\u27s theory emphasizes the importance of nurses\u27 sensitivity in recognizing the comprehensive needs of pregnant women, including physical, psychological, and educational. Levine\u27s theory reinforces this intervention with the principle of preserving patient integrity, which includes energy, structural, personal, and social aspects. The integration of these two theories strengthens the role of nurses as therapeutic agents who are able to manage risks, educate, and empower patients, especially pregnant women with preeclampsia
IMPLEMENTATION OF PREGNANT MASSAGE AT THE BL40 (WEIZHONG) ACUPRESSURE POINT TO REDUCE LOWER BACK PAIN IN PREGNANT WOMEN IN THE 2ND AND 3RD TRIMESER
Get PDFLower back pain is the most common form of discomfort during pregnancy experienced by mothers, especially in the second and third trimesters. Hormonal changes, weight gain, and biomechanical adaptations of the body are the main factors causing this complaint. The impact is not only pain but also disrupts daily activities, sleep quality, and increases stress. Pharmacological management is not always safe, so non-pharmacological interventions are more recommended. One potential method is pregnancy massage with stimulation of the BL40 (Weizhong) acupressure point, which works to relax muscles, improve circulation, and stimulate the release of endorphins. This study used a quasi-experimental design with a pretest–posttest without a control group. The sample consisted of 30 pregnant women in their second and third trimesters who experienced lower back pain and received antenatal care at the Sujiati Nur Elys TPMB, Dlanggu District, Mojokerto Regency. The intervention was given three times a week, with pain measured using the Numeric Rating Scale (NRS). The results showed that before the intervention, the majority of respondents experienced severe pain (53.3%), while after the intervention, none experienced severe pain. A total of 26.7% of respondents had no pain, 53.3% had mild pain, and 20% had moderate pain. The Wilcoxon test showed p = 0.000 (p < 0.05), indicating a significant difference before and after the intervention. Thus, pregnancy massage at the BL40 point has been proven effective in reducing lower back pain in pregnant women
RELATIONSHIP BETWEEN STRESS LEVELS AND CHANGES IN RANDOM SUGAR LEVELS IN PATIENTS WITH DIABETES MELLITUS AT MENTIKAN PUBLIC HEALTH CENTER, MOJOKERTO CITY
Get PDFDiabetes mellitus is a metabolic disease characterized by randomly high blood sugar levels. Risk factors that can cause diabetes mellitus include stress, genetic factors, age, and a history of consuming alcohol. The simplest effort to control random blood sugar is by implementing stress management. But in reality, there are still many diabetes mellitus sufferers who cannot manage stress, resulting in random increases in blood sugar levels. This study aims to determine the relationship between stress levels and changes in random blood sugar levels in diabetes mellitus sufferers in the Mentikan Community Health Center, Mojokerto City. This research uses a correlation analytical method with a cross-sectional design. The total sample was 67 respondents taken using the purposive sampling technique. The Spearman Rho test results showed a value of 0.001 < α 0.05, so it can be concluded that there is a relationship between stress levels and random changes in blood sugar levels in diabetes mellitus sufferers. Meanwhile, the correlation coefficient figure shows a value of 0.663, which means the relationship between stress levels and random changes in blood sugar levels is strong. Stress can increase random blood glucose levels because stress stimulates the body to release the hormones cortisol and epinephrine. These two hormones have a strong effect in causing the process of gluconeogenesis, so that it will increase random blood glucose levels by large amounts within a few minutes. It is hoped that good stress management can control sufferers\u27 sugar levels so as to create a better quality of life for Diabetes Millitus sufferers