International Journal Of Nursing And Midwifery Science (IJNMS)
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THE EFFECT OF OZONE BAGGING THERAPY ON WOUND HEALING IN DIABETIC ULCER PATIENTS: In the Working Area of the Kedungdung Health Center, Bangkalan Regency
Get PDFABSTRACT
Diabetes mellitus with diabetic ulcers can cause complications, namely susceptibility to infection, pulmonary tuberculosis, and infections of the feet. Chronic complications include diabetic feet with the risk of foot ulcers (diabetic ulcers) and resulting in amputation, these diabetic feet can develop into gangrene. This study aims to analyze the effect of wound healing on diabetic ulcer patients who are given ozone bagging therapy.
The research design used a quasy-experimental design with pre-test and post-test with control group design. Population 30 respondents. The number of samples taken is 26 respondents. The sampling technique used is probability sampling with the Simple Random Sampling technique. The data collection technique used a questionnaire sheet. Statistical test using Man-Whitney test with (a=0.05). This research has been carried out Ethical clearance tested by the KEPK STIKes Ngudia Husada Madura. The results showed that based on the Man-Whitney statistical test with test results (p= 0.021) < (a = 0.05). So it can be concluded that there were differences in wound healing in diabetic ulcer patients in the control group (without ozone bagging therapy) and the treatment group (with ozone bagging therapy).
It is suggested that this research can be used as a reference regarding wound healing in diabetic ulcer patients who are given ozone bagging therapy and can motivate patients with diabetes mellitus in controlling blood sugar levels, as well as serve as information about one way that can be done in controlling blood sugar levels daily.
Keywords: Ozone Bagging, Diabetic Ulcer, Diabetes Mellitus, Wound Healin
ALTERNATIVE COMPLEMENTARY SERVICES OF SAPONIN TOWARDS REDUCTION OF FASTING BLOOD SUGAR LEVELS AND 2 HOURS POST PRANDIAL IN TYPE II DIABETES MELLITUS PATIENTS
Get PDFBackground - Diabetes mellitus (DM) is a metabolic disorder disease characterized by hyperglycemia. DM disease control aims to reduce mortality and morbidity, prevent complications and improve the quality of life of DM patients. DM treatment is carried out in a lifetime, requires large costs, causes mild to dangerous side effects, and requires a high level of medication adherence. Therefore, it is necessary to conduct an intervention that is cheap, easy to obtain and minimal risk.
Objective - To prove that the administration of saponins has an effect on reducing fasting blood sugar levels and 2 hours post prandial in patients with type 2 DM.
Methods - From 37,195 journals accessed full text, 18 journals were obtained from the screening results that met the inclusion criteria for a systematic literature review with the design used in this study used a randomized control trial design, quasi-experimental, and pre-clinical trial published in the 2015-2020 range. The subject of this study is related to saponins, fasting blood glucose, 2 hours pp in patients with type 2 diabetes.
Results - Giving saponins to aloe vera plants with doses in the range of 300-500 mg/day is more effective in reducing fasting blood sugar levels with p value= 0.000 and effect size 1.42 (very strong) compared to other plants. Meanwhile, the saponin content in cherry plants with a dose of 15 grams was more effective in reducing fasting blood sugar levels 2 hours post prandial in patients with type 2 diabetes mellitus compared to other plants with p value= 0.000 and effect size 2.85 (very strong).
Conclusion - Based on the results of the analysis of the research subjects, that the saponin intervention was very effective in reducing fasting blood sugar levels and 2 hours of PP
LEVEL OF DEPENDENCE OF STROKE PATIENTS BASED ON THE BARTHEL INDEX SCORES IN ACTIVITY DAILY LIVING
Get PDFStroke is a major cause of long-term disability resulting in the inability to perform daily activities (ADL). Various daily activity assessment scales have been used for stroke patients including the Barthel Index. This study aims to determine the level of dependence of stroke patients based on the Barthel index score in daily living activities. This research is a descriptive study, where the research sample is stroke patients in the working area of the Kedundung Public Health Center, Mojokerto City, totaling 60 people using a consecutive sampling technique. Data collection using the Barthel index instrument to assess the ability of ADL. Data were analyzed using frequency distribution. The results showed that most of the respondents had mild dependence, namely 78.4% and 13.3% of respondents were independent in ADL abilities. The severity of the respondent\u27s dependence on performing ADL ability also depends on the severity of stroke symptoms. Patients with mild stroke may also experience ADL dependence in daily life. Appropriate and effective evaluation of ADL in stroke patients can be used as a basis for decision-making in treatment, rehabilitation, and nursing actions
FACTORS AFFECTING COPING STRATEGIES FOR HEALTH WORKERS IN DEALING STIGMA DUE TO COVID-19
No full textCoping strategies used by health workers in dealing with community stigma due to Covid-19 are varied. The influencing factors include individual characteristics such as gender, marital status, profession, education level, marital status, salary, sift and others. The purpose of this study was to determine the factors that influence health workers in the selection of coping strategies. The design of this study was cross-sectional. The population is health workers who work in health services in Indonesia with a total of 530 samples through incidental sampling technique. The research instrument used a Brief Cope Inventory which consists of 28 question items with 14 subscale items. Data analysis used univariate, bivariate and multivariate. The coefficient of determination obtained is 0.125, meaning that the variability of the dependent variable that can be explained by independent variability is 12.5% or about 87.5% the rest is explained by other factors outside the model, which means that it cannot be explained by the model including physical health factors and psychology
EDUCATION TO IMPROVE QUALITY OF LIFE OF PATIETS WITH STOMA: A LITERATURE REVIEW
Get PDFSeveral conditions or disease may necessitate the formation of stoma as a treatment. However, stomas has a negatif effect on physical, psychological, social and spiritual aspects that can reduce the quality of life. Education is an effort to improve the quality of life of patients with stoma. The aim of this study was to describe the education of patients with stoma to improve quality of life. A review of the literature by searching in sciencedirect, EBSCO, and pubmed. Four relevant articles include in syntesis. Three studies conclude that education can improve quality of life and one study did not show significant results, but there were positive changes in the quality of life value. Education is provided through a variety of methods, the topic covers various aspects of life, delivered by a team of health care, given at least 2 sessions. Education in patients with stomas can improve quality of life. Although each article has a different method of education, it has a positive effect on improving the quality of life
DEVELOPING ORAL PREPARATION MATERIALS USING EXPERIENCE-BASED MEDIA
Get PDFPreparation of oral presentation is one of the materials in the Indonesian language course. This material is a speaking skill material. This material helps students prepare for public speaking, such as providing health education to the public. The purpose of this study was to describe the preparation of experience-based oral presentation preparation materials.This research method uses qualitative research methods with data sources in the form of a book by Gorys Keraf entitled composition published by Nusa Indah and a book by Trianto entitled Designing an innovative-progressive learning model published by Kencana Prenada Media Group. The data in this study are the words, sentences or paragraphs in the two books. The data collection technique used by researchers was document study by collecting documents related to the preparation of materials and materials for oral presentation preparation. Meanwhile, for data analysis techniques, what the researchers did were: (1) data reduction. (2) displaying data by compiling relevant data, (3) drawing conclusions to get a meaning that scattered symptoms have deep meaning. The results of this study indicate that the preparation of oral presentation preparation materials using experience-based media produces a material concept map which in its presentation can be given examples through experience-based media. The existence of making a concept map for the preparation of oral presentation material makes the flow of oral presentation preparation clear and easy to understand, that in preparation for oral presentation there are three main components that must be done, namely 1) examining the problem where this point includes determining the intent, analyzing the listener and the situation, and selecting and narrowing the topic, 2) compiling a description. This point includes gathering material, drawing up a description outline, and describing it in detail, and 3) conducting an exercise. Powerful words are the key words at this point, that the speaker\u27s knowledge of the topic and the needs of the listener, being able to position himself to be closer to the listener, speaking according to facts and speaking honestly, and having the same line of thought as the listener are components that must be mastered by the speaker. , so that the material conveyed to listeners really hits and impresses
RELATIONSHIP OF NUTRITIONAL INTAKE OF BREAST MILK AND HYPERBILIRUBIN IN PREMATURES
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Almost all premature babies have hyperbilirubin due to immature body organs and liver function. Breast milk nutrition, which is often found, especially colostrum, can stimulate the baby\u27s bowel movements to help the excretion process through the feces so that it will clear meconium faster, this will help remove bilirubin in the baby\u27s body. The aim of this study was to analyze the relationship between breastfeeding nutrition and the incidence of hyperbilirubin in premature babies in the NICU room of the Wahidin Soedirohusada Regional Hospital, Mojokerto.
This type of research is analytic with cross sectional approach. The population of all preterm infants treated in the NICU room of the Wahidin Soedirohusada Mojokerto Regional Hospital was 24 respondents with a total sample of 20 respondents with consecutive sampling. This research was started on March 10 - April 9 2019. Data collection was done by observing drinking intake and observing laboratory results, with 2 independent and dependent variables. Data analysis by editing, coding, scoring, tabulating, chi square test. Furthermore, statistically tested using the chi square test using the SPSS windows program with a significance limit (ά = 0.05) H1 is accepted and H0 is rejected if ρ <0.05.
Based on the results of the research, some respondents, namely 11 respondents (55.0%) experienced good breastfeeding nutrition and there were no hyperbilirubin 12 respondents (60%) of 20 respondents who had good breastfeeding nutrition and did not occur hyperbilirubin as many as 10 respondents (50%) with chi square test, the value of ρ is 0.008, where ρ = 0.008 <0.05, then H1 is accepted. There is a relationship between breastfeeding nutrition and the incidence of hyperbilirubin in premature babies in the NICU room of the Wahidin Soedirohusada Regional Umun Hospital, Mojokerto.
The results of the study are expected for the hospital to increase education about the benefits of breastfeeding to prevent hyperbilirubin and to hold a breastfeeding corner.
 
THE MOZAIC EFFECT ON THE IMPROVEMENT OF FINE MOTOR SKILLS OF 3-4 YEARS OLD CHILDREN IN INTEGRATED HEALTH CARE CENTER, THE WORKING AREA OF PUBLIC HEALTH CENTER WAENA JAYAPURA CITY.
Get PDFThe Child development speed is unique; it varies due to the child’s nature and its stimulants. Lack of stimulants will affect late fine motoric development of children. Data from the Waena Health Center inform, 190 toddlers have impaired fine motor development.
This research objective was to determine the effect of mosaic techniques on the enhancement of fine motor skills in children aged 3-4 years in Integrated Health Care Waena area, Jayapura City. A quantitative descriptive research was done with Two Group Pretest-Postest Group Design.
The results before the mosaic technique showed in intervention group, had dubious fine motor skills (55.6%) and 16.6% deviant. Whereas in the control group had dubious fine motor skills (83.3%) and 5.6% deviant. After using mosaic technique the intervention group had fine motor skills (77.8%) and small part doubted (22.2%).
The average score after improving fine motor skills in the intervention group was 8, while the control group was 7.1 with independent t-test statistical test at a significance value of 95% ( = 0.05) obtained p-value 0.042 or p <α (0.05), thus there is an effect of mosaic techniques on improving fine motor skills of children at the Integrated Health Care Waena area, Jayapura City.
Keyword: Mozaik Technique, Fine motor skill, children age 3-4 tahu
RELATIONSHIP BETWEEN HOSPITAL LEADERSHIP STYLE WITH EMPLOYEE PERFORMANCE AT GENERAL HOSPITAL IN THE COVID-19 PANDEMIC PERIOD
Get PDFThe development of an agency is the duty of a leader to make it happen. In this case the leader needs qualified subordinates or employees to realize this vision. Leaders must be able to influence their employees to be responsible for completing their work. The purpose of this study was to identify the relationship between leadership style and employee performance in Sidoarjo Dr Soekandar Hospital Mojosari Hospital. The design in this study was cross-sectional. This study\u27s population were all employees of the Mojosaris hospital as many as 90 employees; the sampling technique was total sampling. The sample in this study is Mojosari hospital employees totaling 90 employees. The crosstabs test results using SPSS 25.0 showed that more dominant in using the strategic leadership style. Results can be seen that respondents with sufficient performance. The leadership style in the Moderate category was more than the leadership style in the high categories. 16 (57%) of respondents. Meanwhile, respondents with good performance. The high category\u27s leadership style was far more than the leadership style in the medium category 47 (75%) of respondents. So it can be concluded that the better the leadership applied by the head of the hospital. The better the quality and quantity of employee performance at the hospital. In advancing the institution, cooperation between leaders and employees is needed. Leaders must be able to understand the character of employees and the conditions they face in order to create an effective leadership style. The implementation of an effective leadership style can improve the quality and quantity of employee performance
ANALYSIS CORRELATION SOCIODEMOGRAPHICS ON THE LEVEL OF KNOWLEDGE AND ATTITUDE OF SOCIETY OF JAVA IN EFFORTS TO CONTROL THE COVID-19 OUTBREAKS
Get PDFBackground: Corona Virus Disease-2019 (COVID-19) has been declared a pandemic throughout the world including in Indonesia, especially on the island of Java, with the number of cases always increasing, both confirmed cases and death cases. Objective: To find out the knowledge and attitudes of the people of Java Island related to sociodemographic (age, sex, education, and employment status) in efforts to control Covid-19. Methods: Cross-sectional design with a sample of 1,579 selected by simple random sampling. Collecting data using a questionnaire assisted by the google form program then the data is analyzed by using the chi-square test. Results: Of the 1,579 respondents who participated, namely the youth category by 57%, female gender by 76%, undergraduate education by 47.1%, and the work status of the student category by 41%. A total of 1008 respondents (64%) have good knowledge and 1251 respondents (79%) have a positive attitude. The results of the chi-square test on the knowledge variable showed that there was a relationship between age (p = 0.023) and education (p = 0.021), while gender (p = 0.359) and work status (p = 0.308) had no relationship. In the attitude variable, the results of the chi-square test showed that the p-value between age (p = 0.927), gender (p = 0.072), education (p = 0.140) and work status (p = 0.119) had no relationship, but the knowledge and attitude turns out that there is a value of p = 0.000 <0.05 with a confidence interval of 95%. These results indicate a relationship between knowledge and attitudes towards efforts to control COVID-19. Conclusion: The majority of people on the island of Java are knowledgeable and have a positive attitude in efforts to control COVID-19.