International Journal Of Nursing And Midwifery Science (IJNMS)
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IMPROVING HEALTCARE SERVICES USING MOBILE TECHNOLOGY: NEEDS AND EXPECTATION ASSESSMENT FOR THE DEVELOPMENT OF MOBILE HEALTH APPS FOR MENTAL HEALTH SERVICES IN TECHNOLOGY
Get PDFThe number of electronic health applications is increasing, including those that can be used for mental health. Previous studies showed that, use of several applications provides great benefits for mental health and greatly increases accessibility to mental health services. The objectives of this study were to assess needs and expectations of patients with mental disorder and a broad group of stakeholders with the expected end product being a well-functioning user-centered technology-based tool for mental disorders. The research was carried out by involving 80 patients with schizophrenia and 74 family’s caregivers in health services and local offices of health services in five cities of Indonesian capital city, Jakarta. This study was conducted through self-administered questionnaires and interviews where possible from December 2017 to July 2018. A descriptive statistic using proportion was used to present the data. The results indicated that patients needed information relevant to disease, patient care, check-up schedules and consultation with health workers. In addition, patients also wanted to get information on job vacancies due to many of them were unemployed and rehabilitation programs carried out by local health services. This study highlighted the needs to develop a mobile-based application for continuity of mental health services in the community
THE RELATIONSHIP BETWEEN PREGNANT WOMEN’S PERCEPTION OF THE INTEGRATED ANC PROGRAM WITH PREGNANT WOMEN’S BEHAVIOR IN THE INTEGRATED ANC PROGRAM
No full textRelationship between Pregnant Women’s Perception of the Integrated ANC Program with Pregnant Women’s Behavior in the Integrated ANC Program
Urip Tugiyarti(1), Santoso (2), Muhammad Akhyar(3), Sapja Anantanyu(4)
1) Study Program of Community Development/Empowerment Counseling in Health Promotion Interest, Universitas Sebelas Maret Surakarta
2)Faculty of Medicine, Universitas Sebelas Maret Surakarta
3) Faculty of Education, Universitas Sebelas Maret Surakarta
4) Development Counseling Study Program, Universitas Sebelas Maret Surakarta
ABSTRACT
Background: Maternal Mortality Ratio (MMR) is very high in the world; recorded 800 women die every day due to complications of pregnancy and childbirth. The causes of maternal mortality in Indonesia are very diverse, both medical and non-medical. For this reason, efforts to accelerate the reduction of MMR and accelerate the SDGs achievement must be carried out comprehensively by involving cross-programs in the Health Office, across sectors, DPRD in local government, professional, religious/community organizations, private sector, NGOs and donor institutions. This is relevant as a reference, because maternal health conditions, especially pregnant women, in Indonesia are still far from expectations. Ensuring maternal health efforts is not limited to curative treatment, but must be balanced with preventive efforts. Preventive efforts are very important, because health status cannot be obtained instantly. The preventive effort aims to prevent the occurrence of maternal deaths and fulfill the rights of every pregnant woman to obtain quality health services so that she is able to undergo a healthy pregnancy, deliver safely and give birth to a healthy and quality baby, and pregnant women must understand and carry out integrated antenatal care (ANC). The purpose of this study was to determine the relationship between perceptions of pregnant women about the integrated ANC program with the behavior of pregnant women in the integrated ANC program.
Subject and Method: This study uses a quantitative research method with a cross sectional approach carried out in Bantul Regency. 175 respondents were selected using the cluster proportional random sampling technique. The criteria of respondents are pregnant women with more than 12 weeks gestational age in second and third Trimester. The instruments of data collection used were questionnaires. Data were analyzed with path analysis method and SEM to test the correctness of the structural models available on the lisrel program.
Research Result: The results of the analysis show that there is a relationship between the perception of pregnant women about the integrated ANC program with the mother behavior in the integrated ANC program (0.42, t value = 8.70).
Conclusion: There is a positive and significant relationship between the perceptions of pregnant women about the integrated ANC program with the mother behavior in the integrated ANC program.
Keywords: pregnant women, perception, pregnant women behavior, integrated ANC program
THE INFLUENCE OF DIABETES SELF MANAGEMENT EDUCATION AND SUPPORT FOR SELF EFFICACY AND SELF CARE BEHAVIOUR IN CLIENT WITH TYPE 2 DIABETES MELLITUS
No full textIndependent diabetes care management is needed for health maintenance. Low self-care is caused by low self-efficacy. The purpose of this study was to analyze the effects of diabetes self-management education and support for self-efficacy and independent behavior in clients with type 2 diabetes mellitus. This observational research used a cross sectional approach. Sample which used clusster sampling method consisted of of 200 people. Independent variable was education and support for independent diabetes management, and dependent variable was self-efficacy and independence. Research analysis techniques used bivariate statistical logistic regression test. The results of Binary Logistic Regression test showed that education and independent management support for diabetes significantly influence self-efficacy with a result of sig 0.001 <α 0.05. Education and support for independent diabetes management significantly influence self-care with sig 0,000 <α 0,05. Self-efficacy affects self-care significantly with sig 0,000 <α 0,05. Self-management education and diabetes support are beneficial for people with type 2 diabetes in increasing self-confidence to control and manage the disease they experience.
Keywords: Self-management education, self-efficacy and self-reliance behavio
THE RELATIONSHIP BETWEEN IMPLEMENTATION ORAL HYGIENE WITH ORAL INFECTION OF PATIENT CVA IN THE FLAMBOYAN ROOM OF LAMONGAN GENERAL HOSPITAL
No full textABSTRACT
Introduction: Oral hygiene is the act of maintaining or keeping the oral cavity clean and healthy to prevent caries, periodontal tissue diseases, and bad breath. Oral hygiene in patients affected by CVA is important because it can clean the dirt in the mouth. This study was to determine the relationship between the implementation of oral hygiene with the incidence of infection in the oral cavity in CVA patients in the flamboyant room of RSUD Lamongan in 2018.
Method: The study design used was correlational analytic with the purposive sampling approach with data collection methods by means of observation and checklist, the sample of this study was 24 people affected by CVA. The sampling used in this study uses the technique of sampling, total sampling, the independent variable implementation of Oral Hygiene and the dependent variable on the occurrence of oral cavity infections to determine the relationship between variables using the Spearman rank statistical test.
Results: Based on the results of the study showed that of the 24 respondents who had an infection of (45.8%) 11 respondents, and half of the respondents who did not have an infection of (54.2%) 13 respondents were measured using the Spearman rank statistical test obtained: 0.045
Conclusion: Efforts made to find out the problem, namely counseling, always add insight to the public who do not know about oral hygiene.
Keywords: implementation of oral hygiene, infection of the oral cavit
The BLOOD PRESSURE DIFFERENCES AFTER GIVEN TOUCH THERAPY BY CONTROLLING IMT
No full text
Hypertension often results in dangerous conditions that are often not realized and often do not cause complaints. Hypertension is also often referred to as the silent kiler because it is a deadly disease. Even hypertension can lead to other deadly diseases and can increase the risk of heart attack, stroke and kidney failure.
The research design used Quasi Experiment with Non Equivalent Control Group design with pre-postest control one group design. The research was conducted in the working area of the Dlanggu Health Center on September 2020. The population in this study were all hypertension sufferers. The sampling technique used simple random sampling of 60 people. The instrument used was a sphygmomanometer, measuring height and weight and an observation sheet. Data analysis used the Ancova test with the assumption of normal and homogeneous data distribution.
Ancova analysis results showed that BMI did not affect systolic blood pressure (F = 0.014, p value 0.907> α), but there was a difference in systolic blood pressure between the control group and the treatment group (F = 105.06, p-value 0,000 <α). The results of the ancova analysis showed that BMI did not affect diastolic blood pressure (F = 0.003, p value 0.953> α), but there was a difference in diastolic blood pressure between the control group and the treatment group (F = 80.899, p-value 0.000 <α). It can be concluded that the difference in systolic and diastolic blood pressure after being given Touch Therapy is not controlled by the BMI variable. This is because blood pressure is controlled by other influencing factors, including stress and physical activity.
 
EFFECT OF INJECTABLE COMBINATION ESTROGEN-PROGESTERON AND PROGESTERON-ONLY CONTRACEPTIVES ON GLUCOSE AND MALONDIALALDEHID SERUM
Get PDFInjectable hormonal contraception has been the most favorable contraception method in Indonesia in 2013 and its number reaches 4,128,115 acceptors (48.56%). The estrogen and progesterone contents in injectable contraception could cause stress, increased appetite, decreased leptin level and insulin resistance, eventually leading to increased blood glucose and serum malondialaldehyde levels. This study aims to observe the main effect of use of combined estrogen-progesteron and only progesteron injectable hormonal contraceptions on glucose level in blood and malondialaldehyde (MDA) level in serum. This is an experimental laboratory study. It uses Randomized pre-post test group research design for glucose level and randomized post test with control for malondialaldehyde level. The data are analyzed using Anova. The significance value is p<0.01. 28 samples are divided into 7 groups and each group consists of 4 samples, namely one control group and 6 treatment groups consisting of P1 combined dose 0.54 mg, P2 combined dose 1.08 mg, P3 combined dose 1.62 mg, P4 DMPA dose 2.7 mg, P5 DMPA dose 5.4 mg, P6 DMPA dose 8.1 mg. Only DMPA contraception at 0.54 mg dose influences the blood glucose level increase by p = 0.00. Only DMPA contraception at 8.1 mg dose does not influence serum MDA level by p = 0.1. The conclusion is DMPA contraception has greater potential of causing blood glucose level increase than the combined contraception. Combined and DMPA contraceptions share the risk of increasing serum MDA level
THE DIFFERENCES OF PROJECT-BASED LEARNING AND COOPERATIVE LEARNING MODELS TO INFLUENCE OF CRITICAL THINKING ABILITY IN STUDENT MEDICAL AND SURGICAL SUBJECT 3RD SEMESTER OF DIII NURSING STUDY PROGRAM
Get PDFAchieve maximum academic competition, it is necessary to have critical thinking skills. Both of these are certainly influenced by the learning methods applied by lecturers. Learning of Medical Nursing Nursing learning requires cognitive, affective and psychomotor abilities. Learning methods that are appropriate and easily accepted by students such as project based methods learning and cooperative learning provide learning experiences in the classroom to think more critically and have a high ability to master the concepts and cause motivation to learn. The purpose of this study was to determine the differences in the effect of Project Based Learning learning methods with Cooperative Learning on motivation and Critical Thinking skills in Surgical Medical Nursing teaching. The source population in this study was student D III Nursing STIKES HEALTHY DEVELOPMENT PPNI Mojokerto Semester III. The sample in this study was the third semester students, Nursing Diploma Program, as many as 78 students. The data collection techniques of this research were written test and questionnaire test. Data analysis was performed with data normality test using Kolmogorov mSmirnov test and the results were all data were normally distributed so that the data analysis used different tests namely Mann Whitney, as well as to determine differences in the effect of each class using the Wilcoxon test. The results showed the Asymp.Sig (2tailed) < 0.05 which is 0.000 which means that there are differences in critical thinking skills between classes that use the project based learning model and the Cooperative Learning model after receiving treatment. The Project Based Learning Method guides students through a problem that is solved by a project so that the ability to think in students is more increased
The IMPLEMENTATION OF A SMOKE-FREE AREA POLICY IN SMA NEGERI 2 NGANJUK
No full textBackground:Smoke-free policies in school established to protect and reduce young students\u27 smoking rates from cigarette smoke\u27s harmfulness. This research to describe implementation of smoke-free policies in school and determine factors influencing the policy\u27s implementation. Method: Qualitative research design and descriptive. Informants determined use purposive sampling. Subjects research were headmaster, student vice headmaster, counseling teachers, homeroom teachers, employees, and students. Technique data collection were observation, interviews, and documentation. Validity data was checked with triangulation technique. Qualitative data analysis used an interactive model based on theory of George C. Edward III, which consists of communication, resources, dispositions, and bureaucratic structures. Result: Smoke-free policies in school hasn’t been implemented optimally, especially in the resource. There are some teachers and employees who still smoke. There isn’t specific budget for the implementation of the smoke-free policies. Billboards facilities with no smoking or smoke-free area are still limited. Supporting factor is communication; smoke-free area policy always communicated to school residents. Disposition factor; there is commitment of policy implementers. Bureaucratic structure factor; there is SOP\u27s existence in implementing the policies. Conclusion: Implementation of smoke-free policies in school has not been maximized, so it needs to be supported by all factors, both communication factors, resource factors, disposition factors, and bureaucratic factors.
Keywords: implementation, policy, smoke-free are
THE EFFECTIVENESS OF THE "BOMB" METHOD (BREASTCARE, OXYTOCIN MASSAGE, AND MARMET TECHNIQUE) ON INCREASING BREAST MILK PRODUCTION IN BREASTFEEDING MOMENTS AGE 0-6 MONTHS AT PRAMBON PUBLIC HEALTH CLINIC, NGANJUK DISTRICT
Get PDFThe problem experienced by breastfeeding mothers is that the milk is not released on the first to the third day post partum. As a result, newborns who are supposed to be breastfed early will be delayed and as an alternative are given formula milk. The smoothness of the process of lactation or the production and production of breast milk is influenced by breast care, frequency of breastfeeding, maternal psychology, maternal health, and contraception, as well as breast milk production, which is strongly influenced by physical, psychospiritual, environmental and social. Efforts to stimulate the hormones prolactin and oxytocin can be done with breast care or massage, oxytocin massage, nipple cleansing, early and regular breastfeeding and marmet techniques or milking and massage techniques. The "BOM" method (Breastcare, Oxytocin Massage, and Marmet Technique) is a stimulation to help the production and release of breast milk through breast care, oxytocin massage (massage or stimulation of the spine) and marmet technique (a combination of expressing breast milk and massaging the breasts) ). Mothers breastfeeding babies aged 0-6 months at Public Health Clinic Prambon Nganjuk Regency in a preliminary study of 5 (five) mothers breastfeeding babies aged 0-6 months, do not know how to make a lot of milk production using "BOM" through structured interviews. The research objective was to assess the effectiveness of the BOM (Breastcare, Oxytocin, and Marmet Teachnique) method in increasing breast milk production. This study uses a quasi-experimental method. It was carried out at the Prambon Health Center with a total sample of 60 people and used the Mann Whitney U Test analysis. The results obtained from 60 samples were a p value of 0.000 <0.05, so it can be concluded that there were significant differences between the two groups, where the BOM method (Breastcare, Oxytocin, and Marmet Teachnique) was very effective on breast milk production.
 
RELATIONSHIP HUSBAND SUPPORT OF ANEMIA MANAGEMENT WITH INCIDENCE ANEMIA IN PREGNANCY
Get PDFAnemia during pregnancy caused death in the mother and fetus. Husband\u27s support for reduction the risk of anemia during pregnancy was important. The purpose study was to determine relationship husband\u27s support of anemia management with the incidence anemia in pregnant. Design research used analytic correlation with a cross-sectional. The population were third trimesters pregnantcy in Mojokerto City. Sample size were 54 pregnant women with purposive sampling. Independent variabel was husband support. Dependent variabel was anemia in pregnant. Instrument used a questionnaire and Analyse data with spearman rank test. Results showed the majority had positive support and not anemia, namely 24 respondents (44.4%) while mild support and mild anemia were 15 respondents (25.9%). Spearman rank test p = 0.0002 and correlation coefficient 0.838. It’s means the relationship between two variables is significant. The correlation between the relationship of husband support with anemic events in pregnant women and the nature of one-way relationships. There is a significant and very strong relationship. Husbands who are able to provide positive support to pregnant women can reduce the risk of anemia during pregnancy. The husband must provide support to wife including giving attention, empathetic, advice, knowledge so that the risk of anemia in pregnancy decrease