International Journal Of Nursing And Midwifery Science (IJNMS)
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DEEP BREATHING RELAXATION AND SANYINJIAO ACUPRESSURETHERAPY (SP6) AS A PAIN MANAGEMENT FOR PRIMARYDYSMENORRHEA IN ADOLESCENTS
Get PDFDysmenorrhea, or commonly known as menstrual pain, is a sensation of pain or abdominal cramps that occurs before and during the menstrual period. The use of drugs to reduce pain has negative side effects, so holistic care such as deep breathing relaxation techniques and acupressure therapy are one alternative to reduce dysmenorrhea pain. Deep breathing relaxation is a technique that involves slow and deep breathing to help reduce stress and anxiety (Trivia, 2021). While acupressure is a massage technique at certain points, proven to be effective in reducing menstrual pain. This type of research uses a Quasy Experiment design with a one group pretest and posttest design. The population in this study were all 2nd year female students of the Nursing Study Program at the Madura State Polytechnic. This study used purposive sampling, with the inclusion criteria of female adolescents aged 17-20 years, who had taken Holistic Care Medicine courses, experienced primary dysmenorrhea pain and did not use pharmacological therapy such as analgesics during the research data collection process. The exclusion criteria were having certain gynecological diseases or secondary dysmenorrhea and very severe pain levels. The sample in this study was 52 people. Data collection used a Visual Analog Scale measuring instrument with an intensity scale of 0-10 and a checklist of deep breathing relaxation therapy and SP6 acupressure techniques, data were processed computerized using SPSS software version 26. Univariate analysis used frequency distribution and bivariate analysis used the Wilcoxon test with a p-value <0.05. The results of the data distribution test obtained an abnormal data distribution, so it was continuedstatistical test using the Wilcoxon Test obtained a value of 0.000 (<0.05). Thus proving that the combination of deep breathing therapy and acupressure is effective in reducing primary dysmenorrhea pain in adolescents.
THE RELATIONSHIP BETWEEN MUROTTAL AL-QUR\u27AN ANDEFFLEURAGE MASSAGE USING JITU OIL BY BREAST MILK GRANDMOTHERS WITH INDEPENDENCE IN BREASTFEEDINGMOTHERS
Get PDFThe negative influence of grandmother\u27s advice about breastfeeding is related to wrong knowledge and not intentional. When they have adequate information, grandmothers\u27 roles in feeding their grandchildren will be vulnerable and changeable, resulting in better feeding patterns. During the postpartum period, grandmothers can also pass on to their children information that is very useful for daughters/daughters-in-law, some of which can also hinder breastfeeding. In this research, we will examine the effect of Al-Qur\u27an murottal and Effleurage massage using Jitu Oil on breastfeeding independence in mothers assisted by breastfeeding grandmothers. Postpartum mothers who are giving birth for the first time will be confused about what steps need to be taken to meet the baby\u27s nutritional needs, so the role of those closest to them, especially grandmothers, is needed in ensuring this is achieved.This research uses a quasi-experimental design using a one test only design. The working area of the Arjasa Community Health Center, Situbondo Regency, was used as the location for this research. The research was carried out from December 2023 to February 2024. The research population was postpartum mothers in the TPMB working area of the Arjasa Health Center using purposive samplingas many as 41 people. The resultsMothers who breastfeed independently tend to have a chance of having confidence in breastfeeding which is 3.167x higher than mothers who have low breastfeeding independence
GRADE ANKLE BRACHIAL INDEX (ABI) AS A PREDICTOR OF PERIPHERAL ARTERY DISEASE (PAD) IN MELLITUS PATIENTS
No full textPeripheral Artery Disease (PAD) often occurs in diabetes mellitus patients. PAD can be detected early by measuring the Ankle Brachial Index (ABI). ABI measurement should be important for all DM clients and all clients at risk of DM but is often ignored, causing PAD. The purpose of this study was to determine the Ankle Brachial Index (ABI) as a predictor of Peripheral Artery Disease (PAD) in patients with diabetes mellitus. The design of this study was descriptive with an observational study approach. The population in this study were all 113 diabetes mellitus clients in July 2024. The sampling technique used purposive sampling so that 100 people were obtained who met the inclusion and exclusion criteria. The research instrument used a digital tensiometer and observation sheet. Data analysis used frequency distribution. The results showed that the normal ankle brachial index value was 40 people (40%), respondents who experienced moderate PAD were 28 people (28%), mild PAD 16 people (16%), ABI tolerated 15 people (15%), and hardening of the arteries 1 person (1%). Data analysis suggested that almost half of the respondents had ankle brachial index PAD values consisting of moderate PAD and mild PAD. Moderate PAD occurs in obese diabetes mellitus patients and those who have suffered from diabetes mellitus > 5 years, and mild PAD occurs in those who have suffered from diabetes mellitus > 5 years and have a history of hypertension.
 
THE INFLUENCE OF PHYSICAL WORK ENVIRONMENT FACTORS ON THE PERFORMANCE OF EMPLOYEES OF THE MOJOKERTO REGENCY HEALTH OFFICE
Get PDFEfforts to create a good and comfortable physical work environment must be made by agencies in order to support the achievement of high performance for employees. The purpose of this study was to analyze the influence of physical environmental factors on the performance of employees of the Mojokerto District Health Office. This study was conducted with a cross sectional approach with a sample of 76 employees selected by simple random sampling technique. data were collected with a room thermometer, sound level meter, luxmeter and comfort measurement questionnaire. The data were then analyzed using logistic regression test. The results showed that almost all of the furniture used by employees to work was comfortable (79.5%), most of the rooms had more than average noise levels (59.1%), all rooms had room temperature (15-30o Celsius) (100%), almost all rooms had inappropriate lighting (88.6%). The results of the logistic regression test explain that the comfort of office furniture has no effect on employee performance (p value = 0.545), the noise level has no effect on employee performance (pvalue = 0.739). employee workplace air temperature has no effect on employee performance (pvalue = 0.087). Workplace lighting levels affect employee performance. (p value = 0.026) Together there is an influence of all physical environmental factors on employee performance and there is no most dominant factor in influencing the performance of employees of the Mojokerto District Health Office (pvalue = 0.000). Sufficient lighting does not interfere with employee concentration so that they can work well and focus and have good performance. Therefore, the Health Office should begin to rehabilitate the facilities owned so as to create a conducive work environment for employees
THE EFFECT OF KNOWLEDGE AND ATTITUDE ON THE PRACTICE OF USING MOBILE JKN APPLICATIONS IN PARTICIPANTS OF BPJS KESEHATAN JEMBER BRANCH OFFICE
Get PDFThe use of JKN mobile applications is increasing along with the development of information technology. This study aims to analyse the effect of participants\u27 knowledge and attitudes on satisfaction in using the JKN mobile application at the Jember Branch Office. This study uses quantitative research methods using analytical observational methods with a cross sectional approach. Probaility Sampling with Simple Random Sampling Technique with a total sample of 134 respondents. Data collection was carried out by filling out questionnaires and interviews made by researchers and filled in by respondents. The collected data were processed using the statistical test ‘Chi-Square’ The results showed that most respondents had good knowledge about the JKN mobile application as many as 89 people (66.4%), most respondents had a negative attitude about the JKN mobile application as many as 82 people (61.2%), most respondents were satisfied in using the JKN mobile application as many as 71 people (53%). The results of the Chi-square analysis test show that the p-value of 0.012 means that there is an influence of knowledge on satisfaction in using the JKN mobile application, the p-value of 0.000 means that there is an influence of attitude on satisfaction in using the JKN mobile application. It is expected that BPJS Kesehatan officers are more continuous about socialising the menu or features on the JKN mobile application directly to BPJS Kesehatan participants, currently patients who come to BPJS Kesehatan health facilities some have not used mobile JKN, so it needs the role of officers in educating patients and families about the features in the JKN mobile application
The Emergency Level Algorithm Uses the National Early Warning System (News) Method for Non-Rebreathing Mask Oxygen Therapy Patients
Get PDFThe mixed gas pressure theory states that if the pressure of one gas in a gas mixture increases, the partial pressure of the other gas will decrease. Increasing the oxygen concentration in the non-rebreathing mask will reduce the partial pressure of CO2, so that it can reduce PaCO2 and maintain a high PaO2. Researchers want to know the level of emergency by looking at the effectiveness of administering O2 on hemodynamic status using the NEWS (National Early Warning System) method, where currently only O2 saturation and arterial blood gas analysis values are often used to evaluate, without any scoring, with an action algorithm according to the emergency level scoring report. This research is a quasi-experimental one-group pre-post-test design with a one-shot pretest and posttest design on all patients who have respiratory complaints with NEWS score values in the moderate and severe categories in the ICU of Dr. Hospital. Slamet Martodirjo Pamekasan. Sampling uses non-probability purposive sampling. Because the population of this study is infinite, the target sample size is 20 respondents. The emergence of patients in the ICU after receiving the second 6-hour phase of O2 NRM therapy intervention was found by most respondents (55%) in the mild category, and only 20% in the severe category. This means that the number of patients in the critical or high category is much less than after the first 2 hours of therapy, namely 65% to 20% and most of them are already in the mild category after the second 6 hours of O2 therapy. This study concludes that O2 NRM therapy has a significant effect on reducing the level of emergency for the first 2 hours and evaluation for the second 6 hours, resulting in a different emergency algorithm (reducing the level of emergency) for the two evaluation phases with different levels of emergency
EFFECTIVENESS OF BOOKLETS AS EDUCATIONAL MEDIA TOINCREASE HYPERTENSION KNOWLEDGE: LITERATURE REVIEW
Get PDFHypertension is one of the chronic diseases with high prevalence that requires continuous educational efforts. Booklets as simple printed media are considered effective in increasing patient knowledge about the prevention and management of hypertension. This study is a literature review study that aims to analyze the effectiveness of using booklets as educational media in increasing knowledge of hypertension. Articles were obtained from the PubMed, Scopus, Web of Science, and Google Scholar databases using the keywords: "Booklet" OR "Educational Booklet" AND "Hypertension" OR "High Blood Pressure" AND "Knowledge" OR "Health Education". A total of 10 articles were selected based on the inclusion criteria and selected using the PRISMA diagram. The results of the review showed that the use of booklets consistently increased the knowledge of hypertension patients, both in adult, elderly, and adolescent groups. Booklets have also been shown to be effective when combined with mentoring from cadres or health workers. These results are in line with the theory of health literacy and educational communication which emphasizes the importance of visual media and readability. In conclusion, booklets are an effective educational media, and can be adapted for various target groups in an effort to increase knowledge about hypertension
BEHAVIOR DETERMINANTS OF STUNTING PREVENTION INADOLESCENT GIRLS IN THE TIDORE ISLANDS
Get PDFStunting is a chronic nutritional problem that remains a national concern because it impacts the quality of human resources in the future. Adolescent girls play a crucial role in stunting prevention efforts, as they are potential mothers who play a role in creating a healthy generation. This study aims to analyze factors related to stunting prevention behavior in adolescent girls at State Senior High School 5 Tidore Islands. This study was quantitative with a cross-sectional design. The study population included all 274 female students at State Senior High School 5 Tidore Islands, with a sample of 73 students taken using a simple random sampling technique. Data were collected using a questionnaire that had been tested for validity and reliability. The results showed a significant relationship between knowledge (p = 0.000), attitude (p = 0.000), and social environment (p = 0.000) with stunting prevention behavior. The Odds Ratio (OR) value for knowledge was 17.409; attitude 31.963; and social environment 19.419. The conclusion of this study is that the better the knowledge, attitudes, and social environment of adolescent girls, the better their behavior in preventing stunting
EFFECTIVENESS OF SUPERVISION WITH COMPLIANCE WITH NURSING ROUND DOCUMENTATION IN THE CHILD CARE ROOM
Get PDFNursing rounding is conducted every two hours, which includes monitoring patient complaints, monitoring IV line complaints, positioning the patient comfortably, meeting personal needs, meeting elimination needs, and maintaining privacy. In-service conditions, nurses\u27 compliance with nursing rounding documentation remains low. Compliance with nursing rounding documentation can be improved through nurse supervision. This study aims to analyze the relationship between supervision and compliance with nursing rounding documentation. This study used a correlational analytical approach with a cross-sectional method. A sample of 84 nurses was selected using purposive sampling from a population of 90 nurses. The instruments used included a nursing rounding documentation observation questionnaire, GROW-ME coaching, and a compliance observation sheet. Data analysis was performed using the Spearman Rho correlation test. Most nurses received good supervision (89%). Eighty percent of nurses demonstrated compliance with nursing rounding documentation. There was a significant relationship between supervision and nursing rounding documentation (p=0.000). Nurse supervision significantly increased compliance with nursing rounding documentation. It is recommended that institutions strengthen coaching, training, and motivation programs to improve the quality of documentation and overall nursing care
Multidimensional Family Therapy for Young Adolescent Substance Abuse in Indonesian Prisoners
Get PDFResearch has established the dangers of early onset substance use for young adolescents and its links to a host of developmental problems. Because critical developmental detours can begin or be exacerbated during early adolescence, specialized interventions that target known risk and protective factors in this period are needed. This controlled trial (n=50) provided an experimental test comparing multidimensional family therapy (MDFT) and a peer group intervention with young teens. Participants were clinically referred, were of low income, and were mostly ethnic minority adolescents (average age 13.73 years). Treatments were manual guided, lasted 4 months, and were delivered by community agency therapists in clinical prisioners. Adolescents and parents were assessed at intake, at 6-weeks post-intake, at discharge, and at 3 and 6 months following treatment intake. Latent growth curve modeling analyses demonstrated the superior effectiveness of MDFT over the 6-month follow-up in reducing substance use (effect size: substance use frequency, d= 0.77; substance use problems, d =0.74), delinquency (d = 0.31), and internalized distress (d = 0.54), and in reducing risk in family, peer, and school domains (d = 0.27, 0.67, and 0.35, respectively) among young adolescents