International Journal Of Nursing And Midwifery Science (IJNMS)
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THE EFFECT OF THE "KELAS IBU HAMIL" APPLICATION ON DELIVERY PREPAREDNESS IN PREGNANT WOMEN
No full textGood delivery preparedness significantly reduces maternal and infant complications. Pregnant mother\u27s classes are crucial for enhancing this readiness, now available in flexible digital formats alongside traditional face-to-face sessions due to technological advancements. However, the systematic effectiveness of these digital classes requires further proof. This study aimed to evaluate the impact of the "Kelas Ibu Hamil" application on delivery preparedness. The research employed a quasi-experimental design with a control group. The study population comprised 40 pregnant women receiving Antenatal Care at Puskesmas Pembantu Tambak Agung, Puri, Mojokerto. Total sampling ensured all eligible women became respondents, with 20 assigned to an intervention group using the "Kelas Ibu Hamil" application and another 20 to a control group receiving routine education. Delivery preparedness was measured using a specific questionnaire. Data analysis utilized the Paired Sample T-Test. Results indicated a significant difference in pre-test and post-test scores across four weeks (p < 0.05). These findings confirm that the application effectively improves delivery preparedness by enabling mothers to learn independently, access materials anytime, and consult healthcare professionals directly
ASSOCIATION OF AGE AND FOUR SCORE WITH ICU LENGTH OF STAY IN POST-CRANIOTOMY PATIENTS AT SAKINAH HOSPITAL MOJOKERTO
Get PDFThis study aimed to analyze the association factors between age, FOUR Score, and ICU length of stay among post-craniotomy patients treated at Sakinah Hospital. A cross-sectional study was conducted from 01 October to 12 December 2025 involving adult post-craniotomy patients admitted consecutively to the ICU. Eligible participants were ≥18 years old, intubated postoperatively, and had a completed FOUR Score assessment. Fisher’s Exact Test and relative risk (RR) with 95% confidence intervals (CI) were applied to examine associations between age, FOUR Score, and ICU LOS. A significance level of p < 0.05 was used. 29 patients, 58.6% were aged ≥53 years and 62.1% experienced prolonged ICU stay. A FOUR Score ≤10 was observed in 58.6% of the cohort. Lower FOUR Scores were strongly associated with prolonged ICU stay (p < 0.000; RR = 9.7; 95% CI: 1.4–63.8). Older age also demonstrated a significant association with extended LOS (p = 0.018; RR = 2.47; 95% CI: 1–7.7). Both advanced age and lower FOUR Scores were significant associated with prolonged ICU stay among post-craniotomy patients. These findings underscore the utility of integrating neurological scoring with demographic risk profiling to support early prognostication and guide resource allocation in neurosurgical critical care
THE RELATIONSHIP OF BONDING ATTACHMENT BETWEEN CHILDREN AND WORKING MOTHERS TOWARDS CHILDREN\u27S SOCIAL DEVELOPMENT AND INDEPENDENCE IN AL IZZAH KINDERGARTEN, MOJOKERTO
Get PDFThe golden age period is a time of growth for children that occurs early in theirlives. During this period, children\u27s growth and development occur veryrapidly. The foundation of children\u27s growth and development during thegolden age is the family environment. The family is the primary environmentfor children\u27s growth and development, shaping the good and bad aspects ofhuman personality. The role of mothers as parents is very important in forminga bonding attachment with children. Working mothers have less time withtheir children, which can affect their development. The treatment given byparents to children, whether in the form of affection or protection, accordingto the child\u27s needs, will foster a bond. The purpose of this study was to analyzethe relationship between children\u27s attachment to working mothers and thedevelopment of children\u27s social independence at Al Izzah Kindergarten,Mojokerto. Quantitative research method with correlation research type, andits output is a Book with an ISBN and the Bershinta research journal. Basedon the results of the Pearson correlation test, which shows a correlationcoefficient of 0.537 and a significance level of 0.002 between the bondingattachment variable and social development and independence. Thesignificance value is less than 0.05; therefore, the Ha statement is accepted.The correlation value of 0.537, according to the correlation coefficient valueguidelines, indicates that the level of bonding attachment relationship betweenchildren and working mothers to social development and independence isincluded in the category of strong or high relationships
RELATIONSHIP BETWEEN QUALITY OF WORK LIFE AND NURSE’S PERFORMANCE IN EMERGENCY ROOM RSUD KARSA HUSADA BATU CITY
Get PDFQuality of Work Life (QWL) is an important factor affecting nurse performance, especially in the Emergency Room (ER) with high work pressure. This study aims to analyze the relationship between QWL and the performance of ER nurses at RSUD Karsa Husada, Batu City. The research design used a quantitative method with a cross-sectional study approach. The total sampling used involved 17 ER nurses. QWL measurement was carried out through a structured questionnaire, while nurse performance was measured based on hospital performance evaluation indicators. The statistical test used was chi-square. The results showed a significant relationship between QWL and nurse performance with a p-value <0.005, which was 0.002 (α = 0.05). This indicates that improvements in QWL can contribute positively to improving nurse performance. These findings provide important implications for hospital management to improve the quality of the nurse work environment to achieve better performance in health services
THE EFFECT OF TEPID SPONGE THERAPY ON REDUCING JOINT PAININ GOUT ARTHRITIS AT GENERAL CENDEKIA HUSADA CLINIC
Get PDFGout arthritis is a form of inflammatory arthritis characterized by acute joint pain, swelling, and redness due to the accumulation of uric acid crystals in the joints. Non-pharmacological pain management, such as tepid sponge therapy (warm compresses), is starting to be considered as a safe and easy alternative. This therapy is thought to increase vasodilation, improve blood circulation, and help reduce pain levels. The aim was to determine the effect of tepid sponge therapy on reducing joint pain levels in gout arthritis patients. The method used was This study used a quantitative design with a pre-experimental one-group pretest-posttest approach. A total of 66 respondents diagnosed with gout arthritis and experiencing mild to moderate joint pain were selected using a purposive sampling technique. Pain levels were measured using a Numerical Rating Scale (NRS) before and after the intervention. Tepid sponge therapy was performed for 15 minutes on the painful joint area, twice a day for 3 consecutive days. Data analysis used a WilcoxonTest. Results: There was a significant reduction in pain levels after tepid sponge therapy. The results of wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of tepid sponge therapy on reducing joint pain in gouty arthritis. The conclusion is that tepid sponge therapy is effective in reducing joint pain in gouty arthritis sufferers. This intervention can be used as a simple and effective non-pharmacological treatment alternative to reduce joint pain
THE INFLUENCE OF HEALTH EDUCATIO THE INFLUENCE OF HEALTH EDUCATION THROUGH AUDIOVISUALS ON THE IMPLEMENTATION OF EXERCISES TO PREVENT STROKE IN THE ELDERLY: THE IMPLEMENTATION OF EXERCISES TO PREVENT STROKE IN THE ELDERLY
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ABSTRACT
Stroke attacks the productive age and old age which has the potential to cause new problems in national health development. Preventive measures in the form of pre-hospital treatment need to be emphasized, one way to prevent stroke is by increasing physical activity which is recommended because it is associated with reducing the risk of stroke. but still balance it with adequate rest. This activity can be increased by exercising. The design used in this research is a pre-experimental research design using a One-Group Pre-Post test design. The independent variable in this research is Health Education through AudioVisual. The dependent variable in this research is the implementation of exercise to prevent stroke in the elderly in Randegan village, Driyorejo subdistrict, Gresik regency. Data analysis using the Wilxocon Test was carried out using SPSS 24.0. If r-value > α value (0.05). The results of the research showed that there was an influence before and after being given health education through audiovisual media on the implementation of exercise to prevent stroke, proven by the results of statistical tests using the Wilcoxon test using SPSS, the significance was α=0.05 and the result was r Value = 0.000. The use of audiovisual media in providing health education is very influential, because the media used is easily accepted by the elderly in improving skills, knowledge and changing attitudes related to health.
Keywords: Exercise to Prevent Stroke, Health Education, Audiovisual Media, Elderly
 
COMPARISON OF THE SENSITIVITY AND SPECIFICITY OF THE ZIEHL-NEELSEN METHOD WITH THE MOLECULAR RAPID TEST METHOD IN THE EXAMINATION OF BTA IN THE SPUTUM OF PATIENTS SUSPECTED OF PULMONARY TUBERCULOSIS
Get PDFPulmonary tuberculosis or pulmonary TB is a disease that is easilytransmitted through the air from the source of transmission, namely BTA positiveTB patients when coughing or sneezing, patients spread germs into the air in theform of sputum splashes. For this reason, an examination method that has highsensitivity and specificity is needed as a tool for early detection of Pulmonary TB.Research Objective: To study the comparison of the sensitivity and specificity ofthe Ziehl-neelsen method and the Molecular Rapid Test method in examining BTAin the sputum of TB suspected patients at the Puskesmas against the gold standardusing BTA culture.This study is an analytic observational study with a cross sectional design.The population in this study were all patients suspected of having Pulmonary TBwho came to the Kupang Health Center, Jetis Health Center, and Gedeg HealthCenter who performed microscopic and culture examinations in the laboratoryduring 2023. Sample selection used simple random sampling method with a samplesize of 60 patients. The hypothesis was proven using the Kappa test.Results: the sensitivity and specificity of the Ziehl-Neelsen method BTAexamination were 60% and 100%, while the sensitivity and specificity of theMolecular Rapid Test method examination were 100% and 100%. The results ofthe Cohen\u27s Kappa test showed that between the Ziehl-Neelsen and MolecularRapid Test methods both had high sensitivity and specificity (Kappa; 0.733).Conclusions and advice: Based on the results of the study, the molecularrapid test method has a higher sensitivity than the Ziehl-Neelsen method. Thismethod can be recommended for early detection of pulmonary T
FAMILY COMMUNICATION PATTERN RELATION WITH DEPRESSIONLEVEL ON ELDERLY IN POSYANDU ELDERLY
Get PDFElderly age said to be the final stage of development in the life cycle. In this period a person experiencing a physical setback,mental social gradually decreasing ability to adapt to changes and environmental stress often cause psychosocial disorders in elderly. One of which is depression. To cope with depression in the elderly required functional family communication because of the confidence will increase and the motivation to face problems that ocur will increase. Independent variable that is Family Communication Pattern and Dependent Variable is Depression Level. The research design uses analytical design on cross sectional design. Sample amounted to 30 respondents.With Purposive Sampling.The questionnaires used were two kinds of family communication pattern questionnaire and GDS (Geriatric Depression Scale). .The Stabilistic Test used is the Lambda Correlation test. The result of p (0,032) and α (0,05), so that p (0,032) <α (0,05) meaning that H0 is rejected and H1 accepted which means there is relation of family communication pattern with depression level in elderly at posyandu ugly village Jaringansari Hamlet Karangdiyeng Village .Dysfunctional family communication patterns can cause elderly sad, lonely and experiencing a lot of pressure consequently elderly will experience psychosocial problems especially depression. Functional family communication shows the existence of support to the family and increase the motivation to solve the problem, especially depression experienced by the elderly.
DIGITAL HEALTH INTERVENTIONS TO IMPROVE GLYCEMIC OUTCOMES IN TYPE 2 DIABETES MELLITUS: A LITERATURE REVIEW
Get PDFType 2 diabetes mellitus (T2DM) is a growing global health concern marked by persistent hyperglycemia and a high risk of complications. Despite advancements in treatment, many patients fail to achieve optimal glycemic control. Digital health interventions (DHIs) have emerged as promising tools to support self-management and improve outcomes in T2DM care. This literature review aims to evaluate the effectiveness of DHIs in enhancing glycemic control among individuals with T2DM. A literature review was conducted by searching databases such as EBSCOhost, ScienceDirect, ProQuest, and Google Scholar for full-text articles published between 2016 and 2025. Inclusion criteria focused on studies involving adult T2DM populations using mobile apps, telemedicine, or web-based platforms to support glycemic management. A total of 10 studies met the criteria and were analyzed narratively. A total of 10 studies were analyzed in this literature review to evaluate the impact of digital health interventions on glycemic control among T2DM patients. These studies comprised randomized controlled trials, quasi-experimental studies, and cohort studies conducted in various global settings. The findings consistently demonstrated that digital health interventions such as mobile applications, web-based platforms, and telemedicine systems positively affect glycemic control, primarily measured through decreased HbA1c levels. This literature review concludes that DHIs show strong potential in improving glycemic control in T2DM. The effectiveness of these interventions is influenced by user engagement, digital literacy, and integration with healthcare support
THE EFFECT OF HEALTH EDUCATION WITH AUDIOVISUAL METHODS ON KNOWLEDGE FIRST AID FOR BURN ON HOUSEWIVESIN GENERAL POLY ROOM PKM PURI MOJOKERTO REGENCY
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Burns are a form of trauma that occurs as a result of human activities in the household, industry, or natural disasters. Lack of knowledge makes many people still believe that using toothpaste, ice, raw egg white, soy sauce can heal burns, after doing research on kitchen ingredients it will worsen burns because they will expand and not stop the spread of burns. The purpose of this study was to determine the effect of health education with audiovisual methods on knowledge of burn wound first aid among housewives in General Poly Room PKM Puri Mojokerto Regency. The population in this study were housewives in General Poly Room PKM Puri Mojokerto Regency. as many as 60 people. Sampling in this study using purposive sampling. The sample in this study were all housewives as many as 50 people. Before being given health education on first aid burns, the level of knowledge was less than 28 people (56%). After being given health education about first aid for burns using the audiovisual method, some of the respondents had good posttest scores with a total of 33 respondents (66%). Atatistic test using the Wilcoxon signed ranks test with the help of SPSS obtained a significance level of a = 0.05 and the results were p = 0.000 which means p <0.05, namely H0 is rejected and H1 is accepted, which means that there is an effect of health education with audiovisual methods on aid knowledge. The first is burns to housewives in General Poly Room PKM Puri Mojokerto Regency.
Keywords: Health Education, Audiovisual, Burns, Knowledge Leve