Interest: Jurnal Ilmu Kesehatan
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The Influence Of Spiritual Emotional Freedom Technique On Cortisol Levels in Ischaemic Stroke Patients
No full textBackground: Ischaemic stroke patients experience an increase in cortisol of 38% over 90 days. The spiritual emotional freedom technique (SEFT) provides manual stimulation of acupuncture points, which makes the muscles feel relaxed so that they can control cortisol. This study set out to assess how SEFT affected the cortisol levels in patients who had suffered an ischaemic stroke.
Methods: A control group and pre- and post-test measures were part of the quasi-experimental research design. There were seventy-one patients in the research population of the study. The sample was measured using the Slovin formula, and the sampling strategy used was purposeful sampling. Over the course of three months, the intervention group had 12 sessions of SEFT once a week, whereas the control group received regular spiritual treatment from RSUD Dr. Moewardi Surakarta, an outpatient nurse. The ELISA method was used to measure cortisol levels. The Kolmogorov-Smirnov test was used to assess normality, and the Levene test was used to test for homogeneity in bivariate data. The Mann-Whitney method was used to analyze the data.
Results: The mean cortisol before intervention was 119.63, and the mean cortisol after intervention was 99.23. SEFT affects cortisol levels in patients who have had an ischaemic stroke, according to a statistically significant (p<0.05) p-value of zero.
Conclusion: Patients with ischaemic stroke experienced a significant drop in cortisol levels after using the SEFT. Furthermore, it is necessary to study the dominant factors that influence the cortisol hormone and the need for a multi-religious approach in an effort to develop spiritual-based interventions
Parental Support in Psychological Rehabilitation of Child Victims of Sexual Violence: A Qualitative Study
No full textBackground: Sexual violence was the most common, Data from the Regional Technical Services Unit for the Protection of Women and Children (UPTD PPA) of Jember Regency showed that there were 75 cases of sexual violence against children in 2022 and 73 cases of sexual violence against children in 2023. This research aimed to analyse aspects of parental social support in the psychological rehabilitation of child victims of sexual violence in the Jember Regency.
Methods: This research was qualitative research with a case study approach. Data were collected through in-depth interviews with 3 main informants, which are parents of child victims of sexual violence with the age criteria of 7-18 years, 2 additional informants, which are family members or closest people from the victim\u27s parents and 1 key informant, which the Regional Technical Services Unit for the Protection of Women and Children (UPTD PPA) of Jember Regency. Informants of this research are based on the willingness of informants to be interviewed in accordance with an ethical review of the confidentiality of informant information.
Results: The results showed that parents had provided emotional support to child victims of sexual violence by reporting to the police; providing affection, instrumental support by fulfilling daily needs, informative support by giving advice to children, and providing appreciation support by accepting the child\u27s condition, providing support to children to undergo rehabilitation so as not to experience prolonged trauma.
Conclusion: Providing aspects of parental social support has been given to their children who are victims of sexual violence
Factors Influencing Patient Satisfaction with Nursing Services in the Private Inpatient Health
No full textBackground: Quality health services are every patient\u27s hope, and understanding the factors that influence patient satisfaction with health services at private hospitals in Surakarta is important to improve the patient experience and overall quality of care. This research will provide valuable insights for hospital management and nursing staff in designing more effective interventions to improve services provided and patient satisfaction. This study aims to determine the factors that influence patient satisfaction with nursing services in inpatient rooms at private hospitals in Surakarta.
Method: This research uses a quantitative approach with a cross-sectional design. The research sample consisted of 90 patients treated in inpatient wards who met the specified inclusion criteria. Data was collected using a structured questionnaire that measures the quality of nursing services and patient satisfaction. Data analysis was carried out using the multiple linear regression method to determine the influence of each variable on overall patient satisfaction.
Results: Hospital nursing services in Surakarta have a significant effect on patient satisfaction with p<0.05, from the five dimensions, namely reliability, physical evidence, empathy, responsiveness, and assurance. All sizes have a significant effect (p<0.05) on the level of satisfaction. This occurs when patients have a good (fairly good) perception of hospital nursing services in Surakarta.
Conclusion: The five dimensions of hospital nursing services in Surakarta, consisting of reliability, concrete evidence, empathy, responsiveness, and assurance, have a major impact on patient satisfaction in hospitals in Surakarta. Thus, it follows that patient satisfaction can be raised by hospitals providing high-quality nursing care
The Relationship Between The Response Time of The Family When Bringing The Patient to Hospital and Stroke Severity Patients
No full textBackground: Non-infectious diseases, especially strokes, are increasing in Indonesia. The problem that occurs at this time is that there are still many families who do not know or don’t know at all about the early detection of stroke attacks. The study aims to determine the relationship between family response time in bringing stroke patients to the hospital and the severity of stroke patients at H. Adam Malik General Hospital Medan.
Methods: This research is an analytic observational study with a cross-sectional design. The research population is unknown with a total sample of 35 people, where the sample is taken based on a purposive sampling technique, and data collection uses the NHISS instrument.
Results: The results of the study find that the median response time value was 4.00 and the SD value is 42.33, while the median stroke patient severity is 21.00 and the SD value is 14.248. Based on Spearman\u27s rho test results, the p-value is 0.008 < α = 0.05, meaning that there is a correlation between family response time and the severity of stroke patients. The correlation coefficient value is 0.441, which means that the faster the family\u27s response time in bringing the patient to the hospital, the lighter the stroke patient\u27s severity.
Conclusion: It is hoped that the family will be able to carry out an initial stroke assessment at home by looking at a smile that tilts to one side, half of the body is weak and speaks pelo, and immediately takes the patient to the hospital
Nursing Process Training to Improve the Quality of Nursing Care Documentation
No full textBackground: The role of medical caretakers as well-being specialists incorporates a major commitment to well-being administrations in an effort to improve the quality of well-being administrations. A few variables that impact nursing documentation include the need for time, the need for vitality, the persistent stack, the need for information from medical caretakers around the documentation framework, the significance of reporting nursing care, and the need for support from nursing pioneers. The aim of this study is to analyze the effect of nursing process training on the quality of nursing care documentation.
Methods: The research to be conducted uses a pre-experiment design research design with a one-group pre-post test-only model consisting of one intervention group. Data collection will be carried out from October to November 2023 in the inpatient room at the hospital. The population in this study was 486 nurses in Surakarat City. The sample was determined based on simple random sampling, so 82 nurses were selected.
Results: The results of statistical tests explain that the value is -48.538 (t≠0). The t value can illustrate that there is a difference in the average score between the pre-test and post-test, where the average pre-test score (69.40) is smaller than the average post-test score (90.57) with a significant value ( p) = 0.000 (p<0.05). The pre-test score (69.40) is smaller than the average post-test score (90.57), with a significance value (p) = 0.000 (p<0.05).
Conclusion: Nursing process training has been proven to be effective in influencing the documentation of the nursing process. It is recommended that health institutions provide ongoing training for nurses, not just as a one-time event
Playing Puzzles Improves School-Age Children\u27s Handwashing Knowledge and Skills
No full textBackground: Handwashing refers to the practice of using soap and water to clean one\u27s hands, both externally and between the fingers. Avoiding the spread of diarrhea, an infectious disease, requires regular handwashing. The goal of this research is to examine how SDN 009 Loa Janan Ilir students\u27 handwashing knowledge and skills changed after receiving health education in the form of puzzles.
Methods: A non-random control group design was used in this quasi-experimental study. The treatment group was SDN 009 Loa Janan Ilir, and the comparison group was SDN 007 Loa Janan Ilir. Each school used a sample size of 53 students. Media with a puzzle theme was provided to the treatment group, while media with a PowerPoint theme was provided to the comparison group. The data was analyzed using Wilcoxon and Mann-Whitney tests.
Results: A bivariate analysis demonstrated that both participants\u27 knowledge and skills improved after being exposed to health education content presented in puzzle form. After receiving health education, there was a statistically significant difference in both the knowledge and competence levels of handwashing between the treatment and comparison groups (ρ-values of knowledge ρ=0.032 and ρ-values of skill ρ=0.000).
Conclusion: Students at SDN 009 Loa Janan Ilir learned new information and improved their handwashing skills after obtaining health education via puzzle media, according to the results of this study
The Impact of Sticking Pictures to Promote Dengue Fever Prevention on Fifth-Graders’ Knowledge and Attitude
No full textBackground: Dengue fever is an acute mosquito-borne infection caused by the dengue viruses and has become a growing public health concern globally. One of the causes is the lack of knowledge about the 3M Plus campaign, especially among children in the school-age group. The objective of this research is to identify the impact of sticking pictures as health promotion media to prevent dengue fever on elementary school fifth-graders’ knowledge and attitude.
Methods: This research uses a pre-experimental type with a one-group pre-test and post-test design. The population of this research consisted of all fifth-grade students, followed by 39 persons chosen utilizing proportional random sampling and simple random sampling techniques. The primary data for this research were collected through the distribution and completion of close-ended questionnaires. The data analysis method was carried out using the Wilcoxon signed-ranks test.
Results: The results show that there is a significant impact of the use of sticking pictures as health promotion media on elementary school fifth-graders’ knowledge (p = 0.01) and attitude (p = 0.01) towards dengue fever prevention after they were given sticking pictures.
Conclusion: The use of health promotion media with sticking pictures affects elementary school fifth-graders’ increasing knowledge and attitude about DHF. The implication of this finding is that educators should consider integrating sticking pictures as health promotion media into their teaching methods to enhance students’ knowledge and attitude towards dengue fever prevention
Early Identification of Neuropathy in Patients with Diabetes Mellitus at RSUD Haji Adam Malik Medan Using the IpTT Method
No full textBackground: Neuropathy is a condition of damage to the nerves of diabetes mellitus patients. Neuropathy can cause serious complications and can even cause amputation in sufferers. So it is necessary to do early detection of neuropathy, one of which is by using the IpTT method. Adam Malik General Hospital is one of the hospitals with the highest percentage of diabetes in Medan, with the cases reported by 1,323 people in 2020. This study aims to identify the incidence of neuropathy in DM patients at Haji Adam Malik General Hospital in Medan using the IpTT method.
Methods: The research design used was a descriptive study with a cross-sectional approach with a population of 1470 inpatients. The sampling technique used accidental sampling with a sample of 52 respondents. The instrument used in this study is in the form of an observation sheet using the SOP of the IpTT Method.
Results: The results of the study found that out of 52 respondents who had neuropathy, 5 respondents (10%) and 47 respondents (90%) did not experience neuropathy.
Conclusion: It is hoped that from the results of this study, DM patients can prevent neuropathy by using the IpTT method
How a Servant-Leadership Attitude Affects Discharge Planning Efficiency
No full textBackground: Discharge planning is one way in which leadership styles can motivate nurses to up their game and provide better care to patients. Examining how a servant leadership style affects the success of discharge planning initiatives is the primary goal of this study.
Methods: The initial part of this mixed-method study involved doing qualitative research using an exploratory descriptive methodology with seven participants at Surabaya\u27s Bhakti Dharma Husada Hospital. Research using quantitative methods and a quasi-experimental design is the second phase. Using a purposeful sampling technique, 114 nurses from the inpatient population at Bhakti Dharma Husada Hospital Surabaya participated in the study. Of this, 57 were assigned to the intervention group and 57 to the control group.
Results: The first stage of the study produced a servant leadership module for the head of the room. In the second stage, based on the paired sample t-test, there was an effect after the intervention was given while entering the hospital (ρ = 0.000), during treatment (ρ = 0.000), and before leaving the hospital (ρ = 0.000). In the independent sample t-test, there was a significant difference in the post-test mean between the intervention and control groups during entering the hospital (ρ = 0.000), during treatment (ρ = 0.000), and before leaving the hospital (ρ = 0.000) on the performance results of the discharge plan.
Conclusion: The ward head at Bhakti Dharma Husada Hospital Surabaya can use the servant leadership module and intervention to improve the performance of discharge planning from the time a patient enters the hospital to the time they leave
Assessment of Stroke Patients\u27 Muscle Strength Following a Combination of Mirror Therapy and ROM (Range of Motion) Exercises Based on Self-Care Theory
No full textBackground: When blood flow problems kill off some brain cells, the result is a neurological deficiency known as a stroke. There have been 507 reported cases of stroke in East Java, while the overall stroke prevalence in Indonesia has jumped from 7% to 10.9% (Riskesdas, 2020). The researchers at RSI Darus Syifa\u27s Surabaya set out to determine how much of an impact self-care theory-based mirror therapy and range-of-motion exercises had on the muscular strength of stroke patients admitted to the inpatient unit.
Methods: A true experimental with a pretest-posttest control group design was utilised in this type of research. One hundred and ten stroke patients made up the study\u27s population. There were a total of 34 participants in this study, with 17 serving as control subjects and 17 as interventionists. Sampling was based on probability sampling using simple random sampling. The Medical Research Council (MRC) scale was utilised by the device to measure muscular strength. Mann-Whitney and the Wilcoxon Signet Rank Test were used to examine the collected data.
Results: In the inpatient ward of the Darus Syifa Surabaya Hospital, stroke patients who undergo a combination of mirror therapy and range of motion exercises based on self-care theory show a significant improvement in muscle strength, according to the Mann-Whitney test (p < 0.05).
Conclusion: The study found that stroke patients\u27 muscle strength improved with a combination of mirror therapy and range of motion exercises grounded in self-care theory