Interest: Jurnal Ilmu Kesehatan
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Factors Influencing Unmet Contraceptive Needs In Indonesia
No full textBackground: As developing countries, family planning program services in Southeast Asia through 2019 are already excellent, with a user rate of 65% and a user satisfaction rate of 90%. However, Indonesia\u27s unmet contraceptive need rate has remained stagnant for the last ten years.
Methods: A systematic online search was carried out in four databases: Pubmed, EMBASE, Proquest, and Sage Journal, as well as Google Scholar. The keywords used were unmet need, gap, non-use, challenge, barrier, birth spacing, birth limiting, birth interval, pregnancy interval, fertility control, birth limiting, family planning, and contraception. A search was limited to articles written in English and Indonesian published in the recent five years, with the population setting its domicile in Indonesia. Selection data was guided by a PRISMA flow diagram and assisted by the specialized systematic review software Rayyan.
Results: Of 571 articles, 7 matched the inclusion criteria and contained 32 unmet need associations. According to our findings, unmet contraceptive need in Indonesia is set by five factors: the level of the woman, the level of her partner, the level of the couple, the level of the household, and lastly, the level of the program or health services.
Conclusion: Using a local language approach, invigorating family planning field officers, and embedding in premarital counseling and school education, this recent evidence can be used to renew the family program planning strategy and achieve the Sustainable Development Goals.
Early Warning Score (EWS) And Shock Index (SI) Patients With Physical Restraints (Hand Fixation) In Patients Receiving Intensive Care
No full textBackground: Patients with critical conditions may experience agitation and also require immobilization. The patient needs a fixation on the hand (physical restraint) so that medical and nursing interventions can be carried out.
Methods: The research method uses a quasi-experimental posttest design. Patients who received physical fixation intervention or physical restraint in an inpatient room at Baptist Hospital Kediri comprised the population.The study was conducted from June to July 2022. The sample size of the study was 57 patients, using a purposive sampling technique with inclusion criteria, namely total care patients, patients receiving restraints and having Richmond Agitation Sedation Scale (RASS) values > +1, and patient exclusion, i.e., patients receiving treatment less than twice a day at 24 o\u27clock. The independent variables are EWS and SI, and the dependent variables are. Statistical test using Mann Whitney with < 0.05.
Results: The results showed that the Early Warning Score (EWS) variable obtained a value of Z = -1.787 with a p value of 0.238, which means that there was no difference in the EWS value in the control group and the experimental group. The results of the study on the EWS variable obtained a value of Z = -181 with a p value of 0.074, which means there is no difference in the EWS value in the control group and the experimental group.
Conclusion: EWS and SI did not have a significant difference in the two groups, it is necessary to conduct a study on the physical condition or physical and psychological symptoms of the restraint measures given
Education By Nurses To Reduce Anxiety For Families Of Patients Treated In The Covid-19 Isolation Room
No full textBackground: Anxiety disorders experienced by families with patients being treated in the COVID-19 isolation room are harmful to the mental and physical health of the family. This study aims to determine the effect of education provided by nurses through digital media on reducing the anxiety level of the patient\u27s family in the isolation room.
Methods: True experiment study with the number of samples taken 36 people. The samples consist of 18 people in an experimental group who were given digital education and 18 people in a control group who were given face-to-face education. Data analysis using an independent t-test.
Results: There is a significant effect of providing education by nurses both through digital media and face-to-face in reducing the anxiety level of families of isolated inpatients at RSUP Surakarta (P value 0.000).
Conclusion: Education through digital has proven to be more effective in reducing the anxiety of the patient\u27s family in the isolation room of RSUP Surakarta compared to education through face-to-face
Different Effect Of Iontoporesis And Massage With The Addition Of Vitamin C Serum On Elasticity Women\u27s Face Skin
No full textBackground: Skin aging is the most worrisome problem in women. Preventing skin damage can be done in various ways including using ionthophoresis, massage and adding vitamin C serum. The purpose of this study was to determine the difference in the effect of giving Ionthophoresis with vitamin C serum and massage with vitamin C serum on the elasticity of women\u27s facial skin.
Methods: The type of research usedquasi experimental two group pre and post test designcarried out in September – October 2021 in 2021 on local women in Tohudan Colomadu Village.In this study, the research subjects were given treatment with a frequency of 2 times a week for 2 weeks. Sivided into 2 treatment groups, namely, group I was given Ionthophoresis with Vitamin C Serum, group 2 was given massage with Vitamin C Serum. The measuring instrument used was a skin analyzer.
Results: Test the difference in elasticity values of Group I and Group 2 with the Independent Samples Test, the results obtained p value = 0.015, which means that there is a significant difference in the administration of Ionthophoresis and Massage with the addition of Vitamin C Serum on facial skin elasticity in women.
Conclusion: Giving Ionthophoresis with Vitamin C Serum is more effective than massage with the addition of Vitamin C Serum on facial skin elasticity in women.It is recommended that the administration of vitamin C serum with the iontophoresis method be one of the interventions that can be used to increase facial skin elasticity
Determinant Factors Affecting Self-Medication Behavior In Breastfeeding Mothers
No full textBackground: Self-medication practices can be a source of medication errors, especially for nursing mothers, because almost all drugs taken by nursing mothers are detected in breast milk, even though the concentrations are low. It can be prevented by identifying the determinants of self-medication.
Methods: This study is a cross-sectional quantitative analytic study. A sample of 150 mothers was choosen by purposive sampling with the criteria for breastfeeding a baby with a maximum age of 6 months. The instrument used is a questionnaire on the determinants of self-medication behavior in breastfeeding mothers. The questionnaire has been tested for validity with Pearson\u27s test (p < 0.05) and reliability with Chronbach\u27s alpha (0.78). Data analysis with chi-square and multivariate tests
Results: The statistical analysis showed a significant association between education level, medical history, drug price, and information media and self-medication behavior in breastfeeding mothers. However, those that had an impact were the history of the disease (p = 0.014), education level (p = 0.024), and drug price (p = 0.006).
Conclusion: The determinants of self-medication behavior in breastfeeding mothers were disease history, drug prices, and education. Further research is needed regarding the rationality of self-medication to determine the optimization and safety of drugs used by breastfeeding mothers
The Effect Of Guided Imagery Based On Spiritual Care On Stress Level And Blood Pressure Of Hypertension Patients
No full textBackground: Stress and increased blood pressure experienced by a person are factors that cause hypertension. Hypertension that is not realized and not treated immediately can cause various complications that can end in death.
Methods: The sample size is 34 respondents, and the sampling technique is purposive sampling. The intervention group was given Guided Imagery-Based On Spiritual Care for 15-20 minutes, and the control group was given standard intervention (usual care) for one week. The variables studied were stress levels and blood pressure. The analysis used the Wilcoxon Signed Rank Test for pre and post-treatment as well as the Mann-Whitney test to determine the difference between the intervention group and the control group, with a significant value of <0.05.
Results The results of the analysis of systolic blood pressure using the Wilcoxon Signed Rank Test showed a p-value of 0.001 in the intervention group and a p-value of 0.564 in the control group. The results of the analysis of Diastolic Blood Pressure using the Wilcoxon Signed Rank Test were a p-value of 0.003 in the intervention group and a p-value of 0.046 in the control group. The results of the analysis using Mann-Whitney obtained a p-value of 0.000 stress, a Systolic Blood Pressure p-value of 0.000, and a Diastolic Blood Pressure p-value of 0.000 between the intervention group and the control group.
Conclusion Guided Imagery-Based Spiritual Care is effective in reducing stress levels and blood pressure of hypertensive patients. This technique is easy to do, so it can be applied as a nursing intervention in inpatient rooms for the development of nursing science in hospitals
Indonesian Traditional Medicines: The Use Before And During The COVID-19 Pandemic At Online Pharmacy Networks In Indonesia
No full textBackground: Many countries\u27 use of traditional medicine during the COVID-19 pandemic aims to increase immunity and reduce symptoms caused by COVID-19. The use of traditional medicine, either alone or in combination with "western medicine" has become a concern for many countries to overcome the COVID-19 pandemic when drugs and vaccines are in the process of discovery and procurement.
Methods: The main sales data obtained are included and excluded so that they can be compared, then coded according to the distribution permit classification, route of administration, country of origin, and usage claims. The analysis of the effect of the route of administration and country of origin is based on chi-square (chi-square count > chi-square table), which states that both have an effect.
Results: The significance of the use of traditional medicines based on claims (p <0.05) before and during the COVID-19 pandemic was not significantly different.
Conclusion: There is an effect of using Indonesian traditional medicine by classification of the route of use and country of origin. It is only a claim to help maintain liver health, which has a significant difference in the use of Indonesian traditional medicines before and during the COVID-19 pandemic, but the percentage of sales is decreasing
Spiritual Deep Breathing Exercise Is Effective In Reducing Anxiety And Stabilizing Oxygen Saturation In COVID-19 Patients
No full textBackground: Problems that arise in COVID-19 patients include, often experiencing deep anxiety characterized by fear of pain, fear of death, fear of losing personal independence, fear of losing role functions that can cause physiological changes, namely a decrease in Oxygen Saturation (SaO2).
Methods: The design of this study was a quasi-experimental approach with a Pretest-Posttest Control Group Design approach. The population of all COVID-19 patients at the Surabaya A. Yani Islamic Hospital is 187 people. The sample size is 34 respondents according to the established criteria with purposive sampling technique. The intervention group was given Spiritual Deep Breathing Exercise for 15-20 minutes and the control group was given an intervention according to hospital standards for 1 week. Analysis on anxiety used the Wilcoxon Signed Rank Test and mann whitney test. The Oxygen Saturation (SaO2) used paired sample T test and independent sample T test.
Results: The results of the Anxiety analysis in the intervention group obtained a p value of 0.000 and a p value of 0.197 in the control group. The results of the Oxygen Saturation (SaO2) analysis in the intervention group obtained a p value of 0.000 and in the control group a p value of 0.884. The results of the analysis on anxiety p value 0.000 and Oxygen Saturation (SaO2) value p value 0.003 between the intervention group and the control group which means there is a difference in anxiety and Oxygen Saturation (SaO2) between the intervention group and the control group. control group in COVID-19 patients.
Conclusion: Spiritual Deep Breathing Exercise theory is effective in reducing anxiety and stabilizing the value of Oxygen Saturation (SaO2) in COVID-19 patients, and this technique is easy to do, so it can be applied as a nursing intervention in isolation rooms for the development of nursing science in hospitals
Determinant Factors Involved In Pregnant Women\u27s Willingness To Receive Covid-19 Vaccine
No full textBackground: The COVID-19 vaccine still has a poor vaccination rate among pregnant women for a variety of reasons, one of which is a lack of knowledge about the vaccine\u27s advantages as well as the potential side effects and risks that may result from the vaccine. The purpose of this research is to discover determinant factors that influence Covid-19 vaccination willingness.
Methods: This is a descriptive analytic study with a chronological method. In this study, a total population of 255 pregnant women was sampled, using the first dose of COVID-19 vaccination administered to pregnant women at Kedungwuni II Health Center. This research relies on primary data and a questionnaire that has been assessed for validity and reliability. This study lasted six months, from July to December 2021. The analysis was a multivariate logistic regression analysis.
Results: The factors related to the willingness of pregnant women to take part in the COVID-19 vaccination were age (p=0.026), gravida status (p=0.029), ANC frequency (p=0.002) and knowledge about covid 19 vaccination (p=0.001).
Conclusion: It is critical for healthcare practitioners to provide information about the COVID -19 vaccination so that expectant mothers do not feel anxious about going to the vaccination sites. Pregnant women should also be informed about the possibility of post-vaccination complications
Compliance Analysis For The Use Of Covid-19 Personal Protective Equipment (PPE) Based On The Theory Of Planned Behavior On Health Workers
No full textBackground: One way to prevent the spread of the Covid-19 virus to health workers is to adhere to the use of personal protective equipment. Increased compliance by health workers will increase awareness of the dangers of Covid-19 infection.
Methods: Use a cross-sectional approach to design and conduct a descriptive analysis of the research. The population of all health workers at the Usada Buana Inpatient Main Clinic Surabaya, with a sample of 102, was determined by a proportional random sampling technique. Structural Model Analysis (SEM-PLS) with significance T Value > 1.64, with steps: designing a measurement model (outer model), designing a structural model (inner model), constructing a path diagram, converting a path diagram to a system of equations, estimating path coefficient, loading, and weight, evaluating the goodness of fit, and hypothesis testing.
Results: The results showed that 48% of the excessive or low intentions of health workers in the use of COVID-19 PPE can very well be explained by attitudes (X1), subjective norms (X2), and perceptions of behavioral control (X3). In the meantime, 65.1% of the excessive or low adherence to COVID-19 PPE in medical examiners can be defined with the aid of the version used in this study (the model idea of deliberate conduct), and other variables outside this study version explain the rest (34.1%).
Conclusion: Attitudes, subjective norms, and perceived behavioral controls can affect compliance with PPE use through intention mediation. Further studies are also endorsed to behavior research on the layout of instructional interventions based totally on the Theory of planned conduct in enhancing medical experts\u27 compliance with adherence to PPE