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STUDY CASE : EFEKTIVITAS GENGGAM BOLA DURI UNTUK MENINGKATKAN KEKUATAN OTOT TANGAN PADA PASIEN STROKE NON HEMORAGIK
No full textThis case study aims to evaluate the effectiveness of spiked ball grip therapy in improving muscle strength in patients with non-hemorrhagic stroke. Although a number of studies have shown the effectiveness of rubber ball grip exercises in improving hand muscle strength in stroke patients, scientific evidence regarding the use of spiked balls as a variation of sensorimotor stimulation tools is still limited. The method used is a case study with a nursing process approach. The sample consisted of 5 patients who had suffered non-hemorrhagic strokes at Dr. Moewardi Regional General Hospital. The intervention involved spiky ball grip therapy using spiky rubber balls for 5-15 minutes. Muscle strength was measured before and after the intervention using the Manual Muscle Testing (MMT) scale. The results of the case study showed that all respondents experienced an increase in muscle strength after the intervention. Before spiked ball grip therapy, the muscle strength scale ranged from 2 to 3, while after the intervention, it ranged from 3 to 4. This decrease indicates that spiked ball grip therapy is effective in increasing muscle strength. This case study recommends the integration of spiked ball grip therapy as part of standard physical mobility for non-hemorrhagic stroke patients to increase muscle strength.
Studi kasus ini bertujuan untuk mengevaluasi efektivitas pemberian terapi genggam bola duri dalam meningkatkan kekuatan otot pada pasien stroke non hemoragik. Meskipun sejumlah penelitian telah menunjukkan efektivitas latihan genggam bola karet terhadap peningkatan kekuatan otot tangan pada pasien stroke, evidensi ilmiah terkait penggunaan bola duri sebagai variasi alat stimulasi sensorimotor masih terbatas. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan. Sampel terdiri dari 5 pasien yang mengalami stroke non hemoragik di RSUD Dr. Moewardi. Intervensi melibatkan pemberian terapi genggam bola duri menggunakan bola karet duri 5-15 menit. Pengukuran kekuatan otot dilakukan sebelum dan sesudah intervensi menggunakan skala Manual Muscle Testing (MMT). Hasil studi kasus menunjukkan bahwa semua responden mengalami peningkatan kekuata otot setelah intervensi. Sebelum genggam bola duri, skala kekuatan otot berkisar antara 2-3, sementara setelah intervensi berkisar antara 3-4. Penurunan ini menunjukkan bahwa terapi genggam bola duri efektif dalam meningkatkan kekuatan otot. Studi kasus ini merekomendasikan integrasi genggam bola duri sebagai bagian dari mobilitas fisik standar pada pasien stroke non hemoragik untuk meningkatkan kekuatan otot
HUBUNGAN PENGETAHUAN DENGAN PERILAKU PERINEAL HYGIENE SAAT MENSTRUASI PADA REMAJA PUTRI
No full textThe behavior of maintaining cleanliness of the perineal area (perineal hygiene) during menstruation is an important factor in maintaining cleanliness and reproductive health, especially in adolescent girls to prevent the risk of infection in the genital area. Many adolescent girls have sufficient knowledge, but it has not been followed by the correct behavior in maintaining genital hygiene during menstruation. This study aims to determine the relationship between knowledge and perineal hygiene behavior during menstruation in adolescent girls. The research method employed a descriptive correlation with a cross-sectional study design. A total of 129 samples were collected using purposive sampling. The results showed that 17 participants (13.2%) had good knowledge, 90 participants (69.8%) had sufficient knowledge while 22 participants (17.1%) had insufficient knowledge. Perineal hygiene behavior during menstruation was found to be 68 participants (52.7%) showed good behavior while 61 participants (47.3%) showed insufficient behavior. The statistical test results revealed a p-value of 0.231, which is greater than the significance level of 0.05. This indicates that there is no significant relationship between knowledge and perineal hygiene behavior during menstruation among adolescent girls. Recommendations for adolescent girls include increasing awareness and maintaining good genital hygiene habits during menstruation to prevent infection. This research is also expected to serve as a baseline for further studies, considering external (cultural) and internal (developmental level, habits) factors that may influence perineal hygiene behavior.
Perilaku menjaga kebersihan area perineum (perineal hygiene) selama menstruasi merupakan faktor penting dalam menjaga kebersihan dan kesehatan reproduksi, khususnya pada remaja putri untuk mencegah risiko infeksi pada area genital. Banyak remaja putri memiliki pengetahuan yang cukup, tetapi belum diikuti oleh perilaku yang benar dalam menjaga kebersihan area genital saat menstruasi. Penelitian ini bertujuan mengetahui hubungan antara pengetahuan dengan perilaku perineal hygiene saat menstruasi pada remaja putri. Metode penelitian menggunakan deskriptif korelasi dengan desain penelitian cross sectional dengan 129 sampel yang diambil menggunakan teknik purposive sampling. Hasil penelitian menunjukkan 17 partisipan (13,2%) memiliki pengetahuan baik, 90 partisipan (69,8%) memiliki pengetahuan cukup sedangkan 22 partisipan (17,1%) mempunyai pengetahuan kurang. Perilaku perineal hygiene saat menstruasi didapati 68 partisipan (52,7%) menunjukkan perilaku baik sedangkan 61 partisipan (47,3%) menunjukkan perilaku yang kurang. Hasil uji statistik spearman rank didapati p-value = 0,231 > 0,05, menunjukkan tidak ada hubungan yang signifikan antara pengetahuan dengan perilaku perineal hygiene saat menstruasi pada remaja putri. Rekomendasi bagi remaja putri meningkatkan kesadaran dan kebiasaan menjaga kebersihan area genital selama menstruasi untuk mencegah infeksi. Penelitian ini juga diharapkan menjadi acuan awal bagi studi selanjutnya, dengan mempertimbangkan faktor eksternal (budaya) dan internal (tingkat perkembangan, kebiasaan) yang dapat mempengaruhi perilaku perineal hygiene
MENTORING IN NURSING EDUCATION: A SCOPING REVIEW
No full textMentoring can serve as a foundation for shaping compassionate and competent nurses. While there is a growing number of studies providing evidence on the beneficial outcomes of mentoring and its integration in mentoring programs, there are few publications that synthesized the literature focusing on identifying specific mentoring strategies. The objective of this scoping review is to explore and summarize the existing literature on mentoring strategies in nursing education and its outcomes. A scoping review was conducted. The databases searched include MEDLINE, CINAHL, ERIC, ScienceDirect, and Biomed Central using the keywords “mentoring”, “nursing”, and “students” to capture all available records that included the concept of mentoring in nursing education. Studies conducted in any academic setting and areas where students conduct clinical placements, and those published in English were included. The studies were independently screened by the authors before data extraction, tabulation, and analysis. Of the 16, 450 records identified,136 articles were assessed for eligibility, and a total of 30 studies were included in the review. Five studies focused on clinical nurse-led mentoring, peer mentoring, faculty mentoring, individual and group mentoring, and tripartite mentoring. The studies consistently showed beneficial outcomes of mentoring on the personal and professional development of the students. The reviewed articles indicate that mentorship is a major strategy that significantly influences the nursing education process and various aspects therein. Mentor support provided through faculty, clinical, and peer structures enhances self-efficacy, professional identity, care, and academic success
Systematic Bibliometric Analysis: Digital Human Resource Management Studies for Future Research
No full textDigital progress in the current era, marked by rapid and widespread technological advancements, has become a key factor in determining individual success, societal development, and effective human resource management. Various developments in digital technology, including digital literacy, have made knowledge in the field of digital human resource management increasingly complex for future research. The aim of this study is to conduct a bibliometric analysis of digital human resource management research in the context of digital transformation by thoroughly reviewing existing literature. The study utilizes Publish or Perish (PoP) and VOSviewer software to generate readable bibliometric network visualizations. Through the initial screening and selection process, several studies met the inclusion criteria, with references drawn specifically from literature sources included in the final analysis. The findings reveal that the body of literature on digital human resource management for future research is composed of several thematic clusters. Each cluster reflects a recurring set of keywords that outline current research trends and provide a meaningful snapshot of real-world developments in the field. In conclusion, this research enhances understanding and digital literacy related to the evolution of digital human resource management studies and highlights its potential within the broader scope of digital transformation in the modern world
Pengaruh William’s Flexion Exercise Terhadap Intensitas Dismenore Pada Remaja Putri Usia 12-15 Tahun
No full textDysmenorrhea is menstrual pain that is often experienced by adolescent girls and can interfere with activities and reduce quality of life and academic achievement, so non-pharmacological efforts are needed to overcome menstrual pain, namely using William's Flexion Exercise. This study aims to determine the effect of William's Flexion Exercise on the intensity of dysmenorrhea in adolescent girls aged 12-15 years at SMP Budi Mulia Pakisaji Malang Regency. The design of this study is quantitative using a pre-experimental design with a one group pretest-posttest approach. The study sample consisted of 20 respondents selected using a purposive sampling technique. The instrument used an observation sheet for measuring pain intensity with a Numeric Rating Scale (NRS). Data analysis was carried out bivariately using the Paired T-test. The results of the study obtained an average value of pain intensity before being given exercise was 4.00 and after being given exercise the average value of pain intensity decreased to 2.70. From the results of the Paired T-test, a Sig value of 0.000 (p<0.05) was obtained, which indicates a significant effect of William's Flexion Exercise on reducing the intensity of dysmenorrhea in female adolescents aged 12-15 years at SMP Budi Mulia Pakisaji. William's Flexion Exercise can be used to reduce menstrual pain, so researchers recommend William's Flexion Exercise as a complementary therapy for non-pharmacological interventions for adolescents experiencing dysmenorrhea.
Dismenore merupakan nyeri menstruasi yang sering dialami oleh remaja putri dan dapat mengganggu aktivitas serta menurunkan kualitas hidup dan prestasi belajar, sehingga diperlukan upaya non farmakologi untuk mengatasi nyeri menstruasi yaitu menggunakan William’s Flexion Exercise. Penelitian ini bertujuan untuk mengetahui pengaruh William’s Flexion Exercise terhadap intensitas dismenore pada remaja putri usia 12-15 tahun di SMP Budi Mulia Pakisaji Kabupaten Malang. Desain penelitian ini yaitu kuantitatif menggunakan desain pre-eksperimen dengan pendekatan one group pretest-posttest. Sampel penelitian terdiri dari 20 responden yang dipilih dengan teknik purposive sampling. Instrumen menggunakan lembar observasi pengukuran intensitas nyeri dengan skala Numeric Rating Scale (NRS). Analisis data dilakukan secara bivariate menggunakan uji Paired T-test. Hasil penelitian diperoleh nilai rata-rata intensitas nyeri sebelum diberikan latihan adalah 4,00 dan setelah diberikan latihan nilai rata-rata intensitas nyeri menurun menjadi 2,70. Dari hasil uji Paired T-test didapatkan nilai Sig 0,000 (p<0,05) yang menunjukkan adanya pengaruh signifikan dari latihan William’s Flexion Exercise terhadap penurunan intensitas dismenore pada remaja putri usia 12-15 tahun di SMP Budi Mulia Pakisaji. William’s Flexion Exercise dapat digunakan untuk menurunkan nyeri menstruasi sehingga peneliti merekomendasikan William’s Flexion Exercise sebagai terapi komplementer untuk intervensi nonfarmakologi bagi remaja putri yang mengalami dismenore
Perbandingan Kualitas Hidup Pasien Gagal Ginjal Kronik Yang Menjalani Hemodialisa Di RSA Bandung Berdasarkan Jenis Kelamin
No full textChronic kidney disease (CKD) is a global problem with an increasing incidence every year. Chronic kidney disease patients undergoing hemodialysis experience lifestly changes and various complications that impact their quality of life, both physically, psychologically, socially, and environmentally. Gender is suspected to influence patients' quality of life. This study aims to compare the quality of life CKD patients undergoing hemodialysis at RSA Bandung based on gender. The research method used a quantitative design with a descriptive-comparative approach and a cross-sectional design. A sample of 63 respondents was selected using a purposive sampling technique according to inclusion and exclusion criteria. The instrument used was the WHOQOL-BREFF questionnaire that covers four domains of quality of life. Data analysis used the Independent t-test. The results of the study showed no significant difference in the quality of life of chronic kidney failure patients undergoing hemodialysis at RSA Bandung based on gender with a p-value > 0,05, indicating that gender does not significantly affect quality of life. Therefore, research is needed to obtain more comprehensive results.
Gagal ginjal kronik merupakan masalah global dengan angka kejadian yang terus meningkat setiap tahun. Pasien gagal ginjal kronik yang menjalani hemodialisa mengalami perubahan gaya hidup dan berbagai komplikasi yang berdampak pada kualitas hidup baik secara fisik, psikologis, sosial, maupun lingkungan. Faktor jenis kelamin diduga menjadi berpengaruh terhadap kualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui perbandingan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisa di RSA Bandung berdasarkan jenis kelamin. Metode penelitian menggunakan desain kuantitatif dengan pendekatan deskriptif-komparatif dan rancangan cross-sectional. Sampel berjumlah 63 responden yang dipilih menggunakan teknik purposive sampling sesuai kriteria inklusi dan eksklusi. Instrumen yang digunakan adalah kuesioner WHOQOL-BREFF yang mencakup empat domain kualitas hidup. Data analisis menggunakan uji Independent t-test. Hasil penelitian tidak terdapat perbedaan yang signifikan kualitas hidup pasien gagal ginjal kronik yang menjalani hemodialisa di RSA Bandung berdasarkan jenis kelamin dengan nilai p-value > 0,05, yang menunjukan jenis kelamin tidak mempengaruhi kualtias hidup secara bermakna. Oleh karena itu, perlu adanya penelitian yang menggabungkan jenis kelamin dengan variabel lain agar hasil yang didapatkan lebih komprehensif
PSYCHOSOCIAL FACTORS ASSOCIATED WITH EXCLUSIVE BREASTFEEDING IN POSTPARTUM MOTHERS AT CITRA ARAFIQ HOSPITAL
No full textExclusive breastfeeding is essential for infant growth and immunity, yet its implementation remains suboptimal. Psychosocial factors, particularly maternal anxiety and perceived social support, are believed to influence breastfeeding behavior. This study aimed to examine the relationship between anxiety and social support with exclusive breastfeeding among postpartum mothers. A cross-sectional analytical study was conducted involving 120 postpartum mothers at Citra Arafiq Hospital, Depok. Samples were selected using purposive sampling. Anxiety was measured using the Zung Self-Rating Anxiety Scale (SAS/ SRAS), and social support was evaluated using the Multidimensional Scale of Perceived Social Support (MSPSS). To analyze the data, the Spearman rank correlation test was used. The results showed a strong negative connection between anxiety and exclusive breastfeeding (ρ = 0.000; r = -0.577), the term negative indicates the opposite direction of the relationship, while strong indicates that the relationship is significant or has a major impact. It means that people with higher anxiety were less likely to exclusively breastfeed. Conversely, a significant positive correlation was found between social support and exclusive breastfeeding (ρ = 0.000; r = -0.487), suggesting that greater support increases the likelihood of successful exclusive breastfeeding. In conclusion, maternal anxiety and social support are significantly associated with exclusive breastfeeding practices. These findings highlight the need for comprehensive postpartum care that includes emotional support and anxiety reduction interventions to improve breastfeeding outcomes.
Menyusui eksklusif sangat penting untuk pertumbuhan dan kekebalan bayi, namun implementasinya masih belum optimal. Faktor psikososial, terutama kecemasan ibu dan dukungan sosial yang dirasakan, diyakini mempengaruhi perilaku menyusui. Studi ini bertujuan untuk mengeksplorasi hubungan antara kecemasan dan dukungan sosial dengan menyusui eksklusif di kalangan ibu pasca persalinan. Studi analitis transversal dilakukan melibatkan 120 ibu pasca persalinan di Rumah Sakit Citra Arafiq, Depok. Sampel dipilih menggunakan metode sampling purposif. Kecemasan diukur menggunakan Skala Kecemasan Self-Rating Zung (SAS/SRAS), sedangkan dukungan sosial dievaluasi menggunakan Skala Dukungan Sosial Multidimensi (MSPSS). Untuk menganalisis data, digunakan uji korelasi rank Spearman. Hasil menunjukkan hubungan negatif yang kuat antara kecemasan dan pemberian ASI eksklusif (ρ = 0.000; r = -0.577), istilah negatif menunjukkan arah hubungan yang berlawanan, sedangkan kuat menunjukkan bahwa hubungan tersebut berpengaruh besar atau signifikan. Hal ini berarti orang dengan kecemasan yang lebih tinggi cenderung kurang mungkin melakukan pemberian ASI eksklusif. Sebaliknya, ditemukan korelasi positif yang signifikan antara dukungan sosial dan pemberian ASI eksklusif (ρ = 0.000; r = -0.487), menunjukkan bahwa dukungan yang lebih besar meningkatkan kemungkinan keberhasilan pemberian ASI eksklusif. Kesimpulannya, kecemasan ibu dan dukungan sosial memiliki hubungan yang signifikan dengan praktik menyusui eksklusif. Temuan ini menyoroti pentingnya perawatan pasca persalinan yang komprehensif, yang mencakup dukungan emosional dan intervensi untuk mengurangi kecemasan, guna meningkatkan hasil menyusui
UNDERSTANDING “LYING SPIRIT” IN 1 KINGS 22:22
Full text linkThis research examines the concept of the "lying spirit" in 1 Kings 22:23 with a focus on its theological meaning and implications for understanding God's sovereignty and justice. In this passage, God is described as allowing a lying spirit to mislead Ahab's prophets as part of divine judgment. This phenomenon raises various questions about God's holy character amidst the use of lies to achieve His will. Through a historical-grammatical approach, linguistic analysis of the word רוּחַ (ruach), as well as a thematic study of divine sovereignty in the Old Testament text, this research finds that God's actions remain consistent with His just and righteous nature. God is not the originator of lies, but remains in His absolute authority, allowing humans to reap the consequences of their rejection of the truth. In addition, this research connects the relevance of this event to the challenges of integrity in a contemporary culture hit by the "post-truth" phenomenon. This research contributes to the study of Old Testament theology by offering a new perspective on the relationship between justice, truth, and divine sovereignty in ancient and contemporary contexts.
Keywords: Spirit of Lying, 1 Kings 22:23, Sovereignty of God, Evil and Righteousness, Old Testament Theolog
HUBUNGAN PENGETAHUAN DAN SIKAP IBU TENTANG 1000 HARI PERTAMA KEHIDUPAN (HPK) DENGAN PERILAKU PENCEGAHAN STUNTING
Full text linkStunting adalah kegagalan pertumbuhan yang dialami anak di bawah lima tahun yang disebabkan oleh kekurangan gizi yang berkelanjutan dan seringkali disebabkan oleh infeksi. 1000 Hari Pertama Kehidupan (HPK) disebut golden age, dimaksudkan untuk memastikan bahwa anak-anak memiliki tumbuh kembang yang optimal. Jika ibu balita mengetahui tentang HPK dan memiliki sikap positif, mereka dapat melakukan perilaku pencegahan stunting yang efektif. Tujuan untuk mengetahui hubungan pengetahuan dan sikap ibu tentang 1000 hari pertama kehidupan dengan perilaku pencegahan Stunting dikelurahan Tataaran II. Metode penelitian ini meruapkan kuantitatif, dengan desain analitik korelasional melalui pendekatan cross-sectional. Teknik pengambilan sampel yang diterapkan dalam penelitian ini adalah total sampling yang melibatkan 100 responden. Hasil analisis spearman rank menunjukkan bahwa secara statistik tidak terdapat hubungan antara pengetahuan dengan perilaku pencegahan Stunting (p=value 0,090) > 0,05, namun terdapat hubungan antara sikap dengan perilaku pencegahan Stunting (p=value 0,007) < 0,05. Penelitian ini menyimpulkan bahwa untuk penelitian selanjutnya, disarankan untuk menganalisis faktor-faktor lain yang mungkin mempengaruhi perilaku pencegahan stunting seperti pendapatan orangtua, budaya ibu balita, dan dukungan suami terhadap ibu balita.
Children under five years old who suffer from stunting, a growth failure disease brought on by persistent malnutrition and frequently linked to infections, experience stunting. The first 1000 days of life (HPK) is the golden period, often referred to as the golden age, for a child to have proper growth and development. Good knowledge about the first 1000 days of life and positive attitudes of mothers in caring for their toddlers will lead to effective stunting prevention behavior. The purpose of this study is to explore the correlation between mothers' knowledge and attitudes about the first 1,000 days of life and behaviors related to stunting prevention. Method in this study employed a quantitative research approach with a correlational analytic design through a cross-sectional approach using sampling technique total sampling, involving 100 respondents. The results of the Spearman rank analysis indicated that, statistically, there was no correlation between knowledge and stunting prevention behaviors (p-value = 0.090) > 0.05. However, a relationship was found between attitudes and stunting prevention behaviors (p-value = 0.007) < 0.05. The conclusion suggests that future researchers should examine other factors that could impact behavior, such as income, culture, and support
Hubungan Indeks Prestasi dan Pendapatan Keluarga dengan Kecemasan Menghadapi Dunia Pekerjaan Pada Mahasiswa Profesi Ners
Full text linkMahasiswa dalam menghadapi dunia pekerjaan memiliki tingkat kecemasan yang tinggi. Faktor seperti indeks prestasi akademik dan kondisi ekonomi keluarga dapat memperberat tingkat kecemasan mahasiswa dalam menghadapi dunia kerja. Untuk mengurangi kecemasan tersebut, mahasiswa harus memiliki pendidikan yang berkualitas dan nilai keagamaan yang kuat. Penelitian ini bertujuan untuk membuktikan bahwa indeks prestasi dan pendapatan keluarga tidak memiliki hubungan yang signifikan dengan kecemasan menghadapi dunia pekerjaan pada mahasiswa Profesi Ners Fakultas Keperawatan Universitas Klabat. Penelitian ini telah menggunakan desain penelitian descriptive correlation dengan pendekatan cross-sectional. Sampel penelitian ditentukan dengan menggunakan teknik total sampling dengan jumlah partisipan sebanyak 73 mahasiswa Profesi Ners. Hasil analisis menunjukan nilai signifikan p = 0,949; r = -0,008 pada indeks prestasi dan nilai p = 0,438; r = -0,092 pada pendapatan keluarga saat dihubungkan dengan kecemasan menghadapi dunia pekerjaan. Ditemukan bahwa tidak terdapat hubungan yang signifikan antara indeks prestasi dan pendapatan keluarga dengan kecemasan menghadapi dunia pekerjaan pada mahasiswa Profesi Ners, Fakultas Keperawatan, Universitas Klabat. Direkomendasikan bagi para mahasiswa untuk tetap mempertahankan keadaan mental yang baik dalam menghadapi dunia pekerjaan. Dan untuk penelitian selanjutnya, disarankan untuk melakukan penelitian terkait faktor pada bidang pendidikan seperti dukungan tenaga pengajar dan fasilitas penunjang proses belajar dengan masalah kecemasan menghadapi dunia pekerjaan pada mahasiswa Profesi Ners, Fakultas keperawatan, Universitas klabat.
Students facing the world of work have a high level of anxiety. Factors such as academic performance index and family economic conditions can aggravate the anxiety level of students in facing the world of work. To reduce this anxiety, students must have a quality education and strong religious values. This study aims to prove that the academic performance index and family income do not have a significant relationship with anxiety in facing the world of work in Profesi Ners students at the Faculty of Nursing, Universitas Klabat. This study has used a descriptive correlation research design with a cross-sectional approach. The research sample was determined using a total sampling technique with 73 participants of Profesi Ners students. The analysis results showed a significant value of p = 0.949; r = -0.008 on the academic performance index and a value of p = 0.438; r = -0.092 on family income when associated with anxiety facing the world of work. It was found that there is no significant relationship between the academic performance index and family income and the level of anxiety in facing the world of work in Profesi Ners students, Faculty of Nursing, Universitas Klabat. It is recommended that students maintain a good mental state when facing the world of work. For future research, it is advisable to conduct research related to factors in the field of education, such as the support of teaching staff and supporting facilities for the learning process with anxiety problems facing the world of work in Ners Professional students, Faculty of Nursing, Klabat University