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The Impact of Educational Interventions on Pregnant Womens Knowledge of the Childbirth Planning and Complication Prevention Program
Get PDFIntroduction: Indonesia is one of the developing countries with a high maternal mortality rate (MMR). To address this issue, the government has introduced the Childbirth Planning and Complication Prevention (P4K) program, which includes the use of P4K stickers in healthcare facilities to enhance pregnant women's awareness and enable early identification of potential pregnancy complications.
Objective: This study aimed to examine the effect of education on knowledge about the P4K program among pregnant women.
Method: This study employed a pre-experimental design, involving a population of all pregnant women within the service area of the Limboro Health Center, Polman Regency. A total sample of 35 pregnant women was selected using simple random sampling. Data were analyzed using the Wilcoxon test.
Result: The results showed a statistically significant effect of education on knowledge about the P4K program, with a p-value of 0.00. It is concluded that education positively influences awareness and understanding of the P4K program.
Conclusion: These findings highlight the importance of strengthening educational interventions to improve the implementation of the P4K program, ultimately contributing to the reduction of maternal and infant mortality in the health center's working area
Effectiveness of Endorphin Massage and Positive Affirmations in Reducing Anxiety Levels Among Pre-Sectio Caesarea Patients
Get PDFIntroduction: Facing a Caesarean section (C-section), patients often imagine the surgical process and various discomforts, leading to anxiety. Anxiety can result in both physical and psychological changes, such as an increased heart rate, elevated blood pressure, rapid breathing, fatigue, and an increase in fetal heart rate. Endorphin massage and positive affirmations offer benefits such as comfort and pain relief. This sense of relaxation and comfort is expected to reduce the anxiety experienced by patients before delivery.
Objective: This study aimed to evaluate the effectiveness of endorphin massage and positive affirmations in reducing anxiety levels among pre-C-section patients.
Method: This experimental study employed a pre-experimental design with a one-group pretest-posttest approach. The respondents included 30 pre-C-section patients at Sayang Hospital, Cianjur, selected through a total sampling technique. The research instrument used was the Hamilton Anxiety Rating Scale (HARS) questionnaire, which assessed the patients' anxiety levels before and after the intervention.
Result: The study results, analyzed using the Paired Samples T-Test, showed a p-value of 0.000, which is <0.05.
Conclusion: The findings indicate a significant reduction in anxiety levels among pre-C-section patients before and after receiving endorphin massage and positive affirmation interventions
Enhancing Emergency Management Skills Through Manikin-Based Basic Life Support Simulations: An Evidence-Based Approach for Nursing Students
Get PDFIntroduction: Effective Basic Life Support (BLS) is crucial in improving survival rates during emergencies. Current nursing education often relies on traditional methods, which may not fully prepare students for the pressure and decision-making required in real-life situations.
Objective: This study explores the effectiveness of manikin-based BLS simulation with scenarios in enhancing nursing students' skills in emergency management.
Method: This study employed a one-group pre-test post-test design. Thirty nursing students were randomly assigned to participate in a Manikin-Based BLS Simulation training program. Their BLS skills were assessed using a validated and reliable questionnaire based on the American Heart Association (AHA) 2020 guidelines, administered both before and after the training. Data collection occurred in May 2024. The subsequent analysis will compare pre-test and post-test scores to evaluate the effectiveness of the Manikin-Based BLS Simulation in improving students' BLS skills.
Result: Post-training, knowledge improved significantly (p < 0.001), with 93.3% of students achieving 'Good' knowledge and 96.7% passing skill assessments.
Conclusion: Manikin-based simulations effectively enhance knowledge and skills, supporting their integration into nursing curricula
Factors Influencing Nurses Performance in Implementing the Professional Nursing Practice Model
Get PDFIntroduction: Nursing performance plays a pivotal role in determining the quality of healthcare services, especially in the application of professional nursing models. Several factors, both internal and external, influence nursing performance, including job satisfaction, work culture, workload, supervision, and experience. Understanding these relationships is essential for improving the quality of care in healthcare facilities, particularly hospitals.
Objective: To analyze the relationship between various factors, including job satisfaction, work culture, workload, supervision, and experience, with nurses' performance in implementing the Professional Nursing Practice Model.
Methods: This study employed a quantitative descriptive approach with a cross-sectional design. The sample consisted of 30 inpatient nurses selected through total sampling. Data were collected using structured questionnaires and analyzed using the chi-square test.
Results: Most respondents were female, held a D3 education level, and had five years of work experience. The chi-square test revealed significant relationships between job satisfaction (p = 0.004), work culture (p = 0.002), workload (p = 0.004), supervision (p = 0.001), experience (p = 0.007), and the implementation of the Professional Nursing Practice Model.
Conclusion: There is a significant relationship between job satisfaction, work culture, workload, supervision, experience, and the application of the Professional Nursing Practice Model, as evidenced by p-values less than 0.05. Improving these factors can enhance nurse performance and overall quality of care in hospitals
The Association between Disability and Psychosocial Issues in Individuals with Leprosy
Get PDFIntroduction: Leprosy is a disease that can cause physical disabilities, which in turn contribute to the emergence of psychosocial problems in affected individuals.
Objective: This study aims to analyze the relationship between the level of disability and psychosocial problems among leprosy patients in the working areas of Jrengoan Health Center and Karang Penang Health Center.
Method: This study employs an analytical observational design with a cross-sectional approach. The study population consists of all leprosy patients in the working areas of the two health centers, totaling 47 individuals. The sampling technique used is non-probability sampling with a purposive sampling method, resulting in 42 respondents who meet the inclusion criteria. Disability levels were measured using an observation sheet, while psychosocial problems were assessed through a questionnaire. Data analysis was conducted using the Spearman Rho statistical test.
Result: The results of the crosstabulation analysis revealed that among patients with level 2 disabilities, 12 individuals (28.6%) experienced severe psychosocial problems, while 2 individuals (4.8%) had mild psychosocial issues. The Spearman Rho test indicated a relationship between disability occurrence and psychosocial problems, with a p-value of 0.043 > 0.05. These findings suggest that the higher the level of disability, the more severe the psychosocial problems experienced by leprosy patients.
Conclusion: In conclusion, the majority of leprosy patients in this study had level 1 disabilities, but those with level 2 disabilities tended to experience more severe psychosocial issues. This reinforces the notion that as the degree of disability increases, the psychosocial impact on leprosy patients also becomes more significant
Development of Educational Leaflet for Genetic Counseling and Premarital Screening of Thalassemia for Prospective Couples
Get PDFIntroduction: Thalassemia is a common hereditary blood disorder with a significant impact on public health, particularly in high-prevalence areas. Genetic counseling and premarital screening are critical for educating couples at risk, helping to reduce the incidence of thalassemia. However, there is often a lack of accessible and comprehensible information on this topic for prospective couples, especially at the community health level.
Objective: This study aimed to develop an educational leaflet tailored for prospective couples, focusing on genetic counseling and premarital screening for thalassemia. The leaflet is designed to enhance awareness, provide clear information, and encourage informed decision-making among couples.
Method: A descriptive research design was employed to create and validate the educational leaflet. The development process included a needs assessment through surveys and focus group discussions with nurse educators and couples in the target population. Content was adapted based on expert feedback from genetic counselors and nurses educators to ensure accuracy, readability, and cultural relevance.
Result: The finalized leaflet contains essential information on thalassemia, genetic counseling, and the importance of premarital screening. It is structured in a user-friendly format, including illustrations and a simplified language level to facilitate understanding.
Conclusion: The educational leaflet effectively provides prospective couples with critical information on thalassemia, genetic counseling, and premarital screening. This tool can serve as a valuable resource in public health centers to promote awareness and preventive measures for hereditary diseases. Further research is recommended to evaluate its long-term impact on reducing thalassemia incidence
Case Study of Implementation Compresses (Allium Cepa L.) to Reduce Fever in Toddlers Post DPT Immunization
Get PDFObjective: The purpose of this study was to determine the effect of shallot comresses on redukcing fever in childern under five after DPT immunization.
Method: The method used is a Qualitative method with a single case studi approach. The study was conducted on toddlers immunized by DTP who had a fever in the Utama Village. Toddlers with a fever are given shallot compresses on the armpits for 15 minutes, and then their body temperature is measured
Result: The study's results on a 7-month-old girl toddler, at 08.00 WIB on July 7, 2022, were given DPT exercise and had a fever with a body temperature of 38.40C. First, a compress is given to the toddler's armpit for 15 minutes. After that, a re-evaluation was carried out; with the measurement results, there was a decrease in body temperature to 37.10C.
Conclusion: Onion compresses can reduce fever in toddlers after DPT immunization. This can be used as alternative midwifery care to deal with the side effects of DPT immunization
Coldpack Intervention to Alleviate Hematoma in Post-Percutaneous Coronary Intervention Patient: A Case Study
Get PDFIntroduction: Interventions necessary for patients experiencing Coronary Artery Disease (CAD) include revascularization through Coronary Artery Bypass or Percutaneous Coronary Intervention (PCI). Vascular complications resulting from PCI procedures include hematoma, microvascular aneurysm, bleeding, edema, incision site pain, ecchymosis, embolism, arterial occlusion, arterial spasm, arteriovenous fistula, and retroperitoneal hematoma.
Objective: To describe the nursing intervention outcomes using cold packs to address hematoma in post-PCI patients with femoral sheath access.
Method: A qualitative study employing a case study approach conducted from March 23-25, 2023, at the Heart and Vascular Hospital Tasikmalaya. Inclusion criteria for participants include a diagnosis of Coronary Artery Disease (CAD), prior PCI intervention, PCI access via femoral sheath, and willingness to provide informed consent. The intervention involves the application of a cold pack. Research instruments utilized in this study include semi-structured interviews (in-depth interviews) and observations using The Femoral Scale.
Result: The use of cold packs to address hematoma in post-PCI patients with femoral sheath access is effective. This is evidenced by the absence of hematoma in post-PCI patients with femoral access after applying mechanical pressure with a cold pack. During the observation, patients did not express significant complaints; they reported greater comfort using a cold pack compared to the conventional sandbag approach.
Conclusion: The utilization of cold packs in this case can be considered an alternative to sandbags to enhance patient comfort. However, it is imperative to conduct additional monitoring when removing the cold pack, especially during the 6-hour immobilization period, to ensure patient awareness and compliance with immobilization protocols
Knowledge of Young Women Regarding the Components of 'My Plate' as a Strategy for Stunting Prevention
Get PDFIntroduction: Stunting represents a chronic malnutrition process with significant implications for life productivity. Adolescents, especially young women, wield considerable influence in stunting prevention. Nutritional education stands out as a key strategy in addressing stunting, especially among teenagers. Enhancing nutritional education for adolescents holds promise for shaping their future dietary patterns and behaviors, with knowledge serving as a pivotal catalyst for attitude change.
Objective: This research aims to assess the knowledge of young women at SMPN 1 Ciamis regarding the components of 'My Plate' as a preventive measure against stunting.
Method: The research methodology employed is descriptive research. The study population comprises young women at SMPN 1 Ciamis, with a sample size of 214 individuals selected through accidental sampling. The questionnaire serves as the primary measuring instrument, and univariate analysis is applied for data analysis.
Result: The research findings reveal that the majority of young women exhibit sufficient knowledge, accounting for 91.1%, while the second-largest group demonstrates a lower level of knowledge at 6.1%.
Conclusion: There remains a need for increased awareness and socialization regarding the contents of 'My Plate' as a preventative measure against stunting. Collaborative efforts between schools and healthcare providers are encouraged to implement regular programs, including counseling specifically addressing 'My Plate' components and broader initiatives focused on stunting prevention
Deep Breathing Relaxation Therapy for the Implementation of Acute-Pain in Post-ORIF of Patella Sinistra Fractures Patients
Get PDFObjective: The study aims to find out whether the intensity of pain decreases after the application of non-pharmacological techniques of deep breathing relaxation.
Method: Method used in descriptive case study with approach to nursing process. Population in this study of post-ORIF of fractures patella sinistra patients in Wijayakusuma ward Kardinah Hospital, Tegal City, who have experienced acute pain nursing problems. Data collection in this study was carried out through interviews, observations, and physical examinations. The analysis of data in this study is performed in a descriptive narrative manner using PDCA for patient development, the presentation of data is described descriptively to know the results obtained during conducting a case study.
Result: The results of the study showed that the respondent’s pain intensity decreased from a 5 pain score to a 3 pain score after non-pharmacological respiratory relaxation therapy was administered.
Conclusion: Deep breathing relaxation therapy can be used to reduce the intensity of pain in post-orif fractural respondents. It is hoped that this non-pharmacological breathing relaxation technique can be used by health care professionals, especially nurses, as a way to reduce the scale of respondent pain